Bentley Ward Health Profile 2012

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1 Contents: Page 1: Demography; Location Maps Page 2: Life Expectancy; Deprivation; Ethnicity; Mortality Page 3: Mortality Trends; Cancer Incidence; Hospital Activity Page 4: Lifecourse Approach; Wider Determinants Page 5: Metadata Health Profile 212 The data presented in this profile is based on the population living within this ward Demography Category Age Rate Rate Starting Well -4yrs 1,57 7.7% 18, % Developing Well (School s) 5-14yrs 1, % 33, % Developing Well (Training) 15-24yrs 1, % 37, % Working Well yrs 7, % 151,97 52.% Ageing Well yrs 1, % 26, % Ageing Well 75+ yrs 1,38 7.5% 23, % Total Population 13,782 29,6 Data Source: 21 ONS Population Mid Estimate and Exeter Patient Download Starting Well Developing Well - School s Developing Well - Training Working Well Ageing Well Ageing Well 75+ Contains Ordnance Survey data Crown copyright and database right 213. All rights reserved. Licence number Distribution of Population by Community % of Population Community resident in community 42 Arksey Woodlands Carcroft 28 Toll Bar & Almholme Adwick Le Street 19 Scawthorpe Skellow 12 York Road % 1% 2% 3% 4% 5% 6% 7% 8% 9% 1% Data Source: 21 ONS Population Mid Estimate Note: numbers may not sum to 1 due to rounding * Community Profiles 212 are available from: * Profiles, Public Health Intelligence and Coroporate Policy & Performance - MBC Performance & Information - CCG Version 2. - March 214 1

2 Please note some indicator definitions have been revised so are not comparable with previous versions of the profiles. Guidance on how to read the tables & spine charts; Indicator Range Value Values: Significantly better than Statistically similar to Significantly worse than Best Indicator Name Brief description of the indicator, see Metadata for full details (page 5). Actual number of 'events' (for instance deaths, crimes, referrals). 'Sup' is Supressed data where the count is 5 or less. rate for a Best rate for a Presented as a rate for comparison between areas (for instance per 1, population). Confidence Intervals are in brackets. Grey bar presents the range from the worst to the best. The red line represents the average. The circle presents the selected relative to the range and the average. Life Expectancy and Deprivation 1. Male Life Expectancy at Birth 2. Female Life Expectancy at Birth 3. Male Life Expectancy at Female Life Expectancy at ( 73.6, 76.6) 81.1 ( 79.5, 82.7) 1. ( 9.1, 1.9) 12.8 ( 11.7, 14.) 76.5 ( 76.1, 76.8) 81.1 ( 8.8, 81.4) 1.3 ( 1.1, 1.5) 12.3 ( 12.1, 12.5) Range Value Values: Significantly better than Statistically similar to Significantly worse than Deprivation Estimated life expectancy in years 5. Rank out of 21 s (1 being the worst) Life Expectancy Life Expectancy Best This map shows differences in deprivation in this ward based on national quintiles of the Index of Multiple Deprivation 21 by Lower Super Output Area (LSOA). The darkest coloured areas are some of the most deprived areas in England. Community boundaries are also shown for reference. Contains Ordnance Survey data Crown copyright and database right 213. All rights reserved. Licence number Ethnicity Ethnic Group Rate Rate White 13, % 276, % Mixed 13.9% 2,939.9% Source: 21 ONS Population Mid Estimate and Exeter Patient Download Asian / Asian British 91.7% 5, % Black / Black British % 2,851.9% Chinese or Other 59.4% 2,451.6% Total Population 13,782 29,6 Mortality 6. Mortality All Causes Mortality All Causes <75 years Mortality All Cancers <75 years ( 621.5, 728.4) ( 332.9, 424.3) ( 114., 169.3) 9. Mortality Colorectal Cancer <75 years Sup Sup Mortality Lung Cancer <75 years Mortality Breast Cancer (Females All ages) Mortality Circulatory Disease <75 years Mortality Coronary Heart Disease <75 years Mortality Stoke <75 years Mortality COPD <75 years Mortality Chronic Liver Disease <75 years Mortality All Respiratory Disease <75 years Mortality Amenable To Healthcare <75 years Mortality Accidents Mortality Suicide and Injury of Undetermined Intent Smoking Attributable Deaths >35 years Alcohol Related Deaths ( 29.6, 6.7) 25.3 ( 12.7, 44.1) 82.4 ( 62.9, 16.1) 56.1 ( 4.1, 76.3) 13.1 ( 6.2, 24.3) 25.3 ( 15.4, 39.1) 36.2 ( 22.8, 54.6) 43. ( 29.5, 6.5) 12.5 ( 95.6, 149.8) 17.2 ( 8.9, 29.9) 9.2 ( 3.4, 2.2) ( 293.9, 47.7) 31.8 ( 19.8, 48.4) 14,698 5,335 2, , , , ( 614.7, 636.) ( 317.9, 335.7) ( 122.5, 133.5) 1.2 ( 8.7, 11.9) 34.3 ( 31.6, 37.2) 28.3 ( 25., 31.8) 76.1 ( 72., 8.5) 46.3 ( 43.1, 49.8) 13.1 ( 11.4, 15.) 17.9 ( 16., 2.1) 18.4 ( 16.3, 2.7) 33.2 ( 3.5, 36.) 17.7 ( 12.7, 113.) 14. ( 12.3, 16.) 9.2 ( 7.6, 1.9) 284. ( 273.7, 294.6) 15.8 ( 13.9, 18.) Range Value Values: Significantly better than Statistically similar to Significantly worse than Directly Standardised Rate per 1, European standard population (27-211) All Age unless otherwise stated 15. *Chronic Obstructive Pulmonary Disease 21. Calculated using methodology in Twigg, Moon and Walker 24 ( Best Profiles, Public Health Intelligence and Coroporate Policy & Performance - MBC Performance & Information - CCG Version 2. - March 214 2

3 Mortality by Lower Super Output Area The map shows All Age All Cause mortality rates by LSOA. This shows the variation in mortality within the ward. Contains Ordnance Survey data Crown copyright and database right 213. All rights reserved. Licence number Mortality Trends These graphs show how changes in death rates for the s compare with and the whole of England. Data points on the graph are mid-points of 3-year averages of yearly rates, for example, the dot labelled 25 represents the 3-year period 24 to 26. More variation can be seen in the rates due to smaller numbers. Trend 1 compares rates of death, at all ages and from all causes, for males and females in this compared with those in and England as a whole. Age-Standardised rate per 1, population Trend 1: All Age All Cause Mortality Females Males Females Males England Females England Males Trend 2 compares rates of early death (in people under 75 years of age) from all circulatory diseases (includes heart disease and stroke) in this to those in. Trend 2: Circulatory Disease Mortality Under 75s Trend 3 compares rates of early death from Cancer (deaths in people under 75 years of age) in this to those in. Trend 3: Cancer Mortality Under 75s Age-Standardised rate per 1, population Age-Standardised rate per 1, population Cancer Incidence 23. All Cancer Registrations Colorectal Cancer Registrations Lung Cancer Registrations Breast Cancer Registrations (Females) Prostate Cancer Registrations Skin Cancer Registrations ( 483.4, 617.2) 55.5 ( 36.7, 8.3) 98.8 ( 72.4, 131.4) 19.5 ( 71.3, 16.) 59.2 ( 34., 95.3) 12.3 ( 91.5, 155.) Directly Standardised Rate per 1, European standard population (28-21), all ages 6, , ( 551.5, 579.7) 55.1 ( 5.8, 59.6) 69. ( 64.3, 74.) 128. ( 118.6, 138.) 13. ( 94.8, 111.8) 133. ( 126.3, 14.) Range Value Values: Significantly better than Statistically similar to Significantly worse than Best Hospital Activity Values: Significantly better than Range Statistically similar to Best Value Significantly worse than 29. All Emergency Admissions 4,889 1,769 9,813 96,23 ( 1,459, 11,87) ( 9,748, 9,879) 12,244 7,75 3. Emergency Admissions For Self Harm ,367 ( 166., 259.) ( 157.4, 175.3) Admissions for Circulatory Disease 643 1,264 1,22 13,776 ( 1,164, 1,37) ( 1,181, 1,223) 1, Admissions for ACS* Conditions 976 2,7 1,84 18,754 ( 1,937, 2,21) ( 1,812, 1,869) 2,662 1, Alcohol Specific Admissions ,185 ( 585., 747.7) ( 464.3, 493.8) Alcohol Attributable Admissions 784 1,62 1,442 16,81 ( 1,55, 1,742) ( 1,419, 1,466) 2,4 1, Directly Standardised Rate per 1, European standard population (29-211), all ages * Ambulatory Care Sensitive Admissions Profiles, Public Health Intelligence and Coroporate Policy & Performance - MBC Performance & Information - CCG Version 2. - March 214 3

4 Lifecourse Approach Starting Well (-4 year olds) 35. Low Birth Weight Mothers Breastfeeding at 6-8 weeks Completed Primary Immunisations Children Receiving Pre School Vaccinations Children Receiving MMR Vaccination School Readiness % ( 7.%, 1.5%) 23.5% ( 19.5%, 27.9%) 94.4% ( 92.7%, 95.7%) 78.4% ( 75.4%, 81.2%) 76.5% ( 73.4%, 79.4%) 52.2% ( 45.1%, 59.3%) 1,595 2,157 17,143 13,943 13,636 1, % ( 8.5%, 9.3%) 3.1% ( 29.%, 31.1%) 95.1% ( 94.8%, 95.4%) 84.1% ( 83.6%, 84.7%) 82.3% ( 81.7%, 82.9%) 57.5% ( 55.8%, 59.1%) Range Value Values: Significantly better than Statistically similar to Significantly worse than Best 11.9% 6.1% 18.4% 51.1% 91.3% 99.1% 73.7% 91.9% 71.5% 89.6% 36.6% 77.8% 35. Low birth weights as a % of all live and still births with recorded weight (26-1) 36. The percentage of mothers recorded as wholly or partially breastfeeding at 6-8 weeks (21-11) 37. The % of babies completing the primary immunisation programme (27-11) The % of children who have completed the vaccinations (27-11), 4. Proportion of foundation stage children assessed as 'ready' for KS1 by the Early s Foundation Stage Profile (EYFSP) (211) Developing Well (5-24 year olds) 41. School Absences 24, Children in Poverty 1, Child Social Care Referrals First Time Entrants To YJS (1-17 years) Key Stage 2 Level 4+ (inc. English and Maths) GCSE 5 A*-C (inc. English & Maths) NEETS Conceptions under Obese And Overweight Children in Reception Obese And Overweight Children in Admissions Unintentional/Deliberate Injuries < A&E Attendances (Under 18s) 3, Emergency Admissions (Under 18s) % ( 6.%, 6.2%) ( 342., 377.8) ( 128.9, 155.) 1,739.6 ( 1,411.3, 2,12.2) 74.7% ( 66.8%, 81.5%) 43.5% ( 36.1%, 51.1%) 26.7% ( 22.7%, 31.%) 83.8 ( 69.8, 99.5) 28.6% ( 24.6%, 32.8%) 34.8% ( 29.7%, 4.2%) 51.9 ( 38.4, 68.5) 37,33 ( 36,358, 38,31) 9,97 ( 9,315, 1,524) 585,847 14,55 5,39 1,527 2,22 1,861 1,941 1,677 2,453 2, ,177 18,51 5.6% ( 5.6%, 5.6%) ( 258.6, 265.9) 95.7 ( 93.3, 98.2) 1,331.4 ( 1,265.8, 1,399.4) 72.2% ( 7.6%, 73.7%) 53.5% ( 51.9%, 55.2%) 2.9% ( 2.1%, 21.7%) 6.7 ( 57.9, 63.6) 25.7% ( 24.8%, 26.6%) 33.5% ( 32.4%, 34.6%) 46.2 ( 43.2, 49.3) 35,456 ( 35,24, 35,673) 9,83 ( 9,693, 9,967) Range Value Values: Significantly better than Statistically similar to Significantly worse than Best 7.% 3.9% % 87.3% 32.3% 82.9% 37.3% 6.% % 2.6% 38.7% 24.4% % of school sessions missed in s 1-11 (211/212) 42. Children in poverty per 1, population aged -15yrs (May 21) 43. Child social care referrals per 1, population aged -15yrs (211/12) 44. Rate of 1-17 year olds receiving first reprimand, warning or conviction per 1, population aged 1-17 years (28/9-211/12) 45. Pupils achieving Key Stage 2 Level 4 and above (including English & Maths) as a % of all pupils (211) 46. Pupils achieving 5 or more GCSE grades A*-C (including English & Maths) as a % of all pupils (211) 47. % of population aged NEETs (not in education, employment or training) (April 211- January 212) 48. Teenage conceptions per 1, females aged (26-1) Overweight and obese children as a % of all those measured (28/9-21/11) 51. Crude rate of hospital admissions per 1, for under 18years (29-211) Directly Standardised Rate per 1, European standard population aged under 18 (29-211) Working Well (25-64 years) 54. Residents Receiving JSA Adult Social Care Referrals Cervical Cytology Screening 2, Breast Cancer Screening 1, ( 8.9, 93.4) 1.1 ( 8.3, 12.2) 8.3% ( 78.9%, 81.7%) 76.8% ( 74.7%, 78.8%) 11,185 5,494 55,13 28, ( 65.6, 68.) 24.1 ( 23.5, 24.8) 8.2% ( 79.9%, 8.5%) 79.7% ( 79.3%, 8.1%) Range Value Values: Significantly better than Statistically similar to Significantly worse than Best % 85.5% 71.5% 86.2% 54. Claimants of Job Seekers Allowance per 1, population at risk (male 18-64, females 18-59) (Feb 212) 55. Adult social care referrals per 1, population aged 18+ (211) 56. The % of women completing a cervical cytology programme out of the total eligible (29-211) 57. The % of women completing the call/recall breast screening programme out of the total eligible (29-211) Ageing Well (65 years and Over) 58. Excess Winter Deaths Sup Sup A&E Attendances 2, Emergency Admissions 1, Emergency Admissions Relating to Falls Emergency Admissions Fractured Neck of Femur 35 37,99 ( 35,616, 38,625) 24,847 ( 23,638, 26,1) 1,497 ( 1,229, 1,83) ( 285.2, 599.4) 53,28 38,484 2, ( 116.4, 123.6) 32,679 ( 32,389, 32,971) 23,35 ( 23,62, 23,551) 1,537 ( 1,478, 1,597) ( 463.2, 528.9) Range Value Values: Significantly better than Statistically similar to Significantly worse than Best ,718 21,415 32,663 16,546 1,987 1, Mortality ratio of non-winter deaths to winter deaths (27-211) Directly Standardised Rate per 1, European standard population over 65 (29-211) Wider Determinants Values: Significantly better than Range Statistically similar to Best Value Significantly worse than 63. Total Home Office Recorded Crime 1, ,9 ( 96.1, 16.2) ( 84.7, 86.7) Antisocial Behaviour 2, ,76 ( 88.8, 95.7) ( 78.6, 8.) Residents in Receipt of DLA 1, ,655 ( 74.2, 83.3) ( 73.6, 75.5) Quit smoking (Success Verified By CO2 Test) ,424 ( 32.9, 42.1) ( 33.6, 35.6) Rate per 1, population (211/12) 64. Rate per 1, population (21/11-211/12) 65. Claimants of Disability Living allowance per 1, population (May 211) 66. Successful quitters at one month (verified by CO2 test) per 1, estimated prevalence (21/11-211/12) Indicator Range Value Values: Significantly better than Statistically similar to Significantly worse than Best Indicator Name Brief description of the indicator, see Metadata for full details (page 5). Actual number of 'events' (for instance deaths, crimes, referrals). Sup is Supressed data where the count is 5 or less. rate for a Best rate for a Presented as a rate for comparison between areas (for instance per 1, population). Confidence Intervals are in brackets. Grey bar presents the range from the worst to the best. The red line represents the average. The circle presents the selected relative to the range and the average. Profiles, Public Health Intelligence and Coroporate Policy & Performance - MBC Performance & Information - CCG Version 2. - March 214 4

5 Metadata Date Period 1. Male Life Expectancy at Birth Female Life Expectancy at Birth Male Life Expectancy at Female Life Expectancy at Deprivation Mortality All Causes Mortality All Causes <75 years Mortality All Cancers <75 years Mortality Colorectal Cancer <75 years Mortality Lung Cancer <75 years Mortality Breast Cancer (Females All ages) Mortality Circulatory Disease <75 years Mortality Coronary Heart Disease <75 years Mortality Stoke <75 years Mortality COPD <75 years Mortality Chronic Liver Disease <75 years Mortality All Respiratory Disease <75 years Mortality Amenable To Healthcare <75 years Mortality Accidents Mortality Suicide and Injury of Undetermined Intent Smoking Attributable Deaths >35 years Alcohol Related Deaths All Cancer Registrations Colorectal Cancer Registrations Lung Cancer Registrations Breast Cancer Registrations (Females) Prostate Cancer Registrations Skin Cancer Registrations All Emergency Admissions Emergency Admissions For Self Harm Admissions for Circulatory Disease Admissions for ACS* Conditions Alcohol Specific Admissions Alcohol Attributable Admissions Low Birth Weight Mothers Breastfeeding at 6-8 weeks Completed Primary Immunisations Children Receiving Pre School Vaccinations Children Receiving MMR Vaccination School Readiness School Absences Children in Poverty May Child Social Care Referrals 211/ First Time Entrants To YJS (1-17 years) 28/9-211/ Key Stage 2 Level 4+ (inc. English and Maths) GCSE 5 A*-C (inc. English & Maths) NEETS Apr Jan Conceptions under Obese And Overweight Children in Reception 28/9-21/11 5. Obese And Overweight Children in 6 28/9-21/ Admissions Unintentional/Deliberate Injuries < A&E Attendances (Under 18s) Emergency Admissions (Under 18s) Residents Receiving JSA Feb Adult Social Care Referrals Cervical Cytology Screening Breast Cancer Screening Excess Winter Deaths A&E Attendances Emergency Admissions Emergency Admissions Relating to Falls Emergency Admissions Fractured Neck of Femur Total Home Office Recorded Crime 211/ Antisocial Behaviour 21/11-211/ Residents in Receipt of DLA May Quit smoking (Success Verified By CO2 Test) 21/11-211/12 Source NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) NHS PHIU (PHMF) IMD 21 Rank of deprivation Crude rate of hospital admissions caused by unintentional and deliberate injuries in -17 years olds, per 1, resident population ICD1 V1-Y98 excl X33-X39, X52 NHS Info & Performance (SUS) Directly standardised rate per 1, European Standard Population under 18. Proportion of the at risk population (males 18-64, females 18-59) claiming Job Seekers Allowance. Adult social care referrals per 1, population aged 18+ Percentage of women completing the cervical cytology programme out of the total eligible Percentage of women completing the call/recall screening programme out of the total eligible Mortality ratio of non-winter deaths to winter deaths (Dec-March) Crimes per 1, population Additional Notes Trent Cancer Registry, NHS PHIU ICD1 C-C97 Trent Cancer Registry, NHS PHIU ICD1 C18-C21. Trent Cancer Registry, NHS PHIU ICD1 C33-C34. Directly standardised rate per 1, European Standard Population (Females, Trent Cancer Registry, NHS PHIU all age). ICD1 C5. Trent Cancer Registry, NHS PHIU ICD1 C61. Trent Cancer Registry, NHS PHIU ICD1 C43-C44. NHS Info & Performance (SUS) Directly standardised rate per 1, European Standard Population. NHS Info & Performance (SUS) NHS Info & Performance (SUS) NHS Info & Performance (SUS) Directly standardised rate per 1, European Standard Population. NHS Info & Performance (SUS) Directly standardised rate per 1, European Standard Population. MBC MBC DWP via MBC MBC MBC MBC MBC MBC NHS PHIU Information Centre (NCMP) Information Centre (NCMP) NHS Info & Performance (SUS) DWP via MBC MBC NHS Info & Performance NHS Info & Performance NHS PHIU (PHMF) NHS Info & Performance (SUS) NHS Info & Performance (SUS) Babies with low birth weight (<25g) as a % of all live and still births where the weight was recorded. Women recorded as breastfeeding as a % of all those recorded on TPP/System One Percentage of babies aged 1 between who received Primary Immunisation. Percentage of children aged 2 between that have received the pre school vaccination. Percentage of children aged 5 between that have received the MMR vaccination. Percentage of reception age children assessed as 'ready' for KS1 by the Early s Foundation Stage Profile (EYFSP) Percentage of half days missed due to overall absence (Authorised and Unauthorised) - Summer 11 to Spring 12 Children living in a household receiving workless tax benefit per 1, -15 year olds. Child social care referrals per 1, population aged -15 years. New entrants to the Youth Justice System aged between 1 and 17 years. Percentage achieving Level 4 and above at Key Stage 2 (including both English & Maths). Percentage achieving 5 or more GCSE grades A* to C (including both English & Maths). Percentage of population aged not in education, employment or training Number of conceptions per 1, females aged years. Proportion of children aged 4-5 classed as overweight or obese Proportion of children aged 1-11 classed as overweight or obese NHS Info & Performance (SUS) Directly standardised rate per 1, European Standard Population under 18. NHS Info & Performance (SUS) NHS Info & Performance (SUS) MBC MBC DWP via MBC RDASH 75). 75). ICD1 C-C97 75).ICD1 C18-C21 75).ICD1 C33-C34 Directly standardised rate per 1, European Standard Population (Females, all age). ICD1 C5. 75). ICD1 I-I99 75). ICD1 I2-I25 75). ICD1 I6-I69 75). ICD1 J4-J44 75). ICD1 K7-K77, B15-B19, C22, I81, I85, T ).ICD1 J-J99 75). ICD1 V1-X59 ICD1 X6-X84, Y1-Y34 excl Y33.9 Directly standardised rate per 1, European Standard Population (35+). Twigg et al 24 Directly standardised rate per 1, European Standard Population. ICD1 X6-X84 Directly standardised rate per 1, European Standard Population. ICD1 I2-I25 NHS Info & Performance (SUS) Directly standardised rate per 1, European Standard Population. NHS PHIU (Annual PHBF) RDASH Primary diagnosis ICD1 S-T98X, External cause ICD1 W-W19 Primary diagnosis ICD1 S72., S72.1, S72.2 Crimes per 1, population Residents receiving Disability Living Allowance Successful quitters at one month (verified by CO2 test) per 1, estimated prevalence. Public Health Intelligence providing analytical support to the Public Health Directorate in Metropolitan Borough Council Civic Office Waterdale DN1 3BU Tel: Profiles, Public Health Intelligence and Coroporate Policy & Performance - MBC Performance & Information - CCG Version 2. - March 214 5

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