This chapter primarily focuses on the needs of the Borough’s older people. It starts with an overview of the local picture, describing the key demographic changes in our older population, set within the broader context of trends in life expectancy and mortality over time.
The analysis identifies areas of unmet need through examination of health inequalities and by comparing local data with other areas. We outline evidence of what works, drawing on research and examples of good practice in meeting needs, and describe key services and support available locally with regards to prevention, identification and care or treatment.
We consider the key health conditions that impact significantly on the whole population, such as Cancer, Cardiovascular Diseases, and Diabetes. Their inclusion in this chapter recognises that these diseases become more prevalent as people age but the recommendations on these health conditions will also have wider application across the Bexley population.
This chapter also includes some shorter sections looking at mental health and well-being, including dementia, and obesity. Whilst only considered briefly here, it should be noted that these are the subject of separate, more substantive JSNA chapters in their own right.
As well as key health conditions, this chapter particularly focuses on the following areas:
- Frailty and falls
- Loneliness and isolation
- Hospital episodes and emergency admissions
- Excess winter deaths
- Palliative and End of Life Care
- Adult Social Care Outcomes
- Carers in Bexley
Each section in the chapter is structured in a standard format under the following headings:
- Key facts
- What are we doing about it?
- What works and best practice?
- What are the gaps?
The data analysis primarily relies upon published data sources, including data from the Public Health Profiles, the Office for National Statistics, NHS Digital and NHS England. Data is also presented to show how Bexley compares against a range of national performance indicators from the Public Health Outcomes Framework, the Adult Social Care Outcomes Framework and the NHS Clinical Commissioning Group’s Quality and Outcomes Framework. This has enabled us to benchmark our performance against other areas and identify areas for improvement.
Our analysis includes key results from a number of surveys that are undertaken across health and social care, including the Adult Social Care Survey, Carer’s Survey, GP Patient Experience Survey and Cancer Patient Experience Survey. These surveys provide a valuable source of feedback directly from patients, service users and carers about their experience of care and support, the extent to which this is improving their health and well-being and making a difference to their quality of life. In addition, the section on Community Voice captures feedback received from consultation, engagement and co-production activity, undertaken with our communities, which helps us to shape the services being commissioned in a way that responds to the expressed needs of the population.
Each section of the chapter concludes with a set of recommendations. Our analysis has also identified a number of common themes and cross-cutting issues, which we summarise at the end of the chapter, pulling out some overarching recommendations for consideration.