north lanarkshire council report michael o’neill, …agenda 6tem no. .,. k) ..... # to: education...

AGENDA 6TEM No. .,. k) ..... #

TO: Education Committee

FROM: Michael O’Neill, Director of Education

DATE OF HOUSING COMMITTEE: 10th June 1998 DATE OF EDUCATION COMMITTEE: 9th June 1998 REPORT AUTHOR: Duncan Mackay REF: CM/LMcC

NORTH LANARKSHIRE COUNCIL

REPORT

Subject:

Joint Community Care Plan 1998-2001

1 PURPOSE OF REPORT

1.1 The purpose of this report is to seek Committee approval to issue a final version of the North Lanarkshire Joint Community Care Plan 1998-2001 and the Joint Accommodation Strategy, which have been revised following a period of consultation. It also seeks approval for publication of a community care statistics document entitled the North Lanarkshire Needs and Resources Fact File.

2 BACKGROUND

2.1 Following Committee approval, the draft Joint Community Care Plan and draft Accommodation Strategy were launched for consultation in October 1997 by the joint planning partners, North Lanarkshire Council, Lanarkshire Health Board, Greater Glasgow Health Board and Scottish Homes.

2.2 The Joint Accommodation Strategy explains the joint planning partners’ aims and objectives in relation to accommodation issues in greater detail and identifies specific gaps in accommodation provision.

7

8

3 CONSULTATION

3.1 A four months consultation period followed the launch with the distribution of 3,000 copies of the full Plan, 1,500 copies of the Accommodation Strategy and 10,000 summaries. These were circulated to :

+

+ + + + + all Councils across Scotland + housing agencies and providers

The main issues raised during consultation on the Community Care Plan have been summarised below:

+ +

+ +

+ +

all elected members of the North Lanarkshire Council and M.P.s in North Lanarkshire

all Departments within North Lanarkshire Council all sections and relevant staff within Lanarkshire Health Board all G.P.s surgeries and health centres health and social care provider organisations.

3.2

the need for information and advice across every care group alternative ways of communicating the ideas contained in the Plan and more meaningful and effective ways of consulting on the Plan the need to address transport and employment issues the need to provide information and discussion on changes to key services e.g. home care and occupational therapy

the need for planning partners to treat others as equal regular feedback on the outcome of consultation.

3.3 Responses to the draft Joint Accommodation Strategy indicated several key areas Ir

where housing providers and care agencies wished to participate with the main planning partners in future joint working. These included:

+

+ + + +

Improving physical standards of housing design to barrier free and lifetime homes standards. Developing models of accommodation with support. Accessing tenancies for people leaving hospital. Maximising the housing rights of people with support needs. Agreeing definitions of housing need and service provision.

9

4

4.1

4.2

4.3

4.4

4.5

5

5.1

5.2

6

6.1

6.2

a

NEEDS AND RESOURCES FACT FILE

The draft Joint Community Care Plan was written with as much brevity as possible with the stated commitment that detailed needs and resources information would be produced in a separate document.

The Needs and Resources Fact File (see Appendix) seeks to examine the present and projected needs of the North Lanarkshire population. It illustrates existing levels of social care, health and housing resources that are currently available to meet those needs.

Wherever possible information has been provided in 6 local areas, to correspond to Social Work area team boundaries, namely Airdrie, Bellshill, Coatbridge, Cumbernauld, Motherwell and Wishaw.

Information that is specifically available for the portion of North Lanarkshire which is covered by Greater Glasgow Health Board is listed under the Coatbridge area and usually shown in parenthesis.

The document is divided into care group sections that follow closely those in the Joint Community Care Plan. Each section shows needs information such as national prevalence rates or more local information where available. Sections also contain information on services.

THE FINAL PLAN

Following the issue of the draft Plan for consultation, the Scottish Office issued a circular “Community Care Planning: Timescales”, reported to the respective Committees in February 1998.

This brought into force new arrangements whereby the timescale for Plans was changed to cover the period 1998-2001 (the draft was 1997-2000). It is therefore been necessary to include revised purchasing intentions which cover the new timescale and to consult additionally with provider organisations on their content.

DISTRIBUTION AND PRINTING

It is proposed to produce 4,000 copies of the final Plan and 11,000 summaries at a total cost of f8,810, with costs shared equally by North Lanarkshire Council and Lanarkshire Health Board. The estimated cost to the Council is &4,405 which could be met within the existing Social Work budget.

It is proposed that North Lanarkshire Council and Scottish Homes meet the costs of the publication and distribution of the North Lanarkshire Joint Accommodation Strategy. Total costs are &2,610. The estimated cost to North Lanarkshire Council will be 21,305 to be met from within the existing housing revenue budget.

I:\PWNING\COMM ITEE\CCP1905 2V28/05/98, 1 1 : 4 1

10

6.3

7

7.1

0

It is proposed to produce 1,500 copies of the Needs and Resources Fact File summary for public distribution. It is likely to be of most interest to provider organisations but will also be made available for wider public consumption. The cost involved in producing this quantity is estimated at a maximum of &1,500 would be met by the Council (through existing social work and housing budgets).

RECOMMENDATIONS

Committee is asked to:

(i) approve issue of the Joint Community Care Plan 1998-2001, Accommodation Strategy and Needs and Resources Fact File document subject to:

(a) final editing; (b)

(c)

a short period of consultation with provider organisations on the revised purchasing intentions; endorsement of the final documents by joint planning partners through the North Lanarkshire Joint Planning Forum;

(ii) approve the arrangements for the printing and distribution of the above documents.

Michael O’Neill Director of Education May 1998

For further information on this report please contact Duncan Mackav, Principal Officer (Planning & Development) (TEL 01698 332072) I

N 0 RTH LANARKSH I RE

NEEDS AND RESOURCES FACT FILE

May 1998

NORTH LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - 2001 VOLUME 2 : NEEDS AND RESOURCES

. . .

CONTENTS

I . I: Map of North Lanarkshire 4

2. I : North Lanarkshire Population Estimates (1996) 2 .2 North Lanarkshire Population Estimates ( 1996) (Graph)

5 5 6

6 7

2.3: North Lanarkshire Population Projections (200 I ) 2.4: Percentage Population Change Between I996 and 200 I 2.5: Resident Ethnic Minority Population & Largest Ethnic Minority Group

3. I : Vulnerable Homeless Applications by Care Group

3.2 Homeless Applications by Care Group, Compared Through Time a 3.3: Supported and Residential Accommodation for Homeless People a 3.4: Unemployment Levels 9

8

3.5: Main Bcnclits Claiincd in 1996 and 1997 9

4. I : Distribution of General Practitioners and Practices 10

10 4.2: Community Health Service Staffing and Activity Levels in 1995196

~~

5.1: Estimated Numbers of Carers by Sex and Age Band

5.2: Estimated Number of Hours Spent Caring Per Week by Sex of Carers

5.3: Number of Carers Groups By Type

I I

I I

12

6. I.: Estimated Numbers of Older People in I996 and 200 I 6.2: Population Percentage Change in Older People Between I996 and 200 I 6.3: Estimates of the Numbers of Older people who are Vulnerable 6.4: Estimated Vulnerable and Total Older People Populations Compared

6.5: Numbers of Older People Recorded as Having a Long Term Limiting Illness

13

13

14 14 I 5

6.6 Estimated Numbers of Older People with a Disability, by Severity 15

16 17. 17

18

6.7 Numbers of Older People Referred t o Social Work in 1996/97 6.8: Community Health Service Provision for Older People in I995/96 6.9: Home Help Services for Older People

6.10: Meals on Wheels Service for Older People

6. I I : Day Care Places for Older People ia 6.12: Numbers of Older People Receiving Respite Care in I996/97 6.13: Numbers of Community Alarms in Operation

19

19 20 20

20 21 21

22 22 22

6.14: Amenity Housing Provision for Older People

6. IS: Sheltered Housing Provision for Older People

6.16 Amenity Housing Places per 1,000 654- Population

6.17: Sheltered Housing Places per 1.000 65+ Population

6.18: Residential Accommodation for Older People

6.19: Nursing Home Provision for Older People 6.20: Nuriibcr of Rcsidcnrial and Nursing Home Placcs pcr 1.000 65 I Popu1;rtion

6.2 I : Residential and Nursing Home Places By Sector 6.22 NHS Hospital Provision for Older People

7.1: Estimated Numbers of Older People with Dementia & Projection to 2001

7.2: I996 and 200 I Estimates of Older People with Dementia Compared

7.3: Specialist Day Care Places for Older Peoplc with Dementia

7.4: NHS Hospital Provision for Oldcr People with Mental lllncss

23 23

24 24

8.1: Estimated Incidence of Mental Illness Amongst the Population (16-64) 8.2: Numbers of People Referred to Social Work in 1996197

8.3: Numbers of People Receiving Services Through the Care Programme Approach

8.4: Community Support Services for People with Mental Illness 8.5: Residential and Supported Accommodation for People with Mental Illness

8.6: NHS Hospital Bed Provision for People with Mental Illness

25 25 26 26 27 27


. ' b # . . - . a

9.1: Estimated Niiiiibcrs of People with a Significant Lcvcl of Learning Disability 9.2: Numbers of People with a Learnirig Disability Referr ed to Social Work

9.3: Residential Respite Carc Pi ovision for People with a Learning Disability

9.4: Day Care Places for Pcoplc with a Lcai ning Disability

28

28

29

29

30

Disability 30

13. I : Estimated Nuinbcrs of People who have Received a Head Injury 13.2: Estimated Nuinbers of People who will have rcccived a Head Injury by 200 I

13.3. Patients (Agc 0- 13) Discharged from Hospital by Hcad Iryury Diagnosis in 1995

13.4, Pacicnts (Agc I4 f ) Discharged from Hospital by Head Injury Diagnosis in I995

41

4 I

42

42

43 9.5: Residential and Supported Accommodation for Pcoplc with a Lcai nine 13.5: Services for Pcoplc who have Sustairied a Head Injury

9.7: NHS Hospital Provision for People with a Learning Disability 30 14.1: Estimated Levels of Alcohol Drinking by People (Age 16-t) 44

45

45 14.2: Estimated Numbers of Secondary School Children Drinking Alcohol Regularly 14.3: Numbers of People Discharged from Hospital for Alcohol Misuse in 1995/96

10. I: Estimated Numbers of Children (Age 0- I 5 yrs) with a Disability by Severity

10.2: Estimated Numbers of Children by Type of Disability (Age 0- I5 yrs)

10.3: Numbers of Children Registered as Blind o r Partially Sighted

10.4: Numbers of Children & Young People Receiving Respite Care in 1996/97

3 I

32

32

33

15. I: Estimated Numbers of People Regularly Using Illegal Drugs

15.2: Estimated Numbers of People Regularly Using Illegal Drugs by Type of Drug

46

46 47 10.5. Educational Facilitics for Children &. Young Pcople with Special Nccds 33 15.3. Rcsourcc Provision for People who Misusc Alcohol andlor Drugs

1 I . I: Estimated Numbers of People by Level of Physical Disability 34

34 35 35

36

36

16.1: Cumulative Number of HIV Infected Persons Registered to Sept. 1997 48 49 16.2: Resource Provision for People who a r e HIV or have AIDS 11.2: Numbers of People with a Physical Disability Referred to Social Work

I I .3: Access to and Usage of Transport Services

I I .4: Day Care Places for People with Physical Disabilities

I I .5: Community Based Services for People with Physical Disabilities

I I .6: Wheelchair Housing Provision for People with Physical Disabilities

17.1: Cancer Registrations and Deaths in 1996 17.2: Resource Provision for People who Require Palliative Care

50

51

52 12. I: Estimated Numbers of People with a Visual Impairment & the Numbers 37 Glossary

12.2: Numbers of People Registered as Blind or Visually Impaired 37

38

38

39

40

12.3: Registered Blind or Visually Impaired People with an Additional Disability

12.4: Estimated Numbers of People with a Hearing Impairment

12.5: Resource Provision for People who a r e Blind or Visually Impaired

12.6: Resource Provision for People who are Deaf or Hard of Hearing

NORTH LANARKSHIRE JOINT COMMUNITY CARE P L A N 1998 - 2001 VOLUME 2 : N E E D S AND RESOURCES

. . , . . . .

I. Introduction

i The North Lanarkshire Needs and Resources Fact File accompanies the North Lanarkshire Joint Communi ty Care Plan 1998-200 I and the North Lanarkshire Accommodat ion Strategy 1998-200 I .

This document examines the present and projected needs of the North Lanarkshire populat ion and illustrates the existing levels of social care, health and housing resources that are currently available to meet those needs. W h e r e informat ion is available the projected needs of the North Lanarkshire population have been included.

The document has been produced jointly by North Lanarkshire Counci l (Education, Housing and Social Work Departments), Lanarkshire Health Board, and Scottish Homes. In addition, Lanarltshire Healthcare NHS Trust has contr ibuted to the development o f th is document.

Wherever possible, informat ion has been provided down to six areas:

The document is divided into sections that fo l low closely the care group sections of the Joint Community Care Plan. Each section is . consistently structured in the fol lowing way:

(i) Assessment of Need:

Nationally available populations and/or prevalence rates which have been applied to local populations. Therefore, some of the informat ion a t the beginning of each section is estimated.

This is fol lowed by m o r e localised information, which is usually accurate counts that have been obtained f rom service providers.

(ii) Resource Provision:

Summary informat ion on the numbers of places available in

resources cannot be summarised, there is a brief textual description o f the services that are available.

Airdrie, each area andlor usage of some resources. W h e r e

Bellshill, Coatbridge (including GGHB population), Cumbernauld, Motherwell, and Wishaw

The sources of all informat ion and the date to which the information applies are listed a t the foot of the tables.

Information that is available specifically for the portion of North Lanarkshire which is covered by Greater Glasgow Health Board is included in the Coatbridge figure, and is listed separately in parentheses where appropriate.

NORTH LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - 2001 VOLUME 2 : NEEDS AND RESOURCES 1

I . I : Map of North Lanarkshire : Social Work AreaTeam and Health Board Boundaries

0 Area Covered by Greater Glasgow Health Board

0 - Area Team Boundaries

Area Covered by Lanarkshii-e Health Board


2. Current and Projected Population

Motherwell Wistiaw & Sliotts

2. I : North Lanarkshire Population Estimates ( 1996)

8.280 26.868 3,878 2,345 71 6 42,087 12. I92 37,539 5,057 2,658 825 58.27 I

11,558 35,029 4,061 Airdrie Bellstiill 9.549 28.392 3.202 I 1 155;

Coatbridge 13,554 4 1,483 5.5 I 2 2,824 889 (of which is GGHB pop".) (3,362) ( I 0.667) (I .29 I) (765) (3 15)

Cumbernauld & Kilsyth 14,054 44,OS I 4,142 1.974 479

43,092

64,700

~~ ~

North Lanarkshire I 69,187 1 213,362 I 25,852 I 13,686 I 3,853 I 325,940

Source : 1996 GRO Mid Ycnr Estimates of Population (1997).

2.2: North Lanarkshire Population Estimates

Airdrie

Bellshill

Coatbridge

Cumb./Kilsyth

Motherwell

Wishaw/Shotts

0 10 20 30 40 50 60 70

Thousands

1 I. ~ _ _ _ - ~ _ _ _ _ _ _ _ _ _

~ ~ ~~~ ~

0-15 [J 16-64 [.!.!.!!] 65-74 75-84 85+

NORTY LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - 2001 VOLUME 2 : NEEDS AND RESOURCES

2.3: North Lanarkshire Population Projections (200 I )

Bellshill

Coatbridge (of which is GGHB population)

8,996 28,397 3,183 1,673 3 28 42,577 -1.2 %

12,386 39,992 5,672 3,066 989 62, I05 -3.4 % (3.063) (10.367) (1.323) (830) (348) ( I 5.93 I ) (-2.9 %)

I Curnbernauld & Kilsyth 1 13,685 1 45,586 1 4.754 I 2,249 1 599 1 66,873 1 +3.3 % I ~~~ ~

Moth erwe I I

Wishaw & Shotts

7,803 26,978 3,848 2,440 688 4 1,757 -0.8 %

11.490 37,646 5,020 2,766 78 6 57,708 -1.0 %

2.4: Percentage Population Change Between I996 and 200 I

-20 I- Airdrie Bellshill Coatbridge Cumb./Kilsyth Motlierwell WisliawlShotts

1 [A ~~~ 0-15 I:] 16-64 ___ 65-74 75-84 ~ 1 ~~ ~~ .... .. .. . - ~ ~

85+


2.5: Resident Ethnic Minority Population and Largest Ethnic Minority Group

Bellshill 426 I .O% Pakistan i 59% Coatbridge 368 0.6% Pakistani 50%

(ol which is GGHB population) (134) (0.8%) (Indian) (36%)

Cumbernauld & Kilsyth 786 I .3% Pakistani 28% Motherwell 259 0.6% Pakistani 55%

Wishaw & Shotts 457 0.8% Pakistani 50%

North Lanarkshire 2,634 0.8% Pakistani 46% Source : I99 I Census. There is some discussion about the validity of the I99 I Census information, i t is considered that there is an undercount of resident ethnic minority populations.

The next highest proportionate ethnic minority group is Chinese with 15% of North Lanarkshire's ethnic minority population.

The population structure of the ethnic minority population is much younger than the total for North Lanarkshire. Over one third of the ethnic minority population is aged under I6 years. There are very small numbers of people aged over 65 years from ethnic minorities,

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN I 9 9 8 - ZOO1 VOLUME 2 : NEEDS AND RESOURCES

3. Homelessness and Poverty

3. I : Vulnerable Homeless Applications by Care Group

Old Age

Physical Disability

Mental Illness / Learning Disability

Other

67 51 67 41

89 74 77 54

59 64 72 32

212 205 298 205

Total

3.2: Homeless Applications by Care Group Compared Through Time

427 394 514 332

3.3: Supported and Residential Accommodation for Homeless People

I Discharged from Institution

I00 90 80 70 60 50 40 30 20

I99617 I99415 I99516 I99314 43- Old Age -j Physical Dis. + M.I. I L.D.

I 53 35 55 42

(of which is GGHB population)

0% 26 Motherwell 0% 48

-~ Cumbernauld & Kilsyth

Wishaw & Shotts I 19 I 100% I 0 1 0% I 0 I 19

Source : North Lanarkshire Social Work Dcpartmcnt. Resources Database ( 1997). *: women and children, '? Young homeless

In addition to these places there are a further I I I dispersed furnished accommodation places within North Lanarkshire.


r v 0


Curnbernauld & Kilsyth Motherwell

Wishaw & Shotts

3.4: Unemployment Levels

(390) (9.2%) (135) (4. I %) (525) (6.9%) 1,427 7.9% 504 3.5% I ,93 I 6.0% 1,005 I 1.0% 292 4.3% 1,297 8.1% 1,578 11.2% 403 3.9% I ,98 I 8.1%

Bellshill I 1,454 I 10.7% I 415 1 4.3% I 1,869 I 8.0% Coatbridge 1 1,759 I 10.8% I 562 I 4.6% [ 2,321 I 8.2%

Airdrie Bellshill

Coat b r i dge Curnbernauld 81 Kilsyth

Motherwell Wishaw & Shotts

5.2% 18.0% 13.6% 36.7%

4.8% 19.1% 16.5% 40.3% 4.1% 11.9% 8.1% 24. I % 4.5% 16.7% 13.0% 34.2% 4.4% 17.6% 13.8% 35.8%

3.0% 11.0% 8.0% 22. I % ~

North Lanarldiire I 8,935 I 10.4% 1 2,717 I 4.2% I 11,652 I 7.8% Source : Office for National Statistics; North Lanarkshire Calculations. July 1997.

3.5: Main Benefits Claimed in 1996 and 1997

NORTH LANARKSHIRE JOINT COMMUNITY CARE PLAN I998 - 2001 VOLUME 2 : NEEDS AND RESOURCES i

4. Community Health Resources

4. I: Distribution of General Practitioners and Practices

Airdrie I 33 I I 0.62

I Coatbridpe I 26 I 8 I 0.54 I Bellshill 16 5 0.37

Cumbernauld & Kilsyth I 39 8 0.60

4.2: Community Health Service Staffing and Activity Levels in I995196

Motherwell 19 8 0.45


Wishaw & Sliotts 36 14 0.62

Health Visiting Physiotherap9

Speech Therap? Chiropodf

Dietetics

143,786 87 32 9,046 42 2,330 37 30,378 2 3,077

North Lanarldiire I 36 I 470,880

N N

Airdrie

Bellshill

5. Carers

Assessment of Need

5. I : Estimated Numbers of Carers by Sex and Age Band

1,005 608 449 317 238 1,144 953 801

798 483 357 252 189 893 744 625 357 357 1,691 1,227 982 609

457 I 457 I 2,149 I 1,561 I 1,250 I 774 I i:t

I Airdrie

Coatbridge 1,216 (319)

1,219

Motherwell 811

I Bellshill I 321

736 544 384 288 1,388 1,157 (193) (143) (101)

738 546 385 289 1,384 1,153

491 363 256 192

I Coatbridge

555 (147)

554

I 463

2,604 1.893 1,516 939 843 (687) (500) (400) (248) (223)

2,603 1,891 1,515 939 843

(01 which is GGHB population) ( I 07)

Cumbernauld & Kilsyth 490

373

Wishaw & Shotts 1,125 681 503 355 266 1,254 1,045 878 502 502 1 I I I 1 I I

Nor th Lanarlcsltire 1 6,174 3,737 I 2,762 1,949 1,462 6,996 5,830 I 4,898 I 2,798 I 2,798

I Motherwell I 288

~

1,744 1,269 1.016 629 565 2,379 1,726 1,381 857 768

13,170) 9,567 I 7,660 4,747 4,260

I Wishaw&Shotts I 419

1,881 I 378 I 2,644 I 485 I 2,775 I 552 I 3,812 I 870 I 4,656 I 930 1 6.456 I 1.480 I 298 I 2,099 I 403 I 2,181 I 393 I 2,977 1 724 I 3,661 I 691 I S,O7Cl

~~~ ~~ ~~

2,227 51 I 3,201 572 3,332 724 4,628 (602) (130) (839) (134) (904) (188) (1,226)

2.340 379 3.209 61 I 3,497 505 4,613 1,481 365 2,134 359 2,189 563 3,l I I

5,559-1 1.235 1x1

3,670 1 928 1 5.245 I 2,058 I 483 I 2,960 I 494 I 3,025 I 661 I 4,180 I 913 I 5,083 I 1,144 1 7,140 I

I Source : 'Carers'. General Household Survey ( 1990).

North Lanarkshire I 2,366 I 11,467 I 2,414 1 16,247 1 2,924 I 16,999 I 3,390 123,321 I 5,290 128,466 1 5,012 139,568 I

5.2: Estimated Number of Hours Spent Caring Per Week By Sex of Carer

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - "001 VOLUME 2 : NEEDS AND RESOURCES

Resource Provision

Generic Carer Groups

Children & Young People who are Carers

5.3: Numbers of Carer Groups By Type

2 I

The Princes Royal Trust for Carers, Glasgow

Lanarltshire Carcrs Centre

Total Carers Groups ~~

25

NORTH LANARKSHIRE JOINT COMMUNITY CARE PLAN I 9 9 8 - 2001 VOLUME 2 : NEEDS AND RESOURCES

N P

5,184

9,727 (2.501)

7.602 6.976

8,572

6 . Older People

-0.6% 4.0% -3.8% 0.6%

2.9% 8.6% 11.2% 5.4% (2.5%) (8.5%) (10.5%) (5.5%)

14.8% 13.9% 25.1% 15.3% -0.8% 4.1% -3.9% 0.5%

-0.7% 4.1% -4.7% 0.4%

Assessment of Need

6. I: Estimated Numbers of Older People in I996 and 200 I

Wishaw & Shotts

I Airdrie I 4,061 1 2,277 I 603 I 6,941 I 4,181 1 2,481 I 679

5,057 I 2,658 I 825 I 8,540 5,020 2,766 786

Coatbridge

Curnbernauld & Kilsvth

N o r t h Lanarl<shire 25,852 13,686 I 3,853 43,391 1 26,658 14,675 4,069

5,5 I 2 2,824 (765)

4. I42 1.974

45,402 3.1% 7.2% 5.6% 4.6%

5,151

9,225 5,672 3,066

6.595 4.754 2.249

I Motherwell 1 3,878 1 2,345 I 716 1 6,939 1 3,848 I 2,440 I 688

7,341 I 3.0% I 9.0% 1 12.6% 1 5.8% 1

Source : Calculated from 1996 GRO Mid Year Estimates of Population (1997) & 1994 Base GRO Population Projection Estimates (1997-Revised).

6.2: Population Percentage Change in Older People Between I996 - 200 I %

30

20

10

0

-10 I Airdrie Bellshill Coatbridge Cumb./Kilsyth Motherwel l Wishaw

65-74 111 75-04 fl 8 5 +


6.3: Estimates of the Numbers of Older People who are Vulnerable

Be I Ish i I I

Coatbridge

(of which IS GGHB population)

Cumbernauld & Kilsyth

Moth e m e I I

Wishaw & Shotts

I Airdrie I 3,495 I I ,78 I I 304 I 2.085 I ~~ ~ ~

2,265 1,152 I89 I ,34 I

4,393 2, I99 382 2,58 I ( I .o 18) (5 10) (89) (599)

2,942 1,453 238 I ,69 I

3. I99 1,734 286 2,020

3.92 I 1.955 312 2,267

North Lanarkshire 20,2 I 5 10,274 1,71 I 11,985 Source : Strathclyde Regional Council (1993).

Vulnerable oldcr people arc tliosc satisfying two or morc of the following: (i) living alone; (ii) over age 75; (iii) dependent upon liicoirie Support

6.4: Estimated Vulnerable and Total Older People Populations Compared No.

6000

4000

2000

0 Coatbridge Cumb./Kilsyth Motherwell Wishaw

n Vulnerable 65+ Airdrie Bellshill

NORTH LANARKSHIRE JOINT COMMUNITY CARE PLAN I998 - 2001 VOLUME 2 : NEEDS AND RESOURCES

6.5: Numbers of Older People Recorded as Having a Long Term Limiting Illness

Airdr ie

Bclls hill

2,846 42.8 2,228 45.4


Cumbernauld & Kilsvth

3,827 44. I

2.578 43.2

(854) (40.8)

Moth erwe I I Wishaw & Shotts

Limiting Long T e r m Illness includes those people that have any long t e r m illness, health problem or handicap which limits their daily activities o r the work that they can do. Health problems which are related t o old age are included.

2.676 40.9 3.494 43.3

6.6: Estimated Numbers of Older People with a Disability, by Severity

North Lanarlcshire

Motherwell 579 Wishaw & Shotts 774 700

17,649 43.3

457 262

Airdrie 63 I 570 570 439 247 2,457 Bellshill 462 41 I 402 303 I68 1,746

Coatbridge 828 749 75 3 582 332 3,244 (888)

2,232 2,s I6 3,035

587 705

(208)

512 (of which is GGHB population) (216) (201) (208) ( I 67) (96) (888)

Cumbernauld & Kilsyth 523 512 3 90 21 9 2,232 Motherwell 63 I 579 587 457 262 2,s I6

Wishaw & Shotts 774 700 705 545 31 I 3,035

North Lanarlcshire I 3,914 I 3,532 I 3,529 I 2,716 I 1,539 I 15,230 Source : OPCS : The Prevalence of Disability Among People (1988).

Overall disability ratings are calculated from a combination of discreet disability scores and range f rom very severe (10) t o slight disability ( I ) . The overall rating thercforc takes all types of disability into account.

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN I990 - 7001 VOLUME 2 : NEEDS AND RESOURCES

6.7: Numbers of Older People Referred to Social Work in I996/97

~~

325 I 438 1 177 940 Airdrie Bellshill

1 3 5 -1

I Coatbridge 307


Cumbernauld & Kilsyth Moth e rwel I

Wishaw & Shotts

386 I36 829 i61 662 886 340 I .888 205 (165) 317 357

(283) ( I 12) (560) (236) 366 I47 830 126 4 74 21 3 I .044 151

563

Resource Provision

6.8: Community Health Service Provision for Older People in I995/96

679 277 1.519 178

Health Visitine 87 4.639 3%

I Dietetics I 2 I 1.163 I 38% I

Physiotherapf Speech Therapyk

ChiroDodv"

32 2,274 25% 42 609 26% 37 25.824 85%

Source: Lanarkshire Health Board ( 1997). * : Total first visits only

North Lanarkshire 36 I


236. I 5 8 50%

N 00

Airdrie Bellshill

Coatbridge


Cumbernauld & Kilsytli

. . . , . . . . .....

I12 16 I05 20 I54 17 I43 22 I 3 3 19 I 55 18

6.9: Home Help Services for Older People

North Lanarlcs hire

Source: North Lanarkshire Social Work Departmenc, Social Work Information System ( 1997).

802 111

6.10: Meals on Wheels Service for Older People

N0PTL-I LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - 7001 VOLUME 2 : NEEDS AND RESOURCES 1

6, I I : Day Care Places for Older People *

Bellshill Coatbridge

Curnbernauld & Kilsyth Moth erwel l

Wishaw & Shotts

I78 ] 6 9 % ] 26 1 1 10% 5 5 1 1 21% 259 6.0 Source : North Lanarkshire Social Work Department, Resources Database ( 1997). :I: : Specialist dementia day care places are shown separately in Section 7.

48 9.3 I29 13.9 92 13.9 77 1 1 . 1 69 8. I

6.12: The Numbers of Older People Receiving Respite Care in I996197

North Lanarkshire 477 11.0


6.13: Numbers of Community Alarms in Operation

Airdrie Bellshill

Cumbernauld & Kilsyth Motherwell

Wishaw & Shotts

Coatbridge

3 64 52 264 51 344 37 527 80 357 51 519 61

North Lanarldiire I 2,375

6.14: Amenity Housing Provision for Older People

55

Source : North Lanarkshire Social Work Department. Resources Database (I 997);

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN I 9 9 8 - 2001 VOLUME 2 : NEEDS AND RESOURCES .

6.15: Sheltered Housing Provision for Older People

Coatbridge Cumbernauld & Kilsyth

M o t h P IWP I I

Airdrie 208 64% I19 36% 47. I Bellshill I86 100% I 0 0% 186 I 36. I

265 100% 0 0% 265 28.7 I69 55% I36 45% 305 46.2 40 18% I84 82% 224 32.3

Wishaw & Shotts I46 63% 86 37% I 232 I 27. I

6.16: Amenity Housing Places per 1,000 65+ Popn. 6.17: Sheltered Housing Places per 1,000 65+ Popn.

N ortli Lanarkshire I 1,014 I 66% 525

50

40

30

20

10

. o

3 4% I 1,539 I 35.5

-I 40

30

Airdrie Coatbridge Motherwell Bellshill Cumb./Kilsyth WishawLhotts

Amenity .C.=l. Yardsick

20

10

0

1

Coatbridge Airdrie

Y

Motherwell Wishaw/Shotts Bellshill Curnb /Kilsyth

Sheltered Yardsick


W h,

Coatbridge (of which is GGHB pop".)

Cimhernauld R Kilsvth

6. I 8: Residential Accommodation for Older People

74 43% 0 0% 99 57% I73 18.7

68 100% 0 0% 0 0% 68 10.3

(40) 100% (0) 0% (0) 0% (40) (I 6.8)

I 0 34 I 30% I 114 I 16.4 I 8o 36 WI 0 I 0% I 0 I 0% I 36 I 7.0 Airdrie Bellshill

Motherwell I 72% I 0 1 0% I 82 1 60% I 13 I 9% I 36

North Lanarkshire 1 388 I 66% I 13 1 2% I 188 I 32% 1 589 I 13.6 Source : North Lanarkshire Social Work Department. Resources Database ( 1997).

6.19: Nursing Home Provision for Older People

Airdrie Be Ilsh ill


Curnbernauld & Kilsyth Mo the w e II

Wishaw & Shotts

TI-"' 0% +-

I02 I 100% I 102 I 19.8 76 I 100% I 76 8.2

I 5 0 100% 22.7 I09 100% 15.7 220 100% 220 25.8

N ort I1 Lanarlcsh ire I 22 2% 873 I 98% I 895 I 20.6 Source : North Lanarkshire Social Work Department. Resources Database (1997).

N O V Y LANARKSHIRE JOINT COMMUNITY CARE PLAN 1990 ~ ?OOl VOLUME 2 : NEEDS AND RESOURCES

Airdrie

Bellsliill

Coatbridge

CurnbJKilsytli

Motherwell

WisIiawlSliotts

Carricltstone. CumbeT%ld Cleland, Motherwell Coathill, Coatbridge Monklands, Airdrie

Strathclyde, Motherwell

0

40 30 58 63 27 25

40 76

6.20: Number of Residential and Nursing Home Places per 1,000 Population

St. Andrew's, Airdrie Wester Moffat, Airdrie Hairmyres, East Kilbride

Law, Carlulte Roadmeetings, Carluke

10 20 30 40 50 60

[I Residential [::I Nursing Home

22 60 25 60 40

99 40 59

6.22: N H S Hospital Provision for Older People

St. Mary's, Lanark

6.2 I : Residential and Nursing Home Places By Sector

5

Residential

Udston, Hamilton

Nursing 22

15 65

17 Public Voluntary Private

Stonehouse, Hamilton

873

89


w P

7. People with Dementia and Mental Illness in Old Age

Assessment of Need

7.1: Estimated Numbers of Older People with Dementia 81 Projections to 2001

Source : The Prevalence of Dementia in Europe : A Collaborative Study of 1980-1990 Findings - International Journal of Epidemiology Vol. 20(3).

7.2: I996 and 2001 Estimates of Older People with Dementia Compared

I I 1 I

In addition to older people with dementia it is estimated that there are 306 people between the ages of 30 and 64 in North Lanarkshire with dementia (I 996 level). This figure i s predicted to

Airdrie

Coatbridge rise by 3.6% by the year 200 I.

M otl,erwe 11 I---. ._I___.- --.-l-

. . ._._._____I_ ..__....._..~_l......_" ._..._. """ -.T.- ....... I ___._l__.__ll_.__.._.____..... ~ WishawlShotts

I

0 200 400

I996 I._l 200 I Nurnber 600

NOPTH LANARKSHIRE JOINT COMMUNITY CARE PLAN I998 - 2001 VOLUME 2 : NEEDS AND RESOURCES

Resource Provision

North Lanarkshire

7.3: Specialist Day Care Places for Older People with Dementia

31 38 69 I .6

Airbles Road, Motherwell Alexander Hospital, Coatbridge

Care First, Bellshill Cleland. Cleland

Grampian, Cumbernauld Hartwoodhill, Shotts

Caricltstone, Cumbernauld Hairmyres, East Kilbride

Law. Carluke

O n e specialist home care project in Bellshill provided support to some I00 older people in their own homes in 1997198.

7.4: N H S Hospital Provision for Older People with Mental Illness - Principally Dementia

20 25 x 5 days 20 10 90 96 60 90

30 x 3 days

10 24

Monltlands, Airdrie Roadmeetings. Carlulte

Udston, Hamilton

7 22 40 20 30 x 2 days

Total 438 I 61 no

W 0-l

Airdrie

8. People with Mental Health Problems

Assessment of Need

8,057 I 3,573 I 823 200

8. I : Estimated Incidence of Mental Illness Amongst the Population ( 16-64)

Bellshill 6.530 2.896 667 I62 Coatbridge


Wishaw & Shotts

(01 which is GGHB population 954 I 4,23 I 975 23 6

10, I 32 4.493 1,035 25 I 6, I ao 2,74 I 63 I I 5 3 8.634 3.829 882 214

c2453) (I 088) (251) (61)

8.2: Numbers of People Referred to Social Work in 1996/97

North Lanarkshire 49,074 2 1,763 5,O I 3 1 1,216

Airdrie Bellshill

CoatbridEe

78 22.2 60 21.1 82 I 9.8

(of which is GGHB &dation) (43) Cumbernauld & Kilsyth 69


(40.3) 15.7 . ^ -

Motherwell 36 13.3 I Wishaw & Sl io t ts 97 25.8

~

North Lanarkshire 422 19.8

Resource Provision

In a typical week, around 65 people who have been referred to social work primarily due to mental illness receive a home help service.

Bellshill Coatbridge

Curnbernauld & Kilsyth M o t he well

Wishaw & Shotts

8.3: Numbers of People Receiving Services Through the Care Programme Approach

5 0 0 5 3 I 0 4 7 0 0 7 25 4 0 29 15 3 0 18

I Airdrip I 6 I I I 3 I 10 I

North Lanarkshire I 61 9 3 73

8.4: Community Support Services for People with Mental Illness

Source : Lanarkshire Health Board ( 1997); and North Lanarkshire Social Work Department, Resources Database ( I 997).


W 03

Total I78 48 8 9 20 24

. . . . . . .

359 80

8.5: Residential and Supported Accommodation for People with Mental Illness

S o u r c e : North Lanarksh i re Social Work Depar tmen t , Resources Database ( 1997);

8.6: NHS Hospital Bed Provision for People with Mental Illness

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN I 998 - 200 I VOLUME 2 : NEEDS AND RESOURCES

9. People with a Learning Disability

Airdrie Bellshill


Cumbernauld & Kilsyth Moth e w e I I

Wishaw & Sliotts ____

Assessment of Need

34 9.7 30 10.5 53 12.9

34 7.7 21 7.8 35 9.3

(3 I) (29.1)

9. I : Estimated Numbers of People with a Significant Level of Learning Disability

I 207 North Lanarkshire

250

200

L IS0 n E al

3 = 100

50

0

9.7

203 203

Airdrie Coatbridge Motherwell Bellshill Curnb./Kilsyth Wishaw/Shotts

fl Significant Learning Disability

9.2: Numbers of People with a Learning Disability Referred to Social Work in I996197

Source: North Lanarkshire Social Work Departmenr Social Work Information System ( 1997).

Source : 'People with Learning Disabilities'. NHS Management Project (1988). I996 GRO Mid year Estimates of Population (1997).


'P 0

Airdrie Bellshill

Coatbridge



Resource Provision In a typical week throughout North Lanarkshire about 40 people (referred primarily due to learning disability) receive a home help service.

There are 22 residential respite places within North Lanarkshire available for people with a learning disability.

9.3: Residential Respite Care Provision for People with a Learning Disability

33 9.4 16 5.6 40 9.6 40 9. I 27 10.1 43 11.4



Wishaw & Shotts

North Lanarkshire I I99 1 9.3 Source : North Lanarkshire Social Work Department. Social Work Information System ( 1997).

(0) (O)* (0) (0) 76 100% 0 0% 76 17.2 0 0 0 0

I29 100% 0 0% I29 34.4

9.4: Day Care Places for People with a Learning Disability

449 9 7% 14 3% I 463 21.7

*: 30 people attend day care in East Dunbartonshire from this area. A further I I people from the Motherwell and Bellshill areas attend day care in South Lanarkshire

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN 199, - 7001 VOLUME 2 : NEEDS AND RESOURCES

. ..

9.5: Residential and Supported Accommodation for People with a Learning Disability

Airdrie Bellshill


Cumbernauld & Kilsyth M o the m e I I

Wishaw L? Shotts

18 82% 0 4 18% 22 6.3 0 14 100% 0 14 3.2 0 16 100% 0 16 3.8

~ _ _ _ _ (0) (3 (0) (-) 0 65 100% 0 65 14.7 8 15% 44 85% 0 52 19.3 18 47% 20 53% 0 38 10.1

9.6: Number of Day Care and Residential/ Supported Accommodation Places

I50 9.7: N H S Hospital Provision for People with a Learning Disability

I00 3 : a

50 Source : Lanarkshire Health Board, 1998.

0 Airdrie Coatbridge Motherwell

Bellshill Cumb./Kilsyth Wishaw/Shotts

n Day Care Community Accom.


P N

Bellshill

Coatbridge

10. Children and Young People with Special Needs

85 I04 I14 303 80 98 I oa 286 -5.9%

121 I47 I61 429 I10 I35 I49 394 -9.1%

Assessment of Need

10.1: Estimated Numbers of Children (Age 0-1 5 yrs) with a Disability, by Severity

(01 which is GGHB population)


Mothcrwcll

Wishaw & Shotts -

I Airdrie I 103 I 126 I 139 I 368 I 95 I 116 1 128 I 339 I -7.8%

(30) (37) (40) (‘07) (27) (34) (37) (98) - 10.0%

I26 I53 I67 446 I22 I49 I64 435 -3.2%

74 90 90 262 70 85 93 248 -5.4%

109 I33 I45 387 I03 I25 I37 365 -5.5% _____ ____ _____ ____ ____ _.__ __-__ -___ --__

North Lanarkshire I 618 I 753 1 824 2,195 580 708 779 2,067 -6.1% -6.0% -5.5% -5.8%

-7.9% -7.9% -7.9%

-5.8% -5.3% -5.6%

-8.2% -7.5% -8.2% -8. I % -7.5% -8.4%

Overall disability ratings are calculated from a combination of discreet disability scores and range from very severe (I 0) to slight disability (I). The overall rating therefore takes all types of disability into account.

NORTH LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - 2001

I VOLUME 2 : NEEDS AND RESOURCES

10.2: Estimated Numbers of Children by Type of Disability (Age 0-1 5 years)

Airdrie 26 95 96 3 26 15 I07 Bellshill 21 78 79 3 21 12 89

Coatbridge 30 I l l I12 4 30 17 I25 (of which is GGHB population) (7) (28) (29) ( 1 ) (7) (4) (31)

Cumbernauld & Kilsyth 31 I16 I17 4 31 18 I29 ~~

Motherwell 18 68 69 3 18 10 76 Wishaw & Sho t t s 27 I00 101 4 27 15 113 3871

North Lanarkshire I 5 3 568 5 74 21 I53 87 639 2, I95 Source : OPCS - The Prevalence of Disability Among Children (1989).

10.3: Numbers of Children Registered as Blind or Partially Sighted

I I I -....- I Partiallv Siehted I I I I 12

Source : Centre for Sensory Impaired People (031 1998).

North Lanarkshire's Department of Education recorded 75 I children with a Record of Needs within North Lanarkshire

of which 485 w e r e male and 266 female (January 1998). At this time there were also 3,034 cur ren t psychological service cases.


P c.


Curnbernauld & Kilsvth

Resource Provision

7 3 (0) 13 3

10.4: Numbers of Children & Young People'* Receiving Respite Care in I996197

Motherwell 5 0 Wishaw & Shotts I I 0

North Lanarkshire 1 50 Source : North Lanarkshire Social Work Department ( 1997). = Under 18 years of age

10.5: Educational Facilities for Children & Young People with Special Needs

13

Airdr ie Bellsh ill

Mavisbank School (40 Places) All ages


I I I Deanbank School ( I 5 1 Coatbridge

L

Glencryan School ( I 37 places) All ages

Redhiirn School {61 Dlaces\ All Apes

places) I I

~~

Motherwell

Wishaw & Shot ts

Firpark School (200 places) All ages Clydeview School (40 Bothwell-park School places, some pre-5) (40 places)

Source : North Lanarkshire Council Department of Education (1997).

I Fallside School (20 Dlaces)

Willowbank School (I 6 places)

Pentland School ( I 5 places) All ages

I 1

There are 2 I 8 chi ldren educated in North Lanarkshire Special Schools and Units who are resident in areas outwi th

NORTH LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - Z O O l VOLUME 2 : NEEDS AND RESOURCES

N o r t h Lanar Its h i r e.

I I . People with a Physical Disability

Assessment of Need

I I . I: Estimated Numbers of People with a Physical Disability, by Level of Disability

Airdrie Bellshill



Wishaw & Shotts

3500

3000

2500

2000

I500

I000

500

0

420 I19 452 159. I 69 I 166.6 (2 13) (199) 463 105. I 356 96.5 696 I 85.4

Airdric Bcllshill Coatbridgc Cumb./Kilsyth Mothcrwcll WishawlSliotts

U Level 7-1 0 0 Level 4-6 Level 1-3

No rtli Lari arks h i re

I I .2: Numbers of People with a Physical Disability Referred to Social Work*

3,078 144.3 I

Source: OPCS : The Prevalence of Disability Among People (1988), GGHB (1988); NHS Management Project (1988) 1996 GRO Mid year Estimates of Population ( 1997).


P or

Dial-a-Bus Services

Resource Provision

Over 5.500 21.4

I I .3: Access T o and Usage of Transport Services in North Lanarkshire

, ... U, ... Bellshill 36 100% 0 36 10.2

Coatbridge 45 100% 0 45 10.8 (of which is GGHB population) (0) 0 (0) (0) Curnbernauld & Kilsyth 0 0% 45 100% 45 10.2

Motherwell 0 0 0 0 Wishaw & Shotts 58 63% 34 3 7% 92 24.5 .

I Orancle Badcle Parltincl Scheme 1 O v e r I1.000 1 42.9 I Source: Strathclyde Passenger Transport ( 1997).

Around three quarters of people with concessionary travel cards are aged over 65 years.

I 1.4: Day Care Places for People with Physical Disabilities

NC"'TH LANARKSHIRE JOINT COMMUNITY CARE PLAN 190" - 2001 VOLUME 2 : NEEDS AND RESOURCES

I I .5: Community Based Services for People with Physical Disabilities

Airdrie Coatbridge


Bellshill Motherwell

Wishaw & Shotts


I based in 3.5 6.5 Airdrie 5 (Monltlands

Hospital) 3.5

Moth erwel I 4 (Law Hospital) 5

I based in 4 3.5

32

North Lanarkshire 2 25 10 I 32

(of which is GGHB &dation) (0) (0) (0) (0) Cumbernauld & Kilsyth 0 0% 7 100% 7 I .2

Moth e w e II 3 43% 4 57% 7 I .8 Wishaw & Shotts 5 13% 35 87% 40 7.5

North Lanarkshire 17 21% 65 I 79% a2 2.8 Source : North Lanarkshire Social Work Department. Resources Database ( 1997).

There are 5 residential accommodation places in Coatbridge and there are 2 I beds a t Coathill Hospital for people with a

physical disability.


P 03

12. People with a Sensory Impairment

Assessment of Need

12. I : Estimated Numbers of People with a Visual Impairment

Source : 'The Prevalence of Disability Among Adults'. OPCS ( 1988); NHS Management Project ( I988), I996 GRO Mid Year Estimates of Population ( I 997).

12.2: Numbers of People Registered as Blind or Visually Impaired

Source: Centre for Sensory Impaired People (ON 1998).

N@"TH LANARKSHIRE JOINT COMMUNITY CARE PLAN I99n 2001 VOLUME 2 : NEEDS AND RESOURCES

12.3: Registered Blind or Partially Sighted People of All Ages with an Additional Disability

Source : Centre for Sensory Impaired People (03/ 1998).

12.4: Estimated Numbers of People with a Hearing Impairment

North Lanark hire 12,375 2,986 I5,36 I 2,518 607 3, I25 I Source : Medical Research Council Institute of Hearing Research & OPCS (1988): NHS Management Project (1988): 1996 GRO Mid Year Estimates of Population (1997).


Resou rce Provision

12.5 Resource Provision for People who are Blind or Visually Impaired

I Airdr ie

Kilsyth

I Bellshill

Motherwell

Wisliaw & Shotts

Source : Lanarkshire Hea

Club f o r the Blind

Advocacy Group

Braille Classes

Club f o r the Blind

Social Work Unit for the Blind and Visually Impaired based in Airdrie (Provides advice, aids and specialist occupational therapy)

Lanarkshire Mobility Education Service (Under 18)

School health service testing

I

h Board ( 1997). North Lanarkshire Social Work Department ( 1998).

Monklands Hospital Vision Clinic

Strathclyde Hospital Vision Clinic

NOPrY LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 -7001 VOLUME 2 : NEEDS AND RESOURCES

Eye Infirmary. Glasgow

Stonehouse Hospital (provides laser treatments, fluorescence angiograms, day case surgery and in-patient care)

Centre for Sensory Impaired People, Glasgow

Glasgow & West of Scotland Society for the Blind

Guide Dogs for the Blind (Larkhall and Forfar)

Specialist serviccs are provided nationally by SENSE (Scotland) and RNlB

12.6: Resource Provision for People who are Deaf or Hard of Hearing

Deaf women's support group

Coatbridge Deaf Club

Airdrie Scottish Link-Up - self-help Audiology Clinics at: Airdrie group fo r deaf adults & children Medical Centre

Hearing Screening at: Airdrie Salsburgh and Chapellhall Health Centres Clinics at Health Centres in N o r t h Carbrain, Condorrat

Hearing Screening at Health Centres in Kildrum and Kilsytli

Hearing Aid Repair a t Health Centres in Abronhill and

Coatbridge

Bellshill

Curnbernauld & K i Is yt h

N o r t h Carbrain Audiology Clinic at Bellshill

Moth e rwe II Health Centre Audiology Clinic at Motherwell Health Centre, Strathclyde HosDital

Motherwell Deaf Club

I Wishaw & Sl iot ts 1 1 AudioloRy Clinic at Newmains 1 Health Centre

Source : Lanarkshire Health Board (1998). North Lanarkshire Social Work Department (1998).

Social W o r k Un i t for the Deaf and Hearing Impaired, based in Airdrie (provides advice and counselling, and environmental aids)

ENT Clinics, Paediatric E N T Clinics, Hearing Aid Clinics, and Specialist Assessment at Monklands Hospital

School health service testing


Centre for Sensory Impaired People, Glasgow

National Deaf Children's Society, Glasgow

Sign Language Interpreting Service, Glasgow

Glasgow & West of Scotland Society for the Deaf

Scottish Association for the Deaf, Edinburgh

British Deaf Association, Carlisle

RNID. London

13. People with a Head Injury

Bellshill



Wishaw & Shotts

Assessment of Need

I29 8 3 I40 I93 12 5 210 (49) (3) ( '1 (53)

I94 12 5 21 I I26 8 3 I37 I75 10 5 I90

13. I : Estimated Numbers of People Who Have Received A Head Injury

North Lanarkshire 9 78 I 60 25 1,063

~

Bellshill

Source : 'Management of Traumatic Brain Injury' - Medical Disability Society (I 988). applied to I996 Mid Year Estimates of Population (I 997).

I27 8 3 I 3 8

13.2: Estimated Numbers of People Who Will Have Received A Head Injury by 200 I

Coatbridee I 234 14 6

r I68 I . _ _ Airdrie I55 9 4

254 (of which is GGHB population)


Wishaw & Shotts

" (48) (3) (I) (52) 200 12 5 217

I73 10 5 I88 I25 7 3 I35

North Lanarkshire 1,014

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN 199P - ' 0 0 1 VOLUME 2 : NEEDS AND RESOURCES

60 26 1,100

I 3.3: Patients (age 0- 13) Discharged from Hospital by Selected Head Injury Diagnosis in I995

Airdrie 6 42 5 I 54 Bellshill* 6 50 5 I 61

Coa tbridge 5 52 13 5 67 Cumbernauld & Kilsyth 0 37 6 2 50

Motherwell 4 30 3 I 37 Wishaw & Shotts 6 46 5 I 57

North Lanarkshire 27 257 37 I I 326 I Source : Head Injuries Trust for Scotland, originally from Scottish Health Service Information and Statistics Division (1997). * : The Bellshill figures include part of the Uddingston area of South Lanarltshire as well.

13.4: Patients (age I4+) Discharged from Hospital by Selected Head Injury Diagnosis in I995

315 799 326 96 1,417 North Lanarkshire Source : Head lniuries Trust for Scotland, originally from Scottish Health Service Information and Statistics Division (1997). - .

* : The Bellshill figures include part of the Uddingston area of South Lanarkshire as well.


Resoui-ce Provision

13.5: Services for People Who Have Sustained a Head Injury

Bellshill

Motherwell

Monklands Headway Group

Moth e r w e I I and Lanark Headway Group (Chec area covered

Coatbridge

K ilsyth

Wishaw & Shotts 7

Lanarkshire Brain Injury Community Support Project

Lanarkshire Brain Injury Developmei Project

Scotcare Brain Injury Rehab. Uni t Murdoustoun Castle, Bonkle (19 places) - intensive rehabilitation unit

Institute of Neurological Sciences, South ern General Hospital, Glasgow - specialist acute carc and surgery

Disability Rehabilitation Uni t (8 Lanarkshire neurological (including head injury) patients a ycar

Scottish Brain Injury Unit, Astley Ainslie Hospital, Edinburgh

The Robert Fergusson Unit, Royal Edinburgh Hospital

Head Injury Through Care, Southern General Hospital, Glasgow

Paediatric Head Injury Outreach. Southern General Hospital, Glasgow

Head Injury Project, Glasgow Royal Infirmary

Rehab Scotland Brain Injury Vocational Unit, Glasgow

Head Injuries Trust for Scotland (HITS), Glasgow Rcliab, day programs, counseling. information and support

Brain Injury Group, Glasgow - Advice and support

Source : Lanarkshire Brain Injury Development Project ( 1997).


14. People who Misuse Alcohol

Assessment of Need

Bellshill

Coatbridge


Motlierwell

Wishaw & Shotts

14. I : Estimated Levels of Alcohol Drinking by People (Age I & )

72.5% 11,224 69.3% 17,534 72.8% I 7, I 79 70.3% 11.313 71.1% 15,419 69.5%

22.7% 4, I55 25.6% 5,496 22.8% 7.450 30.5% 4, I88 26.3% 5,708 25.7%

~ _ _ _

19.903 90.6% 15,275 88. I % 24.047 90.4% 22.325 85.2% 15.395 86.0% 20,983 87.8%

6.0% 14.0% 7.3% I .O% 4.0% 1.212 5,367 1,468 210 1,677 7.0% 16.0% 9.1% I .2% 5.0% 1,603 7,099 1,775 254 2.028 6.0% 14.0% 7.4% I .O% 4.0% 2. I 73 9,623 1,329 I90 1,519 8.3% 19.0% 5.4% 0.7% 3.0% I .22 I 5.409 1,479 21 I 1,690 6.8% 16.0% 9.3% I .2% 5.0% 1,665 7,373 2,O I 6 288 2,304 7.0% 16.0% 9.1% I .2% 5.0%

3 mimm 34.4 I 6 82.0% 26.499 79.0% 4 I ,58 I 82.0% 39,504 78.0% 26.708 79.0% 36.402 79.0%

I

North Lanarkshire 87, I85 I 17,932 205, I I 3 3 1,547 9,20 I 40,747 9,536 1,362 10,898 7 I .O% 88. I % 79.9% 25.7% 6.9% 15.9% 7.8% I .O% 4.2%

The drinking zones used are derived from the number of units of alcohol consumed in one week. The ‘warning’ zone relates t o 22-50 units for males and 15-35 units for females. The ‘dangerous’ zone is more than 50 units fo r males and more than 35 units for females. One unit of alcohol is equal t o a half pint of normal strength beer or cider, one glass of wine o r one measure of spirits such as whisky.


14.2: The Estimated Number of Secondary School Children Who Drink Alcohol Regularly*

North Lanarkshire I 1,566 I 2,083 3,65 I 1,214 1,666 2,879 6,532

North Lanarkshire I 16 I I2 I 28 I 722 1 299 I 1,021 I 125 I 59 I 184 I 863 I 370 1 1,233 I 5.8 Source: Scottish Health Servlce Information Statistics Division ( 1998).

The above includes individuals who have been discharged from non-psychiatric and psychiatric hospitals. For all of North Lanarltshire, 18% of alcohol misuse related discharges were f r o m a psychiatric hospital. There was some variation around this average, with Bellshill and Cumbernauld areas having a figure of I4%, and Motherwe l l and Wishaw areas with equivalent figures of 20% and 2 I % respectively.

Resource Provision - Refer to Table 15.3: Resource Provision for People who Misuse D r u g and Alcohol Misuse (Page 47).


15. People who Misuse Drugs

Assessment of Need

15. I : Estimated Number of People Regularly Using Illegal Drugs

Airdrie 439 I 1,839 Bells h ill I 1.134 I 347 I 1.481

I Coatbridge I 1,687 1 532 I 2,219 Cumbernauld & Kilsyth I 1,71 I I 5 24 I 2,235

Motherwell I 1.113 I 358 1 1.471 Wishaw & Shotts I 1.553 I 4 78 I 2.031 I

North Lanarl<shire I 8,598 I 2,678 I 11,276 Source : Lanarltshirc Hcaltli Board. Lanarltsliirc Health and Lifcstyle Survey - Drugs (I 996).

15.2: Estimated Number of People Regularly Using Illegal Drugs by Type of Drug

Cannabis 10,270 2,054

E c s h s I ,54 I 25 7

Others 257 Source : Lanarkshire Health Board, Lanarkshire Health and Lifestyle Survey - Drugs (I 996).

N.B. These estimates are derived from all Lanarkshire Health Board area and so are likely to undercount illeg;ll drug usage within North Lanarltshirc.


... . . .

Resource Provision

15.3: Resource Provision for People who Misuse Alcohol andlor Drugs

Air d r ie

Coatbridge


Bellshill

Motherwell

Wishaw & Shotts

Plains Youth Project

Needle Exchange Scheme .

Coatbridge Community Health Project

Cumbernauld and Kilsyth Addiction Service

Needle Exchange Scheme Bellshill Cross Advice Centre

Young Persons D r u g and Alcohol Proiect Drugs Initiative fo r Youth Project

~

O u t e r Limits Youth Project

Streetwise Detached Youth Work Project

Addiction Advisory Centre (based in Airdrie)

Community Addiction Teams (based in Airdric and Motherwell)

Community Education Service (local offices)

W e s t of Scotland Rccovcry and Aftcrcnrc Project (based in Coatbridge)

Sliield Centre (based in W is haw)

L.H.B. Senior Health Promotion Officer, Drugs Development Officer and Drugs Research Officer

Lanarkshire D r u g Service (service support to all GPs)

West of Scotland Recovery and Aftercare Project (R.A.P.), (based in Coatbridge)

Alcoholics Anonymous

AI-Anon (including AI-Alteen)

Narcotics Anonymous

Rc-Solv

Scottish Council on Alcohol

Scottish Drugs Forum

qonklands Hospital (4 ieds)

iar twoodhi l i / ia i rmyres Hospitals (4 3eds)

Yiicld Centre - 3 places [Based In Wishaw)

4ccess to Residential iccommodation and detoxification facilitics Outwith N o r t h Lanarkshire, principally Castle Craig, Peebles

Social W o r k Unit, HM Prison (Longrigge nd)

D r u g Worker , Social Work Unit, HM Prison (Shotts)

LHB Senior Health Promotions Officer

LHB Drugs Development Officer

LHB Drugs Research Officer

Source : Social Work Department Resources Database ( 1997). Connected Directory (Nov. 1996).

NOPTY LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 - 7001 VOLUME 2 : NEEDS AND RESOURCES 1

16. People who are HIV+ or who have AIDS

Assessment of Need

16. I : Cumulative Number of HIV+ Infected Persons Registered to Sept. I997

Of the 63 HIV+ infectec

I Lanarkshire Health Board I 63 I 11.23 I 9: I I Source: Scottish Centre for Infection and Environmental Health ( I 997).

persons in the Lanarkshire Health Board Area, almost half we re infected by homosexual/ - isexual sexual activity, and jus t over one quarter were infected by heterosexual sexual activity. The remainder of infected persons were infected through intravenous drug use and o ther means.

North Lanarkshire accounts for 55% of Lanarkshire Health Board’s population and s o can be estimated to account for just over 30 of the cumulative repor ts of HIV+ infected persons. However, it is likely that North Lanarkshire may account for a higher proportion of HIV+ infected persons. This is because the incidence of registered HIV+ infected persons is far greater in urban rather than rural areas and the major i ty of North Lanarkshire’s population reside in urban rather than rural areas; in contrast a l o w e r proportion of South Lanarkshire’s population reside in urban areas.

The number of people with AIDS in the Lanarkshire Health Board area was I .3% ( I I) of total people with AIDS registered in Scotland.


m 0

Resource Provision

16.2: Resource Provision for People who are HIV+ or have AIDS

AIDS Care and Education Team (ACET); provided services t o I I Lanarkshire residents in I996/97.

Befriending - PHACE West; supported two Lanarkshire residents in 1997.

Self Help and Advocacy - Body Positive; 7.8% of members a r e La nar Itsh i re residents. ource : Lanarkshire Health Boar

Glasgow HIV+ Support Group covers the Lanarkshire area.

: 1997); Social Work Dcpartrnci

5 I Counsellors are employed on a part-time throughout the Health Board area.

urces Dambasc ( 1997).

S t i f f at Monklands & Bellshill NHS Trust undertake HIV+/ AIDS related work 2 Consultant Physicians, 4 SHOs, W a r d 2 (Isolation Un i t complement of nursing and ancillary staff), I Counselling Service Co-ordinator

NOpTY LANARKSHIRE JOINT COMMUNITY CARE PLAN 199” 7001 1 VOLUME 2 : NEEDS AND RESOURCES

Senior Health Promotion Officer, 2 Health Promotic Officers, Special Project Officer (Peer Education)

17. People who Require Palliative Care

Palliative care though commonly associated with hospice care for people who have cancer, i s provided in a range of settings and to people with a variety of medical conditions. For example, palliative care is appropriate for people who have : multiple sclerosis, motor neurone disease, AIDS, dementia and muscular dystrophy.

Coatbridge Cumbernauld & Kilsyth

Motherwell

Assessment of Need

332 5.2 274 4.2 191 4.5

Informat ion on the numbers of people who may require palliative care is relatively scarce. Research indicates that for a population of 250,000 around 2 I0 referrals for hospice care are likely each year. The estimated hospice bed requirement is lower, a t 50 per million population. Applying these figures of the population of North Lanarltshire gives:

274 referrals for hospice care each year I 6 hospice beds required each year

Wishaw & Shotts

I 7. I : Cancer Registrations in I996

I96 3.4

Airdrie I I69 I 3.2 Bellshill I44 3.3

North Lanarkshire 1.306 1 4.0 Source : Scottish Health Service information Statistics Division (Cancer Surveillance) ( 1997).


. . .

Resource P r-ovisio n

The majori ty of palliative care services in North Lanarkshire are commissioned, or jointly commissioned, by Lanarkshire Health Board:

17.2: Resource Provision for People who Require Palliative Care

Airdr ie

Bellshill

Coat b r idge


Mot lwrwcl l

Wishaw & Shotts

Home support through primary care and district nursing services

I Macmillan home care nurse co-ordinator 8 Macmillan home care nurses

M a r k Cur ic homc care nursing

Macmillan General Practitioner facilitator

Lanarkshire Cancer Care Trust transport services

I Macmillan day centre sister

Dalzeil Day Centre at Strathclyde Hospital provides a service fo r up to 15 people per day

B day places arc provided on 4 days at St. Andrews Hospice, Airdrie

Hospice care is purchased f rom 2 hospices, I in Denny and I in Airdrie

3 hospital-based Macmil- lan specialist oncology nurses, a t Hairmyres, Law and Monklands hospitals. The ontology/ palliative care nurses liaise with Macmillan home care nurses and d is t r ic t nurses when patients arc discliargcd f r o m hospital.

A consultant in Palliative Care Medicine who provides clinical leader- ship for palliative care in Lanarkshire

Source: Lanarkshire Health Board ( 1997).

NOPTq LANARKSHIRE JOINT COMMUNITY CARE PLAN 1998 “401

I VOLUME 2 : NEEDS AND RESOURCES

18. Appendix - Glossary A M E N I T Y H O U S W Accommodation, primarily for older people, based on th

design of general needs housing with the addition c

prescribed national standards.

B L I N D 81 VISUALLY IMPAIRED REGISTER

The Register of Blind and Visually Impaired Peopla

Registration i s not a statutory requirement for access I

services therefore numbers of blind and partially sighted fro1

this register are likely to be underestimated .

C O M M U N I T Y ALARMS

Portable remote alarm systems installed in individu

households allowing the occupant to receive help, if require1

from on-call support services.

D A Y CARE Services which offer care, treatment rehabilitation an support outwith a persons home.

D A Y H O S P I T A L Provide rehabilitation of older people who have undergon

treatment in an acute hospital. They also provide ongoir

care and support to assist older people to live independent

in their own homes.

I N C I D E N C E RATES

Frequency with which a given circumstance occurs in

population within a specified time period.

I N D E P E N D E N T SECTOR An umbrella term for voluntary, "not-for-profit'' and privac

organisations which may provide community care services.

L U N C H CLUBS A service providing meals and social conuct for older pcop

living in the community.

MEALS ON WHEELS 4 service delivering hot meals to older people in their OWI

iomes. NLC and voluntary organisations funded by NLC a r

the main providers.

NHS CONTINUING CARE Long term in-patient care under the supervision of a hospit;

consultant. This is normally provided by an NHS hospital b i may be provided in a nursing home contracted by the healt

board for this purpose.

PALLIATIVE CARE

Care of people whose illness does not respond to curativ

treatment. achieving the best possible quality of life fc

patients and their families.

PREVALENCE RATE Proportion of a given population in which a give circumstance occurs.

PUBLIC OR S T A T U T O R Y SECTOR Thac group of bodies which i s required by statute to obtai or provide particular services. such as local authoritie

Health Boards and Scottish Homes.

PURCHASER A budget holder who contracts to buy a service from

provider.

REGISTERED A C C O M M O D A T I O N Accommodation provided by voluntary o r privat

organisations and are registered by the Council and subjec to regular inspection

- RESOURCE TRANSFER Money previously used to provide hospital bascd care. n o transferred from a health board to a local authority to p:

for new social care services in the community.


RESPITE CARE Services designed to provide relief for the carer as well as the

service user by taking on the caring task for short periods o

time.

SHELTERED H 0 U S I N G

Purpose built or adapted accommodation built to amenity

housing standards but with the addition of a warden service & an emergency call service connecting housing to the warden.

SI G NI Fl C A N T LEARN1 N G D l S AB I Ll T Y An estimated 4 people per 1.000 who may previously been

described as having moderate, severe or profound learning

disabilities on the basis of a measured IQ of 5 I or less.

SPECIALIST PROJECT Projects set up to provide services to a specific client group and to complemenc mainstream services.

VERY SHELTERED H O U S M Very Sheltered housing has all the features of sheltered housing but offers additional support in the form of extra

warden cover and s ta f f support.

V O L U N T A R Y SECTOR Organisations which provide services in the community and

which are always "not-for-profit". These services can be

advisory, campaigning o r be directly provided.

VULNERABLE INDICATORS

Three vulnerable indicators are used by NLC: People aged 75 years and over; Single older people living alone; Income

Support claimants and their partners. The indicator is based

on numbers falling into two or more of these categories.

W H E E L C H A I R S T A N D A R D H O U S I N G Housing which meets or exceeds the definition contained in

prescribed national standards.

north lanarkshire council report michael o’neill, …agenda 6tem no. .,. k) ..... # to: education...

Documents