<strong>Physical</strong>, <strong>sensory</strong> <strong>and</strong> <strong>learning</strong> <strong>disability</strong>with 26% aged between 25 <strong>and</strong> 44 <strong>and</strong> 7% between 16 <strong>and</strong> 24.Table 1: People aged 18-64 predicted to have a moderate or serious physical<strong>disability</strong>, by age, projected to 20302010 2015 2020 2025 2030People aged 18-24 predicted to have a moderatephysical <strong>disability</strong>People aged 25-34 predicted to have a moderatephysical <strong>disability</strong>529 465 427 436 480667 736 732 671 630People aged 35-44 predicted to have a moderatephysical <strong>disability</strong>People aged 45-54 predicted to have a moderatephysical <strong>disability</strong>People aged 55-64 predicted to have a moderatephysical <strong>disability</strong>1190 1051 1051 1182 11902108 2108 1947 1723 17363270 3167 3312 3333 3084Total population aged 18-64 predicted tohave a moderate physical <strong>disability</strong>7764 7527 7469 7345 7120Source: PANSI, 2010Table 2 shows that 3,117 people between the ages of 18 <strong>and</strong> 64 have a <strong>sensory</strong><strong>disability</strong>. The majority of these (89%) are aged between 45 <strong>and</strong> 64 with 10% agedbetween 25 <strong>and</strong> 44 <strong>and</strong> only 1% between 16 <strong>and</strong> 24.Table 2: People predicted to have a moderate or serious <strong>sensory</strong> <strong>disability</strong>, byage, projected to 20302010 2015 2020 2025 2030People aged 18-24 predicted to have a moderateor severe <strong>sensory</strong> impairmentPeople aged 25-34 predicted to have a moderateor severe <strong>sensory</strong> impairmentPeople aged 35-44 predicted to have a moderateor severe <strong>sensory</strong> impairmentPeople aged 45-54 predicted to have a moderateor severe <strong>sensory</strong> impairmentPeople aged 55-64 predicted to have a moderateor severe <strong>sensory</strong> impairmentPeople aged 65-74 predicted to have a moderateor severe visual impairment23 21 19 19 2079 86 86 79 74251 221 219 243 244958 951 882 782 7961,806 1,746 1,800 1,831 1,6862,392 2,938 3,280 3,244 3,4144
<strong>Physical</strong>, <strong>sensory</strong> <strong>and</strong> <strong>learning</strong> <strong>disability</strong>People aged 75 <strong>and</strong> over predicted to have amoderate or severe visual impairment6,016 6,581 7,725 9,575 11,077Total population aged 18+ predicted tohave a moderate or severe hearingimpairment11,525 12,544 14,011 15,773 17,311Source: PANSI <strong>and</strong> POPPI, 2010Learning <strong>disability</strong>The current HM Government definition of ‘Learning Disability’ is set out in ValuingPeople, the 2001 White Paper on the health <strong>and</strong> social care of people with <strong>learning</strong>disabilities, included the following definition of <strong>learning</strong> disabilities.‘Learning <strong>disability</strong> includes the presence of:• a significantly reduced ability to underst<strong>and</strong> new or complex information, to learnnew skills (impaired intelligence), with;• a reduced ability to cope independently (impaired social functioning);• which started before adulthood, with a lasting effect on development.’The Public Health Observatory for Learning Disabilities [Improving Health <strong>and</strong> Lives:Learning Disabilities Observatory] is reviewing, with the Department of Health (DH)<strong>and</strong> the new Confidential Inquiry into premature deaths of people with <strong>learning</strong>disabilities (CIPOLD), this definition <strong>and</strong> has published a document outlining a workingdefinition (http://www.improvinghealth<strong>and</strong>lives.org.uk/uploads/doc/vid_7446_2010-01WorkingDefinition.pdf).Adults with <strong>learning</strong> disabilities are one of the most vulnerable groups in society,experiencing health inequalities, social exclusion <strong>and</strong> stigmatisation. In general, adultswith <strong>learning</strong> disabilities have greater <strong>and</strong> more complex health needs than the generalpopulation, <strong>and</strong> often these needs are not identified or treated. The Quality <strong>and</strong>Outcomes Framework (QOF) includes a register of patients with a <strong>learning</strong> <strong>disability</strong>,which included 665 for <strong>Halton</strong> as at 1 st January 2010.Life expectancy of this group is shorter than the general population, though this hasincreased recently. In addition a number of national reports have highlighted thatadults with <strong>learning</strong> disabilities often experience barriers to accessing healthcareservices, <strong>and</strong> poor levels of care. Indeed, adults with <strong>learning</strong> disabilities are morelikely to die from a preventable cause than the general population.Patterns of health needs amongst adults with a <strong>learning</strong> <strong>disability</strong> are different to thegeneral population, <strong>and</strong> therefore current programmes that target health inequalitiesmay exclude this population group.5