Adult Social Care Service User Profile

April

ASC, Equality and the Research and Intelligence Team

Introduction

We are proud that Brent is one of the most diverse boroughs in the UK. To work effectively in such a diverse setting, we need a good understanding of all our communities.

The equality characteristics have an important influence on the changing identities and needs of local people. This is part of a series of profiles that provide an overview of the diversity of our service users and residents. They will be used to:

• ensure best quality services that are appropriate for our local communities

• identify any gaps in service use or outcomes

• demonstrate where our services are working effectively

• check who could be affected by changes to policies or services

• measure the effects of the council’s decisions on local people.

All 2011 Census data © ONS Crown Copyright Reserved unless otherwise statedMap data © Crown copyright and database rights 2012 Ordnance Survey 100025260

Wards in Brent

Queensbury

Fryent

Kenton

Northwick Park

Preston

Sudbury

Wembley Central

Barnhill

Welsh Harp

Dollis Hill

Tokyngton

Stonebridge

Harlesden

Dudden Hill

Kensal Green Queens Park

Brondesbury Park

Mapesbury

Kilburn

Alperton

Willesden

Data notes

These diversity profiles bring together information from the 2011 census and other data sources about the demographic, social and economic characteristics of the local population across the borough, including:

• age

• sex

• disability and bad health

• ethnicity

• religion or belief

Census data for Brent are benchmarked against London. All data are from the 2011 Census unless otherwise stated. Adult social care data are from Brent adult social care for September 2014. The profile will be reviewed every two years. There may be differences between 2011 census data and data more recently collected by service areas.

• Data of users from adult social care sources are for those aged 18 and over and are compared to data from the 2011 census for those aged 16 and over.

• Data referred to as “with a limiting condition” or “disabled” are for those that responded their day-to-day activities are limited a little or a lot to the 2011 Census question “Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last at least 12 months?”

All data used in this profile can be found here.

Percentage change in population with limiting conditions from 2001 to 2011 by ward

-2.1% – 0%

0% – 10%

10% – 20%

20% – 25%

Executive summary

24% 

of people who cannot speak English well or at all are women in bad health

2014 2019

The population aged 85 and over will increase by 30% over the next five years

=250

Female life expectancy of babies born between 2010 and 2012

Adult social care users with physical disability

41.5%

93.3%

18 to 64 65 and over

85Life expectancy

Healthy life expectancy 63

Aging population

Language and health

Life expectancy and healthy life expectancy

Source: Public Health Outcomes Framework 2010-2012

79.9

84.5

63.2

62.9

79.7

79.2

83.8

83.0

63.2

63.4

63.6

64.1

16.7

Healthy life expectancy Life expectancy21.6

Men

Women

London

England

London

England

Brent

Brent

Disability

1 in 7 (14.4%) people say their day-to-day activities are limited

Brent14.4%

Queens Park11.4%

Stonebridge16.5%

Disability and economic inequality

People with activities limited

Median Household Income

Source:Median Household Income CACI 2014

16.5%

11.4% £22,188

Stonebridge

Queens ParkStonebridge

Queens Park

£41,423

-21.5 -16.5 -11.5 -6.5 -1.5 3.5 8.5 13.5 18.5

-£50,000 -£40,000 -£30,000 -£20,000 -£10,000 £0 £10,000 £20,000 £30,000 £40,000

16.5%

15.1%

13.6%

15.1%

15.1%

15.4%

14.9%

14.1%

13.4%

14.7%

14.9%

14.0%

13.8%

15.1%

14.3%

14.7%

12.8%

15.1%

13.1%

15.8%

11.4%

£22,188

£23,977

£26,312

£27,644

£29,697

£29,847

£30,026

£30,389

£30,796

£30,895

£31,288

£32,262

£32,740

£32,745

£33,620

£35,853

£36,665

£39,296

£40,062

£41,354

£41,423

Stonebridge

Harlesden

Alperton

Wembley Central

Dollis Hill

Welsh Harp

Tokyngton

Sudbury

Willesden Green

Kilburn

Queensbury

Kensal Green

Dudden Hill

Barnhill

Fryent

Preston

Mapesbury

Brondesbury Park

Northwick Park

Kenton

Queens Park

Disability and economic inequality

People with activities limited Median Household Income

Lowest

Lowest

Highest

Highest

Source: Median Household Income CACI 2014

Change in disability from 2001 to 2011

-2.1% – 0%

0% – 10%

10% – 20%

20% – 25%

Brent

Queens Park

Harlesden 25.5%

-2.1%

9.2%

Economic activity by disability

Brent

London

England and Wales

73%

74%

77%

4%

4%

3%

23%

22%

20%

Economically inactive Unemployed In employment

18 to 64

65 and over

0 10 20 30 40 50 60 70 80 90 100

Physcial disability Mental health Learning disability Substance misuse and other

Adult social care users: Percentage of disability by age group

Disability by age

Physical disability

Disability by sex Adult Social Care users and Disability Living Allowance (DLA) Claimants

40.0%

8.2%

50.9%

43.7%

21.0%

34.4%

30.4%

16.0%

49.7%

24.3%

10.1%

63.7%

ASC Users

mental health

learning disability

physical disability

WomenMen

DLA Claimants

Source: Disability living allowance claimants May 2014 (NOMIS)

Activities limited by age group

16 to 49

50 to 64

65 to 74

=1000

Activities limited a lot

Activities limited

75 to 84

85 and over

WomenMen

39%

2%22%

23%

15%

33%

5%

34%

20%

8%

Disability and ethnicity 18 to 64

Adult social care service users

Population with a limiting condition

White Mixed Asian Black Other

46%

2%

31%

18%

2%

31%

10%

28%

29%

2%

Disability and ethnicity 65 and over

Adult social care service users

Population with a limiting condition

White Mixed Asian Black Other

16 to 49 50 to 64 65 and over0%

10%

20%

30%

40%

50%

60%

70%

16 to 49 50 to 64 65 and over

Limiting condition and ethnicity by age group and sex

Male Female

White Mixed Asian Black Other Average

16 to 49 50 to 64 65 and over0%

10%

20%

30%

40%

50%

60%

70%

16 to 49 50 to 64 65 and over

Limiting condition and ethnicity by age group and sex – white residents

Male Female

White Mixed Asian Black Other Average

30%25%

16 to 49 50 to 64 65 and over0%

10%

20%

30%

40%

50%

60%

70%

16 to 49 50 to 64 65 and over

Limiting condition and ethnicity by age group and sex – Asian residents

Male Female

36%

29%

White Mixed Asian Black Other Average

16 to 49 50 to 64 65 and over0%

10%

20%

30%

40%

50%

60%

70%

16 to 49 50 to 64 65 and over

Limiting condition and ethnicity by age group and sex – black residents

Male Female

21%

White Mixed Asian Black Other Average

27%

Disability and religion

Buddhist SikhJewish No religionHindu Other religionChristian Religion not statedMuslim

40.9%

54.0%

16.6%

8.2%

19.1%

16.7%

39.4%

52.3%

22.5%

9.4%

17.7%

18.6%

16 to 64

65 and over

With a limiting

condition

Brent

4.7%

3.3%

10.8%

5.0%

3.4%

2.9%

Bad health and proficiency in English

Cannot speak English well or at all

All people

People in good health

People with bad healthMen

Women

Aged 85+

Changing 65 and over population

2009

2014

2024

2019

=1,000Men aged 65 and over Women aged 65 and over

Source: GLA SHLAA based population projections 2013 rnd

Ethnicity aged 65 and over

Crown copyright and database rights 2014 Ordnance Survey 100025260

65 and over

White BlackAsian OtherMixed

British

Irish

Gypsy or Irish Traveller

Other White

Indian

Pakistani

Bangladeshi

Chinese

Other Asian

African

Caribbean

Other Black

White and Black Caribbean

White and Black African

White and Asian

Other Mixed

Arab

Any other ethnic group

Ethnicity aged 85 and over

Crown copyright and database rights 2014 Ordnance Survey 100025260

85 and over

White BlackAsian OtherMixed

British

Irish

Gypsy or Irish Traveller

Other White

Indian

Pakistani

Bangladeshi

Chinese

Other Asian

African

Caribbean

Other Black

White and Black Caribbean

White and Black African

White and Asian

Other Mixed

Arab

Any other ethnic group

Change in ethnicity in white residents aged 65 and over, 2009 to 2024

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

2009 2014 2019 2024

WhiteBlackAsian

0%

Source: GLA SHLAA based population projections 2013 rnd

Other

Change in ethnicity in black residents aged 65 and over, 2009 to 2024

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

2009 2014 2019 2024

WhiteBlackAsian

28%

Source: GLA SHLAA based population projections 2013 rnd

Other

Change in ethnicity in Asian residents aged 65 and over, 2009 to 2024

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

2009 2014 2019 2024

WhiteBlackAsian

66%

Source: GLA SHLAA based population projections 2013 rnd

Other

Mental health – wellbeing in London

Brent

Excerpted from London: The Information Capital by James Cheshire and Oliver Uberti (Particular Books, 30 October 2014)

Mental health – depression and anxiety

Brent England

64.70

53.40

10.85 11.95Depression and anxiety prevalence

Depression and anxiety prevalence among social care users

Source: Public Health Profiles: community mental health 2012/13 and common mental health disorders 2012/13

Mental health – dementia prevalence by GP practice postcode

Proportion of patients aged 65 and over

Dementia prevalence (all ages)

29%

4%

11%

More than 1%

0.75 to 1%

0.5 to 0.75%

0.25 to 0.5%

Under 0.25%

Source: Public Health Profiles: national general practice profiles, 2012/13

Age and sex of adult social care users

=200

18 to 64

65 and over

WomenMen

Key outcome – direct payments age

Adult Social Care users Receive direct payments

=200

18 to 64

65 and over

65 to 74 75 to 84 85 and over

Key outcome – direct payments ethnicity, aged 18 and over

Receive services from CASSR Receive direct payments

WhiteBlackAsian Other

Indian378

Pakistani160

Other Asian378

African249

Caribbean839

Other black379

British1,398

Irish373

Other white496

301 128 398 152

631 188 223

Mixed

64

Key outcome – direct payments disability, aged 18 to 64

Physical disability

Mental health

Learning disability

Substance misuse and other

665

249

675

14

Adult Social Care users Receive direct payments

21%

8%

48%

58%

Equality analysis guidance

When officers are performing equality analysis, they could use the information in these diversity profiles to help answer the following questions:

What differences are there between the diversity profile of your customers and the local area? Are people with some equality characteristics under or over represented?

Who is likely to be affected by any changes to your policies, strategies and services?

How can you ensure that consultation exercises reach all relevant stakeholders and communities including potential service users?

Would projects and services that worked well elsewhere need to be tailored for our diverse local communities?

 

Remember to think about the needs of all local people, including smaller groups such as the lesbian, gay, bi-sexual and transgender, LGBT, community, Gypsies and Travellers, Eastern European and white working class people.

These profiles are only a starting point to understanding the nuances of Brent and its rich diversity. We encourage officers to draw on additional information from the borough profile and Brent data and to engage with communities to build a fuller picture of the needs and concerns of all our residents.

If officers have any further questions, please contact the Equality Team on equality@brent.gov.uk.

Further data.

For more information on the topics covered in this diversity profile, please use the following links:

Number of men and women at each age in 2001 and 2011

Number of people per hectare and per household in 2011

Number of people by main religion in 2001 and 2011 for Brent and regions

Number of people by main religion in 2001 and 2011 for wards in Brent

Number of people by healthiness in 2001 and 2011 for Brent and regions

Number of people by healthiness in 2001 and 2011 for wards in Brent

Number of people by selected ethnic group in 2001 and 2011 for Brent and regions

Number of people by selected ethnic group in 2001 and 2011 for Brent and regions

Number of people by their ability in English in 2011 for Brent

Number of people by their ability in English in 2011 for the wards in Brent