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Projecting Adult and Older People Populations and Needs

Two websites have been developed and supported by the Department of Health Care Services Efficiency Delivery (CSED) Programme, with the Institute of Public Care, Oxford Brookes University, with the aim of giving easy access to forecasts of the numbers, charactersitics and needs of adults and older people by locality.

  • PANSI - (Projecting Adult Needs and Service Information) - provides information on the population aged 18 to 64
  • POPPI - (Projecting Older People Population Information System) - provides information on the population aged 65 and over

These sites are designed to bring together relevant information for council planners and commissioners of adult social care, and to provide a consistent starting point for examining the needs of adults and older people within the JSNA framework. They use forecasts based on the 2001 Census and current trends and therefore do not predict "expected" outcomes. Registration is required to view the information.

Active Health report

Active Health is a programme that enables and encourages healthcare professionals including GPs to refer patients to leisure and physical activity services as part of their healthcare.  Referrals include Phase IV Cardiac Rehabilitation, Strength and Balance and Exercise After Stroke as well as general referrals.

A total of 77 GP surgeries (97%), are now signed up to the new Active Health referral guidelines.  In addition there has been further development on access for other medical departments to enable them to refer directly via the online tool.

Between 1st February 2012 and 31st January 2013, Active Health received 1,671 on-line referrals and a further 374 paper referrals. 

An annual report has been produced summarising the scheme’s first year (February 2012 to January 2013) and analyses the referrals to the scheme. 

View the report here:

The End of Life Care Profiles have been produced by the South West Public Health Observatory on behalf of the National End of Life Care Intelligence Network (NEoLCIN). They present over 40 end of life care indicators relating to population, deaths, place of death, cause of death, care homes, and end of life care spend. Profiles are available for PCTs and Local Authorities, the local authority profiles include social care indicators for the first time.

The Wiltshire profiles can be downloaded below. To view the other profiles and for further information visit the End of Life Care Profiles website and read the associated flyer.

This needs assessment has been complied by the Wiltshire Community Safety Partnership in line with National Treatment Agency guidance to assess the Adult Drug Treatment needs of Wiltshire. The assessment informs the Adult Drug Treatment Plan 2012/13, as well as the wider Joint Strategic Needs Assessment.

View the Adult Drug Treatment Needs Assessment 2012/2013 here

HMP Erlestoke Substance Misuse Needs Assessment 2012/13

This document is produced by Wiltshire Community Safety Partnership and is available to download here.

The South East Public Health Observatory (SEPHO) has updated the Cardiovascular Disease Profiles for England, the third release of these profiles.

The profiles allow comparison across regions and local areas against a number of indicators, including: prevention, incidence, mortality, and treatments.  They are available for every upper tier local authority in England, along with summary profiles for the strategic clinical networks that come into force from April 2013.  The profile data is easily accessible online via the SEPHO website, along with an interactive Atlas tool, which allows for more direct comparison between different areas.

The Wiltshire profile can be downloaded here.

The Local Tobacco Control Profiles for English Local Authorities provide a snapshot of the extent of tobacco use, tobacco related harm, and measures being taken to reduce this harm at a local level.  These profiles have been designed to help local government and health services to assess the effect of tobacco use on local populations.  They will inform commissioning and planning decisions to tackle tobacco use and improve the health of local communities.

The tool allows comparisons between local authorities in the same region and benchmarking against the England average.

What’s new in the tool in February 2014?

  • Updated indicator data

  • The new 2013 European Standard Population has been used to calculate revised age-standardised rates for deaths from lung cancer, deaths from chronic obstructive pulmonary disease, lung cancer registrations and oral cancer registrations

  • Smoking prevalence (IHS) data are now presented by calendar year

Wiltshire’s profile is available below:

For more information and profiles for other areas visit the Local Tobacco Control profiles website

The 2012 update to the Local Alcohol Profiles for England has been released by the North West Public Health Observatory (NWPHO) today. The profiles contain 25 alcohol-related indicators for every Local Authority and 22 for every Primary Care Trust in England. As well as local area data on alcohol-related hospital admissions and alcohol-related crime, the 2012 profiles include data on levels of abstainers in each Local Authority and the proportion of drinkers who drink at lower, increasing and higher health risk levels.  The new figures reveal every local authority is experiencing substantial ill health, anti-social behaviour and premature deaths as a result of alcohol but levels are substantially higher in the poorest communities.

The profiles for Wiltshire are available to download below.

To view profiles for other areas or other years, visit the Local Alcohol Profiles website.

The NWPHO media release is available here. 

Diabetes profile

Diabetes Health Intelligence at Yorkshire and Humber Public Health Observatory (YHPHO) has published an updated version of the Diabetes Prevalence Model.  The model revises the APHO Diabetes Prevalence Model published in 2010 and estimates the total (diagnosed and undiagnosed) number of people with diabetes by local authority now and in the future.  It is estimated that by 2030 over 4 million people in England will have diabetes.  It also assesses the extent to which rising levels of obesity are likely to be responsible for the increasing prevalence of diabetes.

The report on diabetes prevalence in Wiltshire can be downloaded here:


Further information about the diabetes prevalence model can be found here:


More information about diabetes in general can also been found from the YHPHO website


The NHS Kidney Care CCG Profiles

East Midlands Public Health Observatory has published the NHS Kidney Care CCG Profiles for all 211 CCGs.  These are intended to help CCGs and other stakeholders assess local kidney care need and current service levels in order to inform planning.

The profiles contain information for each CCG on:

  • Observed and expected number of people with chronic kidney disease

  • Clinical management and achievement of chronic kidney disease, and kidney disease risk factors

  • Demographic characteristics and predictive factors for kidney disease

  • Prevalence of the risk factors for kidney disease

  • Acute kidney injury

  • Local kidney unit factors and figures

  • Cost of chronic kidney disease

The NHS Wiltshire CCG profile is available to download here

Further information and profiles for all areas can be found at: http://www.kidneycare.nhs.uk/CCG_profiles

Excess winter deaths atlas

The West Midlands Public Health Observatory (WMPHO) has updated the Excess Winter Deaths in England Atlas.  The Excess Winter Deaths Atlas is available at:


This interactive mapping tool allows the user to view excess winter deaths data in England with the facility to drill down to local authorities to access:

  • Single and three year rolling trend data from 1990-2011

  • Excess winter deaths by selected age groups

  • Excess winter deaths by selected condition (underlying causes of death)

The good news in Wiltshire is that the three year index has reduced from 22.6% in 2007-2010 to 20.5% in 2008-2011 whilst the index for England has risen over the same period.   The single year figures show an even greater improvement from a high of 28.7% in 2008/09 to 15.7% in 2010/11, where the Wiltshire index is now less than the England index (17.0%).

In statistical terms it should be noted that at no time has Wiltshire been significantly different to the England index on either the single or three year measure.  Nor is Wiltshire statistically significantly different for any of the age or condition indices.

There is strong evidence that the needs of blind and partially sighted people and the eye health of local populations must be planned for the future. This document pulls together key information, statistics and research to support Wiltshire Council, Public Health and Commissioners when planning current and future services.

The document has been produced by RNIB (Royal National Institute of Blind People), Wiltshire Blind Association, and Action for Blind people, on behalf of WVSAG (Wiltshire Vision Strategy Action Group) a working group made up of blind and partially sighted people and professionals from social care, health and from the third sector.

VIPER 2012 provides local authority level data covering hospital admissions for violence, police recorded violent crime, data on suicide and sexual assaults and other relevant indicators. It also includes violence-related accident and emergency (A&E) data for all local authorities. Alongside the profiles, VIPER includes information on what works to prevent violence as outlined in the recent Department of Health and NHS publication Protecting people, Promoting health; A public health approach to violence prevention in England.

The 2012 Violence Indicator Profiles for each local authority in England are now available at www.eviper.org.uk.
Community mental health profile for Wiltshire

The Community mental health profiles provide robust health intelligence to help inform commissioners of information they need to make decisions to improve mental health services at a local level as well as comparing patterns of mental health needs and service use at a local, regional, and national level.

The individual local authority profiles comprise of 31 indicators covering the following themes:

  • Wider determinants of health

  • Risk factors

  • Levels of mental health and illness

  • TreatmentOutcomes (new)

Mental health is high on the government’s agenda.  A new mental health strategy was released in 2011 “No health without Mental Health.  The strategy takes a cross government approach and the indicators included in these profiles have been specifically selected to reflect this.

The Wiltshire profile is available here:

Profiles for other areas and more information is available on the NEPHO website.

Health Needs Assessment of 3(UK) Division

The Army conducted a Strategic Health Needs Assessment of 3(UK) Division in 2011/12.  3 (UK) Division is headquarters is in Picton Barracks, Bulford, Wiltshire with 4 subordinates brigades, 2 of which are located within or adjacent to Wiltshire (Bulford and Tidworth).  The population of 3(UK) Division is considered to be largely representative of the British Army.

The report highlights 6 main areas which affect the health and wellbeing of the average soldier within the division (environment, weight management, nutrition, accommodation, smoking and alcohol).

The assessment is available below to download:
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