Apple Company Essay Example for Free

Apple Company Essay Mac Company was made by Steve Jobs and Steve Wozniak in 1976. Presently Apple Company turned out to be acclaimed organization on the planet. It was made a great deal of machine and PCs. As of late it’s made something that was useful to the human. For instance, for example, Ipad2, Ipad3, Ipad4 that is a little hand PC. Human can utilize it store a ton of things and they can utilize it to watch moves converse with one another, utilization it for GPS, etc. He additionally made Iphone3 to Iphone5. These telephone are popular and helpful and it was immaculate telephone. Iphone5 arrangement has numerous sorts of capacity. It can assist human with doing anything they need. It is anything but difficult to utilize and comfort to everyone in their life. Presently Apple Company has contracted with numerous organizations, for example, ATT, TSMC, etc. Apple Company has a great deal of supporters everywhere throughout the world. Maker and history In 1976 Steve Jobs and Steve Wozniak made Apple Company. Employments development after a few exciting bends in the road. First Jobs dont like pack, when he was an understudy. before he began his primary school. His mom gave him ahead of time how to learn. Be that as it may, this has prompted the later he shown up at the school. He said he has nothing to accomplish for a couple of years and generally try too hard to find something without anyone else. Occupations before long found they can accomplish work. Employments like normal work, as opposed to be trained by others. Occupations met in the diverse power, he loathed it. He nearly and obey them, his interest in a wide range of things that they nearly caught him. Occupations in McCollum class just with a years time to learn more than three years obviously. Employments have a venture, he did a photocell switch gadget, this issue after introduction the school of science living the school can make the gadget, occupatio ns gets information from his dad. What's more, his is extremely fascinating in laser. Occupations and a couple of companions organization made have a place with his light show sound system. In McCollum’s class, employments and another alumni instructors to become companions. They particularly like in the study hall with all an opportunity to examine their legend. His sibling Stephen Wozniak worked in a swimming crew very nearly five years, so employments find out about electronic. Yet, in the enthusiastic and social he is a senior secondary school understudy, exceptionally feeble. At the point when Mike Markkula joined Jobs and Wozniak, Jobs their juvenile organization into Apple Co., LTD. In January 1977,their esteemed about $5309. After four years they think the time has come to open the worth. It is the primary open in 1980, become most oversubscribe, apple organization would be $1.79 billion. Indeed, billion. In this change procedure it will make 300 moguls. Advancement Apple has a great deal of contenders, Such as IBM, Microsoft, and so on. They are matches just as a companion, in 1991 they had specialized correspondence. In space science, the two stars circle is double framework is firmly related. In view of their fascination is association. In history have a comparable circumstance, when a period made the relationship and rivalry two track star: In the twentieth century material science Albert Einstein and Bohr, for example, in early American administration, Thomas Jefferson and Alexander. Hamilton. For the initial thirty years of the PC time, in the 1970 s, the meaning of a double star framework is comprised of two were conceived in 1955 undergrads of high vitality control. Bill Gates and employments has a totally different character and foundation, in spite of the fact that they have a similar aspiration trade innovation and business. Entryways father is a Seattle acclaimed attorney, his mom a city in a wide range of renowned pioneers of the top managerial staff. He turned into a specialized faculty a revolutionary, hipsters, profound searchers, or individuals from the counterculture. Not a blue box obliterate the telephone organization, entryways in the school to make a program to help booking neighborhood traffic specialist and he such a vehicle count technique he got the young lady. He went to Harvard, however he chose to leave school, this isn't to discover the edification and the Indian ace yet a PC programming organization. Occupations likewise have something very similar. This is twin collaboration. At the point when the primary created was Macintosh, Jobs to visit close to Seattle entryways office. Microsoft kept in touch with certain applications for Apple II , including one called Multiplan spreadsheet program, employments need to animate doors and his organization, for the forthcoming Macintosh PC accomplish more. Sitting in the Gates meeting rooms, employments for open PC made an enticing point of view, well disposed interface, this show is in a California plant computerization has a large number of creation. He in the California attractions silicon segments and develop total dream production line lead to Microsoft group Macintosh PC program code sand. They even put building opposite to an abbreviation, Steves stunning new gadgets. In any case, at long last they twin and no effective collaboration. In 1988 when occupations declared the future PC, caused an energized. The subsequent year started to deals, PC at long last fizzled. The capacity of occupations, move in media started to bomb him, a progression of things that organizations fall into difficulty. On account of the nearness of moderately little programming running, so at that point, it has been hard to pull in clients. Employments was terminated the top managerial staff, in 1996 the second back to apple. Apple Story Apple the quest for great, it likewise prompted the development of its high points and low points. Occupations not ready to surrender work and control anything, particularly when it might influence the client experience. In any case, he was confronted with an issue. There is a piece of the procedure he doesn't control: in a store to purchase apple items experience. He proceeded to do a smart perspectives: this distinction in structure reasoning, he stated, he and the apple isn't acceptable at participation with different organizations. Since Woz and I made the organization dependent in general banana, we are not all that great at working with individuals, he said. I think if apple in its DNA can have more, may make him its excellent. As ahead of schedule as in 2002, occupations have been anxious, Microsoft engineer improvement foundation of PC programming created, it permits clients to pen or pen input data on the screen. A few producers discharged tablet PC this year utilizing progr amming, yet have no impact on field. Employments have been anxious to demonstrate no pen in how to utilize! Be that as it may, when he saw the improvement of apple is contact innovation, he has chosen to the first to utilize it in the iPhone. The main Apple PC was made in 1985s. It is name â€Å"Mac XL† By the finish of 1985 MAC PCs sold just 500000, no hit the 2,000,000 imprint, until 1988. At that point they made â€Å"Mac128†, â€Å"Mac512†Ã¢â‚¬ ¦Ã¢â‚¬ ¦ â€Å"Quadra 700† that was the principal apples new MAC PC deals explicitly for big business and designs experts gave. And afterward they made Mac 9500. PC Mac 9500 is the principal dependent on the PowerPC and can supplant CPU tower girl card. Furthermore, as of late at 2003 they made the principal level board iMac. â€Å"We should consistently give our clients the unadulterated sex. It resembles an in the secondary lounge of a vehicle with a lovely young lady rendezvous. People groups understanding and PC ought to have the option to giv e you the greatest high tide.† said by Jean-Louis. Macintosh iPhone They utilize an iPod that makes calls. By 2005 iPod deals took off. An unexpected number twenty million. One year, is proportionate to the measure of the initial four years. IPod items increasingly significant, this year, the companys primary concern, representing 45% of income, And it is likewise misrepresentation cleaning organization picture, driving, MAC PC deals. Something very similar will happen to iPod, if portable producers start to construct music player to their cell phones. Everybody convey a mobile phone, it will make iPod pointless. Clients will need to utilize the possibility that occupations and his group got energized, build a call. Their unique technique is to change the iPod. They attempted to utilize track wheel as a path for clients to move call choice. No console, attempt to enter the Numbers. It's anything but a characteristic decision. Around then they had a second task in Macintosh: A mystery endeavors to construct a PC stage. In 2005, the story is partitioned, iPod thought really from previously, so as to help shape the iPhone. The estimation of the Apple More than $50 billion has been cut off, science and innovation monster apples showcase esteem as its offer value droop. Offer cost dropped 12%, make poor iPhone in Christmas and Halloween deals plunged, smaller than usual iPod impact is the primary explanation behind the organization deals execution. The most recent PC monster information indicated that Mac deals fell 21.2% from a similar period a year ago, Believe that the buyer is so captivated by they purchase the tablet PC, as opposed to a progressively costly Mac PCs. A few reports even asserted that littler, less expensive iPod small scale have comparative impact on the size iPod deals. Since the Christmas iPhone deals not wonderful, apple shares dropped 12%, Apple Company is may lose it’s in canny cell phone advertise predominant position. Conclusion Since Jobs made the Apple Company and created from 1976 to now. This organization it additionally prompted the development of its good and bad times. What's more, presented Jobs grew up. Employments dont like group, when he was an understudy. In 1985 Apple Company had the primary PC they made. At 2003 they made the primary level board iMac. They utilize an iPod that makes calls. Their unique technique is to change the iPod. They attempted to utilize track wheel as a path for clients to move call choice. No console, attempt to enter the Numbers. It's anything but a characteristic decision. Around then they had a second task in Mac: A mystery endeavors to fabricate a PC stage. At that point the iPhone was conceived. Because of the smaller than normal iPod infringe on apples benefits, Mac PC deals benefit rate is low, Former CEO Steve Jobs presented the new iPhone in January 2007. Some have credited the decrease in deals to the disappointing dispatch of the iPhone 5 and the ascent in different cell phones.

International Law Essay Example | Topics and Well Written Essays - 3500 words

Universal Law - Essay Example This paper will basically assess the methods by which a region can turn into a state. This article is being written so as to show up at a careful and broad appraisal of statehood, particularly, corresponding to an area. Conversation Much discussion and struggle have been seen inferable from the privilege of a state to guarantee statehood. Right up 'til the present time, various domains are attempting to guarantee statehood and autonomy from their mom states. These petitioners have even pursued fierce clashes with their mom states in their offer for autonomy and statehood. Their conviction spins around the way that since they satisfy the components of statehood, they have the right to be perceived as autonomous states. These convictions are anyway regularly reprimanded by their mom states who frequently guarantee that these domains are not autonomous states, and for whatever length of time that they have sway over it, universal bodies can't remember them as free states. The methods by which a region can later become and be perceived as a state are fundamentally centered around the four components. After these components are set up, the procedures of universal laws must be applied so as to make sure about acknowledgment for the domain as a state. In light of Article 1 of the Montevideo Convention, a state, so as to be perceived as an individual of universal law, must have the accompanying components: a changeless populace; a characterized region; government; and the ability to go into relations with different states. Generally, numerous states had the option to pick up acknowledgment by means of worldwide bodies by satisfying the above essential necessity, just as the prerequisites of sway and freedom (UIO Faculty of Law, 2010). A region can turn into a state by first having an adequate number of individuals to make up a populace. Various creators and researchers bolster this essential reason since it is a characteristic necessity for resource. There is no partic ular necessity regarding the quantity of occupants just that, this populace should be adequate in the lead of state capacities (Shaw, 2003, p. 179). This populace additionally should be for all time dependent on the region. It is this capability which precludes Antarctica for statehood. It doesn't have a lasting populace. At various purposes of the year, pilgrims from various nations enter the landmass, however they don't settle in that forever and they in the end come back to their own states (Fry, Goldstein, and Langhorne, 2002, p. 457). On the other hand, even as Somalia’s populace isn't changeless, with its migrant occupants floating all through its region, it despite everything is viewed as a state in light of the fact that the individuals have a definitive expectation of returning (Fry, Goldstein, and Langhorne, 2002, p. 457). It is likewise essential to take note of that there is additionally no prerequisite for the individuals to have normal etymological, ethnic, soci al, or authentic attributes. The size of the populace doesn't likewise make a difference. Vatican City is a little state with a little populace, yet it can capacity and complete its obligations and jobs as a state (Fry, Goldstein, and Langhorne, 2002, p. 457). All together for a domain to be equipped for statehood, its populace just needs to satisfy the base prerequisites of permanency and be of an adequate number to complete obligations of statehood. This capability for statehood is really one of the simpler components to satisfy, and is regularly minimal wellspring of debate for domains looking for statehood. Government

Your Credit Score vs. Your Card Limits

Your Credit Score vs. Your Card Limits Your Credit Score vs. Your Card Limits Your Credit Score vs. Your Card LimitsHow does one impact the other?The relationship between credit cards and credit scores can often be fraught. Proper credit card use will help build your score, and advanced credit card use can allow you to benefit from rewards programs in ways that can save you a lot of money. Poor credit card use, however, can drag your credit score down and leave you in a spiral of debt.“People who have lower credit limits can easily fall into a trap of overusing their credit card,” warned Igor Mitic, editor-in-chief of Fortunly.com. “And when that happens, credit reports will show it and it will decrease their credit score.”But that’s not all. Not only will your credit card use affect your credit score, but your credit score is the most significant factor when it comes to determining what credit cards you can access, if any.Read on to get the rundown on starting your path toward credit card mastery.The importance of having a credit cardA common miscon ception around credit scores is that every individual starts out with good credit, and only through bad financial decisions can you harm the pristine credit score you inherited at birth. However, we arrive on Earth with no credit score at all. Only by demonstrating proper use of credit can you build a credit history, which is the most impactful ingredient in cooking up your credit score.Proper credit card use is one of the most reliable ways to build a credit card history or improve a poor or fair credit card score. By keeping the balance on the card to around one-third of your spending limit and paying the bill in full every month, you won’t have to pay interest costs and your credit score will grow and grow.Unfortunately, this creates somewhat of a “chicken and egg” dilemma.Your credit score’s impact on credit card accessWithout a good credit score, you will have difficulty qualifying for a credit card with a good rate and spending limit, as Dave Sullivan, vice-president o f marketing for the People Driven Credit Union, explained: “Most banks have something called risk-based pricing. Risked-based pricing is used to match the risk of the credit card holder to the appropriate interest rate. The lower the score, the higher the rate.”If your credit score is low enough, you may not be able to qualify for a traditional credit card at any rate. Fortunately there are reasonable nontraditional options.Secured credit cards are one common solution. The “security” comes through a cash collateral that you must provide to the bank during your use of the card. If you don’t pay your bills, the bank can seize the money.While having the cash on hand to apply for a secured credit card may require some saving, if you do have the cash, you shouldn’t have a problem. “All borrowers should be able to get a secured account regardless of their credit profile,” Sullivan assured.Mitic offered a couple other options you could consider (with caution):Store credit c ards: “Some retail stores are approving applicants with bad credit,” Mitic said. “However, people should be aware that those credit cards can be used only at that store and they usually have high interest rates.”Companies that look at the big picture: For those who have a low credit score or don’t have one at all, there are companies that have their own process for evaluation credit card applications. For instance, Mitic said, they might look at employment and bank account balances and also may not ask for a security deposit.You should also do your own research to find out what available credit card options might work best for your specific situation. Regardless of what option you choose, it is vital to always remember to pay down your entire bill every month.Advanced credit card techniquesOnce you manage to build up your credit score, you can start exploring advanced credit card use. You will still want to maintain the same general practices that got you to your good cred it score, but you can begin researching cards that will reward you rather than penalize you for using them.Different cards offer different kinds of rewards for different kinds of spending. Be aware that some of these cards will require you to pay an annual fee, but by strategically managing your credit cards, you can maximize your savings and benefits. Consider creating a spreadsheet or using some other method of tracking your card use so you don’t make any mistakes and risk letting your score fall again.Proper credit card use is a skill that will require practice to build the best habits. The sooner you can get started, the sooner you will be on your way to mastering your cards.ContributorsIgor Mitic is an experienced writer and content creator in the financial niche. He has extensive experience working with banks, insurance companies, and other institutions that create financial products and services. He is passionately sharing his knowledge as the editor-in-chief at  Fortunly.c om, a website dedicated to the simple explanation of financial matters to ordinary people.Dave Sullivan  is the VP of Marketing for People Driven Credit Union. He started in the mortgage industry as a loan officer in 1991. Less than one year later started selling credit reports to mortgage companies, banks, and credit unions. On September 19, 1997, he started AIR Credit Midwest out of his car. During the next two years, Air Credit Midwest grew to a multimillion dollar company. In 2000, he sold Air Credit Midwest to one of the largest credit reporting bureaus. In 2011, Sullivan started a  YouTube channel  providing free advice on improving your credit. He is the author of the book  Transform Your Credit. Follow him  @peopledrivencu.

Cyberbullying The New Form of Bullying Essay - 1671 Words

Forty- three percent of teens have experienced cyber bullying in their life (â€Å"43 percent†). Bullying has changed so much throughout the years; it went from calling teens malicious things to their faces, to saying vile things on the computer. Cyber bullying is a colossal problem with teens, and it is hard to escape because of all the technology that surrounds them. Cyber bullying is in complex to do, especially with all the technology teens can use. Teens can send instant messages or text messages. They can also tamper with web sites or ridicule someone in a chat room (Winkler). The text messages teens send can be insulting and so can postings on Facebook (â€Å"Cyberbullying Crackdown†). The cyber bully can also send instant messages to†¦show more content†¦Sending deleterious Facebook postings is form of cyber bullying and should be avoided (â€Å"Cyberbullying Crackdown†). By not spreading lies or rumors online about others is another way to fight cyber bullying (â€Å"Cyberbullying†). Don’t pretend to be someone else to trick other people into revealing personal information (â€Å"Cyberbullying†). Some advice for parents who do not want their child to become a cyber-bully comes from Andrea Atkins who says, to be attentive of what parents say in front of their kids because they are listening. Parents should tell their kids the cyber bullying is cruel and unacceptable and that it is not a joke (Atkins). Parents can also tell their kids of the punishments that would happen if they became on online predator (Atkins). â€Å"If you wouldn’t say it in person don’t say it online† (â€Å"Cyberbullying†). However preventing cyber bullying can also be a challenge because the bully can be anyone, even a friend. The U.S. Department of Education hosts cyber bullying conferences to help school fight it (â€Å"Cyberbullying Crackdown†). MTV has created â€Å"A Thin Line Campaign† to help stop cyber bullying (â€Å"Cyberbullying Crackdown†). Facebook is allowing users to reject certain pictures by selecting â€Å"I don’t like this photo† or â€Å"This photo is bullying or harassing me†. Teens can also report cyber bullying and reset their passwords from their cell phones (â€Å"Facebook†). Since that has been available 70 percent of the photos that have been reported were removed by theShow MoreRelatedA New Form of Bullying: Cyberbullying1259 Words   |  5 PagesWhen thinking of bullying, most people tend to think about the original form, where the bully harasses the victim in person; but, in this generation, cyberbullying is a new form of harassment that goes beyond the schoolyard. This way, individuals can be bullied all day and any day, but when you ask teens today, 81% of them think it is funny. (NPC) This shows that most teens do not think of cyberbullying as much of a threat, even though the rate in has gone up . In 2008–2009, the School Crime SupplementRead MoreCyberbullying : A New Form Of Bullying1203 Words   |  5 PagesEliminating Cyberbullying Bullying has had a well known status for destroying the confidence and esteem of our world’s youth for decades. Recently, a new form of bullying has emerged and has taken over the technological environment. Similar to a student physically bullying another peer, we see victims hurt after an attack over misuse of the Internet. Cyberbullying has been much harder to track than face-to-face bullying. It has also been easier for someone to attack another merciless and guiltlessRead MoreCyberbullying: The New Form Of Bullying. When Sending Our1661 Words   |  7 PagesCyberbullying: The New Form of Bullying When sending our children to school we expect them to be able to learn without distractions, but bullying makes that impossible. Bullying has been recognized as a problem for school children globally. In fact, school bullying has proven to be a risk factor for suicide, which has been identified as one of the top causes of death among teens (Erick Messias, 2014). Now that bullying and its importance has been acknowledged as a critical concern, several preventionRead MoreCyberbullying And Its Effects On Our Society938 Words   |  4 PagesBullying in the Digital Time Cyberbullying is the use of electronic devices with the intent of inflicting harm on another. Cyberbullying has steadily increased with new technology. Many international organizations and campaigns have emerged to defend the victims of this crime. An anti-bullying organization came about by youth in Canada to address the issues surrounding bullying in our society. This advocates for bullying awareness online, insisting that not enough government attention has been givenRead MoreA Brief Note On Cyberbullying And Its Effects On Society1085 Words   |  5 Pagesmost comprehensive. It defines cyberbullying as â€Å"the use of information and communication technologies such as e-mail, cell phone and pager text messages, instant messaging, defamatory personal websites, and defamatory online personal polling websites, to support deliberate, repeated, and hostile behavior by an individual or group, that is intended to harm others† 2.2 Forms of Cyberbullying One of the most widely studied aspects of cyberbullying is the different forms it takes. Hoff and Shariff (2007)Read MoreIs Cyberbullying as Pervasive and as Dangerous as Physical Bullying?1028 Words   |  5 Pagesexperiences are types of cyberbullying. Lots of people have such cyberbullying experiences because it occurs more frequently than before. More specifically, cyberbullying is the use of the Internet, cell phones, or other electronic communication devices to spread harmful or embarrassing information in the form of text, photos or videos about another person. Cyberbullying is worse than physical bullying because of its serious consequences, and the person who suffers the cyberbullying would be hurt mentallyRead MoreThe Invisible Bully: Cyberbullying941 Words   |  4 Pagesthese values to decrease through the form of cyberbullying. Cyberbullying is when someone uses technology to threaten, harass, embarrass, or target another person publicly (New, 2012). The technologies that are starting to be used are no longer just computer, however, has expanded to phones, tablets, and even game systems (New, 2012). By definition, cyberbullying is used to describe the misuse of technology between children (New, 2012). The definition of cyberbullying is not interchangeable when referringRead MoreThe Problem of Cyber Bullying1323 Words   |  6 Pagesuse in teenagers causing a new problem to arise. â€Å"Half of students admit to being bullied online, while an estimated seventy-nine percent of teenagers say it’s a problem,† (â€Å"An Old Problem with a New Face†). Since the rapid growth of technology, cyber bullying has become life-threatening for too many teenagers. Now that teenagers have phones and technology almost twenty-four hours a day, they are putting themselves at a greater risk of being cyber bullied. Cyber bullying is different from regularRead MoreCyberbullying : A Cyberbullying Suicide Victim1468 Words   |  6 PagesBritney Ma zzoncini: A Cyberbullying Suicide Victim â€Å"She was beautiful, so well-behaved, you couldn’t have asked for a better granddaughter.† That’s a quote from Britney’s grandparent’s days after the 16-year-old committed suicide in Scotland in July this year. The motivation? Cyberbullying! She suffered intolerable angst from an abusive Facebook â€Å"friend.† The police are still looking for the perpetrator. She is certainly not alone. The number of suicides by young people who feel depressed, scaredRead MoreCyberbullying Is A Problem That Affects More Than One Third Of Adolescents1692 Words   |  7 PagesWith the new twitter update which allows that creation of polls that users can vote in, countless accounts have been created to poke fun at someone s personality or looks, this is what is called cyberbullying, and it happens each and everyday. Cyberbullying is a problem that affects more than one-fourth of adolescents in middle school and high school. With the growth of technology it has become more imperative to implement programs in schools to help solve this problem. Today, teenagers rely more

Patriot Act Essays - 1231 Words

Patriot Act Were dealing with terrorists who operate by highly sophisticated methods and technologies, some of which were not even available when our existing laws were written. The bill before me accounts for the new realities and dangers posed by modern terrorists. It will help law enforcement to identify, dismantle, disrupt, and punish terrorists before they strike, (President George W. Bush at signing of Patriot Act, 2001). The terrorists of today cannot be reasoned with. We must do whatever necessary to ensure that there never will be another September 11th. Since the enactment of the Patriot Act, there have not been any major acts of terrorism committed on U.S. soil. If the Act had been established earlier, perhaps the†¦show more content†¦By establishing these bills, we will save this nation from another September 11th. If we fail to act upon our threats, we will be no different from other oppressed nations. Chief Justice Robert Jackson says, The Constitution is not a suicide pac t. Failing to take strong measures to defend our nation against future attacks would amount to suicide. The U.S.A. Patriot Act is an important part of the nations efforts to fight back to defend freedom and liberty. The ACLU has also influenced Congress to limit the sharing of information obtained through wire-tapping. The Act has removed major barriers between communications of law enforcement, intelligence and national defense communities from talking and coordinating their work, to protecting the American people and national security. Senator John Edwards (D-NC) said about the Patriot Act, We cannot prevail in the battle against terrorism if the right hand of our government has no idea what the left hand is doing. One example of the progress of this law was when a federal grand jury just recently had indicted an individual in Florida, Sami al-Arian, for allegedly being the U.S. leader of the Palestinian Islamic Jihad, one of the worlds most violent terrorist outfits. Palestinian Islamic Jihad is responsible for the murder of over 100 innocent people including a young American, Alisa Flatow, who was killed in a tragic bus bombing incident in the GazaShow MoreRelatedThe Patriot Act1467 Words   |  6 Pagespledged to respond within boundaries set by the Constitution confronting and preventing terrorist attacks. Through Patriot Act, the law enforcement agencies of the Untied States are given the most effective tools to combat terrorists having intentions or plans to attack the nation. It is, in fact, a significant weapon for nation s fight against terror. Major purpose of the Patriot Act is to break wall of regulatory and legal polices existing between the law enforcement agencies and intelligence toRead MoreThe Patriot Act Essay1618 Words   |  7 Pagesterrorist so the U.S government enacted the patriot act, which gave more power to the federal law-enforcement and intelligence gathering in suspected terrorist crimes. The patriot act gives the government power to do whatever they want for â€Å"national security† and take away the civilians civil rights. The government can tap into cell phones and listen in on conversations or even watch what people are searching on the internet. Since the passing of the patriot act racial profiling has grown in the pastRead MoreThe Declaration Of The Patriot Act1260 Words   |  6 Pagesour own government. Following the attacks of September 11, 2001, the president at the time, George Bush, responded by passing an act. This act is known as the Patriot Act. It allows the government unlimited access to phone records, emails, and text messages without a warrant through National Security Letters and Sneak and Peak Searches. Why do they do this, why was this act passed, they claim it’s for our safety. Both can be obtained and carried out without a judge’s approval, without a warrant, andRead More Patriot Act Essay647 Words   |  3 Pages The â€Å"Patriot Act† nbsp;nbsp;nbsp;nbsp;nbsp; In the wake of the terrorist attacks on September 11, 2001, Congress sprang into action. Within a month, U.S. lawmakers overwhelmingly approved the USA Patriot Act of 2001, giving law enforcement and intelligence agent’s broader authority to fight terrorists operating in the United States. nbsp;nbsp;nbsp;nbsp;nbsp;Signed into law by the President on October 26, the Patriot Act is designed to fight terrorism on several fronts. First, it givesRead MoreThe Patriot Act Of 2001 Essay1224 Words   |  5 Pagessame, as well as the rest of us that watch in disbelief. The attacks on September 11th 2001 led to something called the Patriot Act. In the days after 9/11 Congress hurried to pass a bill to give law-enforcement agencies the power to fight domestic terrorism. On October 26, President George W. Bush signed three hundred page USA Patriot Act into law (Crf.org). The USA Patriot Act of 2001 was created to prevent and catch terrorist in the United States and around the world. The contents of it hasRead More The Patriot Act Essay1338 Words   |  6 Pages The Patriot Act. On September 11, 2001 Muslim terrorists instilled with a hatred of the west attacked the United States in a brutal fashion. Planes were hijacked and flown into the World Trade Center in New York. Over three thousand people were killed and the impregnable nation known as America was know scared and vulnerable. Almost immediately the legislature began drafting an act that would make the war on terror and the fight for homeland security a little easier to fight, this would comeRead More Patriot Act Essay1119 Words   |  5 PagesPatriot Act One of the worst, yet momentous events in U.S history occurred on September 11th, 2001. This event released a flow of patriotic fervor and a permanent fear among all Americans that they had also now become suspect to acts of international terrorists. This led to a lot of changes in the attitudes of the executive and legislative branches in the United States government. They came up almost immediately with new measures, which were supposedly against terrorism or terrorist threatsRead MoreUsa Patriot Act1302 Words   |  6 Pagesthe U.S.A. Patriot Act. The title for this bill is an acronym for the United and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act (USA Patriot Act). In the years since the passing of the Patriot Act, there has been much controversy and debate regarding the positive and negative advantages, and consequences of this bill. As a member of the law enforcement community I have experienced firsthand some of the changes the Patriot Act has broughtRead More The Patriot Act Essay1684 Words   |  7 PagesThe Patriot Act After the terrorist attacks of September 11th, 2001 our country underwent a change that has drastically affected the fundamental values that our founding fathers instilled in this country. Since that tragic day in September the aftermath of the attacks has started to implicate our Civil Liberties that in this country we hold so dear. Just 45 days after the September 11 attacks, with virtually no debate, Congress passed the USA Patriot Act on October 5th, 2001. This act expandedRead More The Patriot Act Essay1142 Words   |  5 PagesThe Patriot Act In the wake of September 11, many things happened very quickly. Along with the beginning of a war against terrorism, an act was passed to help prevent future terrorism in the USA. The name of this is the USA Patriot Act. The act legalizes many surveillance techniques that were once prohibited. The act has been passed without debate, and the new privileges given to our government have not been thoroughly examined. The law enforcers of our country are now capable of monitoring

Samsung Case Study Free Essays

Strategy Presentation on Countering Threat from Chinese Company BBackground ackground †¢ Samsung founded in 1938 by Byung-Chull Lee. †¢ 1950’s Economic Stabilization – Korean War – Samsung lost all assets – aimed to help rebuild Korean economy; entered the manufacturing industry (sugar, fabrics) – became a leader in modern business practices (recruiting from outside) †¢ 1960’s Expansion of Key Industries – entered electronics and chemical industries – 1969 established Samsung Electronics Co. as a division of the Samsung Group. We will write a custom essay sample on Samsung Case Study or any similar topic only for you Order Now In 1970s, Samsung’s entry into the semiconductors business was pivotal for the company, to that end, creation of Samsung’s semiconductors and telecommunication Co. in 1978. – – – laid the groundwork for electronics in Korea helped the domestic economy grow paved the way for exports †¢ 1980’s: Samsung was manufacturing, shipping, and selling a wide range of appliances and electronic products throughout the world. – – – A more comprehensive electronics company established Semiconductor and Communication corporation began memory chip business †¢ Early 90’s: Integration and Globalization – – Sales at Samsung Group grew more than 2. times between 1987 and 1992. Mid-Late 90’s: Implementing new management strategies Samsung Product Range Some of Samsung products Home Multimedia Mobile Multimedia Personal Multimedia Core Components Core-Competencies Samsung- Core Competencies High Quality St andards Superior Efficiency Innovation Drive Customer Responsiveness Reliable Products †¢ Reliable Products †¢ Work with design firms †¢ Located main RD †¢ Learning new design †¢ Employee welfare facility and fabs at rules and application †¢ Active Recruitment a single site †¢ A common design of foreign Talent †¢ Performance platform with †¢ Global Strategy ased promotion customization as per Group †¢ Reward but requirement †¢ Employees global no Firing business skills Policy Ability to customize product to †¢ Regional Specialist †¢ Debate based customer demands program agreements Increasing Competition Rank Company Market Share 1 Samsung 34% 2 Hynix 22% 3 Micron Technology 15% 4 Elpida Memory 14% 5 Qimoda 5% Industry Analysis: Porter’s Five Forces †¢ Fierce Rivalry due to increase in capacity cyclical downturn Industry †¢ Entry of new Chinese companies Rivalry †¢ Suppliers are likely to becomes more concentrated and offer about 5% discount on bulk purchase Supplier †¢ Buyers are largely OEM with no one controlling more than 20% of the market. Buyers †¢ Buyers are likely to negotiate hard for prices. Entry Barrier Substitute †¢ High entry barriers due to requirement of capital investment and complex †¢ Chinese firms going for joint ventures and access to foreign investment. †¢ Memory chips did not have any substitutes but old technology is likely to be replaced by more advanced technology. SWOT Analysis Strength Weakness Opportunity Threats †¢ Diversified product line to cover all customer needs †¢ High market share in Mobiles, Memory Chips and LCD High Brand value from multiple sponsorships †¢ High investment on research and development †¢ Customers place question on durability of products †¢ Lack of focus on niche market †¢ Low Average salary in the market †¢ Strong and growing customer demand for high-end products †¢ Young population gives a chance to develop customer b ase for future †¢ Intensifying competition †¢ Low cost Chinese products †¢ May lose advantage of DRAM technology to new Nana Tech Competitive Advantages of Chinese Firms †¢ Access to cheap labour and local engineering talent †¢ Government subsidies †¢ Easy access to local international financial capital Lower cost structure †¢ Willing to endure years of losses to gain market share Competitive Advantages of Samsung †¢ Dedicated workforce of manual labourers and engineers †¢ Strong product portfolio †¢ SDRAM, DDR SDRAM, DDR2 SDRAM, RDRAM, other DRAMs †¢ Early mover advantage in increasing wafer-size †¢ Sustained levels of high operating margins †¢ Adoption of â€Å"stacking† method for fabrication Competitive Advantages of Samsung †¢ Strategic co-location of RD and fabrication facilities †¢ Enabling an efficient cost-structure †¢ Favourable environmental conditions †¢ In-house competitions for new product developments Active involvement of junior staff and engineers in discussions regarding new products leading to innovation Competitive Advantages of Samsung †¢ Strong HR Policies †¢ †¢ †¢ †¢ Investment in employees’ higher education Active recruitment of foreign talent Goodwill towards employees 3 levels of Performance-based incentives †¢ Project-based incentive †¢ Productivity-based incentive †¢ Profit-based incentive Strong Financials Samsung Micron Infineon Hynix SMIC COGS/Sales 23% 44% 33% 44% 32% SGA/Sales 12% 26% 9% 16% 8% RD/Sales 11% 13% 14% 13% 18% Labor/Sales 11% 21% 16% 11% 8% Sales 5. 08 4. 48 4. 73 4. 58 4. 3 COGS 1. 19 1. 98 1. 57 2. 01 1. 84 SGA 0. 59 1. 18 0. 44 0. 74 0. 34 RD 0. 56 0. 56 0. 67 0. 61 0. 8 Labor 0. 54 0. 94 0. 75 0. 51 0. 34 Lower Raw material, Labour, Depreciation, RD costs. Higher Selling Price! Resulting in better financial indicators: Lower COGS/Sales Lower SGA/Sales Lower RD/Sales (Exhibi t 7d) The Big Question Can Samsung weather the Chinese Threat? Yes, Samsung continues to retain and gain market share. Samsung has a high brand value- Can leverage on Brand Equity. Wide Range of Product Offerings for sustenance. Deterring New Entrants Strategies to deter new entrants Strategy Niche Products Price Cut Cut down on price and Innovate on niche force a price war and products and drive competitors out explore new of the market markets Excess Capacity Acquisition Increase output and Acquire small force down prices to entrants with good make market entry potential to perform unprofitable Way Forward †¢ Keep Innovating and Invest heavily in RD †¢ Focus on New Niche Products †¢ Maintain Reliability and Quality of Product †¢ Focus on More Foreign talent including talent from China as well †¢ Invest in lower end chip factories in china †¢ May look towards increasing the average salary Thank You How to cite Samsung Case Study, Free Case study samples

Michael Bubl free essay sample

Canadian Michael Buble’s latest album is a wonderful collection of remakes of famous tunes like â€Å"Crazy Little Thing Called Love† and â€Å"Come Fly with Me.† Even though he is young, his voice is a perfect mix of Frank Sinatra and Dean Martin and he sings like a member of the Rat Pack. The album contains love songs, feel-good ballads and upbeat jazz pieces. It makes you feel like you took a time machine back to the 1950s and are listening to real music, not the digitally, voiced-over music you too often hear now. He took a risk singing extremely famous songs that would be judged harshly if destroyed, but he pulls it off gracefully and gives new life to old songs. I believe that everyone can enjoy Buble’s music, whether you lived â€Å"back in the day† or are a kid just hearing these songs for the first time. Everyone will be in a better mood once you put in this CD. We will write a custom essay sample on Michael Bubl or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It makes you want to find love and happiness. â€Å"Michael Buble† is sure to get great reviews because this is a topnotch CD that will be enjoyed for a long time to come.

Andrew Jackson2 essays

Andrew Jackson2 essays My name is Andrew Jackson, and I was the 7th president of the United States. People tell me that I have a lot to be proud of, because I wasnt just a president, I worked as a prosecuting attorney, and I fought in the war. Ive heard people say that I was the best-loved and most-hated president the young nation had ever known. I named a era after myself, and always lived according to the rugged, straightforward code of the American frontier. In 1802, I was elected major general of the military force. The turning point in my life was definitely my service in the War of 1812. One of my first victories was over the Creek Indians. Inspired by the British attacks on the Americans, the Creeks raided frontier settlements in Georgia and Alabama. My Tennessee military and I crushed the Creeks at the battle of Horseshoe Bend, Alabama, on March 27, 1814. After winning that battle, I was then ordered to defend New Orleans. I built up my small regular army, and recruited frontier riflemen from Tennessee and Kentucky, and also gathered a force of volunteers. On January 8, 1815 the British troops charged. It was a massacre; the British withdrew after suffering 2,237 deaths, while we only lost 71. We won the battle, however fighting the battle was a tragic mistake. Only days earlier, December 24,1814, a peace treaty had been signed. Communication was so slow, that the news just didnt reach me in time. Of course my little victories didnt affect the outcome of the War of 1812, but it did make me a national hero. With the exception of Gen. William Henry Harrison, no American except me had achieved anything like military triumph. In 1817 I was ordered to the Alabama-Georgia region to defend settlers against attacks by Seminole Indians from Florida. In 1818, I pushed into Spanish-held Florida, and captured Pensacola, and hung two British soldiers as spies. When Spain offered Florida to the United St ...

Passive Voice What is Passive Voice How to Improve it with Examples

Passive Voice What is Passive Voice How to Improve it with Examples Passive Voice: What Is Passive Voice How to Improve It with Examples Passive voice has its purposes. It really does. In fact, it can be the politically correct way to phrase something.Imagine†¦The setting: a public school libraryThe players: a librarian (OK, I’m the librarian) and 15 first gradersThe scene: The librarian is reading aloud nonfiction books about sharks.The question: â€Å"Why do sharks _______________?† (some intriguing behavior too complex or gory for me to explain or possibly even understand)The passive voice answer that keeps me employed in a public school: â€Å"That’s the way they were made.†The active voice answer that I would tell my grandchildren: â€Å"God made them that way.†Heres what youll learn about passive voice:What is passive voice?How much passive voice can you use?How to choose to use passive or active voiceActive voice examplesHow to vary your sentence varietyHow to find your percent of passive voiceNOTE: We cover everything in this blog post and much more about the writing, ma rketing, and publishing process in our VIP Selfs:ACTIVE: I love reading.PASSIVE: Reading is loved by me.ACTIVE: AC/DC Thunder won the game easily.PASSIVE: The game was won easily by AC/DC Thunder.With students, the focus is on active voice; with a professional writer like yourself, you will most likely have a blend of both active and passive sentences, but active should still far outweigh passive.Active VS Passive Voice with ExamplesFrom Billboards â€Å"The Biggest Hits of All: The Hot 100s All-Time Top 100 Songs† I selected songs that used active voice in their titles. (WHO selected them? I selected them. That’s another easy example of active voice.)Here are song titles along with a rewrite in passive voice:â€Å"I Love Rock ‘N Roll† * Rock ‘N Roll Is Loved by Meâ€Å"I Gotta Feeling† * A Feeling Was Gotten by Meâ€Å"You Light Up My Life† * My Life Was Lit Up by You†Ã¢â‚¬Å"We Found Love† * Love Was Found by Usâ€Å"I Wan t to Hold Your Hand† * Your Hand Is What I Want to Holdâ€Å"Another One Bites the Dust† * The Dust Was Bitten by Another Oneâ€Å"I Will Always Love You† * You Will Always Be Loved by Meâ€Å"I Heard It Through the Grapevine† * It Was Heard Through the Grapevine by MeSentences with the understood subject (you) have an imperative active voice which is much more authoritative than passive tense:(You)† Un-Break My Heart† * My Heart Should Be Unbroken by You(You) â€Å"Tie a Yellow Ribbon Round the Ole Oak Tree† * A Yellow Ribbon Should Be Tied Round the Ole Oak Tree by You(You) â€Å"Let the Sunshine In† * The Sunshine Should Be Let In by You(You) â€Å"Play That Funky Music† * That Funky Music Should Be Played by YouConversely, this next song title has a passive voice that works: â€Å"That’s What Friends Are For† (better than Friends Are for That).With the rewrites changing active voice to passive, did you dis cern a pattern where many of them ended with a prepositional phrase containing the person doing the action?Think of gossip. People want to know who is doing what! (They really did that? You’re kidding!) Put the subject right at the beginning so everyone knows whom you’re talking (writing) about and what they did!How to Vary Your Sentence Variety Using Passive Voice and Active VoiceIf you have the same subject over and over and if the object is more of the point anyway, passive voice allows for sentence variety.Furthermore, if it doesn’t matter who did the action because the result is the point, passive voice works.The chairs in the old high school library were refinished and moved to the new library weeks before the tables were moved. Temporary chairs were in the high school library. I needed the tables from the old elementary library to sort the genre boxes, so students had chairs, but no tables for a while. The elementary students enjoyed sitting at the  "invisible† tables and joked how they didn’t have to push in their chairs when they left.After class, a first grader told his teacher very sincerely, â€Å"The tables really are invisible!†I smile whenever I think of his endearing comment.Passive voice rationale: It didn’t matter who had refinished and moved the chairs or who had put temporary chairs in the high school library. I hadn’t done those things, and those details would not have added to the book. Nonetheless, I had completed the genrefication project (where the library was totally reorganized by book genres). I didn’t want to start almost every sentence with â€Å"I + action verb + direct object.† It would sound awkward to repeatedly start sentences with â€Å"I did this, I did that, I, I, I†¦.†Passive Voice Checker How to Determine Your Percent of Passive VoiceBeyond the basic spelling and grammar check (which can be helpful with tools like Grammarly or even Hem ingway Editor) is Word’s readability feature.It tells you various details about your writing, including the percentage of passive sentences, the Flesch Reading Ease, and the Flesch-Kincaid Grade Level. For example, the segment about the chairs and the invisible tables scored an 8.8 Flesh-Kincaid Grade Level, which means it was written at a reading level where an 8th grader in the 8th month of school should be able to comprehend the text.Many teen and adult fiction books are written at 4th 6th-grade reading levels (based on Accelerated Reader scoring) because the writing flows at those levels for recreational reading compared to reading to learn new information. Newspapers may rank more at a 10th-grade reading level, depending on the complexity of the information.If you are using Word and would like to know your percentage of passive sentences and readability scores, here’s what you do:Go to Review at the top of Word.Select Spelling Grammar from the top left.Select Op tions from the pop-up.Select Settings at the bottom of the next pop up (next to Writing style:)Then scroll down until you see Passive Voice and check the boxSelect OK and youll now be able to check your passive voice in WordIn case you were wondering (and even if you weren’t), this article was written at a 6.7 reading level with 6% sentences being passive.Now check some of your writing and see if you agree with your results. By the way, I just took my own advice here and checked my children’s picture book, The Flower Fairies Meet the Talking Rainbow Rocks. It contains 4% passive sentences (acceptable to me) but has a 4.1 reading level, which is higher than I would have guessed and higher than I had planned for a picture book.My book’s science-related terms increased the reading level. Word’s readability tool actively helps with various writing considerations beyond passive voice. You may use it purely for passive voice, but it will tell you even more.Acti ve writing is lively writing. It is aggressive in the most positive sense. It burrows in there and zooms straight to the point. Stay active with your writing, and stay active in your writing.Are you ready to write a bestseller?Together we can take your writing up a notch and you can self-publish a book that becomes the next bestseller!

Business Administration class Strategy Formulation Essay

Business Administration class Strategy Formulation - Essay Example This is because in each stage, certain vital activities are done. In Strategy formulation, certain features of the organization are presented. The features are analyzed both internally and externally. These features include the vision, mission statement, objectives, and tactical objectives of the organization. The process starts by first looking at the mission and objectives which describe the companys business goals as well as measurable financial and strategic objectives. Secondly, an environmental scan is done. This includes an internal analysis of the firm as a whole, and its industry (task environment). An external analysis, also known as the PEST analysis follows (â€Å"Pest Analysis†, 2010). In strategy formulation, the information acquired from the environmental scan is used to match the firm’s strengths to its opportunities while addressing its weaknesses and external threats. In strategy implementation, programs, budgets, and procedures are used as means of implementation and this makes it important for success to be guaranteed. In the final stage which is evaluation and control, parameters to be measured are defined. The next step involves defining targets for the measured parameters, performing the measurements, and finally, comparing the measured results to pre-defined standards and make necessary changes. This second stage of strategic management supports the mission and objectives of the organization by creating sustainable competitive advantages. The stage is organized into six sections. Some of these sections are; Corporate-Level Strategy, Competitive Strategy, Functional Strategy, Choosing Strategies, and Troublesome Strategies (Rex, n.d.). Each of these sections has got its own methods of formulation. The level of Corporate-level Strategy is concerned with the direction of the company. It provides a channel for the organization to make some changes and improve their growth objectives and achievement. In the second level, Competitive

Should evolution be taught in the public schools Essay - 1

Should evolution be taught in the public schools - Essay Example While both sides have valid arguments, the argument for teaching evolution in public schools clearly trumps, because parents have a right to ensure that their child gets the best education possible, and a failure to instruct on evolutionary theory in the public schools clearly undermines this basic right. The theory of evolution, which states that species have evolved over time, is a theory which must be taught in public schools. Lerner (2000) states that there are good standards for what school children should know about the theory, depending upon the child’s grade. He states that children from grades kindergarten to third grade should understand that living things reproduce, and that the offspring may not be exactly like their parents. They should also understand that a living things must grow up or change before reproducing. Another fact that they must learn is that the earth is over four billion years old. When children are between the ages of nine and twelve, they should be taught about how evolution results in competition and survival between and within species, and the factors that go into species survival, such as environmental, predatory and temperature factors. They should also learn that species adapt to different environments, and that genetic variation results in mutations that may help species adapt to this environment. Also, the theory of natural selection should be understood. When a child is between middle and high school, they should know about such concepts as genetic drift, sexual selection and the complex interactions of ecosystems (Lerner, 2000). Evolutionary theory should be taught, despite the objections of religious individuals who object to the theory being taught, for a variety of reasons. The first set of these reasons address why the theory should be taught, despite the objections of

Working Together To Safeguard Children

Working Together To Safeguard Children For the purpose of this assignment I will focus on the publication Working Together to Safeguard Children (2006) and the General Social Care Councils Code of Practice for Social Care Workers (2005) to critically evaluate and explore how they impact upon the role of the social worker whilst carrying out initial enquiries. The social work profession promotes social change, problem solving in human relationships and the empowerment and liberation of people to enhance well being, utilising theories of human behaviour and social systems. Social work intervenes at the points where people interact with their environments. Principles of human rights and social justice are fundamental to social work (International Association of schools of social work and international Federation of Social Workers 2001). Social workers act as negotiators between the individual service user and the wider society in order to assist the individual with the problems they are facing. This is performed by professionals utilising theories, their own values and beliefs of human behaviour and social systems (International Association of schools of social work and international Federation of Social Workers 2001). Working Together to Safeguard Children (2006) provides guidance for professionals who are working with children and their families to assists them in their safeguarding practice. This document places emphasis on the need for joint working as this provides a variety of knowledge, theory and skill when working with children and their families. The General Social Care Council (GSCC) identified codes of practice that aim to raise the standards in social care services, highlighting the responsibility of social care workers and their employers to ensure that the codes are followed within practice. The General Social Care Council (2005) highlighted that the Codes of Practice were to reflect the existing good practice of professionals and shared the standards and ethical practice to which they aspired. The main aims of the Code of Practice are to inform services users and the public of the standards that they can expect from social care workers and to provide social care workers with clear lines of accountability, therefore ensuring that workers are aware of the responsibility upon them to ensure that these conduct do not fall below the standards expected of them as this can lead to the dismissal of workers (GSCC 2002). Social workers are challenged on a daily basis to uphold the Codes of Practice while implementing government policies and procedures and have the responsibility for making difficult decisions and recommendations that will ultimately affect and impact upon the lives of children and their families. It is therefore critical that professionals are able to make these decisions by drawing and reflecting upon guidance to enable professionals to make ethical and sound decisions in the best interest of the child and their family. Social workers have to accept and be accountable for all their actions and need to be able to explain why they have acted in a certain way. Therefore social workers need to have a good understanding of how nature and society affects the way in which they practice enabling them to work competently and efficiently. Social workers strive to ensure that children are protected from harm as best they can and in order to do so social workers are trained and led by policies and procedures set out not only by the government but also from within the employing authority. The law also forms an essential part in the decision making process to ensure that children are not subject to significant harm. Professionals have a duty to investigate and complete initial enquiries under Section 47 of the Children Act 1989, if there is reasonable cause to suspect that a child whom is living or found within the local area is believed to be suffering, or is likely to suffer significant harm (HM Government 2006). The Children Act 1989 introduced Significant Harm as the threshold that justifies compulsory intervention and determines if a child is made subject to a protection plan or provided with support in the children and families arena (OLoughlin OLoughlin 2008) therefore a child may be supported on a child in need basis. The process will begin at the referral stage which is the first point of contact when information and or concerns are brought to the attention of Childrens Services, this can include a case that is already open to the associated local authority if there are an accumulation of concerns or a pre birth assessment indicates significant harm to an unborn child (DOH 2006). A team manager and a lead social worker will be allocated to the case and a decision will be made as to whether or not there are concerns which could pose potential or actual harm to the child, if this is so then a decision will be made to proceed to a strategy meeting and will be recorded at this point by management. A strategy meeting should involve Childrens services, Police, Education, Health and any other relevant agencies who are working with the family. Working in partnership with all professionals involved is essential as sharing information helps to build a clear picture of the child, family unit and the issues causing concern, thus promoting the safety and well being of the child (Children Act 1989). However in some instances this sharing of information is done without the consent of the parents which immediately conflicts with the code of practice set out by the General Social Care Council (2005) as it states that the rights and interests of the service user must be protected, respecting and maintaining the dignity and privacy of the service user. Already there is a contradiction starting between the Working Together to Safeguard Children guidance and the Codes of Practice. Another conflict emerges if the outcome of the strategy is to proceed with a Section 47 enquiry, due to Working Together to Safeguard Children (2006) stating that; Parents and those with parental responsibility are informed of concerns at the earliest opportunity, unless to do so would place the child at risk of significant harm, or undermine a criminal investigation and that as parental consent has not been obtained any work done should be practiced in a manner which allows for future working relationships with the family. This sounds plausible and is aimed to be in the best interests of the child however it conflicts with the Codes of Practice (2005) which state that; a social care worker must strive to establish and maintain the trust and confidence of service users. As a social worker it is incredibly difficult to uphold the Codes of Practice whilst following the guidance of Working Together to Safeguard Children, due to not being able to be as open and honest during the initial contact as possible. The rationale for this is that the only information to be provided to the family is that, that is agreed within the strategy meeting (HM Government 2006). Whilst carrying out a Section 47 enquiry it is essential that the child in question is spoken to alone as this gives the child the opportunity to express their wishes and feelings and allows professionals to gather further information. If the child is not spoken to alone it reduces the ability to appropriately assess the needs and risks surrounding the child. When speaking to the child it is imperative that discussions are practiced in a way that minimises distress but maximises the likelihood that they will provide accurate and complete information as gaining the childs views can be critical in the prevention of significant harm (HM Government 2006). Clearly stating that professionals are able to speak to children without the consent of parents or anyone with parental responsibility, if there is evidence that the child would be placed at further risk should the parents be informed. Consequently social workers are following the guidance from Working Together to Safeguard Children yet disregarding the Codes of Practice which places a duty on the social worker to communicate in an appropriate, open, accurate and straightforward way (GSCC 2005). Section 47 enquiries may include a medical examination and failure to consent from the parents or failure to allow the child to be seen in general may result in the professionals having to make an application to the Court in respect of being granted appropriate orders such as an Emergency Protection Order or Assessment Order, professionals will be directed by legal professionals in this instant. Once again there are conflicts within this, in respect of the Codes of Practice, by attending Court and seeking an order, families may feel that they are not being listened to or their wishes respected, in some scenarios it may be felt by services users that their privacy and dignity is not being respected. However there is one Code of Practice that has some similarities to Working Together to Safeguard Children; taking necessary steps to minimise the risks of service users from doing actual or potential harm to themselves or others (GSCC 2005). It may also become evident when completing a Section 47 enquiry that the child in question and siblings if any, may need to be accommodated whilst subsequent assessment are complete. The local authority will whenever possible attempt to ensure that the child can remain at home and appropriate steps will be taken to ensure the childs safety, however there are times when the risk is such that there is no other option than to remove the child from the family home (HM Government 2006). There is a clear contrast to the Codes of Practice as they state that service users have the right to take risks hence placing professionals in a position whereby they need to make decisions as to whether the risks can be managed without leaving the child at risk of further harm. As a social worker you are faced with conflict and dilemmas when attempting to work in accordance with both Working Together to Safeguard Children and the Codes of Practice. This leads to dilemmas in practice that require consideration and in order for social workers to make sound and professional judgements it is essential that social workers have regular supervision to aid their practice, allow them to reflect on decisions made, look at various interventions and possible outcomes. Supervision allows for social workers to ensure that they provide effective and efficient work with children and families. Working within child protection is complex and the need to share information is vital therefore any decisions that are made with regards to children should be done so in a multi-agency manner. This aims to ensure that professionals are not individually held accountable for failure to work in accordance with the Codes of Practice and government guidance while incorporating inter-agency working, which is fundamental when combating child abuse (Working Together to Safeguard Children 2006). The Codes of Practice (2005) express the need for social worker to be accountable for their own work, this includes the need for social workers to recognise and respect the roles and expertise of other professionals and work in partnership with them. Joint supervision with professionals in a similar field gives the opportunity to share knowledge and skill an may cover something the fellow professional has failed to notice therefore providing and even best quality of service to the public. It has become abundantly clear throughout this assignment that social work is ever changing and that the decision making process, individually or jointly between professionals is never easy, especially when it involves the lives of children and young people. Adhering to The Codes of Practice whilst also adhering to government guidance, simply, causes conflict in practice this is something that may never change and as a social worker it is imperative to note this and whilst following policies and procedures we must not forget that the children we are trying to protect and the families that they belong to are people, human beings with feelings, rights and deserve to be treated correctly.

Joint Strategic Needs Assessment

Joint Strategic Needs Assessment ROTHERHAM May 2011 -2- Table of Contents What is a Joint Strategic Needs Assessment (JSNA)? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Why do we need a JSNA? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 1. Demographic Profile 1. 1 1. 2 1. 3 1. 4 1. 5 1. 6 1. 7 1. 8 1. 9 1. 10 1. 11 1. 12 2. 6 6 Population Numbers †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Age Profile †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Gender Profile †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Birth Rate †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Black and Minority Ethnic (BME) Population Profile †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Disability Profile †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Population by Religious Group †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Population by Migrant Status †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Number of Households †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Analysis of Areas of Deprivation †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Social Marketing Categories and Urban/Rural Classification †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Sexuality †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 7 7 10 11 12 16 20 21 21 23 25 25 Social and Enviro nmental Needs Assessment 2. 1 2. 2 2. 3 2. 4 2. 5 2. 6 2. 7 2. 8 2. 9 2. 10 2. 11 2. 12 2. 13 2. 14 2. 15 2. 16 2. 17 2. 18 2. 19 2. 20 2. 21 2. 22 2. 23 2. 24RMBC Strategic Housing Role †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Council Housing Stock †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Private Sector †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Housing Tenure †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Ethnic ity †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Overcrowding †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Living Alone †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Summary of Housing Demand in Rotherham †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Condition of Stock †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Affordable Warmth and Fuel Poverty †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Energy †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Empty Properties †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Affordability †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Household Income †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Central Heating †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Access to Car or Van †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Overall Employment Rate †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Working Age People on Out-of-Work Benefits (NI 152) †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.Number on Out-of-Work Benefits in Worst Performing Areas (NI153) †¦Ã¢â‚¬ ¦ Contact with Mental Health Services whilst Emplo yed (NI 150) †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Unemployment Rate †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Claimant Count †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Recent National Economic Down-Turn †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Average Incomes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 26 26 27 27 28 29 30 31 33 34 36 37 38 40 42 3 44 46 47 47 48 49 49 50 -32. 25 2. 26 3. Smoking †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Eating Habits †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Alcohol †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Physical Activity †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Obesity †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦General profile of burden of ill health †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Diabetes †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Circulatory Diseases †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Cancer †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Chronic Obstructive Pulmonary Disease (COPD) †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Infectious Diseases †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Trauma †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Musculoskeletal †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 70 84 88 97 108 109 114 115 Mental Health Needs Assessment 5. 1 Introduction †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5. 2 National Picture †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5. 3 Local Picture †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 5. 4Differences in the Extent of Mental Health Problems †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5. 5 Local Services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 5. 6 Financial Costs – National Level †¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 5. 7 Financial Costs – Local Level †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5 . 8 User Involvement †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5 . 9 Emerging Patterns †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Appendix 1 – Indices of Multiple Deprivation †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6. 54 56 57 63 66 Burden of Ill Health 4. 1 4. 2 4. 3 4. 4 4. 5 4. 6 4. 7 4. 8 5. 51 53 Lifestyle and Risk Factors 3. 1 3. 2 3. 3 3. 4 3. 5 4. Access to Services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Satisfaction of People Over 65 with Home and Neighbourhood (NI 138) .. 118 119 120 131 141 147 147 151 152 153 Learning Disability Needs Assessment 6 . 1 6. 2 6 . 3 6. 4 6. 5 6. 6 6. 7 6 . 8 6. 9 6. 10 6. 11Numbers of People with a Learning Disability †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Expenditure for Learning Disabilities in Rotherham for 2009/10 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Local Analysis †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. BM E Population – National Analysis †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ BME Population – Rotherham in 2010 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Life Expectancy of People with Learning Disabilities †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Health of People with Learning Disabilities in Rotherham †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.Employment †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Housing †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Residential and Nursing Care in Rotherham †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Community Based Services for People with Learning Disabilities †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 154 155 156 160 160 161 161 164 165 166 167 -46. 12 7. 169 169 170 174 177 178 180 183 Early Access for Women to Maternity Services (NI 126) †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Number of People Accessing NHS Dentistry †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Uptake Rates for Seasonal Flu Jab †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Screening for Breast Cancer †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦ Access to GUM services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Long Acting Reversible Contraception Methods †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Access to NHS Funded Abortions before 10 weeks? Gestation †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 187 187 189 191 193 193 194 User Perspective on Social and Health Care 9. 1 9. 2 9. 3 9. 4 9. 5 9. 6 9. 7 9. 8 9. 9 9. 10 . 11 9. 12 10. National Profile of Need for Social Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Promoting Independence and Developing Community Support †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Rotherham Profile of Need for Adult Social Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Informal Care Needs Analysis â₠¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Home Care Services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Residential Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Intermediate Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Analysis of Community-Based Provision †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Access To Health Services 8. 1 8. 2 8. 3 8 . 4 8. 5 8. 6 8. 7 9. 168 Social Care Needs Assessment 7. 1 7. 2 7. 3 7. 4 7. 5 7. 6 7. 7 7. 8 8. Carers †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Support Older People Receive in order to Live Independently at Home †¦ Respect and Dignity in their Treatment (NI128) †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ User Perspective on Social and Health Care – Neighbourhoods and Adult Services (NAS) Research †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Patient Survey Programme Findings for Local Institutions Patient Survey of Local Community Mental Health Services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Patient Survey of Local Community Health Services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Patient Survey of Local In-Patient Services – RFT †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Patient Survey on Access to Primary Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Patient Survey on Choice to Primary Care †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Black Minority Ethnic (BME) Mental Health Consultation Event †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Consultation with Focus Groups and Individual Interviews †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Consultation at Fair? s Fayre †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 198 198 198 207 208 209 210 211 213 213 213 219 Children and Young People’s Needs Assessment 10. 1 10. 2 10. 3 1 0. 4 10. 5 10. 6 General Health †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Proportion of Children in Poverty †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Prevalence of Breast Feeding at 6 to 8 Weeks from Birth †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Teenage Pregnancy (Under 18 and Under 16 Conception rates) †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Obesity among Primary School Age Children in Reception Year and Year 6 †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Infant Mortality †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 221 222 223 225 227 229 -510. 10. 8 10. 9 10. 10 Uptake of Chlamydia Screening in Under 25s †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Percentage DMFT in 5 Year Olds †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Children Killed or Seriously Injured on Roads (persons under 16 years) .. Proportion of Children who Complete Immunisation by Recommended Ages †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 10. 11 Parental Experience of Services for Disabled Children †¦Ã¢â‚¬ ¦Ã¢â ‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 11. 229 229 230 233 234Area Assembly Needs Profile 11. 1 11. 2 11. 3 11. 4 11. 5 11. 6 11. 7 Rother Valley South †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Rother Valley West †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Rotherham North †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Rotherham South †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Wen tworth North †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Wentworth South †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Wentworth Valley †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 244 247 249 251 254 256 258 Glossary †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 261 -6- What is a Joint Strategi c Needs Assessment (JSNA)? The Joint Strategic Needs Assessment (JSNA) establishes the current and future health and social care needs of a population, leading to improved outcomes and reductions in health inequalities.The JSNA informs the priorities and targets set by Local Area Agreements, leading to agreed commissioning priorities that will improve outcomes and reduce health inequalities throughout the Borough. The JSNA marks the beginning of a process which will inform service reconfiguration, commissioning and decommissioning of services. The JSNA will evolve over the coming months and years as the demographic and health profile of the population changes. Information gathered in the Joint Strategic Needs Assessment will be used to create a needs profile for Rotherham.It will be used to target resources at those in most need. Why do we need a JSNA? Since 1 April, 2008, Local Authorities and Primary Care Trusts are under a statutory duty under the Local Government and Public Invo lvement in Health Act to produce a Joint Strategic Needs Assessment (JSNA). The Operating Framework for the NHS in England 2008/2009 refers to the importance of the JSNA in informing PCT Operational Plans. The JSNA underpins a number of the World Class Commissioning competencies. The JSNA forms the basis of the new duty to co-operate.This partnership duty involves a range of statutory and non-statutory partners, informing commissioning and the development of appropriate, sustainable and effective services. Joint Strategic Needs Assessment Core Dataset This document fully complies with the Department of Health’s JSNA Core Dataset, published on 1st August, 2008. It focuses on health and social care needs, breaking these down to Area Assembly level so a good understanding of these needs can be established for joint commissioning purposes. -7- 1. Demographic Profile 1. 1 Population NumbersRotherham is one of four metropolitan boroughs in South Yorkshire, covering an area of 118 s quare miles with a population of 253,900 (2009). The population of Rotherham has been rising by 1. 0% (2,600) since 2004 and 1. 8% (4,500) since 2002. Population projections suggest that the population of Rotherham will increase by 5. 1% to 266,900 by 2020 and by 9. 8% to 278,900 by 2030. The projected increase is the result of rising life expectancy, natural increase (more births than deaths) and migration into the Borough. The Borough is divided into 21 wards, grouped into 7 Area Assemblies as follows:Rother Valley South – Dinnington, Anston & Woodsetts and Wales Rother Valley West – Brinsworth & Catcliffe, Holderness and Rother Vale Rotherham North – Rotherham West, Keppel and Wingfield Rotherham South – Boston Castle, Rotherham East and Sitwell Wentworth North – W ath, Swinton and Hoober Wentworth South – Rawmarsh, Silverwood and Valley Wentworth Valley. – Wickersley, Hellaby and Maltby About half of the population lives in and ar ound the main urban area of Rotherham town. The remainder lives in satellite towns such as Wath, Dinnington and Maltby and in rural areas1.Rotherham comprises a diverse and vibrant blend of people, cultures and communities. It is made up of a mix of urban areas and rura l villages, interspersed with large areas of open countryside. About 70% of the Borough area is rural, but it is well connected to all areas of the country by its proximity to the motorway network and intercity rail networks. Rotherham? s traditional steel and coal industries have largely given way to new industries in an economy which grew rapidly in the 1995 – 2005 period. 1. 2 Age Profile There are approximately 197,500 adults currently living in Rotherham (2009). 7,800 people are aged 60 and over (22. 8%), 102,800 are aged 30 to 59 years (40. 5%) and 37,000 are aged 18 to 29 years (14. 6%). In addition, there are 56,400 (22. 1%) children aged 0 to 17 years. The age profile of the Borough population is show n in Figure 1. 1. Rotherham has more people aged over 50 (1 in 3 people) than people under 16 (1 in 5 people). Rotherham has 90,200 people aged 50 or over which equates to 35. 5% of the total population and this proportion is rising. 1 RMBC 2007 Area Assembly Profiles (www. rotherham. gov. uk) -8Distribution of Older PeopleFigure 1. 1: Age Profile of Rotherham Rotherham 60 and over 22. 8% 30 to 59 40. 5% 18 to 29 14. 6% 5 to 17 0 to 4 0. 0% 16. 1% 6. 0% 5. 0% 10. 0% 15. 0% 20. 0% 25. 0% 30. 0% 35. 0% 40. 0% 45. 0% Rotherham Source: Mid Year Estimates 2009 The most significant demographic change occurring in Rotherham is the growth in the number of older people which is shown in Figure1. 2. The number of people over 65 will increase by more than a half by 2028, from 4 1,500 to 61,400. The number of people over 85 will almost double (+96%) from 5,000 to 9,800 by 2028.Although people will tend to remain healthy for longer than they do now, the rising numbers of older people will have m ajor implications for health and adult social care services, informal care and all services used by older people. Figure 1. 2: Projected Growth in the over 65 population from 2008 to 2028 18,000 16,000 2008 2028 Population 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 65 to 69 Source: 2008 Population Projections 70 to 74 75 to 79 80 to 84 85 and over -9Figure 1. 3: Projected Growth in over 65 population from 2008 to 2028 Population aged 65+ 65 60 Thousands 55 50 45 40 20 08 20 09 20 10 0 11 20 12 20 13 20 14 20 15 20 16 20 17 20 18 20 19 20 20 20 21 20 22 20 23 20 24 20 25 20 26 20 27 20 28 35 Source: 2008 Population Projections The number of people aged 65+ is projected to increase at a steady rate over the next twenty years. The number is projected to increase by 48% from 41,500 to 61,400. Figure 1. 4: Projected Growth in over 85 population from 2008 to 2028 Population aged 85+ 10. 0 9. 0 Thousands 8. 0 7. 0 6. 0 5. 0 20 08 20 09 20 10 20 11 20 12 20 13 20 14 20 15 20 16 20 17 20 18 20 19 20 20 20 21 20 22 20 23 20 24 20 25 20 26 20 27 20 28 4. 0 Source: 2008 Population ProjectionsThe steady increase in the 65+ population hides a much faster rise in the population aged 85+ which is projected to increase by 96% between 2008 and 2028. The rate of increase is projected to rise after 2014, peaking between 2020 and 2025 when there will be 29% growth over 5 years. – 10 1. 3 Gender Profile In Rotherham, there are 129,400 (51%) females and 124,400 (49%) males, which is very similar to the national average. The age and gender distribution of Rotherham? s population is similar to the national profile, although Rotherham has a slightly lower proportion of young adults (20-34).Figure 1. 3 shows the age and gender structure of Rotherham compared to England and Wales in 2009. Office of National Statistics data illustrates that up to the age of 72 years the number of males and females are fairly equal. From the age of 73 years the proportion of females to males inc reases significantly2. 2. 9% of the female population are over 85 years compared to 1. 4% for men. There are 3. 7 women for every man aged over 90 years. The rising population imbalance between males and females as old age progresses results from women? s higher life expectancy. 2% of the entire population are of working age, of these 51. 1% are under 40 years of age. Figure 1. 5 also shows a relatively low proportion of people aged 30-34 years which reflects the low birth rates from the mid to late 1970s. Likewise, the high proportion aged 40-45 reflects high birth rates in the early 1960s. Figure 1. 5: Age and gender profile Broken down by percentage of male/female population Rotherham 9. 0% 8. 0% 7. 0% 6. 0% 5. 0% Males 4. 0% Females 3. 0% 2. 0% 1. 0% 0. 0% 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 to to to to to to to to to to to to to to to to to to + 9 14 19 24 29 34 39 44 49 54 59 64 69 74 79 84 89 Age Group Source: Mid Year Estimates 2009 2 Office of National St atistics 2009 Live Births – 11 England and Wales 9. 0% 8. 0% 7. 0% 6. 0% 5. 0% Males 4. 0% Females 3. 0% 2. 0% 1. 0% 0. 0% 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 to to to to to to to to to to to to to to to to to to + 4 9 14 19 24 29 34 39 44 49 54 59 64 69 74 79 84 89 Age Group Source: Mid Year Estimates 2009 1. 4 Birth Rate The birth rate in Rotherham has been steadily increasing since 2002 (Figure 1. 6). Live births decreased from over 3,700 in 1991 to 2,730 in 2001.Since then the numbers of births has increased each year to 3,300 in 2008 before dropping slightly in 2009 to 3,200. There has been an average increase of about 60 live births each year over the last eight years. This increase in birth rate reflects similar increases nationally. Figure 1. 6: Number of Births in Rotherham between 1959 to 2009 Source: Office of National Statistics 2998, Live Births The Total Fertility Rate (TFR) for 2009 shows an average of 1. 96 children per woman in England and Wales. This represents a small decrease in fertility from 1. 97 children in 2008.This is the first annual decrease since 2001 when the TFR fell to 1. 63 from 1. 65 in 2000. The TFR for 2009 is still comparably high. In 2008 the TFR was at its highest point in 35 years. The provisional – 12 General Fertility Rate (GFR) for 2009 was 63. 7 live births per 1,000 women aged 15-44, a decrease compared with 63. 8 in 2008. In 2009, there were decreases in fertility rates for women aged under 30 and increases for women aged 35 and over, compared with 2008; fertility rates for women aged 30–34 remained unchanged. The largest percentage decrease (2. 7 per cent) occurred among women aged under 20.For this age group the fertility rate fell from 26 live births per thousand women aged under 20 in 2008 to 25. 3 in 2009. The standardised average (mean) age of women giving birth increased slightly to 29. 4 in 2009 from 29. 3 in 2008. The figure for 2009 is the highest on record. The sex ratio at birth for 2007 was 1,052 live males per 1,000 live females born. There was a continued rise in the proportion of births to mothers born outside the UK: 24. 7 per cent in 2009 compared with 24. 1 per cent in 2008. In 1999, 14. 3 per cent of births were to non-UK born mothers. 1. 5 Black and Minority Ethnic (BME) Population Profile Rotherham? Black and Minority Ethnic (BME) population is relatively small but has been growing and becoming increasingly diverse. Rotherham MBC estimates that there are 19,000 people from BME communities in 2009 which equates to 7. 5% of the local population (5. 6% are non-white), with 92. 5% from the White British population3. By comparison in 2001, 4. 1% of the population were from BME communities, suggesting that the number of BME residents has almost doubled over the last eight years. BME residents are fairly evenly divided between those born in the UK and those born abroad, the latter being more likely to have limited English language skills. Figure 1. 7: Projected BME Population Growth in Rotherham between 2005 and 2030 Source: BME Health Needs Assessment 2008, Black a nd Minority Ethnic Populations in Rotherham (page 12) In 2006, Yorkshire Futures produced population projections by ethnic group. Figure 1. 7 illustrates the projection for Rotherham which suggests a 61% increase in the non-White population between 2005 and 2030. Of the total of 3 Rotherham MBC Population Estimates by Ethic Group 2009 – 13 17,600 non-white residents projected for 2030, about 11,400 would be Asians. However, the fact that Rotherham? BME population more than doubled in the 13 year period 1991-2004, and that non-white residents already number about 14,000 suggests that this projection may underestimate the likely rate of growth. Immigration and natural increase means that Rotherham? s black and minority ethnic population has continued to grow in recent years, reaching 19,000 people. The white minority population (mainly European) was estimated to have a population of about 3,000 in 2004, rising to 4,000 in 2006 and an estimated at 5,000 in 2009. Most minority ethnic groups have young populations, notably the Kashmiri and Pakistani.There is a growing mixed or dual heritage population, the majority of who are children and young people. The Irish community is an exception, being much older than average. Figure 1. 8: BME Population Breakdown in Rotherham – Mid-Year Estimates 2009 Source: Rotherham MBC Population Estimates by Ethnic Group 2009 The largest BME community is that from Pakistan and Kashmir which constitutes 3. 0% of the overall population, higher than the average of 1. 5% in England and Wales. The Kashmiri and Pakistani community is well established in Rotherham following initial migration in the 1960s and 1970s.There are also much smaller established communities such as Chinese, Indian and Irish. The fastest growing population is the Black African community and other new communities, including mi grant workers from Eastern Europe, have also settled in Rotherham which now has a Roma community of around 2,000 people. – 14 Figure 1. 9: Number of People in each Ethnic Group in Rotherham in 2009 Ethnic Group White British White Irish White Other White and Black Caribbean White and Black African White and Asian Other Mixed Indian Pakistani Bangladeshi Other Asian Black Caribbean Black African Black Other ChineseOther Ethnic No. of People 234,900 1,100 3,900 400 100 700 400 700 7,600 100 700 200 1,500 200 600 800 Source: Rotherham MBC Population Estimates by Ethnic Group 2009 Figure 1. 9 shows the breakdown of the numbers of people from each BME community who are living in Rotherham. The largest number of people who are from minority ethnic groups are those from the Pakistani (and Kashmiri) community (7,600) which equates to 40% of the BME population in Rotherham. 3,900 people (20. 5%) are from the White Other ethnic group which includes EU migrant workers from other Europea n countries such as Poland and Slovakia.Further migration from European countries may result in continued growth in the years ahead. Figure 1. 10: Gender by Ethnic Origin of all Ethnic Groups in Rotherham in 2008 Source: BME Health Needs Assessment 2008, Black and Minority Ethnic Populations in Rotherham, p13 Figure 1. 10 provides a gender breakdown across all BME communities. It shows that white minority ethnic communities, Indian and Black groups have a larger number of men in contrast to women. People from Pakistani/Kashmiri origin have a similar gender balance to the White British population, whilst the Chinese community has a higher proportion of women.The higher proportion of men amongst certain BME groups in – 15 Rotherham is likely to reflect economic migration with men moving to Rotherham to find employment. This trend is more significant amongst more recent migrant groups where two thirds are often male. Figure 1. 11: Population Structure of Different Ethnic Groups in Rotherham 2009 Ethnic Group Total Number 1,600 7,600 800 600 800 234,900 700 1,900 3,900 1,100 253,900 Mixed Pakistani Other Asian Chinese Other W hite British Indian Black W hite Other W hite Irish All People % Population aged 0-15 0. 39% 1. 18% 0. 08% 0. 04% . 12% 16. 86% 0. 04% 0. 16% 0. 47% 0. 04% 19. 38% % Population aged 16+ 0. 28% 1. 81% 0. 24% 0. 20% 0. 20% 75. 62% 0. 24% 0. 59% 1. 06% 0. 39% 80. 62% Source: Rotherham MBC Population Estimates by Ethnic Group 2009 Figure 1. 11 provides an insight into the children to adults for each of Rotherham? s BME population. Some BME communities have a significantly younger age profile than the general population of the Borough. The percentage of the Pakistani community under 15 years (1. 18%) is around 60% of the adult population total and the Mixed community have more children than adults.This reflects a significantly higher birth rate for the Pakistani and Mixed ethnic groups. There is a big difference in the White British communi ty where the adults outnumber the 0-15 population by approximately 5 to 1. In contrast, the Mixed and Pakistani ethnic groups have a much smaller proportion of their population aged 65 and over (less than one seventh of the general population). The largest non-White British community is Pakistani with an estimated 550 elders (55 years of age+)4. BME communities have a younger age profile compared to the general population.The child population of Rotherham is far more ethnically diverse than that of the older population. Figure 1. 12: Percentage of BME pupils in each Area Assembly in Rotherham 60. 0% BME Pupils 50. 0% 40. 0% 30. 0% 20. 0% 10. 0% W es ot t he rh am N or R th ot he rh am So ut W h en tw or th N or W th en tw or th So W ut h en tw or th Va ll e y R ot he rV R R ot he rh Va lle y al le y So ut h 0. 0% Source: PLASC Data 2010 4 Rotherham State of the Borough 2008 A Statistical Portrait, p14 – 16 Figure 1. 12 provides a breakdown of the BME pupils by Area Assembly i n 2010. This shows that 52% of BME pupils live in Rotherham South.The distribution of pupils shows a similar pattern to the distribution of BME residents in the 2001 Census, 4,809 of who lived in the Rotherham South, 48% of the Borough? s BME population. Only three wards – Rotherham East, Rotherham West and Boston Castle – had significant minority ethnic populations in 2001, with 61% of Rotherham? s non-white population and 77% of the Pakistani and Kashmiri population. Data on pupil ethnicity shows that increasing numbers of BME families live in Sitwell ward. Rotherham North had the second largest BME population with 1,746 people (17%) in 2001.In comparison, there were 562 people (6%) living in Wentworth North which had the smallest BME population5. Within Rotherham South, BME communities are particularly concentrated in Eastwood, Ferham, Masbrough, Wellgate and Broom Valle y which are mainly deprived areas close to the town centre. These are the original settlement ar eas for the Kashmiri and Pakistani community. Since 2001, there has been some movement of Pakistani and Kashmiri families to suburban areas in Broom. 1. 6 Disability Profile Sensory Impairment – Blind/Partially Sighted In 2008 there were 152,980 people in England and Wales registered blind.This is a slight increase of 525 people (0. 3%) from March 2006. There were 10,300 new registrations in 2008, a fall of 5% compared to 20066. There were approximately 156,285 people in England registered as partially sighted, an increase of 1,085 people since 2006. There were approximately 13,200 new registrations in 2008, a fall of 8% compared to 20067. The leading cause of certifications for blindness is degeneration of the macula and posterior pole (57. 2%) which largely comprises Age-related Muscular Degeneration (AMD). This is the leading cause of blindness amongst older people, in particular for the age group 75 years and over.Other common causes of certification are glaucoma (10. 9%) , diabetic retinopathy (5. 9%), optic atrophy (3. 1%), hereditary retinal disorders (2. 8%) and cerebrovascular disease/accidents (2. 5%)8. Common causes of certification among partially sighted people are: degeneration of the macula and posterior pole (56%), glaucoma (10. 2%), diabetic retinopathy (7. 4%), cerebrovascular disease (4. 9%), hereditary retinal disorders (2%), optic atrophy (1. 9%), myopia (1. 9%) and retinal vascular occlusions (2%)8. Figure 1. 13 provides a national breakdown by age of the number of people on the blind and partially blind registers. Census 2001 BME Population National Statistics 2006 Registered Blind and Partially Sighted, p(i) 7 National Statistics 2008 Council Tables – Blind and Partially Sighted, pPS1 8 Public Medical Health 2009 Research and Development, Leading Causes of Blindness 6 – 17 Figure 1. 13: % of People on Blind or Partially Sighted (P/S) Register by Age Group in England 1994-2008 Category 1994 1997 2000 2003 2006 2008 0- 4 Blind P/S 0 1 1 1 0 0 0 0 0 0 1 0 5-17 Blind P/S 2 2 2 2 2 2 2 3 2 3 3 3 18-49 Blind P/S 10 10 10 10 10 9 11 10 12 10 13 11 50-64 Blind P/S 8 8 8 8 8 8 9 8 10 9 10 9 65-74 Blind P/S 11 12 10 12 10 11 10 11 0 10 10 10 75 and Over Blind P/S 68 68 69 68 69 69 67 68 66 68 64 68 Source: National Statistics 2008, Council Tables – Blind and Partially Sighted, p6 Nationally the proportion of young people registered blind is increasing, in particular in the 18-49 age range. The number of blind people aged 75 and over is falling, with a 5% reduction in the last ten years from 69% to 64%. However, the local picture is different to the national one. In Rotherham there were 860 people on the blind register in 2008, a reduction of 325 people since 2006. This reduction may be due to recent data cleansing of the local register.There are a total of 1,365 people who are on the partially sighted register, a decrease of 95 people since 20069. Information for this register is obtained by the co mpletion of SSDA902 returns by all Councils with Adult Social Services Responsibilities (CASSRs) on an annual basis to capture the number of people who are blind or partially sighted under Section 29 of the National Assistance Act, 1948. Figure 1. 14: Number of people registered blind/partially sighted by age group in Rotherham in 2008 Blind Partially Sighted 3% 4% 13% 11% 0-18 years 10% 11% 18-49 years 50-64 years 65-74 years 63% 10% 64% 1% 75 and over Source: National Statistics 2008, Council Tables – Blind and Partially Sighted, pB1 Figure 1. 14 provides an age profile of those who are registered blind or partially sighted in Rotherham. Approximately 63% of blind/partially sighted people in Rotherham are over 75 years of age. There has been an increase in the number of people registered blind in the 65 to 74 age group. There has also been a reduction in the number of people registered blind between 18 and 49 years and 75 and over. In 2008 there were 95 new registrations fo r blind people compared to 85 new registrations in 2006.Of these 16% were between 50 and 64 years, 11% between 65 and 74 years and 63% who are 75 years and over. There has been a larger increase in the number of new registrations by people between 50 and 64 years10. 9 National Statistics (2007), Deaf and Hard of Hearing, pPS1 National Statistics 2007, Deaf and Hard of Hearing, pB2 10 – 18 Figure 1. 15 shows the predicted future prevalence rates of people with a serious visual impairment who will require help with daily activities. These prevalence rates have been derived from ONS population projections. Figure 1. 15: No. f people projected to have a serious visual impairment and requiring help with daily living in Rotherham. 2010-2030 25 20 18 – 2 4 ye a rs 15 2 5 – 3 4 ye a rs 10 3 5 – 4 4 ye a rs 4 5 – 5 4 ye a rs 5 0 2010 2015 2020 2025 2030 Source: PANSI 2008, People predicted to have a serious visual impairment projected to 2025 Projecting Adu lt Needs and Service Information System (PANSI) predicts that there are 102 people with a serious visual impairment in Rotherham who require help with daily activities. It is predicted that this will slowly increase over the next 17 years, in particular in the age groups 55 -64 age group.Deaf or Hard of Hearing There are approximately 9 million people who are deaf or hard of hearing in England. Around 688,000 people are severely or profoundly deaf 11. More than 50% of people over the age of 60 years have some degree of hearing loss, but only one in three older people has an hearing aid12. The commonest cause of hearing loss is ageing and three quarters of people who are deaf are aged over 60. More men become hard of hearing than women. Among people over the age of 80 years there are more women than men who are deaf or hard of hearing.This is mainly attributable to the larger population of women in this age range. Common causes of deafness in adults and older people include; presbyac usis (age-related hearing loss known as senile deafness), side-effects of medication, acoustic neuroma and Meniere's disease. Com mon causes of deafness in children include inherited conditions, infection during pregnancy, meningitis, head injury and glue ear. In 2007 there were 54,500 people in England on the register of deaf people. Between March 2004 and March 2007 the number of people on the register has remained constant13.However, during this same period the number of deaf people on the age profile of those on the register has changed significantly14. There are approximately 164,600 people in England on the register of hard of hearing. This is an increase of around 5,600 (4%) since March 2004 and an increase of 73% since March 1992. The large increase from 1992 could be partially attributed to improved systems of information capture or a failure to remove old registrations15. 11 RNID 2008, www. rnid. org. uk Public Medical Health 2008, Research and Development, Leading Causes of Blindness National Statistics 2007, Deaf and Hard of Hearing, p(iii) 4 Office of National Statistics 2004, Religion in Rotherham, p(iii) 15 National Statistics 2007, Deaf and Hard of Hearing, p3 12 13 – 19 Figure 1. 16 provides a breakdown of the number registered as deaf and hard of hearing by age group. Figure 1. 16: Age profile of people registered as deaf or hard of hearing (HofH) in England from 1992 to 2007 Category Number of People 1992 1995 1998 2001 2004 2007 % of People 1992 1995 1998 2001 2004 2007 All Ages Deaf H of H Under 18 Deaf H of H 18-64 Deaf H of H 65-74 Deaf H of H 75 or over Deaf H of H 41,800 45,500 50,100 50,300 55,000 54,500 95,300 125,900 139,500 44,600 158,900 164,600 3,800 4,400 4,200 4,000 4,100 3,400 2,100 3,500 2,800 2,900 3,000 4,100 24,200 26,000 27,100 27,200 29,200 28,700 16,000 21,900 25,100 25,400 29,800 30,500 4,900 5,000 5,800 6,400 8,300 6,400 18,400 23,800 22,300 24,700 24,400 23,100 8,900 10,100 13,000 12,600 13,400 16,000 58,800 7 6,700 89,300 91,300 101,700 106,900 100 100 100 100 100 100 100 100 100 100 100 100 9 10 8 8 7 6 2 3 2 2 2 2 58 57 54 54 53 53 17 17 18 18 19 19 12 11 12 13 15 12 19 19 16 17 15 14 21 22 26 25 24 29 62 61 64 63 64 65 Source: National Statistics 2007, Deaf and Hard of Hearing, p3 In 2007 more than half (52. %) of those on the deaf register were working age adults (18-64 years). The highest incidence of hearing loss occurred in the older age groups, particularly those over 75 years16. In Rotherham there are currently 280 people on the deaf register. 66% are in the age range 18 to 64 years, 13. 4% above the national average. There are currently 15 children (5%) on the register17. The high number of younger people on the register suggests under-reporting in the older age groups. There are a total of 980 people on the hard of hearing register. Almost two thirds (62%) are in the age groups 75 years and over18.This is just under the national average of 64. 9%. Figure 1. 16 provides a local age profile of those who are registered deaf or hard of hearing. Information for this register is obtained by the completion of SSDA910 returns by all Councils with Adult Social Services Responsibilities (CASSRs) on an annual basis to capture the number of people who are deaf or hard of hearing under Section 29 of the National Assistance Act, 1948. Figure 1. 17: Number of people registered deaf/hard of hearing by age group in Rotherham in 2008 Deaf 18% Partially Sighted 2% 5% 19% 0-18 years 18-64 years