Population & Deprivation: Relatively little deprivation, with none of the population in Core20 areas.
Overall low levels of child poverty and Free School Meal eligibility.
Health Outcomes: Life expectancy generally better than the England average, especially for males; relatively small inequality gap.
Premature and preventable mortality a quarter to a third lower than national averages.
Behavioural Risks: Smoking lower, alcohol-related admissions much lower, and obesity rates higher than Norfolk and England averages. Likely partly explained by demographic differences.
Childhood overweight among the lowest within Norfolk and Waveney.
Disease Burden: Prevalence of some long-term conditions for overlapping PCN higher than Norfolk and Waveney averages (dementia, cancer), most indicators worse than national averages.
Wider Determinants: Economic activity 58.7% close to Norfolk and Waveney average (England 60.9%).
Low Universal Credit (12.9%) and PIP entitlement (7.7%).
Generally good access to healthcare apart from most rural areas. But poor accessibility of childcare and community assets.
There is no single definition of a neighbourhood in the NHS and local authority planning context.
Neighbourhoods can be understood in several ways: Administrative or statistical boundaries such as wards, parishes, or Middle Layer Super Output Areas (MSOAs), which provide stable geographies for data analysis.
Natural communities or economic centres like market towns or main urban areas, reflecting where people live, work, and access services.
Functional service areas, for example, GP practice or NHS trust catchments, which align with how health and care services are delivered.
Collaborative structures such as Primary Care Networks (PCNs) or integrated care partnerships, which represent groups of organisations working together to serve a defined population.
These neighbourhood profiles draw on recorded data for these areas -whether by GP practice population, PCN, or statistical geography - to provide a shared evidence base for planning, resource allocation, and addressing health inequalities.
Aylsham, Coltishall and Reepham has a similar age profile to the rest of Norfolk & Waveney, with slightly fewer people in their 20s and more people in their 50s. Population density varies considerably, with a high density in Drayton & Thorpe Marriott.
The age group with the largest projected population growth by 2044 in Aylsham, Coltishall and Reepham is people aged 65+.
Locally, the MSOA with the largest estimated overall population growth is Aylsham with a 16.8% population increase by 2044.
None of the population of Aylsham, Coltishall and Reepham live in small areas that are among the 20% most deprived areas in England (Core20 areas). Across Norfolk and Waveney, 14.4% live in Core20 areas.
Small areas (MSOAs) with the highest proportions of non-White residents in Aylsham, Coltishall and Reepham include Drayton & Thorpe Marriott (4.0%) and Horsford, Hainford & Hevingham (2.9%).
In Aylsham, Coltishall and Reepham, 16.5% of children aged 0-19 live in low-income families, compared to 22.8% across Norfolk and Waveney and 22.2% across England. 22.8% of children aged 0 to 15 in Aylsham, Coltishall and Reepham are estimated to live in poverty according to the Income Deprivation Affecting Children Index (IDACI). In England overall, this is 36.25%. In Aylsham, Coltishall and Reepham, 17.1% of pupils from Reception to Year 13 are eligible for free school meals. This is significantly lower than across all schools in Norfolk, where 24.1% of pupils are eligible.
Economically Active Definition: Aged between 16-64 and either in employment, unemployed but looking for work and could start within two weeks of an offer, or unemployed but waiting to start a job that has been offered and accepted.
In the 2021 Census, the proportion of residents aged16-64 who were economically active was generally lower across neighbourhoods within Norfolk and Waveney than the averages for both the East of England (61.8%) and England overall (60.9%).
Within the Aylsham, Coltishall and Reepham neighbourhood 58.7% of working-age residents were classified as economically active, while 41.3% were economically inactive. These proportions position the area within the mid-range of economic activity when compared to other neighbourhoods, but still lower than the regional and national averages.
Levels of economic activity reported across MSOAs within the Aylsham, Coltishall and Reepham neighbourhood during the 2021 Census varied considerably. Within the neighbourhood Aylsham recorded the lowest proportion of economically active residents aged 16-64 at 53.1%, indicating high levels of economic inactivity among the working-age population.
In contrast, Horsford, Hainford and Hevingham recorded the highest proportion of economically active residents (64.2%) among MSOAs within the neighbourhood, exceeding the East of England (61.8%) and England (60.9%) average. This suggests above-average rates of economic activity among working-age residents in this MSOA.
Occupation, as recorded in the 2021 Census, is derived from an individual’s main job title and the activities associated with that role. Values are based on the proportion of usual residents aged 16 and over in employment. In the Aylsham, Coltishall and Reepham neighbourhood, professional occupations represented the largest occupational group, with 16.7% of usual residents aged 16 years and over in employment engaged in these roles. This mirrors patterns observed across Norfolk and England. In addition, the proportion of residents employed in managerial and skilled trade roles exceeded the averages for Norfolk and England, indicating a comparatively high presence of leadership and technical expertise roles within the local labour market.
In contrast, employment in sales, process, and elementary occupations was consistently below the Norfolk average and at, or below, the England average. This suggests a relatively low concentration of individuals engaged in routine and manual forms of work within the neighbourhood, compared to county and national averages.
Universal Credit is a monthly payment from the government to help with living costs for individuals on a low income or out of work. Eligible individuals must be between 18 and 66 years of age and have less than £16,000 in money, saving and investments. The proportion of residents claiming Universal Credit varies significantly across neighbourhoods. Aylsham, Coltishall and Reepham neighbourhood reported a significant;y lower proportion of individual claimants (12.9%) than 15 of the other 19 neighbourhoods during August 2025. In addition, the proportion of claimants was significantly lower than both the East of England (16.3%) and England (33.3%) averages. In August 2025, the proportion of residents (aged 18 to 66) claiming Universal Credit varied significantly across MSOAs within the Aylsham, Coltishall and Reepham neighbourhood (ranging from 10.6%-15.1%).Aylsham recorded the highest proportion of claimants at 15.1%, significantly more claimants than any other MSOA within the neighbourhood. This figure was significantly lower than the East of England (16.3%) and England average (18%).Coltishall, Buxton and Frettenham reported the lowest proportion of claimants at 10.6%, significantly fewer claimants compared to two of the other seven MSOAs within the area and both the East of England and England average.
Personal Independence Payments (PIP) entitlement statistics covers individuals currently receiving PIP and those whose payments are temporarily suspended (e.g., during a hospital stay).To be eligible for PIP an individual needs to be between 16-66 and have a long-term condition which makes everyday tasks or mobility difficult. PIP provides support through two components: daily living (help with everyday activities) and mobility (help with getting around).
During June 2025, the Aylsham, Coltishall and Reepham neighbourhood had a significantly lower proportion of individuals entitled to PIP (7.7%) than 16 of the other 19 neighbourhoods. Entitlement was also significantly lower than the England average (8.7%) indicating lower levels of PIP entitlement in this area compared with the national average.
In June 2025, the proportion of residents aged 16 to 66 entitled to Personal Independence Payment (PIP) across MSOAs within the Aylsham, Coltishall and Reepham neighbourhood were broadly consistent.
Spixworth and St Faiths recorded the highest entitlement rate at 8.2%, however this was not significantly different from other MSOAs within the neighbourhood. Drayton and Thorpe Marriott recorded the lowest PIP entitlement rate at 7.1%. While this was not statistically different from other MSOAs within the neighbourhood, it was significantly below the England average.
With the exception of Drayton and Thorpe Marroitt, entitlement rates in this neighbourhood were comparable to both the East of England average (8.0%) and the England average (8.7%), indicating levels of entitlement in line with regional and national benchmarks.
Compared to England, Aylsham, Coltishall and Reepham has a higher proportion of homes owned outright (44.84% vs 32.5%) and a similar proportion with a mortgage (29.3% vs 28.8%). Its combined social renting rate (council and housing association) is 10.5%, which is lower than the national average of 17.1%. Private renting rate (Landlord/rent free/other) at 14.5% is again lower than the England average (20.6%) Compared to other neighbourhoods, A11 Attleborough and Wymondham has a higher than average proportion of homes owned outright, a lower proportion of homes privately or socially rented and a proportion of homes owned with a mortgage broadly in line with the average across the neighbourhoods.
Local areas within Aylsham, Coltishall and Reepham have a life expectancy that’s significantly longer than or similar to the England average. There are no areas with significantly worse outcomes.
Stroke mortality is the only indicator where none of the local areas have significantly better rates than the England average.
There is comparably little variation in life expectancy across small areas within Coltishall, Buxton & Frettenham, alongside little variation in multiple deprivation.
Overall, especially male life expectancy is better than Norfolk and Waveney and England averages.
However, females live longer than males in all areas.
None of the population live in Core20 areas. Nevertheless, there is some variation in relative deprivation. Unlike for other areas of Norfolk and Waveney, the life expectancy gap between more and less deprived deciles of Broadland is smaller for males than females in the latest timeperiod. Looking at relatively most and least quintiles shows that cancer and mental and behavioural disorders cause the existing gaps.
Healthy life expectancy is higher than the Norfolk and Waveney average in most of the local areas of Aylsham, Coltishall and Reepham. Within the Aylsham, Coltishall and Reepham neighbourhood area, female healthy life expectancy was lowest in Reepham, Cawston & Lenwade and highest in Spixworth & St Faiths in 2021. Male healthy life expectancy was lowest in Aylsham and highest in Spixworth & St Faiths in 2021.
There were 605 deaths of people under the age of 75 in Aylsham, Coltishall and Reepham in 2019-23. Overall, the rate of premature mortality was 25% lower than the England average. Locally, the highest rate of premature mortality was in Drayton & Thorpe Marriott (Standardised Mortality Ratio = 86.9). The lowest rate was in Aylsham. Four local areas (MSOAs) had a significantly better premature mortality rate than the England average . In 2019-23, 247 deaths of people under the age of 75 in Aylsham, Coltishall and Reepham were from causes considered preventable. Overall, there was a 34% lower rate of preventable mortality compared to the national average. Locally, the highest rate of preventable mortality was in Drayton & Thorpe Marriott (Standardised Mortality Ratio = 81). All local areas (MSOAs) except Coltishall, Buxton & Frettenham had a significantly better preventable mortality rate than the England average .
Preventable behavioural risk factors have an important impact on ill health and constitute a major challenge for health and social care. Of concern are our rates of smoking, poor diet and exercise, and alcohol consumption.
Behavioural risk factors such as smoking, poor diet, physical inactivity, and alcohol consumption contribute to preventable disease and health inequalities.
Children – Childhood weight is generally lower than or similar to the England average.
Adults – Smoking prevalence across Norwich is much lower than Norfolk and England averages.
Alcohol-specific hospital admissions are much lower compared to regional and national benchmarks.
A greater proportion of adults are overweight or obese.
All these factors are likely in part explained by the older demographic in Broadland compared to other areas.
Environmental and Social Factors – Two local areas show elevated hospital admissions for young children.
The general fertility rate in Aylsham, Coltishall and Reepham is relatively high compared to Norfolk and Waveney overall.
Implications – Evern though prevalence is relatively low, tackling smoking, alcohol, diet and physical activity could further reduce health inequalities and improve long-term outcomes.
Overall rates of emergency hospital admissions are lower than or similar to the England average.
The only exception is a significantly increased admission rate for alcohol-attributable conditions in Aylsham.
This chart shows the estimated number of patients with major long-term conditions within the North Norfolk 3 PCN. Diabetes affects around 3,300 adults, and chronic kidney disease affects 2,300 people.
Stroke and transient ischaemic attack affect approximately 1,200 people. These figures highlight a significant burden of metabolic and cardiovascular disease, reinforcing the need for integrated prevention and management strategies.
Unplanned hospital admission rates for local areas within Aylsham, Coltishall and Reepham are generally close to the Norfolk and Waveney average.
Numbers of ACS asthma, epilepsy and diabetes admissions were too small in some areas for rates to be reliably calculated.