Cornwall and the Isles of Scilly have a total population of 545,335(as of 2014). The population of Cornwall contains more residents over the age of 75 than the average for England and their number is set to grow significantly and very quickly with a 32% increase by 2024. It is the group most at risk of multiple long-term conditions. If there is no change to current practice, numbers in the 75+ age group will exceed our capacity across health and social care to provide care for them. Family and friends providing care are also growing older (Cornwall Council Case for Cornwall pg 24).
Above average life expectancy but only average healthy life expectancy
People in Cornwall live longer but spend more years, on average, living with disability and in poor health. Life expectancy has continued to increase in Cornwall from 79.2 to 79.5 years for men and from 83.3 to 83.5 years for women.
The inequalities gap for life expectancy is closing, down from 5.9 to 5.3 years for men and from 5.2 to 4.4 years for women . Cornwall is ranked 46th out of 150 local authorities for premature deaths. Overall, inequalities are estimated to cost Cornwall’s economy £610 million each year and rising (Cornwall Council Case for Cornwall pg 24).
Cornwall has a higher prevalence of a range of diseases
The most common diseases in Cornwall and Scilly are set out in a table in the Cornwall Council Case for Cornwall Appendix 3 Transforming Health and Social Care. Top of that list is Hypertension suffered by 14.8% of the population, followed by Depression at 12.7%, Obesity at 11.1% and Asthma at 6.6%. There is a higher than average prevalence of Depression, Obesity and Asthma compared to the rest of England.
Mental health problems are estimated to be the commonest cause of premature death. Suicide deaths in Cornwall are higher than road deaths. At least 75% of drug and alcohol service users have a mental health condition; more than 40% of mental health service users have a substance misuse problem; 30% of people with a long-term physical illness also have a mental health condition. Many people with mental illness need support from a range of agencies and could benefit from more integrated care. (Cornwall Council Case for Cornwall )