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Carlisle is the most northerly city in England, and the ... - NHS Cumbria

Carlisle is the most northerly city in England, and the ... - NHS Cumbria

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Figure 25: Rented AccommodationRented Accommodation31%69%Social RentedPrivate Rented12% of households <strong>in</strong> <strong>Carl<strong>is</strong>le</strong> have no central heat<strong>in</strong>g. Th<strong>is</strong> compares to 8% for <strong>Engl<strong>and</strong></strong>.While 4% of <strong>Carl<strong>is</strong>le</strong> households are classed as be<strong>in</strong>g overcrowded compared to 7% <strong>in</strong><strong>Engl<strong>and</strong></strong>.14. Homelessness.On 31 st March 2005 <strong>the</strong>re were 285 households <strong>in</strong> <strong>Carl<strong>is</strong>le</strong> which were def<strong>in</strong>ed as eligible,un<strong>in</strong>tentionally homeless <strong>and</strong> <strong>in</strong> priority need, for which <strong>the</strong> Local Authority acceptsresponsibility for secur<strong>in</strong>g accommodation (ODPM 2005). Th<strong>is</strong> represents 9.3% of <strong>the</strong> totalhouseholds on <strong>the</strong> <strong>Carl<strong>is</strong>le</strong> Hous<strong>in</strong>g Reg<strong>is</strong>ter.15. Excess W<strong>in</strong>ter Deaths.Mortality <strong>in</strong> <strong>Engl<strong>and</strong></strong> <strong>and</strong> Wales <strong>in</strong>creases more than o<strong>the</strong>r European countries with colderclimates. Studies f<strong>in</strong>d that regions with warm w<strong>in</strong>ters such as <strong>Engl<strong>and</strong></strong> have cooler homes <strong>and</strong>take fewer protective measures aga<strong>in</strong>st <strong>the</strong> cold. The number of extra deaths occurr<strong>in</strong>g <strong>in</strong> w<strong>in</strong>tervaries depend<strong>in</strong>g upon <strong>the</strong> temperature <strong>and</strong> level of d<strong>is</strong>ease (particularly ‘flu) <strong>in</strong> <strong>the</strong> populationas well as o<strong>the</strong>r factors. The elderly (age 75+) experience <strong>the</strong> greatest <strong>in</strong>crease <strong>in</strong> deaths eachw<strong>in</strong>ter.Excess w<strong>in</strong>ter deaths are def<strong>in</strong>ed as <strong>the</strong> difference between <strong>the</strong> number of deaths dur<strong>in</strong>g <strong>the</strong>four w<strong>in</strong>ter months (December – March) <strong>and</strong> <strong>the</strong> average number of deaths dur<strong>in</strong>g <strong>the</strong>preced<strong>in</strong>g autumn (August – November) <strong>and</strong> <strong>the</strong> follow<strong>in</strong>g summer (April – July). In <strong>Carl<strong>is</strong>le</strong>dur<strong>in</strong>g 2005 / 06 <strong>the</strong>re were a total of 60 excess w<strong>in</strong>ter deaths. Th<strong>is</strong> gives an excess w<strong>in</strong>terdeaths <strong>in</strong>dex of 17%. Th<strong>is</strong> compares to <strong>Cumbria</strong> as a whole where <strong>the</strong> excess w<strong>in</strong>ter deaths<strong>in</strong>dex for 2005 / 06 was 14%.16. Deaths From Suicide.The Government’s White Paper “Sav<strong>in</strong>g Lives: Our Healthier Nation” (1999) set a target toreduce <strong>the</strong> death rate from suicide <strong>and</strong> undeterm<strong>in</strong>ed <strong>in</strong>jury by at least a fifth by <strong>the</strong> year 2010.The likelihood of a person committ<strong>in</strong>g suicide <strong>is</strong> related to a number of factors. These <strong>in</strong>cludephysically d<strong>is</strong>abl<strong>in</strong>g or pa<strong>in</strong>ful illnesses, mental illness, alcohol <strong>and</strong> drug m<strong>is</strong>use <strong>and</strong> level ofsupport. Stressful life events such as <strong>the</strong> loss of a job, impr<strong>is</strong>onment, a death or divorce canalso play a part. For many people it <strong>is</strong> a comb<strong>in</strong>ation of factors which <strong>is</strong> important, ra<strong>the</strong>r than as<strong>in</strong>gle factor.Official suicides are those <strong>in</strong> which <strong>the</strong> coroner or official recorder has decided that <strong>the</strong>re <strong>is</strong>clear evidence that <strong>the</strong> <strong>in</strong>jury was self-<strong>in</strong>flicted <strong>and</strong> <strong>the</strong> deceased <strong>in</strong>tended to take <strong>the</strong>ir own life.Open verdicts or undeterm<strong>in</strong>ed <strong>in</strong>jury are those where <strong>the</strong>re may be doubt about <strong>the</strong>Fiona Hunt<strong>in</strong>gton 27 of 47

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