1. South Aberdeenshire Health Needs Assessment Kim Penman Senior Health Improvement Officer

2. Introduction South Aberdeenshire is relatively healthy Needs assessment undertaken to give rounded picture of health needs Triangulation process used

3. Data Sources used in HNA DataLevel at which reported (i) Health & Wellbeing Needs Assessment Questionnaire 2008 CSN level (ii) Health and Wellbeing Profiles 2008 and Traffic Lights 2009 Intermediate Zones (IZ) Popn 2,500 to 6,000 (iii) Quality Outcomes Framework (QOF) 2006- 08 GP practice level prevalence data. Practice popn 562 – 13,801 (iv) Carstairs Deprivation Index by Practice Population 2009 GP practice level deprivation data.

4. Health Needs Assessment Areas CSNGP Practice (practice popn size * ) Council Admin Area WesthillSkene Medical Group (13,801)Garioch PortlethenPortlethen Medical Centre (12,135) Kincardine & Mearns StonehavenStonehaven Medical Group (13,437) Inverbervie Medical Group (5,505) Kincardine & Mearns LaurencekirkLaurencekirk Medical Centre (4,757) Auchenblae Medical Centre (1,760) Kincardine & Mearns BanchoryBanchory Group Practice (11,952) Torphins Medical Practice (1,796) Marr AboyneAboyne Health Centre (5,471) Tarland Surgery (808) Ballater Clinic (2,090) Braemar Health Clinic (562) Marr

5. Health and Wellbeing Questionnaire 2008 112 questionnaires returned (36% response rate) Young people (69%), children& families (55%), people living in remote/ rural areas (54%) & older people (50%) were main groups identified with specific health / wellbeing issues. Mental health, drug & alcohol misuse ranked highest health issues.

6. Traffic Lights 80% green 13% red 7% amber Red - worse than Scottish average Amber - within the Scottish average range Green - better than Scottish average www.nhsgrampian.org/

7. Traffic Lights 5 out of 18 intermediate datazones emerged with most red and amber lights –Devenick and Findon (IZ059) –Mearns North and Inverbervie (IZ050) –Mearns and Laurencekirk (IZ049) –Stonehaven South (IZ051) –East Cairngorms (IZ056) Road traffic accidents and unintentional Injuries are only 2 indictors that are consistently poorer than Scottish Average.

8. 0 2 4 6 8 10 12 14 16 18 % of practice population Adult Obesity * * * * * * * * % of practice population QOF

9. 0 2 4 6 8 10 Chronic Kidney Disease * * * * * * * * *

10. QOF Findings GP practiceRedAmberGreen Tarland Surgery1122 Braemar Health Clinic11-4 Ballater Clinic1014 Banchory Group Practice762 Laurencekirk Medical Centre 717 Aboyne Health Centre654 Inverbervie Medical Group438 Stonehaven Medical Group 4110 Auchenblae Medical Centre3210 Torphins Medical Practice2310 Portlethen Medical Centre2-13 Skene Medical Group-213 Ranked by the number of reds (worse than Scotland average)

11. QOF Findings Unsurprisingly chronic diseases more prevalent in practices with older popn primarily in Marr. Obesity is only condition where all practices had worse prevalence rate than Scottish average Practices with younger popn profile had lowest prevalence rates (Skene, Portlethen) Rates of Chronic kidney disease & atrial fibrilation higher than Scottish average in 8 and 7 practices respectively – even in younger to middle age popn (Laurencekirk, Inverbervie and Banchory) Asthma is worse / similar than Scottish Average in K&M practices, all Deeside practices have better than Scottish average.

12. Summary Findings QOF evidences higher levels disease in Deeside area but not evidenced in Health and Wellbeing Traffic Lights, reflects older popn. Health inequalities showing up along coastal strip. Where both QOF and Health and Wellbeing profiles showing levels of chronic disease where popn younger to middle aged. East Cairncorms area also showing in both QOF and QOF and Health and Wellbeing profiles, suggesting health inequalities.

13. Next Steps Disseminate Needs Assessment Findings Encourage Use in service planning Focussed engagement in those areas evidencing health inequalities