South West London CCG Annual Report and Accounts 2020/21

Richmond Richmond has a population of just under 200,000 and is healthy overall. However, the population is ageing and with this comes the challenge of caring for increasing numbers of people living with multiple long-term conditions. The number of local people living unhealthy lifestyles that increase the risk of disease is rising. These include things like smoking, being inactive, eating a poor diet and drinking too much alcohol. However, a significant proportion of long-term conditions are avoidable with the adoption of healthy behaviours, which we continue to promote. The main challenges we face: • Increasing emotional wellbeing and self- esteem in our school age population, who have very high levels of reported multiple risky behaviours and substance abuse, and high levels of emotional neglect in children with affluent parents. 22,000 people have a common mental disorder, such as depression and anxiety The number of over 65s is set to increase by almost 50 % over the next 20 years Prevalence of obesity more than doubles between reception and year 6 The average mental wellbeing score for 15 year- olds in Richmond is the fourth worst in London adults have three or more long term conditions Nearly 1 in 10 in achieving a 'good' level of development in reception between children eligible for free school meals and those not 16% point gap people provided some level of unpaid care An estimated 15,800 residents are estimated to have dementia 2,072 50 % of over 75 year- olds live alone • Unhealthy lifestyles, as well as poor emotional and mental wellbeing, causing at least a third of ill health in the borough, with obesity being a significant issue. • Rising numbers of people with multiple long-term conditions – which make healthcare less affordable. • An ageing population with a significant number of older people living alone. • Increasing numbers of patients with dementia-related health problems. • Cardiovascular disease and cancer are the two leading causes of death, but an increasing burden of disease and suffering is also due to mental ill health. Read more about the health and wellbeing needs of people in Richmond and our plans to develop services for people in Richmond at www.swlondonccg.nhs.uk/your-area/ richmond/richmond-our-plans 20 | NHS South West London Clinical Commissioning Group