Bristol is a diverse city with thriving and growing communities, but also areas of deprivation.
To ensure we commission local healthcare that meets the needs of our communities, we’ve created three localities, allowing GPs who understand their practice populations to plan local services.
Inner City and East (ICE) Bristol
The Inner City and East area has around 145,000 residents served by 13 GP practices, including the Homeless Health Service which provides services for homeless and vulnerably housed people.
The area incorporates:
- Lawrence Hill
- St George
This diverse community has areas of high deprivation in the inner city and the highest proportions of black and minority ethnic (BME) residents in Bristol. For instance, 80 per cent of pupils in Lawrence Hill schools are from BME groups.
We also have a rapidly growing number of children aged five and under in the inner city.
Local health challenges in this locality include higher rates of drug, smoking and alcohol use compared to Bristol overall.
In East Bristol, we have growing numbers of children and a significant number of elderly people, representing a wide range of health needs.
We are striving to develop services in this locality that directly meet the community’s needs. A recent example of this is the Bristol Community Rose Clinic which provides care and support for women who experience problems because of female genital mutilation (FGM).
North and West Bristol
North and West Bristol has around 187,000 residents served by 17 GP practices, and incorporates:
- Lawrence Weston
- Stoke Bishop
- Clifton and Redland
This locality covers some of the most affluent parts of Bristol where many benefit from longer life expectancy and better health.
However, there is significant deprivation in some communities where people are more likely to die younger from cancer, heart disease and stroke. There is a difference in life expectancy of 9.6 years between the most deprived and the most affluent areas of this locality.
Tackling this health inequality is one of our major challenges and we’re committed to working with our patients to make healthy choices on diet, smoking and alcohol consumption.
South Bristol has around 159,027 residents served by 18 GP practices, and covers:
- Windmill Hill
The area has many 20–30-year-olds and the number of babies under one year has increased by 20 per cent since 2001. The number of people over 85 years old has also increased by 20 per cent.
Some parts of South Bristol are within the most deprived 10 per cent in the country. People in more deprived areas not only have lower estimates of life expectancy – they are also more likely to spend more of their later years with a disability or long-term condition.
Our aim is to support patients with long-term conditions such as heart disease, on-going breathing difficulties and cancer, by commissioning local services closer to their home so that fewer hospital trips are required.
A good example of how we are trying to do this is our work with healthcare providers at South Bristol Community Hospital, where we are increasing the range of local services provided at the hospital.
Weston, Worle and Villages (WWV)
Weston, Worle and Villages (WWV) has around 104,000 patients served by 11 GP Practices and 5 satellite surgeries. The area incorporates:
- Central Weston super Mare
- Winscombe and Banwell
Weston currently has an older demographic with pockets of significant deprivation and large health inequalities, whereas Worle has a younger population profile.
The health status of people in parts of this locality is poor compared to North Somerset overall with about 20% reporting a long-term disability that limits day–to-day activities.
Weston super Mare is undergoing a major transformation programme with significant new build housing developments at Winterstoke and Parklands Villages which will mean that the population and demographic profile of the area is expected to change significantly over coming years.
Through the Healthy Weston Programme we have an opportunity to develop a bright future for health and care services in Weston-super-Mare, Worle, Winscombe and the surrounding areas.
Woodspring has around 117,000 patients served by 7 GP practices and 6 satellite surgeries. The area incorporates:
- Long Ashton
The demographic of the locality is older with fewer young children. The health status of the population is generally better and many benefit from longer life expectancy. Even so about 17% report a long-term disability that limits day-to-day activities.
New build developments are expected near Nailsea, Yatton, Portishead and between Long Ashton and Bristol.
Particular areas of focus are developing local solutions for the isolated, frail patient and preventing ill-health and promoting well-being through patient education.
South Gloucestershire has over 270,000 residents served by 25 GP Practices.
South Gloucestershire is predominately rural although most of the population live in the urban areas. The population has grown over the past decade by 10% and is projected to rise by a further 17% by 2037. The biggest increases will be in the older age groups. At least 30,000 new homes are planned to be built by 2036 in South Gloucestershire.
The level of deprivation in South Gloucestershire is generally very low with the majority of areas being among the least deprived nationally. However pockets of overall deprivation exist, and deprivation related to access to services and education add complexity to the picture.
Overall health in South Gloucestershire is good and has been improving. Life expectancy is higher than the national average and has been rising. Mortality rates for most diseases, including cancer and heart disease, are below the national average and have fallen over the last decade.
Those living in deprived areas continue to experience comparatively poor heath, with a life expectancy gap of 6.3 years for men and 5.1 for women between the 10% most affluent and least affluent areas within South Gloucestershire.