Vital Issues Report The Isle of Man Community Foundation A highlight of views and information from the Isle of Man regarding issues faced by local communities. The results will allow better needs analysis and targeted philanthropy. Reg.number 1126 Contents Acknowledgements: ................................................................................................................................... 3 Executive Summary .................................................................................................................................... 4 1.Work ........................................................................................................................................................ 8 2. Fairness ................................................................................................................................................. 13 3.Housing and Homelessness .................................................................................................................. 16 4. Safety .................................................................................................................................................... 19 5. Learning ................................................................................................................................................ 23 6. Arts, Culture and Heritage ................................................................................................................... 29 7. Strong Communities ............................................................................................................................. 32 8. Environment ......................................................................................................................................... 35 9. Healthy Living ....................................................................................................................................... 39 10. Local Economy .................................................................................................................................... 45 Conclusions ............................................................................................................................................... 49 Bibliography .............................................................................................................................................. 50 2 Acknowledgements: Thanks must go to the great Manx public who have given their time to talk to the IOMCF and to complete the survey and for supporting this work. Thanks also go in particular to Neal Mellon, Cathy Hayhow, Judy Jackson, Manx Museum library (Sue Nicol), Margaret Simpson, staff at Tynwald library, David Gawne and Jackie Betteridge and the members of the public who helped with the survey and the focus groups. Most importantly, we would like to acknowledge our grateful appreciation to the Manx Lottery Trust who have sponsored this research. Nicky Pattinson Dip Eur Hum. BA (Hons) PGCE, FHEA 3 Executive Summary VitalSigns® is the name given to a research project designed to check on the health of a local community. It is important because it will support the three aspects of the Community Foundation’s work that is: a) To advise donors who will create endowments or grants on areas of the community which need support; either people, the environment of the cultural life we all enjoy. b) To encourage us all to support or initiate projects that will help the less fortunate to participate more fully in a happier, healthier and more culturally enriched environment. c) It will allow us to focus accurately on strategic and effective granting by informing us better about our local community. It is organised and co-ordinated by the UK Community Foundation. Its aim is to produce a snapshot of a local community and show both strengths and weaknesses by selecting statistical measures or indicators and informed debate for a number of issues to tell us what is happening in our community. Using both qualitative and quantitative research an overall picture of both the measure and the meaning of our community’s social structure should be revealed. Perhaps most importantly, it should allow us to measure the involvement of the community in its own development. The themes which are used to measure the Vital signs are: Work Housing and homelessness Learning Arts, culture and heritage Strong communities Safety Fairness Healthy Living Local economy Environment On the face of it, the Island is doing well with continuing economic growth and there are many areas we should be proud of. We live in some of the most beautiful scenery, with a temperate climate and a generous and caring community. Our survey reveals a general 4 contentment with the standard of living and a population which feels safe with good cultural opportunities. The growth of GDP over a long period would suggest a stability which other nations would be envious of, but there seems to be an underlying worry that we might have too many eggs in one basket. Worries include the cost of housing and the hidden suffering of the low earners, and looking to the future, concern arises from an aging population and the strain this will inevitably cause on the health care system and on accommodation provision. Each section ends by identifying an area, or areas, where a trend is developing that might require action going forward. By being proactive rather than reactive, resources can be better utilised and life for people on the Island improved. Our population is our greatest asset and so by working and talking together we can achieve that aim together. What you can do to help Unlike many reports, VitalSigns® relies on the assistance of the public. Through the survey and the focus groups, we can add flesh to the bones of the statistical report through your comments and observations. Our Facebook page also opens a route to make useful contacts and we welcome and actively seek your input. Methodology, Grading and Limitations. The report was constructed following UK VitalSigns® standards using quantitative and qualitative data, materials available from government, the press and commercial interests. As well as acting as an analysis of good performance and where action is needed, it also acts as a starting point for discussion. Unfortunately, some data was incomplete or more than 6 years old, other important data was simply not available. Here on the Island we do not yet have a freedom of information act and so some statistics are not in the public domain. As a matter of interest, certain data sets which are freely available in the UK, are not collated here (morbidity and mortality stats, child poverty and homelessness stats to name a few) but there is some talk that this situation may well be under review and so hopefully when the next VitalSigns® report is 5 produced in 3 years time, the picture may be clearer. For those wishing to learn more, there are footnotes at the bottom of the page and a bibliography at the end of the report. A large part of this report is down to the kindness and cooperation of the Manx public. A survey was launched in July and the comments and results from the 318 respondents have been incorporated here. The survey was carried out using SurveyMonkey and the public were invited via Facebook, the IOM CF website and local leafleting. The survey was limited by time constraints. As a new foundation, the time run-up to publishing deadlines was necessarily short and so it was especially pleasing to note the enthusiasm for the project in all who were approached. This bodes well for the future. What do the grades mean? In our survey, recipients were asked to grade the 10 areas of interest from A to E A= Everything is great. Let's keep things as they are. B= Things are doing well, but we could improve. C= The situation is OK, but we could do a bit better D= Things are not going well; we should take action soon E= Things are going badly. We must act now! NB. Not all totals add to 100% as not all respondents answered all the questions. In addition, respondents were also invited to include an email address if they were interested in taking part in a focus group. The interest shown here was gratifyingly high with 27% offering contact details. Respondents by residence Respondents by gender male 37% female 63% East South West North 0.00% 20.00% 40.00% 60.00% 6 Vital Issues As this is our first report on the Vital Signs of the Isle of Man, we have found ourselves treading new ground. The help and support we have had from all walks of life has been enormous and we are very grateful to public officers, private individuals and the 3 rd Sector for their input. We have however hit a number of difficulties, primarily in the retrieval of statistics which in many cases are simply not collated, or if they are, not open to public scrutiny. The picture becomes muddied when statistical evidence is missing and although anecdotal evidence is there in abundance, it’s not too useful for precise planning or reporting. We see the access to statistical data as being an essential element for understanding, planning and transparency. A freedom of information act is key to this. From our research we see two major areas of immediate concern: Child and senior poverty Homelessness. These two themes are not unconnected. Our evidence is largely anecdotal from focus groups and workers in the field as there are no available statistics to scrutinise. There are however unacceptable levels of child poverty (often linked to parental accommodation problems). Economic deprivation isolates and can lead to social deprivation and poor health outcomes. Action Points: We need access to statistical information to assess child poverty levels. We need a clearer picture of the numbers of people aged 65+ who require work, who are looking for work and who have been put out of work because of their age. Having that information would enable us to accurately direct assistance in ways that are either practical, financial, or both. We need more information about housing. We need to know the standards of housing offered to those on benefits, and the standard of social housing. Poor housing is expensive and can accelerate the difficulties of those in most need. It is most likely that children living in poor housing will be those with the poorest outcomes educationally, emotionally and in their health. . We have been impressed by the dedication and hard work done by the charities and they must be considered to be one of the Island’s greatest assets. For this reason, it is important that they work efficiently together so that their work is known to a wider audience and reaches all those in need. Any missed opportunities for cross-over links must be bridged for better efficiency and the IOMCF could be that conduit. It is hoped that this report will start a dialogue between all interested parties to build on our strong community to create a more vibrant Island. 7 1.Work Survey results Talking point: The Island has enjoyed a prolonged period of comparatively high employment when paced against the UK (since 1996)1. The unemployment rate in The Isle of Man stands at 2.2%. In January 2015, there were 973 persons registered as being unemployed, with 339 positions vacant at the Job Centre. 642 vacancies were posted during that month. 194 (20%) have been unemployed for more than one year. 2 1 2 P.5 http://www.gov.im/media/1345872/iom-government-joint-strategic-needs-assessment-2014.pdf www.gov.im/catagories/working-in-the-isle-of-man/unemployment 8 The unemployment rate on the Island remains low at around 2.2% as compared with the UK which stands at around 5.7%3 Of the claimants, the majority lay in the 20-29 age bracket as shown in the graph below. Ages of Unemployed 350 300 Under 20yrs 250 20-29 200 30-39 150 40-49 100 50-59 50 60-64 0 Feb-15 3 The majority of the unemployed are men http://www.tradingeconomics.com/united-kingdom/unemployment-rate 9 The Isle of Man government collates unemployment statistics, but the most recently published employment statistics come from the 2011 census return 4 which showed that there were 43,134 economically active people on the Island, with 23,126 being male and 20,008 being female. Men are deemed economically active between the ages of 16 and 65, and women until the age of 60. The overall population was 84,497 on the date of the census. National Income per head in the IOM and the UK 2007/8- 2011/12 NB. GVA = GDP+subsidies- taxes (direct & sales) Year 2007/8 2008/9 2009/10 2010/11 2011/12 4 UK GVA per capita (£) 20,524 21,103 20322 20925 21693 IOM GDP per capita (£) IOM GDP per capita as % of UK GVA 34,954 38,638 39,276 41,761 44,660 170 183 193 200 206 http://www.gov.im/lib/docs/treasury/economic/census/census2011reportfinalresized.pdf 10 National Income per head in the IOM and the UK 2007/8- 2011/12 Economic performance and average earnings are higher than the UK in general .5 In 2014, the median wage for men was £564 per week and for women, £527. The average weekly wage for men was £663 and for women, £572. Percentages are shown below. 2014 wages female average 46% 5 male average 54% http://www.gov.im/media/219326/digest_2014.pdf p.94 11 Vital Issues: Women’s wages continue to be significantly lower than men’s. The way the statistics are collated does not show how many over 60-65 years experience unemployment or whether any are actively seeking work. With an increasingly aging population, should we expect our citizens to be economically active for longer, and if so, are we supporting them? It is not easy to pull out any meaningful statistics to show how many are in unpaid work, part-time work or are working at below their qualified status. The only measure is how many are actually claiming unemployment benefits. It may be useful in the future to look at how many hidden unemployed there are e.g. returning students, those past 60 years of age etc. 12 2. Fairness Survey results Talking Point : Fairness is a very subjective phrase; we all think we know what it means and have individual margins by which we would measure it but which may differ widely between judges. However, from whatever your standpoint, all would agree that fairness implies evenhandedness, an absence of prejudice and lack of discrimination. A recent poll in the USA showed that some 87% thought that “our society should do whatever is necessary to make sure that everyone has an equal opportunity to succeed”. 6 Wanting something and achieving it are sadly not always matched. The question we are asking here is whether or not there are sections of Manx society to whom this does not apply; are there any groups who are being dealt a rough hand? In 2012, the World Bank rated the Isle of Man 8th in the world in terms of national income per person – 30 years ago it was not in the top 50. 7 However, over the next 20 years, the Island is forecasted to see a 75% increase in the numbers of OAPs (16,999 to 26,141) with only a 2% increase in the numbers of people of working age and a 7% increase in the 6 P.xi Stiglitz, J. The Price of Inequality Penguin Books: 2013 London 7 . http://www.whereyoucan.com/ibweb/res/pdf/pdf/vision2020-leaflet.pdf 13 number of children. 8 Clearly this is going to cause financial, health and societal engagement difficulties if all else remain the same. The most deprived areas are in parts of Douglas, Ramsey and Castletown, and in particular in the areas where there is the most local authority housing. Kirk Michael is the least deprived area with only 1% of the population there being classed as income deprived9. Some of the most income deprived areas are next, or close, to some of the least deprived areas of the island. There were 99 food parcels given out between December 2013 and March 2014. 10 The IM1 & IM2 postal areas of Douglas saw the highest value of emergency grants and loans distributions per head between 2011 and 2013. The top 3 areas for employment deprivation are within Douglas, followed by Ramsey. One of the measures of Fairness is the level of child poverty. Children who are brought up in poverty are less likely to have long lives, will be more likely to take up smoking, have higher levels of teenage pregnancy and suffer poorer health outcomes including mental health problems, respiratory disease, obesity and misuse alcohol. 8 9 https://www.gov.im/media/1345872/iom-government-joint-strategic-needs-assessment-2014.pdf “Individuals, families and groups in the population can be said to be in poverty when they lack the resources to obtain the types of diet, participate in the activities, and have the living conditions and amenities which are customary, or at least widely encouraged or approved, in the societies to which they belong. Their resources are so seriously below those commanded by the average individual or family that they are, in effect, excluded from ordinary patterns, customs and activities. (Townsend, 1979) Found at: http://www.poverty.ac.uk/definitionspoverty/deprivation-and-poverty 10 Ditto 14 The Island collates facts and figures differently from the UK, but 11 : 25% of children are unhappy or worried 1 young person a week becomes estranged from their parents An average of 34 children are reported missing from home a year Children are present in 50% of reported domestic abuse incidents There are roughly 304 young carers 3 in 10 children experience poor dental health 89 (5/1000) children are looked after. 34 (2/1000) children are subject to child protection plans 5 children are in off-Island placements where highly specialised services are required 412 children were referred to the Youth Justice Team. 12 Vital Issues: Some statistics come from very small sample surveys so some caution must be exercised before drawing conclusions More work must be done to look at levels of poverty in the elderly and children and the accessibility to support, particularly with the expected rise in the in-balance “Failure to provide early help is costly for the individual, in terms of greater complexity of problems and poorer outcomes, for the public purse in terms of service intervention costs, and the wider community in terms of higher crime rates and poor environments in which we live.” between the elderly and the working “Every child will have the best possible population. opportunities in life: Strategy for children and It is not possible to accurately compare young people 2015-20120” IOM Government the Island with the UK as the method and detail of statistics are not equal. Indices which are not added include numbers of emergency grants given and food bank parcels as two such examples 13. 11 The following figures are not date specific. P.5 “Every child will have the best possible opportunities in life: Strategy for children and young people 2012-2015” IOM Government. NB some of these figures are extrapolated from small data sets. 13 P.14 http://www.gov.im/media/1345872/iom-government-joint-strategic-needs-assessment-2014.pdf 12 15 3.Housing and Homelessness Survey results Talking Point : At the moment, there is no way of comparing the Manx and the UK occupancy rates, but it is thought 14 that levels would be higher than the anticipated 1.8% if the same rating method was used as is employed in the UK. The last housing survey was in 2005 (report in 2007) and used a very small data-set. Only private housing stock was assessed. No governmental figures for homelessness are tallied. 28% of housing stock in 2007 was classed as “non-decent” compared with 30% of UK housing. One of the criteria for this was to ask whether or not a property had central heating. It should be accepted that the presence of central heating neither confirms the ability to afford to run it nor its worthiness to heat a whole house, just as the absence cannot confirm that a property is cold or damp. New housing and new flats provide fewer rooms then older housing. The modern requirement for more bathrooms tends to eat into available living space. 15 14 15 House prices on the Island are higher than in the UK. Joint Strategic Needs Assessment June 2014 https://www.london.gov.uk/sites/default/files/archives/uploads-space-standards.pdf 16 House Prices in IOM & UK 300,000 250,000 200,000 UK 150,000 IOM 100,000 50,000 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Source: 2014 Digest of Economic & Social Statistics & Office of Nation’s Statistics (UK) If average wage at 2013 was £620 a week and average house price was £259,433 then the multiplier would then be 8.05 compared with the UK which now stands a 5.02 . Percentage of housing stock 2013 Buying (mortgage or loan) Owning outright Renting (public stock) Renting (private stock) Renting from Employer Other Source: Households by Tenure 2001 : 2014 Digest of Economic and Social Statistics 17 Despite being home to many on the Sunday Times rich list, the Isle of Man also has a darker side which has been described by a charity as a "hidden problem".16 In the UK, there is a statutory requirement to help those facing accommodation challenges. The Housing Act 1977, Housing Act 1996, and the Homelessness Act 2002, placed statutory duties on local housing authorities to ensure that advice and assistance to households who are homeless or threatened with homelessness is available free of charge. 17 On the Isle of Man, there is no such legal provision which means that the only recourse available is from the third sector. Because there is no legal provision, there are no government statistics on levels of homelessness (either acute or temporary). There is a common misapprehension that this is not a problem which affects many Manx residents. Evidence from the third sector paints a very different picture. In 2013, the charity “Housing Matters” helped around 300 clients, 10% of whom were under the age of 18. In 2014, another charity (Graih) supported around 130 people and provided 3,700 meals. Clearly, this is a very real concern on the Island, possibly made more so by the political paradigm and our survey demonstrates the level of concern. Vital Issues Renting from private and from public stock is broadly equal in number. Currently, the government are looking at introducing legislation to regulate private landlords, but there is nothing agreed to date. Legislation for housing paid for through benefits may well have to be drawn to ensure a decent standard. Affordability is unreachable for many with the cost/wage multiplier being high. There is a clear lack of governmental evidence on both quality of the housing stock, and the levels of homelessness. 16 http://www.bbc.co.uk/news/world-europe-isle-of-man-25462922 17 https://www.gov.uk/homelessness-data-notes-and-definitions 18 4. Safety Survey results Talking Point: Historically, the Island has had a low crime rate, but since the the Chief Constable’s report of the 2013-14 statistics was published, there has been a sharp spike in recorded crime. 18 The Isle of Man is not bound by the UK government’s assessment by target culture. In his annual report last year, the Chief Constable was able to report another drop in recorded crime (a little over 4%) but is at pains to add that in terms of policing time, recorded crime accounts for around a third, with incidents involving mental health crisis, suicides and other “events” which can be attributed to socio-economic factors taking up more and more resources. Again, we find that many issues highlighted in his report are not specifically collated and we must rely on evidence which may be incomplete or anecdotal. 19 18 19 http://www.iomtoday.co.im/news/isle-of-man-news/double-digit-increase-in-crime-in-isle-of-man-1-6651627 https://www.gov.im/media/1305943/chief_constable_s_annual_report_2013_-_2014.pdf 19 Types of Recorded Crime Offences against Person Offences against property Drug offences Acquisitive offences Other 2% 25% 37% 9% 27% Recorded Crime by Offence 800 700 600 500 400 300 2011-2012 200 2012-2013 100 2013-2014 0 20 “I wish to highlight what I consider to be the biggest threat to the safety of children and young people on the Island. It is this: a growing fear amongst professionals about the sharing of information. Whereas the Island’s data protection laws are broadly the same as those found elsewhere in the British Isles, the interpretation of those laws given by officials charged with overseeing data protection matters differs considerably. As a result, there are increasing signs that professionals here are becoming afraid to share information. I know that my strategic level partners share my concerns.” Chief Constable Gary Roberts Crime comparison by country, per 1000 population per year. 80 70 60 50 2011-12 40 2012-13 30 2013-14 20 10 0 IOM Guernsey Jersey England & Wales NB.It must be noted that the above graph can be indicative only, as each jurisdiction has its own laws and ways of collating statistics. For instance, the Island includes Public Order Offences whereas the Channel Islands do not. Should these be removed, then the Island would have an 8% drop in recorded crime. 21 The number of traffic collisions continues to decrease with 24 fewer recorded last year. Financial crime would appear to be on the rise with an increase of 333 over the previous year Armed police were deployed 5 times during the last reporting year, but with no requirement to discharge any firearms. Levels of drink-driving and emergency calls to the Police remain static. Youth Justice referrals dropped by 28% and there were about 25% fewer final warning cautions issued. “The growing involvement of the Constabulary in mental health issues is a cause for concern. During the year there were frequently occasions in which officers were called to find mentally ill people, who had gone missing and who were at risk of harm. Every indication exists that this is a growing problem and one for which there are no easy solutions” Chief Constable Gary Roberts Vital Issues: The police force is too frequently the first point of contact for those experiencing mental health emergencies. It is possible that reluctance to share vital information between agencies may be putting children at risk. Decreasing budgets may see our falling crime rate alter in future years. 22 5. Learning Survey results Talking Point: In many respects, the students on the Isle of Man are fortunate. Exam results at GCSE and A level remain good, and if continuing to higher education, the students have to contribute £2500 towards the fees annually (not means tested) or if the parents combined income is above £100,000 a further contribution is required. This is considerably lower than in England and Wales. There have been substantial cuts to the budgets recently and considerable reorganisation of primary schools in particular has occurred. The removal of pre-school education as provided by the government may well reveal differences later on in children’s educational careers. Early Years (i.e. pre-school) data suggests that attainment criteria on entry to school continues to improve. 23 Early years attainment scores on school entry 90 80 Personal, social & emotional development 70 Communication, language and literacy 60 50 40 Problem solving, reasoning and numeracy 30 Physical development 20 Creative development 10 0 2009 2010 2011 2012 2013 20 With the removal of Early Years government provision, this is a marker which needs to be watched. Key Stage 2 (7-11yrs) Teacher assessment with average point scores attainment 28.6 28.4 28.2 28 Girls 27.8 Boys 27.6 All 27.4 27.2 27 2009 20 2010 2011 2012 2013 It would appear that attainment levels at Key Stage 2 are falling. Girls perform better than boys although the gap seems to be shortening. https://www.gov.im/media/1345872/iom-government-joint-strategic-needs-assessment-2014.pdf 24 GCSE Results 2013 120.00% 100.00% 80.00% 60.00% GCSE Results 2013 40.00% 20.00% 0.00% A* -G A* -A A*-C There were 860 year 11 student in 2013 in the 5 secondary schools Of the 7,900 entries, 92% were in GCSE subjects : 730 in BTEC, First Certificates and Diplomas in digital application: 615 were for short course GCSEs. This makes an average entry of 9.7 subjects per student. IOM statistics, unlike those in England and Wales only include state schools, not independent or further education colleges. Average GCSE score per pupil was 387 in 2013. 21 Over 80% continue into further education. From 2015, all schools will be following the Cambridge IGCSE programme except in certain subjects, where schools will collaborate and use one examining board. The average gaining 5 or more A*-C in England 68.8% on the Island, the figure was 64% in 2012-1322 21 22 https://www.gov.im/news/2013/aug/22/provisional-gcse-examination-results-2013/ http://www.bbc.co.uk/news/education-28868543 25 A Level Results 100 98 BHS 96 CRHS QE11 94 RGS 92 SNHS IOMCOL 90 88 2009 2010 2011 2012 2013 Percentage of A & AS level results for each school + IOM College 2009 – 2013 Grades A* - E Percentage of A and AS entries gaining grades A*-B (A-B up to 2009) Including all full Level 3 awards. AS Levels counted as 0.5 60 50 BHS 40 CRHS QEII 30 RGS 20 SNHS IOM 10 0 2009 2010 2011 2012 2013 Students took an average of 3.8 subjects and achieved a 97% pass rate. 43% achieved A* to B grades The average UCAS points were 314, which equates to more than 3 AS at a grade B. 26 Post Year 13 Employment 6th Form IOM College Unemployed Unknown Other 23 There are approximately 413 children not in education, training or employment. 24 Whereas the Higher Education Statistics Agency can offer detailed information about what subjects are taken and break these figures down into mode of study and location, similar figures are not available to the public on the Isle of Man. The British Irish Council’s document of 2009/10 showed that 474 first-year students from the Isle of Man took up places at UK universities. Of these, almost 90% enrolled on courses at English institutions25 and a possible 40% returned to work on the Island. This estimate was based on a very small sample and should be treated with extreme caution. Vital Issues: Attainment at Key Stage 2 seems to be falling. It is not uncommon for children, particularly boys, to drop performance slightly on moving to a senior school, but the falling standard at Key Stage 2 is unexpected and a cause for concern. The number of NEETS (Not in Education, Employment or Training) is only an approximation with no accurate figures kept. More needs to be done to ascertain 23 24 25 https://www.gov.im/media/1345872/iom-government-joint-strategic-needs-assessment-2014.pdf Strategy for Children and Young People 2015-2020 http://www.britishirishcouncil.org/sites/default/files/attachments/Higher%20Education%20Student%20Migration%20Flo ws%20Paper.pdf 27 where these youths are, what provision has been made for them and if a programme is in place. The introduction of the new IGCSE is a challenge facing both teachers and students but should offer a worthwhile and internationally recognised qualification. 28 6. Arts, Culture and Heritage Survey results Talking Point. The Isle of Man has a firm identity based on its Celtic and Viking history with active arts, crafts and music groups across the Island. In recent times, it has benefited by the presence of The University if Liverpool’s Centre for Manx Studies which ran courses and a research centre. Although this has now closed, there continues to be an active interest in local history and this is shared with residents and visitors alike via Manx National Heritage’s many sites and activities. The Island is also internationally known for its sporting achievements and it is fair to say that a large proportion of the residents are actively engaged in sporting activities. For a small Island, we boast 2 castles, Olympic cycling champions, an internationally known motorcycling event, 3 theatres, 2 cinemas and a vibrant local music culture which can be heard in many and various venues. Most recently, the Island has registered 26 “Dark Sky Sites”. It is hoped that this will boost tourism, which in 2012 generated a visitor income spend of around £103 million. 26 Amenities The Island does not collate information which can produce an amenity score; however 26 There are 11 museums https://www.gov.im/media/626699/isleofmantourismvisitoreconomy.pdf 29 2 castles & 1 Abbey 2 Art Centres (Peel & Port Erin) 5 folk /political history museums 1 i-museum Celtic crosses in churches around the Island & at the Douglas museum A variety of ancient sites Glens, beaches and miles of public footpaths. 2 cinemas A restored theatre A variety of art galleries, private and publically owned. 229 restaurants A concert hall with cinema and smaller venue rooms. Employment in Creative Industries The Isle of Man government does not collate statistics to enumerate those employed in the creative industries, but there is a thriving network of artists and artisanal workers. Some of these are part-time, but many make their livings from artistic production. Likewise, there are no statistics available to see how many work in advertising, performing arts, journalism and writing, broadcasting, antique retail or other creative and media situations. This is perhaps an area which may need addressing. However, in 2011, 679 people were employed in Tourist accommodation services and 2,129 in catering and entertainment. Vital Issues: It is not possible to say how many locals use the cultural opportunities on the Island, or from which sectors of society they come from. The expense of transport can limit the visits of school parties outside the capital to Douglas based museums and sports centres. As before, the lack of statistical evidence limits the conclusions which can be drawn. 30 The conclusion which can be drawn from the survey is that there are high levels of satisfaction with the provision of arts and culture on the Island. 31 7. Strong Communities Survey results Talking point: A sense of belonging helps foster a strong and positive sense of community; a strong sense of community improves wellbeing, “thin trust,”27 and so honesty and helpfulness. Although this is hard to quantify, there are ways to assess engagement within the community. Two of these are participation in the democratic process and in the voluntary sector. There were around 60,000 potential voters for the 2011 general election28 Voting age is now 16 years (since 2006) Voting participation is very poor; Ramsey Commissioners’ election of 2012 attracted a very low 23% turnout. 29 In 2001 the General Election saw only 59% taking up their democratic right. 30 27 “Thin trust” has been defined as the trust between acquaintances which leads to higher behaviour standards. P.136-7Robert Putnam “Bowling Alone” Simon and Schuster Paperbacks, New York 2000 28 http://www.bbc.co.uk/news/world-europe-isle-of-man-15033154 29 http://www.iomtoday.co.im/news/district-news/was-weather-to-blame-for-low-voter-turnout-1-4503867 30 http://www.iomtoday.co.im/news/isle-of-man-news/suggestions-to-boost-voter-turnout-1-1740882 32 Percentage Turnout 2011 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Average = 57.15% Although women were given the vote in 1881, there is very poor representation of the female gender in the political field. Currently there are only 3 women in Tynwald. Kate Beecroft is a publically elected MHK, as is Brenda Cannell. Claire Christian is the President of Tynwald and was last elected by public ballot in 1981.31 Voluntary Sector The Island has a long and vibrant history of charitable work, both on and off Island. The Island frequently wins the British Legion cup for most money collected per capita for their annual Poppy Appeal for instance. Developing social capital, the Third Sector is established voluntarily by concerned citizens who choose to organise in order to get things done. Free from governmental constrictions, they see an area which needs to change and driven by their own culture, values and methodologies they are able to organise and lobby. Frequently, motivation comes from personal, local experience which can further aid close societal connections but conversely also means that many duplicate the aims of similar charities. Communities which work together for a common purpose forge links which extend further than a particular cause. 31 http://www.tynwald.org.im/memoff/member/Pages/ChristianCM.aspx 33 In total, there are slightly over 800 registered charities on the Island making a ratio of 1:10 “Statutory bodies must appreciate that third sector organisations often achieve aims much more quickly than statutory processes and conversely, Government operates within a different structure to that of third sector organisations. Everyone should be flexible in their approach to partnership working, being prepared to adapt to others’ (often those closer to the ground) suggestions.” British-Irish Council CONTRIBUTION OF THE THIRD SECTOR TO SOCIAL INCLUSION REPORT TO MINISTERS, March 2010 approximately. More than £40 million is generated by over 7,000 volunteers or 8.75% of the population. This figure does not account for people volunteering for more than one cause, neither does it differentiate between working for a registered charity, or on a more personal level, helping a neighbour with shopping or babysitting for instance. Vital Issues: Voting participation levels are poor. For a community to be strong together, it is essential that they feel part of the democratic process and actively engage with it. More work needs to be done to establish why there is such a poor voter participation rate. Female representation in government is shockingly low. Some suggestion has been made that this may be in part because we do not have a party political structure which would be able to promote fairer representation. At the moment, we have a very low female representation of just 8.33% which would put us in 123rd place in World rankings, just below Bhutan and just above Bahrain and Haiti. 32 The question of Strong Communities was put to the Focus groups. Some of their responses are as below. 32 http://www.ipu.org/wmn-e/classif.htm 34 8. Environment Survey results Talking Point : Benefiting from sitting in the middle of the Irish Sea, with the tides washing our shores and no heavy industry on the island, one would reasonable expect that we should enjoy clean air and water. However, that picture is not so simple. The shoreline is a trap for rubbish thrown or otherwise jettisoned from passing ships and the rising population and slowness in improvement of sewerage facilities mean that our beaches are not as pristine as they should be. Measurements of pollution on our coasts are kept, but from a standard laid down by the EC Bathing Water directive of 1976 and the results are published “under a scheme devised by the Department of Environment, Food and Agriculture”. 33 In a recent sweep of some of the beaches, the charity “Beach Buddies” fielded 126 volunteers who collected 99 bags of rubbish weighing more than 1 tonne. 34 A staggering 7,000+ sanitary items were found on Ramsey beach alone. As an Island, we suffer the high costs of shipping some recyclable materials off-Island for processing. The small size of the Island also makes the prospect of any large recycling plant 33 https://www.gov.im/media/1347570/bathing-water-chart-2015.pdf 34 : http://www.manx.net/isle-of-man-news/72444/record-breaking-week-for-beachbuddies#sthash.Dj1AjIu3.dpuf 35 operating here unlikely to be attractive financially. At the moment, almost 50% of waste is recycled, 25% is treated and produces electricity and a remaining 25% is sent to landfill sites. There are a few items which do not appear in the Government statistics including retail packaging and whey products produced by The Isle of Man Creameries which is discharged out to sea. The government’s target of “Zero Waste” is laudable, but the aims for the implementation as set out would appear to lack any definite new plans to increase recycling apart from “Identify opportunities to improve the recycling of commercial waste”.35 There are however plans to make waste more financially injurious to those creating it and less of a financial burden on Government with the ultimate goal being to make it cost neutral to central Government. WATER QUALITY Douglas Summerhill Douglas Central Douglas Broadway Port Soderick Port Grenaugh Derbyhaven Castletown Bay-ny-Carrickey Port St Mary Port Erin Peel Fenella Beach Peel Glen Wyllin Kirk Michael Jurby Ramsey Mooragh Park Lake Port Lewaigue Laxey Garwick 2011 Pass Fail Fail Pass Fail Pass Pass Fail Pass Pass Pass Pass Pass Pass Fail Pass NT Fail Pass Fail 2012 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Fail Pass Pass Pass Pass Pass Pass Pass Fail 2013 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Fail Pass Fail Pass Fail Pass Pass Pass Pass 2014 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Fail Pass Fail Pass Pass Pass Pass 35 P. 4 &7 “Department of Infrastructure Waste Policy and Strategy 2012 to 2022” https://www.gov.im/media/472034/waste_strategy.pdf 36 Peel, Ramsey and Kirk Michael have all had new housing developments within the last few years increasing the strain on the infrastructure. In 2015, it was incumbent on EU members to adhere to newer, more stringent guidelines. The new level for “Excellent” is twice as strict as the previous guideline standard and “good” being broadly similar to the current standard. River water quality is good and the 86 rivers which are tested show that 89% are rated as “good” which means they are of a high enough quality to sustain salmonid fish (brown trout for example) while 96% are rated as “fair” or better. 36 In England and Wales, the figure for “Good” is 79% which makes the Manx rivers seem very clean in comparison. It should be noted though that the classifications there take into consideration the different types of habitat so it is not strictly speaking a like-for-like comparison. As part of the aims of the Island to protect our environment, the Government have produced a draft Bio-diversity Strategy paper with the intention of protecting habitats and raising national awareness of the importance in maintaining the rich wildlife found around the Island on land and at sea. An important strand of this strategy is monitoring pollution levels from the old mine workings for instance. It is a measure of the involvement of the public to see how many will volunteer to tidy up scruffy areas and beaches and to help manage wildlife areas on both corporate and individual levels. With 60,884 cars registered and 6,004 motorbikes 37 on the Island and the majority of people working in Douglas, the potential for increasing traffic pollution is unavoidable. 36 Page 2 Interim Report on Isle of Man River Water Quality 2013 , Department of Environment Food and Agriculture https://www.gov.im/media/836328/interim_river_report_2013.pdf 37 P.57 https://www.gov.im/media/219326/isle-of-man-in-numbers-2015-web-version.pdf 37 Waste Generated by Sector 2010/11 Construction & Demolition Household Commercial Vital Issues: Beach buddies do some excellent work but the Island will continue to suffer from ship waste and sewerage waste until the treatment facilities are upgraded and raw sewerage is no longer discharged into the sea. The life-span of the incinerator is not infinite and a plan for its replacement or alternative disposal methods should be examined now. Many statistics are out of date. 38 9. Healthy Living Survey results Talking Point : The Black Report of 198038, and research following it, showed that the link between poor health outcomes and income depravation is incontrovertible. The JSNA 39 paper of 2014 which was produced by a multi-agency work group under the umbrella of the IOM’s Department of Health points to similar findings on the Island. Poor health limits ability to fully engage socially or economically, thus reducing social capital. 38 http://www.sochealth.co.uk/national-health-service/public-health-and-wellbeing/poverty-andinequality/the-black-report-1980/ 39 Joint Strategic Needs Assessment 2014 https://www.gov.im/media/1345872/iom-government-joint-strategic-needs-assessment-2014.pdf 39 Hot spots occur across the Island in the following: Emergency Hospital admissions; Ramsey (IM8), Douglas (IM1 & 2 + IM27) and Castletown (IM93) Emergency admissions to Mental Health Acute Inpatients unit; Douglas (IM24) Ramsey (IM82) and Peel (IM61). Depression; Douglas (IM26), Peel (IM61), Port Erin (IM96) and Ramsey (IM81) Island Prevalence Arterial Fibrillation Stroke Mental Health Learning Difficulty Obesity Asthma Cancer Chronic Kidney Disease COPD Hyper thyroidism Diabetes Hypertention Corony Heart Disease Dementia Epilepsy (Source JSNA 2014) 40 England & IOM Prevalence data on Chronic Diseases per 100 patients 16 14 12 10 8 6 4 2 0 Asthma Arterial Fibrillation Cancer Chronic Kidney Disease COPD Corony Heart Disease Dementia Diabetes Epilepsy Hypertention Hyper thyroidism Learning Difficulty Mental Health Obesity Stroke Island Prevalence England Prev. The graph above shows the differences between English and Manx disease prevalence. The Jurby statistics have been removed as they relate to the prison population only which is primarily young adult male. From this we can see that disease patterns are broadly similar to the UK with chronic kidney disease, obesity and diabetes levels slightly lower than in England but hypertension and asthma slightly higher. Obesity here is counted as a chronic disease and not as an indicator to future health issues. There is currently no collated data on cause of death, nor age at death. Because of lack of data, we are unable to state average life expectancy, causes of death or life potentially lost. Likewise, we cannot say which, if any, particular socio-economic group is suffering or benefiting any more or less than any other group. Clinical outcome data is also missing. In 2009, with the help of the North West Public Health Observatory, the Isle of Man conducted a survey of the health of adults (over 18) on the Island asking questions about general health, lifestyle choices (drinking, diet, smoking etc) based on a similar survey by the 41 NWPHO and using a set of core questions40. Just over 2,000 people were able to give their responses, making it the largest survey of its type held on the Island, and because the same set of questions were used, offers a useful way of comparing Island health with that in the North West (which has on average poorer health outcomes than England) and to some degree, England. The survey was comprehensive but threw up some interesting facts about lifestyle choices and the general health of Island residents, a sample of which are shown below. Overview of results from the Isle of Man Health and Lifestyle 2009 survey and North West 2007 survey. 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% IOM NW NB. A BMI index of over 25 is classed as overweight, and over 30 is obese. “BMI provides the most useful population-level measure of overweight and obesity as it is the same for both 40 https://www.gov.im/media/93577/healthandlifestyle_survey2009.pdf 42 sexes and for all ages of adults. However, it should be considered a rough guide because it may not correspond to the same degree of fatness in different individuals.”41 So we find that overall, self-assessed general health is thought to be better on the Island (5.1%) than in the NW ( 8.2%) and slightly better than in England (6.6%). We also find that diet would appear to be better with more fruit and vegetable consumption (48.2% eating 5 portions a day) compared to the NW (41.9%). Levels of heart attack and stroke were broadly similar to those in the NW, and smoking slightly less. While those taking high levels of exercise (38.8%) are comparable with those in the NW (39%) it should ring alarm bells than 17.1% are sedentary for 8 hours or more a day compared to only 11% in the NW. This most probably is an illustration of the type of employment available on Island but more analysis would be needed to see if exercise was taken out of work hours. Importantly too, we should note that this is old data and the situation may well have changed, particularly in view of the increased population since 2009. There are though some difficulties. On the Island, there is a lack of available, current data on which to give accurate assessments of the health of those on the Island. There are (to date) no publically available statistics on life expectancy or cause of death and more recent data is not yet publically available. Half of the prisoners held at the prison in Jurby have mental health issues. 42 Childhood obesity is to be tackled through the IOM strategy for sport. 43 There is a free Stop Smoking Service, Quit4You which run clinics in Douglas, Ramsey, Peel and Port Erin. Special 1-to-1 sessions are also available for pregnant woman and family members. Nobles Hospital also offer a Stop Smoking programme for patients and staff; various programmes are also available in the workplace. Legislation regarding point of sale lags behind the UK. 41 World Health Organisation http://www.who.int/mediacentre/factsheets/fs311/en/ 42 http://www.iomtoday.co.im/news/isle-of-man-news/half-of-prisoners-in-isle-of-man-have-mental-healthissues-1-7173220 43 http://www.tynwald.org.im/business/hansard/20002020/t150317.pdf 43 The Public Health Directorate promote “Safe in the Sun”, “Manx Skipping Challenge” and “Workplace Zumba” in conjunction with the IOM Anti-Cancer Association and Britannia International (Skipping). The Isle of Man offers screening programmes for bowel, breast and cervical cancers. There are strong links between poor health outcomes and poverty. This has much to do with diet, smoking and alcohol consumption. James House (et al)44 notes the link between social integration and social support with positive contributions to health. He goes further to conclude that these can rival the detrimental contributions of the well established biomedical risk factors above: diet, alcohol and smoking. New research suggests that social isolation can have measurable biochemical effects on the body. 45 While the Government has a part to play in ensuring the population is well educated as far as health affecting lifestyle choices are concerned, the wider population has a duty of care and concern for their family and neighbours as in both animals and humans, loneliness increases blood pressure and decreases immunity and thus health outcomes. Vital Issues: The Island is facing a 75% increase in those of pensionable age in the next 20 years. This will place an enormous burden on the Health Service which is already showing signs of stress. Social isolation contributes to poor health outcomes; an effective prevention strategy would be to improve social engagement as a way of decreasing unhealthy lifestyle choices. 44 45 Useful available statistics are unavailable for public scrutiny P.327 Robert Putman “Bowling Alone” Simon & Schuster Paperbacks 2000 New York ditto 44 10. Local Economy Survey results Talking Point : At the end of 2011, Standard and Poor downgraded The Isle of Man’s Triple A rating to AA+. The rationale behind this was concern for the undiversified economy which would lay it potentially exposed to external shocks. Since then, the rating has been further reduced to AA, this time citing the concerns over the international crack-down on offshore “tax havens”. As the financial sector contributes around 35% of the Island’s GDP, any slowdown in the industry could impact on the health of the nation’s economy. However, since 2011, the economy has experienced growth overall, and a diversification of industry. Over the last 30 years, the Island has enjoyed GDP growth of 6% in real terms. Unemployment stands at 2.6% as opposed to the OECD average of 5.5% 45 In 2013, e-gaming accounted for 8% of GDP : May 12th 2014 it stood at 14%46 Construction and retail continue to fall or flat-line. On the OECD white list, the government are active in attracting new businesses to the Island, stressing our political stability, good telecommunications and band speeds and qualified workforce. 47 Financial industry v other industry48 3% 5% 3% Banking 11% Other sectors 9% Insurance 15% 54% Other finance & business services Legal and accountancy National Income by Economic Activity at constant prices (£000s) 2011/12 600000 500000 400000 300000 200000 100000 0 46 Financial Times 12th May 2014 retrieved from: http://www.ft.com/cms/s/0/cfc2baf2-ce1b-11e3-9dfd00144feabdc0.html#axzz3c134H5dP 47 http://www.whereyoucan.com/egaming 48 https://www.gov.im/media/988414/agenda-for-change.pdf 46 E-gaming is a growing industry on the Island, and one which the Department of Economic Development are active in attracting with up to 40% relocation grants available. 49 Average salaries in e-Business are approximately £50,000 per annum with some established companies looking to expand. 50 As an adjunct to this, The International Centre for Technology completed the purchase of The Nunnery in January which should bring international students of technology to the Island, and further enhance the climate for Ebusiness to thrive. With employment already high, training a new skilled workforce is crucial to servicing new business. Other areas which the Island is keen to develop are the tourist industry, ship and aircraft registry. There are 429 merchant ships registered on the Island There are 84 commercial yachts registered 347 pleasure yachts registered 72 fishing vessels and 125 small ships registered. This represents a rise of 0.3 million tonnes in the last quarter to 16.1m tonnes There are a number of new ships and super yachts under construction 51 The Isle of Man Aircraft registry is the world’s 6th largest business jet register. Passenger figures for 2014 were up 11.4% for traditional leisure visitors from 2013 Estimated visitor spend was also up by 15.7% to £127.3 million 49 http://www.cavendishtrust.com/e-gaming-services-2/ P5 “Quarterly Report on the Economy” 51 P.7 ditto 50 47 Vital Issues: Concern must be taken to over-reliance on single employment sectors. While lessons have been learned with the dominance and then retreat of banking interests, there is a danger that e-gaming will fill that void making the Island vulnerable to world-wide changes in legislation. A skills shortage (particularly in IT and engineering) could be a deciding factor to dissuade new business from relocating to the Island. Air-routes to London must be maintained at all cost. The loss of routes to the South East would be detrimental to the encouragement of new businesses, job creation and continuing business development. 48 Conclusions In collating this report, a number of issues stand out. Firstly, the enthusiasm, the dedication and hard work which so many are willing to offer was instantly apparent. From focus groups to charities, to government officers, the care and pride in their work is both an example and an encouragement and must be counted as one of the greatest assets of the Island. There is some fantastic work being done, but it could be better still. As mentioned in the Executive Summary, it is essential that the 3rd sector work more efficiently together. We have seen work replicated which wastes time, energy and money, but also can be confusing to those requiring the services. The missed opportunities for cross-over links must be bridged and the IOMCF could be that pathway. Secondly, the picture isn’t always clear because the statistical evidence is either missing or not publically available. Anecdotal evidence is there in abundance, but that’s not very useful for precise planning. Finally, our survey points to genuine public concern for the provision of services in the future. Focus groups and survey comments all drew attention to the very young and the very elderly finding difficulty accessing help. Our strong community is often the first responder here. Housing quality and prices in particular, continued high quality medical treatments and fairness were all commented on as being areas of concern to the residents but perhaps there is a need to be proactive rather than reactive. And yet, there is a disinclination to engage with the electoral process. Participation in local democracy would be a good starting point; at one focus group, 100% of the participants had not voted in the last 10 years. 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