BRIGHTON & HOVE OLDER PEOPLE HEALTH PROFILE October 2015 The profile enables you to look at individual localities and to compare two different areas. Note: not all data is available at all geographies. The information has been primarily provided at locality level. Select Locality Select by choosing from the drop down list The data has been collated by the Public Health Intelligence team. If you need further information please email annie.alexander@brighton-hove.gov.uk Date October 2015 Next update due October 2016 1
INFORMATION IN THIS PROFILE Notes Where possible data is provided at locality level, but where the information is not available, or where numbers are very small, information is shown for and compared with the and/or. Regional and national figures are included where available. 95% confidence intervals are shown in charts where appropriate and should be used when making comparisons. Where confidence intervals overlap, it is not possible to say that a difference is statistically significant. BACKGROUND INFORMATION Geographies There are three localities within which formally divided GP surgeries in to three administrative areas, as seen in the map on page one. These localities have been superceded by new GP clusters, however as small geographies they continue to provide a useful geographical split of. 2
CONTENTS CLICK ON SUBJECT TO GO TO THE DATA. Not all data available at all geographies. Background Data Health Service maps Population Ethnicity / country of origin Health and care Cancer incidence Emergency hospital admissions Languages Circumstances Deprivation Housing and living environment Mortality and life expectancy Mortality Life expectancy 3
Service maps - GPs and pharmacies 4
Service maps - Leisure centres, day centres, community centres 5
Population Source: ONS Mid Year Estimates 2013 Total population (2013) 107,199 278,112 8,792,600 53,865,800 65 or over (2013) 15,939 37,193 1,605,184 9,305,179 Source: ONS Small Area Population Statistics (Experimental Stats) Number % 90+ 80-84 65 or over (2004) 16,497 43.4% 70-74 65 or over (2005) 65 or over (2006) 65 or over (2007) 65 or over (2008) 65 or over (2009) 65 or over (2010) 65 or over (2011) 16,285 43.4% 15,872 43.2% 15,573 43.3% 15,412 43.2% 15,273 43.0% 15,414 43.3% 15,438 43.1% 60-64 50-54 40-44 30-34 20-24 10-14 Locality Males Locality females B&H Females B&H Males 65 or over (2012) 15,748 43.0% 0-4 65 or over (2013) 15,939 42.9% 15% 10% 5% 0% 5% 10% 15% 6
Ethnic Composition Data is for residents aged 65 years or above. Source: 2011 Census % White British % White Irish and White Other % Mixed heritage % Asian / Asian British % Black / Black British % Other % BME* 92.4% 4.0% 0.8% 1.8% 0.3% 0.8% 7.6% 93.3% 3.6% 0.7% 1.5% 0.3% 0.6% 91.6% 3.6% 0.4% 2.7% 1.3% 0.3% 6.7% 8.4% 0% * BME (Black and Minority Ethnic) includes White Irish, White Other and Other. This data relates to residents aged 65 years or above only. 9% 8% 7% 6% 5% 4% 3% 2% 1% % BME B&H Country of Birth Source: 2011 Census % UK 87.3% 88.9% % Rest of Europe 6.6% 5.9% % Africa 1.8% 1.5% % Middle East / Asia 3.2% 2.7% % Americas / Caribbean 0.9% 0.8% 90.1% 4.3% 1.1% 3.0% 1.4% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% B&H % UK % Rest of Europe % Outside Europe % Antarctica / Oceania / Other 0.3% 0.2% 0.1% 7
Proficiency in English Data is for residents aged 65 years or above. Source: 2011 Census Main language is English Main language is not English Main language is not English but can speak English well or very well Main language is not English and cannot speak it or speak it well Number % Number % Number % 14,890 96.8% 34,734 97.3% 8,375,319 96.7% 487 3.2% 958 2.7% 285,210 3.3% 354 2.3% 663 1.9% 156,622 1.8% 133 0.9% 295 0.8% 128,588 1.5% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Main language is English Main language is not English Main language is not English but can speak English well or very well Main language is not English and cannot speak it or speak it well 8
Deprivation An update of the DCLG Index of Deprivation is due for publication in September 2015. This means that the 2010 IMD is becoming increasingly out of date. More recent population data from the 2013 ONS Population Estimates has been used to estimate the number of people aged 60+ living in pension credit households. The number of people aged 65+ living in the most deprived quintile was aggregated from LSOA-level quintiles of deprivation. Source: IMD 2010, ONS 2013 Mid-year population estimates People aged 60+ living in pension credit households Number % Number % Number % Number % 4,085 19.8% 10,050 20.7% People aged 65+ living in the 20% most deprived LSOAs People aged 65+ living in the 20% least deprived LSOAs 1,433 9.0% 6,555 21.4% 3,581 22.5% 10,398 28.0% Data not available People aged 65+ owning at least 1 car / van 8,488 58.9% 19,971 58.4% 1,084,796 76.3% 5,908,165 70.8% 80% 70% 60% B&H 50% 40% 30% 20% 10% 0% % People aged 60+ living in pension credit households % People aged 65+ living in the 20% most deprived LSOAs % People aged 65+ owning at least 1 car / van % People aged 65+ living in the 20% least deprived LSOAs 9
Housing and living environment Data is for residents aged 65 years or above. Source: 2011 Census Number % % % Owned 10889 75.6% 73.4% 82.2% 78.0% % Social Rented 1755 12.2% 16.9% 12.3% 16.2% % Private Rent/Living Rent Free 1768 12.3% 9.6% 5.5% 5.8% 12.3% 9.6% 12.2% Owner Occupied Social Rented 16.9% 75.6% Private Rent / Rent Free 73.4% Source: 2011 Census Number % % of Households Have central heating 13717 95.2% 95.8% 97.6% 97.0% Pensioners living alone 6271 40.8% 40.5% 30.4% 31.5% 100% 80% 60% 40% 20% 0% Have central heating Pensioners living alone 10
Mortality Mortality among residents aged 75 years or above is shown as a rate per 100,000 residents, 2009-2013 Source: Public Health Intelligence, City Council All cause mortality Mortality from circulatory diseases Mortality from cancer Mortality from respiratory diseases 1600 Rate 1,341 424 336 167 Rate 1,332 425 345 172 1400 1200 1000 800 600 400 200 0 All cause mortality Mortality from circulatory diseases Mortality from cancer Mortality from respiratory diseases 11
Life expectancy Source: ONS Life expectancy at age 65 by local areas in and Wales, 2011-13 Note: Data not available at locality level Years Years Years Life expectancy at age 65 (Males) 18.6 19.3 18.7 Life expectancy at age 65 (Females) 21.2 21.7 21.1 20 Males Females 19 18 17 16 15 12
Health and care Data on residents aged 65 years or older with limiting long-term illness (LLTI) or health conditions which act to affect activities of daily living has been taken from the 2011 census. A longterm health problem or disability that limits a person's day-to-day activities, and has lasted, or is expected to last, at least 12 months. Source: 2011 Census In bad or very bad health Have a long term illness or disability Provide unpaid care for 1 or more hours per week Provide unpaid care for 50 or more hours per week % % % 13.8% 14.8% 14.5% 50.9% 51.9% 51.5% 12.1% 12.7% 13.8% 3.9% 4.4% 5.3% 60% 50% Locality 40% 30% 20% 10% 0% In bad or very bad health Have a long term illness or disability Provide unpaid care for 1 or more hours per week Provide unpaid care for 50 or more hours per week 13
Cancer incidence Cancer incidence for 2012 is presented among residents aged 75 years or above and is shown as age-standardised rates per 100,000 European Standard Population. Source: Cancer Commissioning Toolkit Rate Rate Rate All sites 2,631 2,333 2,515 Breast 299 377 416 Colorectal 459 391 393 Lung 496 336 424 Prostate 641 596 601 3,500 3,000 2,500 2,000 1,500 1,000 500 0 All sites Breast Colorectal Lung Prostate 14
Emergency hospital admissions, other health conditions Emergency hospital admissions are presented among residents aged 65 years of above and shown as age-standaradised rates per 100,000 European Standard Population. Source: City Council Public Health Intelligence * Public Health Outcomes Framework Rate Rate Rate All cause 19410 Coronary heart disease 491 Stroke Self-harm 94 556 Data not available Alcohol-related harm 198 Hip replacement 59 Hip fracture* 560 585 580 1000 900 800 700 600 500 400 300 200 100 0 CHD Stroke Hip fracture Hip replacement (primary or revision) Self-harm Alcohol-related harm Alcohol-related harm based on ICD10 codes: E24.4, F10*, G31.2, G62.1, G72.1, I42.6, K29.2, K70, K86, Q86.0, R78.0, T51.0, T51.1, T51.9, X45, X65, Y15, Y90 15