Joint Strategic Needs Assessment

Age Well

People are living longer, but they are not living longer in good health. This means that people are living longer with health problems, and a lower quality of life. 

There are 21,800 people living in Kensington and Chelsea aged 65 or over, which is expected to increase by almost 40 per cent in the next 20 years. 25 per cent identify themselves as being from a Black, Asian, or other minority ethnic background.

296 residents live in a care home (with or without nursing). Oral health can become worse for care home residents, and can lead to pain, difficulty eating, and potentially heart disease, and pneumonia.

One in 12 of our older population are living with dementia, and our diagnosis rates are below the London average. It is only through early identification of health conditions, the quality of care and support of carers that we can maintain the health and wellbeing of residents and ensure they maintain independence for as long as possible.

"The community around me is very special to me. As an old lady living alone, when my local support services check in on me and take time to listen, I get the feeling that 'somebody cares for me', and that is very special."

 

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Living in poor health

Residents live around 15 years in poor health.

The lifestyle choices we make can have a significant impact on our health in later life. On average, men are living around 13 years in poor health and women around 16 years. Residents in deprived areas typically live for more years in poor health.

 

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Screening and immunisations

Cancer screening, particularly breast, cervical and bowel cancer, is among the lowest in the country, with those with mental health needs least likely to access it. The flu vaccination uptake in winter by people at greater risk of developing serious complications if they catch the flu is low. Residents from a Black or Mixed background are least likely to have a flu or Covid-19 vaccination.

Find out more about screening and immunisations.

Help with self-care

Two in seven residents aged 65 and over need help with self-care.

7,200 adults over 65 were estimated to need help with at least one self-care activity, such as getting in and out of bed. Looking after an adult with a disability or health problem can be tiring, stressful and isolating. Our borough has approximately 2,300 residents who provide at least 50 hours of unpaid weekly care.

Find out more about support for carers.

 

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Living alone and loneliness

Nearly a third of residents aged 65 and over live alone.

Approximately 8,900 people over 65 live alone in Kensington and Chelsea. Nationally, it is estimated that around 10 per cent of those aged over 65 are lonely. There are four life events associated with social isolation among older people: retirement, falling ill, a spouse dying, and going into care.

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Living with dementia

One in 12 residents aged over 65 live with dementia.

Dementia is probably the most significant health care challenge we face and is now one of the most common causes of death in London and our borough. An estimated 1,800 patients live with dementia in our borough, with only 950 with a formal diagnosis from their GP. Prevalence is highest among Black or Black British residents. Leading a healthy and active lifestyle can delay the onset of dementia.

Find out about dementia support in Kensington and Chelsea.

 

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Dying well

In 2022, there were 858 deaths in Kensington and Chelsea.

Most people died of one of four major conditions: cancer (29 per cent of deaths), cardiovascular disease (25 per cent of deaths), respiratory disease (11 per cent of deaths) or dementia (nine per cent of deaths). Almost one in three people die at home. Three in five people who die have at least one emergency admission in the last three months of life, and around one in 20 have three or more emergency admissions in their last three months of life.

Read more about what we are doing to improve the health and wellbeing of residents.

Last updated: 14 January 2025