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Health needs in Cheshire West and Chester

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8. Health needs in CW&C

Overall health status within Cheshire West and Chester is generally good with residents expected to spend a higher proportion of their lives in good health than the England average. The most common chronic conditions are hypertension, asthma and obesity. Hypertension and obesity are risk factors for disease including heart attack, stroke, kidney disease and dementia. CW&C has a higher prevalence of patients with a long-term condition or disease than the England average including cancer, coronary heart disease, stroke, heart failure, atrial fibrillation, COPD, hypertension, rheumatoid arthritis and osteoporosis.

The local mortality rates in the under 75s are statistically similar to the England averages for overall premature mortality, cancers, circulatory disease, respiratory disease and liver disease. However, under 75 deaths have been increasing including for respiratory disease, cancer, and cardiovascular disease. Premature mortality rates for men are significantly higher than rates for women.

CW&C residents have similar lifestyle issues as in the rest of the country. The greatest issue is overweight and obesity, which has steadily been increasing and is significantly higher than the England average. Obesity is a risk factor for CW&C’s most common condition, hypertension, which is itself a risk factor for cardiovascular disease (CVD). Community pharmacies have a key role in helping to tackle these.

Some communities experience multiple disadvantages and inequalities that affect their health and wellbeing. There are pockets of deprivation across CW&C, with 26,700 people living in neighbourhoods ranked in the 10% most deprived neighbourhoods in England. Obesity, chronic conditions, and premature death are higher for residents residing in the most deprived areas of the borough, and life expectancy is significantly lower. These areas in particular dictate a need for the full range of pharmaceutical services.

There are populations residing in CW&C who will have specific health needs and may also face barriers in using healthcare. There is a public duty as part of the Equality Act 2010 to ensure all people have equal access to goods and services and are not discriminated against. Consideration must be given to the nine protected characteristics covered in the Equality Act 2010 which are age, disability, race, religion and belief, sex, gender reassignment, sexual orientation, pregnancy and maternity, and marriage and civil partnership. Reasonable adjustments and changes should be made, not only to meet legal requirements, but to help improve health outcomes and reduce health inequalities.

8. Health needs in CW&C

Overall health status within Cheshire West and Chester is generally good with residents expected to spend a higher proportion of their lives in good health than the England average. The most common chronic conditions are hypertension, asthma and obesity. Hypertension and obesity are risk factors for disease including heart attack, stroke, kidney disease and dementia. CW&C has a higher prevalence of patients with a long-term condition or disease than the England average including cancer, coronary heart disease, stroke, heart failure, atrial fibrillation, COPD, hypertension, rheumatoid arthritis and osteoporosis.

The local mortality rates in the under 75s are statistically similar to the England averages for overall premature mortality, cancers, circulatory disease, respiratory disease and liver disease. However, under 75 deaths have been increasing including for respiratory disease, cancer, and cardiovascular disease. Premature mortality rates for men are significantly higher than rates for women.

CW&C residents have similar lifestyle issues as in the rest of the country. The greatest issue is overweight and obesity, which has steadily been increasing and is significantly higher than the England average. Obesity is a risk factor for CW&C’s most common condition, hypertension, which is itself a risk factor for cardiovascular disease (CVD). Community pharmacies have a key role in helping to tackle these.

Some communities experience multiple disadvantages and inequalities that affect their health and wellbeing. There are pockets of deprivation across CW&C, with 26,700 people living in neighbourhoods ranked in the 10% most deprived neighbourhoods in England. Obesity, chronic conditions, and premature death are higher for residents residing in the most deprived areas of the borough, and life expectancy is significantly lower. These areas in particular dictate a need for the full range of pharmaceutical services.

There are populations residing in CW&C who will have specific health needs and may also face barriers in using healthcare. There is a public duty as part of the Equality Act 2010 to ensure all people have equal access to goods and services and are not discriminated against. Consideration must be given to the nine protected characteristics covered in the Equality Act 2010 which are age, disability, race, religion and belief, sex, gender reassignment, sexual orientation, pregnancy and maternity, and marriage and civil partnership. Reasonable adjustments and changes should be made, not only to meet legal requirements, but to help improve health outcomes and reduce health inequalities.