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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

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

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Introduction.<strong>Carl<strong>is</strong>le</strong> <strong>is</strong> <strong>the</strong> <strong>most</strong> nor<strong>the</strong>rly <strong>city</strong> <strong>in</strong> <strong>Engl<strong>and</strong></strong>, <strong>and</strong> <strong>the</strong> only <strong>city</strong> <strong>in</strong> <strong>Cumbria</strong>. It <strong>is</strong> situated less thanten miles from <strong>the</strong> Scott<strong>is</strong>h border. <strong>Carl<strong>is</strong>le</strong> has <strong>the</strong> smallest population of any Engl<strong>is</strong>h <strong>city</strong> but <strong>is</strong><strong>the</strong> largest <strong>in</strong> l<strong>and</strong> area.The urban<strong>is</strong>ed areas of <strong>the</strong> City Council <strong>in</strong>clude, as well as <strong>the</strong> <strong>city</strong> of <strong>Carl<strong>is</strong>le</strong>, <strong>the</strong> towns ofBrampton <strong>and</strong> Longtown. The rema<strong>in</strong><strong>in</strong>g area <strong>is</strong> rural <strong>in</strong> nature.Road transport l<strong>in</strong>ks to <strong>the</strong> <strong>city</strong> <strong>in</strong>clude <strong>the</strong> M6 to <strong>the</strong> South, The A74 to <strong>the</strong> North, The A69 to<strong>the</strong> East <strong>and</strong> <strong>the</strong> A595 to <strong>the</strong> West.Rail l<strong>in</strong>ks are supplied by <strong>the</strong> West Coast ma<strong>in</strong> railway l<strong>in</strong>e with smaller l<strong>in</strong>es serv<strong>in</strong>g fur<strong>the</strong>rroutes.The <strong>city</strong> <strong>is</strong> situated at <strong>the</strong> confluence of three rivers – <strong>the</strong> Eden, Petteril <strong>and</strong> Caldew. Follow<strong>in</strong>gsevere gales <strong>and</strong> heavy ra<strong>in</strong> <strong>in</strong> <strong>the</strong> w<strong>in</strong>ter of 2005 <strong>the</strong> <strong>city</strong> was subject to severe flood<strong>in</strong>g.Follow<strong>in</strong>g th<strong>is</strong> a Task Group – <strong>Carl<strong>is</strong>le</strong> Rena<strong>is</strong>sance - was establ<strong>is</strong>hed to ensure <strong>the</strong> economic,physical <strong>and</strong> social regeneration of <strong>the</strong> <strong>city</strong> <strong>in</strong> <strong>the</strong> aftermath of <strong>the</strong> floods.<strong>Carl<strong>is</strong>le</strong> City Council <strong>is</strong> <strong>in</strong> <strong>the</strong> lowest one fifth of local authorities <strong>in</strong> <strong>Engl<strong>and</strong></strong> for four of five givenhealth <strong>and</strong> deprivation <strong>in</strong>dicators. Local authorities identified as such are designated SpearheadLocal Authorities, l<strong>in</strong>ked to <strong>the</strong> appropriate Primary Care Trust <strong>and</strong> have targets to see fasterprogress compared to <strong>the</strong> average towards reduc<strong>in</strong>g <strong>in</strong>equalities <strong>in</strong> <strong>the</strong> health of <strong>the</strong> localpopulation.1. Population.The City Council covers 15% of <strong>the</strong> area of <strong>Cumbria</strong> <strong>and</strong> has 21% of <strong>the</strong> total <strong>Cumbria</strong>npopulation with 100,739 <strong>in</strong>habitants. Of <strong>the</strong>se 71,773 live with<strong>in</strong> <strong>the</strong> boundaries of <strong>the</strong> <strong>city</strong>. Th<strong>is</strong><strong>is</strong> around 71% of <strong>the</strong> population.<strong>Carl<strong>is</strong>le</strong>’s proportion of residents over <strong>the</strong> age of 65 <strong>is</strong> 19%, similar to that of <strong>the</strong> rest of <strong>Engl<strong>and</strong></strong>.However <strong>the</strong> population of older people <strong>is</strong> predicted to r<strong>is</strong>e considerably <strong>in</strong> <strong>the</strong> future, withpopulation projections of 29.4% <strong>in</strong> th<strong>is</strong> age group by 2014 <strong>and</strong> 39.4% by 2029, compared to18% <strong>and</strong> 22% respectively for <strong>the</strong> rest of <strong>Engl<strong>and</strong></strong> <strong>and</strong> Wales. Th<strong>is</strong> means that <strong>Carl<strong>is</strong>le</strong> will havea much higher proportion of older residents than <strong>the</strong> average for <strong>the</strong> rest of <strong>the</strong> country.The proportion of younger adults <strong>in</strong> <strong>the</strong> 20 – 39 age group <strong>is</strong> lower than <strong>the</strong> average for <strong>Engl<strong>and</strong></strong>at 25% compared to 27%.Figure 1 shows <strong>the</strong> population structure of <strong>Carl<strong>is</strong>le</strong> by age b<strong>and</strong> compared to <strong>the</strong> rest of<strong>Engl<strong>and</strong></strong> <strong>and</strong> Wales.Fiona Hunt<strong>in</strong>gton 4 of 47

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