Ealing JSNA Chapter 19. How we Compare to Similar Authorities

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1 Ealing JSNA Chapter 19 How we Compare to Similar Authorities

2 Version Control Chapter How we Compare to Similar Name Authorities Author Dami Awobajo Last Updated May 2012 Contact Details for Queries Name Dami Awobajo Telephone

3 HEALTH OUTCOMES FOR EALING COMPARED TO SIMILAR AUTHORITIES To explore how health outcomes for Ealing compared with other similar local authorities we used the Office for National Statistics (ONS) area classification. ONS developed its area classification process using 42 census variables to place each local authority in a group with other most similar authorities. The variables used are age; ethnicity; country of birth; population density; living arrangements; household composition; housing tenure, type, size and overcrowding; education; socio-economic class; ownership/commuting; health and care; employment industry sector. Similar districts are grouped according to their particular combination of characteristics. Since the local authorities in each group are socio-economically similar they provide a realistic benchmark against which to compare health outcomes. Where a district scores badly in comparison to others in its ONS group, this cannot be put down to the above socio-economic factors as they have already been taken into account. A low health outcome score can then act as a prompt for organisations to explore the underlying factors more fully and so develop local strategies and action plans to address them. Using the ONS classification: Ealing local authority is in the London Suburbs - A cluster of 8 similar authorities. Table 3.1 Similar Local Authorities ONS Grouped District ONS Grouped similar local authorities Ealing Barnet, Ealing, Harrow, Hounslow, Luton, Merton, Redbridge, Slough Source: Office for National Statistics (ONS) classification 2

4 LIFE EXPECTANCY Figure 3.2 Life Expectancy by ONS Cluster Group Source: National Centre for Health Outcomes Development 2012 Source: National Centre for Health Outcomes Development 2012 In Ealing the male life expectancy rate is above the England but below London rates. Female life expectancy rate in the borough is above England and London rates. In comparison to its ONS cluster, Ealing s life expectancy for both genders sits roughly in the middle third. For males in Ealing, there life expectancy is 78.8 years which is over 31 months shorter than the top authority in its cluster. For females in Ealing, life expectancy is 83.5 years and is just over 15 months shorter than the top authority. 3

5 ALL CAUSE MORTALITY Figure 3.3 All Cause Mortality Ranking by ONS Cluster Group Source: National Centre for Health Outcomes Development (NCHOD) 2012 Ealing s all cause, all age mortality rate (number of deaths in a population in a given period of time) is lower than the England rate. Within the ONS cluster Ealing falls roughly in the middle third for this rate. The difference between Ealing s rate and lowest rate within the cluster is 95 per 100,000. CIRCULATORY DISEASE Circulatory disease is one of the main causes of potentially avoidable deaths in Ealing. Although progress has been made in managing cardiovascular disease and reducing deaths, in 2010 the mortality rate for Ealing was above the London and England rates and is the second highest of its cluster group. 4

6 Figure 3.4 Circulatory Disease under 75 years standardised mortality ranking by ONS cluster group 2010 Source: National Centre for Health Outcomes Development (NCHOD) (2012) ALL CANCERS Mortality rates for all cancers in Ealing is below both the London and England rate. The all cancer mortality rate is in the lowest third of its ONS cluster group. 5

7 Figure 3.5 All cancer under 75 years standardised mortality ranking by ONS cluster group 2010 Source: National Centre for Health Outcomes Development (NCHOD) 2012 LUNG CANCER Figure 3.6 Lung Cancer Mortality Rate for under 75s by ONS cluster group 2010 Source: National Centre for Health Outcomes Development (NCHOD),

8 Ealing s lung cancer mortality rate is lower than the London and England rate. It is within the middle third of its ONS cluster group and is 30% higher than the authority with the lowest lung cancer mortality rate in the ONS cluster group. BREAST CANCER Figure 3.7 Breast Cancer Mortality Rate for Females under 75s by ONS cluster group 2010 Source: National Centre for Health Outcomes Development (NCHOD), 2012 The breast cancer mortality rate in Ealing is lower than the London and England rates. Ealing s rate stands at per 100,000 population and is the authority with the lowest rate in its ONS cluster group is CHRONIC OBSTRUCTIVE PULMONARY DISEASE Figure 3.8 shows that Ealing has lower mortality rate for Chronic Obstructive Pulmonary Disease than the London and England Rates. Ealing sits in the middle third of the ONS cluster group for this mortality rate. 7

9 Figure 3.8 All persons All Ages Chronic Obstructive Pulmonary Disease Mortality Rate by ONS cluster group 2010 Source: National Centre for Health Outcomes Development (NCHOD) 2012 STROKE Figure 3.9 All persons under 75 years Stroke Mortality Rate by ONS cluster group 2010 Source: National Centre for Health Outcomes Development (NCHOD)

10 Ealing s stroke mortality rate is higher than both the London and England rate and is second highest within its ONS Cluster group. CORONARY HEART DISEASE Ealing s mortality rate for coronary heart disease is in the highest third of its ONS Cluster group. It is noticeably higher than both the London and England rate. Figure 3.10 All persons under 75 years Coronary Heart Disease Mortality Rate by ONS cluster group 2010 Source: National Centre for Health Outcomes Development (NCHOD)