Recruitment and Retention of Health Care Providers in Remote Rural areas
Socio-economic challenges and Rural Deprivation
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- Household Income
- Health Impacts
- Patients with Long Term Conditions in NHS Highland
- CHD (Coronary Heart Disease)
- Diabetes 13,845 4.30 Dementia
- Data source: QOF Calculator Database, as at 18th July 2011, plus notifications of adjustments from NHS Boards.
Socio-economic challenges and Rural Deprivation The Scottish Index of Multiple Deprivation (SIMD) 2009 identifies the most deprived areas across Scotland. It is based on 31 indicators in the six individual domains of Current Income, Employment, Housing, Health, Education, Skills and Training and Geographic Access to Services and Telecommunications. Overall, the indicators of deprivation show that Highland residents fare better than the average Scot, although there is significant variation in the detail between Highland communities. Geographical barriers contribute to the areas remoteness and socio-economic aspects such as low income and poor transport links result in areas of disadvantage contrasting with other areas of rapid development and associated better quality of lifestyle. These inequalities present a challenge for those designing and delivering health and social care. Those rural areas with greatest levels of deprivation in terms of income, employment and accessibility are shown in the map. Household Income The average annual household income for the region is £31360/yr slightly below the Scottish average of£33207/yr. Employment status Employment rates are higher than in Scotland as a whole. Sectors such as agriculture, tourism and construction are important to the region but by far the biggest employer is the public sector accounting for more than a third of the workforce. Employment rates over the course of a year are affected by the seasonal nature of many of the areas jobs particularly in tourism. The unemployment rate is 2.8% and of those employed, 12.3% are regarded as income deprived9. Health Impacts There are a number of population healthcare impacts facing the NHS Highland arising from a combination of our ageing population, remote geography and lifestyle. Life expectancy is different according to your socio-economic status; boys born in the most deprived areas of Highland will live an average of 7 years less than boys from the least deprived areas, while the difference in girls is around 5 years10. As with Scotland as a whole, the region expects to see an increase in those living with chronic disease as a result of an ageing population and lifestyle resulting in escalating costs for those providing health and social care. Patients with Long Term Conditions in NHS Highland
Data source: QOF Calculator Database, as at 18th July 2011, plus notifications of adjustments from NHS Boards. The Organisation of Healthcare Services in HighlandCommunity Health Partnerships (CHPs) were established across the NHS in Scotland from 2004. Each CHP covers a defined geographical area. There are four CHPs in NHS Highland (see map11): North Highland CHP (Caithness & Sutherland) 
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