Windsor and Maidenhead Clewer North

Transcription

1 Hashim BHATTI (Con) - cllr.bhatti@rbwm.gov.uk John COLLINS (Con) - cllr.collins@rbwm.gov.uk Nicola PRYER (Con) - cllr.pryer@rbwm.gov.uk Nov-15 Berkshire Public Health Shared Team

2 INTRODUCTION CONTENTS 1. SUMMARY to 3 2. DEMOGRAPHICS... 4 to 6 3. DEPRIVATION, POVERTY AND ACCESS TO SERVICES ECONOMY AND ENTERPRISE 8 5. EDUCATION HEALTH 10 to HOUSING COMMUNITY SAFETY ENVIRONMENT SOURCES OF DATA 15 This is a profile of Ward. It is intended to accompany the wider Joint Strategic Needs Assessment of. Profiles have been created for each of the Electoral Wards within. The profiles are split into nine topics with these being accompanied by a summary of key findings and supported by metadata (information about the data used within the profiles). The profiles are a tool which will be regularly developed with both improved functionality and also new and refreshed indicator data. We welcome your comments and suggestions so that we can ensure future developments are relevant and useful to you. The profiles are in the main based only on data that are collected nationally with a high degree of completeness. This has been supplemented with local data where this has been considered appropriate. Some indicators may give small numbers at Ward level. This should be taken into consideration when interpreting the data. Small changes in counts can lead to wide variance in the rate, and counts can vary significantly from year to year. Any provisional conclusions drawn from the profiles should be compared with other sources of information, both quantitative and qualitative. Berkshire Public Health Shared Team 1

3 1. SUMMARY There are 7,931 people living in, 19.2% of these are children aged 0 to 15 and 20.8% are older people aged 65 and over. The non-white British population accounts for 18.7% of the total poulation. 86% of the population were born in the UK. This is more than the average of. is ranked 5 out of 23 Wards in for levels of deprivation where 23 is the least deprived. 11.2% of children in Clewer North are at risk of living in poverty, compared with 8.2% across. In 8.4% of the working age population claim benefits compared with 5.6% in. 67.3% of the population of who are aged 16 to 74 years are in employment. This is lower than the average in. In, the majority of people in employment (46% of workers) were employed in Managerial/professional/technical occupations. 18% of workers were employed in Professional occupations. 20.3% of working age people in have no formal qualifications. 69% of children living in achieved 5 GCSEs at grade A* to C. 41.1% of children living in achieved 5 GCSEs at grade A* to C. 71.4% of children living in achieved the expected level of attainment at Key Stage % of children living in Clewer North achieved the expected level of attainment at Key Stage 2. The average life expectancy at birth for males living in is 78.6 years. The average life expectancy at birth for females in is 82.7 years. Death rates from all causes in people aged less than 75 are As expected. Emergency hospital admissions for all causes are Lower than expected*. An estimated 21.5% of adults in are obese. An estimated 19.1% of adults in binge drink. An estimated 28.4% of adults in Clewer North eat healthily. There are a total of 3278 dwellings in. The most common housing type in is Semi-detached. This accounts for 41.5% of all housing. The average household size in is 2.4 people and 5.31% of housing in is classifed as needing one or more bedrooms more than it has in order to be adeqautely sized for the number of people living there. There were 338 crimes recorded in during 2013/14. This equates to 43.1 crimes per 1,000 people living in - a rate that is lower than the average across. * Given the age and gender structure of the population and national death/admission rates Berkshire Public Health Shared Team 2

4 1. SUMMARY Category Deprivation & access Economy & Enterprise Education Health Housing Community Safety Indicator Indices of Multiple Deprivation - IMD (2015) 12.4 % children in Poverty (2013) 11.5 Barriers to Housing and Services - IMD domain (2015) 15.4 % Job Seekers Allowance Claimants (November 2013) 2.0 Post-16 Qualifications - % Level 3 or higher () 41.4 % key Stage 2 Level 4+ (2012) 65.6 % 5+ GCSEs A*-C (inc Maths and English) (2012) 41.1 All Cause Mortality <75 ( ) Life Expectancy - males ( ) 78.6 Life Expectancy - females ( ) 82.7 Emergency hospital admissions for all causes (2010/11) 86.9 % low Birthweights <2500g ( ) 6.9 % occupancy rating - bedrooms -1 or less () 5.3 % no Central Heating () 1.9 % socially Rented () 21.1 Crime rate per 1,000 (2013/14) 43.1 Anti-social Behaviour rate per 1,000 (2013/14) 13.1 Theft and handling stolen goods rate per 1,000 (2013/14) 12.9 Criminal Damage rate per 1,000 (2013/14) 6.5 Average Ward Range Worst Worst Local Authority Average Ward Range Best Best Berkshire Public Health Shared Team 3

5 Age Band 2. DEMOGRAPHICS has a population of 7,931. This figure has increased at a slower rate than it has on average across since The working age population is relatively small in comparison to. Total Population Related to this, the ward has a proportionately larger young Males population (19%) and a larger older population (21%). Females The Census indicates that 19% of are BME, lower than the average. Children (0-15) Working Age (16-64) The largest single BME population is the White: Other White group. Older People (65+) This group represents 29.8% of BME people and 5.7% of the total population of the ward. Population Summary 2014 BME Population Population (2001) Population Change ( ) 7, , % 49.5% 4, % 50.5% 1, % 18.7% 4, % 62.1% 1, % 18.1% 1, % 22.5% 7, % 10.4% Population structure 2014 LA Total Males Females Percentage by Age Group Source: 2015 Religion Christian Buddhist Hindu Jewish Muslim Sikh Any other religion No Religion Religion not stated 5, % 62.3% % 0.5% % 1.8% 6 0.1% 0.3% % 3.9% % 2% % 0.4% 1, % 21.7% % 7% Berkshire Public Health Shared Team 4

6 2. DEMOGRAPHICS ETHNICITY Total BME (Non White British) Population White British Irish Gypsy or Irish Traveller Other White (Including White European) Mixed White and Black Caribbean White and Black African White and Asian Other Mixed Other Ethnic Group Other Ethnic Group 1, % 22.5% Asian or Asian British 6, % 77.5% Indian % 4.1% % 1.4% Pakistani % 2.9% 9 0.1% 0.2% Bangladeshi % 0.3% % 7.0% Chinese % 0.7% Other Asian % 1.6% % 0.5% Black or Black British % 0.2% Black Caribbean % 0.7% % 1.0% Black African % 0.3% % 0.6% Other Black % 0.1% % 0.8% HOUSEHOLD COMPOSITION All Households: ,349 Lone Parent % 8.0% Dependent children % 5.0% One Person Household: % 28.4% Non dependent children % 3.0% One Family Household: % 64.5% Other household types % 7.2% All aged over % 8.7% With dependent children % 2.5% Married or same-sex civil partnership couple % 38.7% All full-time students 1 0.0% 0.0% No children % 13.2% All aged 65 and over 6 0.2% 0.2% Dependent children % 19.6% Other % 38.7% Non dependent children % 5.9% Cohabiting couple % 9.1% No children % 5.4% Dependent children % 3.3% Non dependent children % 0.4% Berkshire Public Health Shared Team 5

7 2. DEMOGRAPHICS MIGRATION 86% of the population were born in the UK. This is more than the average of. The majority of people living in who were not born in the UK have been resident in the UK for 10 years or more. The majority of people living in who were not born in the UK moved to the UK when they were aged between 30 to 44. Country of birth United Kingdom Ireland Other EU Other Countries 6, % 82.6% % 1.1% % 4.9% % 11.4% Age of arrival in UK (non-uk born residents) 12.0% 10.0% Length of time in UK (non-uk born residents) Age of arrival in the UK: 90 and over Age of arrival in the UK: 85 to 89 Age of arrival in the UK: 75 to 84 Age of arrival in the UK: 65 to 74 Age of arrival in the UK: 60 to 64 Age of arrival in the UK: 45 to 59 Age of arrival in the UK: 30 to % 6.0% Age of arrival in the UK: 25 to 29 Age of arrival in the UK: 20 to 24 Age of arrival in the UK: 18 to % 2.0% Age of arrival in the UK: 16 to 17 Age of arrival in the UK: 15 Age of arrival in the UK: 10 to % Resident in UK: Less than 2 years Resident in UK: 2 years or more but less than 5 years Resident in UK: 5 years or more but less than 10 years Resident in UK: 10 years or more Age of arrival in the UK: 8 to 9 Age of arrival in the UK: 5 to 7 Age of arrival in the UK: 0 to 4 0.0% 1.0% 2.0% 3.0% 4.0% Berkshire Public Health Shared Team 6

8 Work mainly at or from home Underground, metro, light rail, tram Train Bus, minibus or coach Taxi Motorcycle, scooter or moped Driving a car or van Passenger in a car or van Bicycle On foot Other method of travel to work Percentage of people in employment 3. DEPRIVATION, POVERTY AND ACCESS TO SERVICES Indices of Multiple Deprivation (IMD) Access to Services is ranked 5 out of 23 Wards in for levels of deprivation where 23 is the least deprived. Child Poverty There are no people in the ward who are living in areas classed amongst the 5% most deprived in Berkshire, according to the latest Indices of Deprivation. 20% of people in the ward are living in areas classed amongst the 5% most deprived in, according to the latest Indices of Deprivation. 11.2% of children in are at risk of living in poverty, compared with 8.2% across. This figure has risen by -4.1% since There are 550 households in who do not own a car or van. This is 17.1% of all households in the Ward which is more than the Windsor and average. The indices of multiple deprivation includes a measure of barriers to housing and services. On this measure is ranked 18th out of 23 Wards in for access to services where 23 is the least deprived. There are no people in the Ward who are living in areas classed amongst the 5% most deprived in Berkshire, on this measure according to the latest Indices of Deprivation. There are no people in the Ward who are living in areas classed amongst the 5% most deprived in on this measure according to the latest Indices of Deprivation. Free school meals Accessibility 7.3% of children living in and attending schools in are eligible for and receiving free school meals. Free school meals data is not available for Ward. Local bus services are provided by Courtney Buses, First in 30 Berkshire & The Thames Valley and People to Places Buses. The nearest train station to is Windsor & Eton Central train station Method of travel to work Berkshire Public Health Shared Team 7

9 Percentage of people in employment 4. ECONOMY AND ENTERPRISE In 8.4% of the working age population claim benefits compared with 5.6% in. Broken down: Statistical Group Job Seekers ESA and Incapacity Benefits Lone parents Carers Other income benefits Disabled Bereaved Total Claimants % % % 2, % % % % % % % % % % % % 5, % Employment In, the majority of people in employment (46% of workers) were employed in Managerial/professional/technical occupations. 18% of workers were employed in Professional occupations. In as a whole the majority of people in employment (56% of workers) were employed in Managerial/professional/technical occupations. 22% of workers were employed in Professional occupations. 67.3% of the population of who are aged 16 to 74 years are in employment. This is lower than the average in. 4.1% of the population of who are aged 16 to 74 years are unemployed. This is higher than the average in. Qualifications Hours worked Recent statistics on qualifications are available at ward level using data collected as part of the Census. This showed that: Males Females 80% 20.3% of working age people in have no formal qualifications. 41.4% were qualified to NVQ Level 3 or higher compared with 49.6% in as a whole. Please see the 'Education' section of these Ward Profiles for information on school attainment. 70% 60% 50% 40% 30% 20% 10% 0% Part-time: 15 hours or less worked Part-time: 16 to 30 hours worked Full-time: 31 to 48 hours worked Full-time: 49 or more hours worked Berkshire Public Health Shared Team 8

10 Percentage 5. EDUCATION We have to treat the following data with some caution due to the small numbers that are involved in the calculations. It is likely that differences between areas will be largely due to random effects occurring within the data. Data has been aggregated to Ward level using data at a lower level of geography. Figures of less than three have been removed from this lower-level data meaning that it has not been possible to include them in the Ward-level totals. This is likely to affect the completeness of the Ward-level data shown. Where all data for a Ward have been removed from the original data it has not been possible to show a figure below. Foundation Stage Key Stage 4 (any missing values are due to small numbers) 65.7% of children living in achieved the expected level of development in foundation stage. 48.1% of children living in achieved the expected level of development in foundation stage. GCSE attainment Key Stage 1 Expected level in Reading Expected level in Writing Expected level in Mathematics Expected level in Science Key Stage 2 100% 93% 100% 100% 94% 91% 96% 96% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Percentage 5 GCSEs A*-C Percentage 5 GCSEs A*-G Percentage 5 GCSEs Percentage 5 GCSEs A*-C including English A*-G including English and Maths and Maths 82.7% of children living in achieved the expected level of development at Key Stage % of children living in achieved the expected level of development in Key Stage 2. NEET 4.4% of year olds in are not in education, employment or training (2013/14). Schools There are five schools located in Clewer East; Dedworth Green First School, Homer First School, St Edward's Catholic First School, Dedworth Middle School and St Edward's Royal Free Ecumenical Middle School. Berkshire Public Health Shared Team 9

11 6. HEALTH It is often difficult to use health data when looking at small areas such as Wards. This is because of the size of the numbers involved. For example, only a few people from each Ward may be admitted to hospital each year for a specific condition. When we are looking at numbers that are very small we have to consider two key points before they are used in profiles such as this. Firstly, when numbers are small we are not legally able to share them as the individual may be identifiable from the data. Secondly, it is difficult to come to any reliable conclusions from information which is based on these small numbers. It may also be the case that the information is not available at these low levels. This is particularly true of information about peoples lifestyles (for example, how many people smoke or drink alcohol). One of the ways that this is overcome is to use 'modelled' data. This is data that has been taken from a much larger number of people and used to estimate the likelihood of a certain characteristic appearing in other areas such as Wards depending on some key features of that area such as how many people of a particular age group live there. The percentage of live births to mothers living in which Hospital admissions were of a low birth weight is estimated to be 7.3%. The percentage on average across is 7%. Any difference Emergency hospital admissions for is not statistically significant. Lower than expected* all causes The number of people living in who are diagnosed with Planned hospital admissions for all Lower than expected cancer is as expected given the age and gender structure of the causes population. Emergency hospital admissions for As expected The average life expectancy at birth for males living in all coronary heart disease is 78.6 years. The average life expectancy at birth for females in Emergency hospital admissions for As expected is 82.7 years. stroke Emergency hospital admissions for As expected Deaths heart attack Emergency hospital admissions for Deaths from all causes, all ages As expected* chronic obstructive pulmonary As expected Deaths from all causes, under 65 As expected disease Deaths from all causes, under 75 As expected * Given the age and gender structure of the population and national admission rates Deaths from all cancer, all ages As expected Deaths from all cancer, under 75 As expected Deaths from circulatory disease, all ages As expected Deaths from respiratory diseases, all ages As expected * Given the age and gender structure of the population and national death rate Berkshire Public Health Shared Team 10

12 Percentage 6. HEALTH Lifestyles Sense of health and wellbeing The heights and weights of children in reception year and year 6 are measured annually as part of the National Child Measurement Programme. 6.67% of reception year children in are obese. An average of 6.7% of reception year children in are obese. According to the Census 83.4% of adults in feel that they are in either good or very good health. 6.9% of adults in feel that their lives are limited a lot due to ill health or disability and 8.8% of adults in feel that their lives are limited a little due to ill health or disability. 11.9% of year six children in are obese. An average of 13.6% of year six children in are obese. It is important to note that this data at Ward level involves small numbers and any differences between areas will be, in part, due to chance occurances in the data. An estimated 21.5% of adults in are obese. An estimated 19.1% of adults in binge drink. An estimated 28.4% of adults in eat healthily People providing at least one hour of unpaid care per week South East England and Wales Berkshire Public Health Shared Team 11

13 6. HEALTH Falls are the largest cause of emergency hospital admissions for older people, and significantly impact on long term outcomes, e.g. being a major precipitant of people moving from their own home to long-term nursing or residential care. The tables below show falls related admissions broken down by local authority and electoral ward. Falls admissions by age Yearly Practice Falls Admissions by ward Financial Year Age Band Ward Name Under 20s Total 1, , Falls admissions by fiscal month Financial Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total 1, , The highest risk of falls is in those aged 65 and above and it is estimated that about 30% people (2.5 million) aged 65 and above living at home and about 50% of people aged 80 and above living at home or in residential care will experience an episode of fall at least once a year. Falls that results in injury can be very serious - approximately 1 in 20 older people living in the community experience a fracture or need hospitalisation after a fall. Falls and fractures in those aged 65 and above account for over 4 million bed days per year in England alone, at an estimated cost of 2 billion. Berkshire Public Health Shared Team 12

14 Detached Semi-detached Terraced Purpose-built block of flats or tenement Part of a converted or shared house (including bed-sits) Flat, maisonette or apartment: In a commercial building Caravan or other mobile or temporary structure Percentage Percentage 7. HOUSING The most common council tax band in which housing in falls is Band D. This accounts for 25.6% of all dwellings. The most common council tax band in which housing in Clewer North falls is Band E. This accounts for 35.6% of all dwellings. There are a total of 3278 dwellings in. 0% of these are shared dwellings. This is fewer than the average number of shared dwellings across. The most common housing type in is Semi-detached. This accounts for 41.5% of all housing. Housing types The average household size in is 2.4 people. Which is larger than the average for. The average number of rooms in houses in is 5.4. Which is fewer than the average for. The average number of bedrooms in houses in is 2.7. Which is fewer than the average for. 5.3% of housing in is classifed as needing one or more bedrooms more than it has in order to be adeqautely sized for the number of people living there. This is more households than the average. 1.9% of houses in do not have central heating. Which is more than the average for. Housing tenure 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 80% 70% 60% 50% 40% 30% 20% 10% 0% Owned Shared ownership (part owned and part rented) Social rented Private rented Berkshire Public Health Shared Team 13

15 Rate per 1, COMMUNITY SAFETY There were 338 crimes recorded in during 2013/14. The most commonly occuring crime was classified as ASB for which there This equates to 43.1 crimes per 1,000 people living in - were 13.1 crimes per 1000 people living in. a rate that is lower than the average across. Crime rate per 1,000 population Berkshire Public Health Shared Team 14

16 Kilowatt Hours (axis does not start at zero) 9. ENVIRONMENT has an area of 324 hectares which represents 1.65% of the total area of. Population density describes the average number of people living in each hectare of land in an area. There are an average of 23.9 people living in each hectare of. This is more than are living on average in each hectare of. The most common land use in is areas of Greenspace, this is followed by areas of Domestic Gardens and areas of Road. Land use 60,000 55,000 50,000 45,000 40,000 35,000 30,000 25,000 20,000 Total domestic energy consumption Area of Unclassified Land Area of Other Land Uses Area of Water Area of Greenspace Area of Domestic Gardens Area of Rail Area of Path Area of Road Area of Non Domestic Buildings Area of Domestic Buildings 0% 20% 40% 60% 80% Percentage of land Berkshire Public Health Shared Team 15

17 10. SOURCES OF DATA Item 1. Summary Indicators Indices of Multiple Deprivation - IMD (2015) % children in Poverty (2013) Barriers to Housing and Services - IMD domain (2015) % JSA Claimants (May 2012) Post-16 Qualifications - % Level 3 or higher () % key Stage 2 Level 4+ (2012) % 5+ GCSEs A*-C (inc Maths and English) (2012) All Cause Mortality <75 ( ) Life Expectancy - males ( ) Life Expectancy - females ( ) Emergency hospital admissions for all causes (2010/11) % low Birthweights <2500g ( ) % occupancy rating - bedrooms -1 or less () % no Central Heating () % socially Rented () Crime rate per 1,000 (2013/14) Source Department for Communities and Local Government (DCLG) Department for Work and Pensions (DWP) DCLG NOMIS Census DFE/Berkshire Local Authorities DFE/Berkshire Local Authorities Public Health England Public Health England Public Health England Public Health England Date /12 / Description A national index of deprivation, where 32,480 Lower Super Output Areas are ranked in order of relative deprivation Measures the % of children in households receiving Child Tax Credits and with incomes 60% or less of the median A national index of deprivation, where 32,480 Lower Super Output Areas are ranked in order of relative deprivation DWP benefits data published by NOMIS % of working age population with level 3 or higher % of pupils achieving Level 4 or higher in both English and Maths % of pupils achieving 5 or more GCSEs at grade A*-C including English and Maths Age/sex standardised mortality rates Life expectancy at birth calculated from all cause, all age mortality Life expectancy at birth calculated from all cause, all age mortality Age/sex standardised hospital admission rates Public Health England Percentage of live births with weight <2,500g Public Health England A measure of under-occupancy and over-crowding. A value of -1 implies that there is one room too few and that there is overcrowding in the household. Census Census Census 2014 The percentage of housing which does not have central heating The percentage of households that socially rent Total crime rate per 1,000 population Anti-social Behaviour rate per 1,000 (2013/14) Thames Valley Police 2014 Theft and handling stolen goods rate per 1,000 (2013/14) Criminal Damage rate per 1,000 (2013/14) Thames Valley Police 2. Demographics Population size Office for National Statistics () 2015 Ethnicity Religion 2014 Thames Valley Police 2014 Total ASB rate per 1,000 population Total Theft and Handling of Stolen Goods rate per 1,000 population Total Criminal Damage rate per 1,000 population Mid-2014 Population Estimates for 2014 Wards in England and Wales Ethnic group of usual resident population on Census day. BME is defined by as including White Irish, White other (including White asylum seekers and refugees and Gypsies and Travellers), mixed (White & Black Caribbean, White & Black African, White & Asian, any other mixed background), Asian or Asian British (Indian, Pakistani, Bangladeshi, any other Asian background), Black or Black British (Caribbean, African or any other Black background), Chinese, and any other ethnic group. Religion or belief of usual resident population on Census day Berkshire Public Health Shared Team 16

18 Item Source Date Description Household composition Members of each household on Census day Migration Usual residents who were not born in the UK recorded on Census day 3. Deprivation A national index of deprivation, where 32,480 Lower Super Output Areas are ranked in order of relative deprivation. The Indices of Deprivation 2010 is not a measure of affluence; all of the indicators used in the index are designed to identify aspects of deprivation, not affluence. Indices of Multiple Deprivation DCLG 2010 Therefore the area ranked as the least deprived is not necessarily the most affluent. Follow link for more information: df Child Poverty DWP 2010 Measures the % of children in households receiving Child Tax Credits and with incomes 60% or less of the median Department for Pupils eligible for free school meals Education (DFE) and Berkshire Local /12 % of pupils eligible for free school meals Authorities Car Ownership/Public Transport Car ownership per household as recorded on Census day Method of travel to work Method of travel to work (those in employment) as recorded on Census day 4. Economy and enterprise Benefits claimants DWP/NOMIS 2015 DWP benefits data published by NOMIS Employment status November 2012 Employment status as recorded on Census day Qualifications Highest level of qualification as recorded on Census day Education All education indicators DFE/Berkshire Local The educational data provides year-end information on pupil residency-based small area 2012 Authorities pupil attainment 6. Health Low birth weight babies Public Health England Percentage of live births with weight <2,500g Cancer diagnoses Public Health England Cancer incidence rates - age/sex standardised Life expectancy Public Health England Life expectancy at birth calculated from all cause, all age mortality Mortality Public Health England Age/sex standardised mortality rates Hospital admissions Public Health England 2008/ /13 Age/sex standardised hospital admission rates Childhood obesity Public Health England 2010/ /13 Children classified as having a body mass index of 30 or more recorded during the National Child Measurement Programme (NCMP) Lifestyle behaviours Public Health England Self-reported lifestyle behaviours as measured in the Health Survey for England Sense of health and wellbeing Persons self-reported wellbeing on Census day Providing unpaid care Persons reporting themselves as providing unpaid care at least one hour per week on Census day 7. Housing Council tax bands Neighbourhood Statistics Council tax bands of dwelling stock Number of dwellings Number of dwellings recorded on Census day Shared dwellings Dwellings containing members belonging to two or more different families Household size The average number of people resident in a household Berkshire Public Health Shared Team 17

19 Item Source Date Room numbers Household size Central heating 8. Community Safety Description The average number of rooms in a household The average number of people resident in a household The percentage of housing which does not have central heating Crime rates Thames Valley Police 2013/14 Number of recorded crimes per 1,000 population 9. Environment Population density Persons per hectare Domestic energy consumption Neighbourhood Statistics Domestic energy consumption (kilowatt hours) Land Use Neighbourhood Land use statistics in square meters, from the Generalised Land use Database (GLUD) 2005 Statistics Acknowledgments Sheffield City Council Ward Profiles - David Leather - Ward Maps - OpenStreetMap Contributors - reports.esd.org.uk Ward Pictures - Picture 1 Copyright Andrew Smith and licensed for reuse under this Creative Commons Licence. Picture 2 Copyright Steve Daniels and licensed for reuse under this Creative Commons Licence. Picture 3 Copyright Shaun Ferguson and licensed for reuse under this Creative Commons Licence. Berkshire Public Health Shared Team 18