Estimates of disability prevalence are highly dependent on the definition of disability used. The OPCS Survey of disability estimated that in 2006 8% of the Cambridgeshire population had a disability. In the census 11% of the Cambridgeshire population reported having a long term illness, health problem or disability which limits daily activities at work. Disability is considered in the JSNA as an important issue. Firstly the proportion of people who develop disability could be reduced with more effective health promotion measures aimed at eliminating the underlying causes. Secondly, the effective use of treatment and rehabilitation services directed at restoring function in people who are already ill or injured can reduce residual disability. Thirdly disabled people have special needs.
The JSNA considers the main causes of disability. Further information on effective interventions for long term conditions is described in the NHS Cambridgeshire Long Term Conditions Strategy and more recently in the NHS Cambridgeshire Quality, Innovation, Productivity and Prevention Plan (QiPP). Individuals with the most severe forms of physical and sensory impairment are eligible for social services support. Over 2000 clients with physical disability, frailty and sensory impairment receive services from Adult Social Care. All people receive primary care services from their GPs and practices.
A number of data sources are used in estimating the numbers of people with long term conditions, including sources from the census, disability benefits, the primary care Quality and Outcomes Framework (QoF) information, and Health Surveys. Published community views of clients and carer groups are collated. Housing is a major factor determining physically disabled people’s health and well-being. Promoting positive attitudes and flexible practices among employers and sharing good practice is recognized as important.
There are National Service Frameworks and NICE guidance http://www.nice.org.uk covering most long term conditions including coronary heart disease, cancer, mental health, diabetes, long term neurological conditions, renal services, chronic obstructive pulmonary disease and stroke. Teams within primary care, social services and health work through clinical networks and workstreams to constantly improve services. They work closely with patients and representative groups.