castle vale health indicators and trends
TRANSCRIPT
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Castle Vale Neighbourhood Castle Vale Neighbourhood Partnership BoardPartnership Board
Updated Health Tracker 2011Updated Health Tracker 2011
Castle Vale Health and Wellbeing Castle Vale Health and Wellbeing Board Board
Robert Pocock Robert Pocock
66thth September 2012 September 2012
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OverviewOverview
Secondary data – from BEN PCT and Secondary data – from BEN PCT and Birmingham Public Health Information TeamBirmingham Public Health Information Team
Primary data – from a community health survey Primary data – from a community health survey of 600 residentsof 600 residents
Resident consultations at events and groupsResident consultations at events and groupsPartner consultationsPartner consultationsTrends and new baselinesTrends and new baselines
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Health status: Self-reported healthHealth status: Self-reported health
Self-reported health status over last 12 monthsSelf-reported health status over last 12 months2011 survey data indicates that self-reported 2011 survey data indicates that self-reported
good good health is the lowest out of the four M·E·L health is the lowest out of the four M·E·L studies at 40%studies at 40%
Self-reported health being Self-reported health being not goodnot good is the is the highest out of the four studies in 2011 at 31%highest out of the four studies in 2011 at 31%
Self-reported health is worse in Castle Vale 2011 Self-reported health is worse in Castle Vale 2011 than Birmingham comparison from 2001 Census than Birmingham comparison from 2001 Census (66% Good, 24% Fairly Good, 11% Not Good)(66% Good, 24% Fairly Good, 11% Not Good)
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Self-reported health status over the last 12 months – trends 1992 - 2011
Source: M·E·L Castle Vale Health Surveys
0 10 20 30 40 50 60 70
Good
Fairly good
Not good
Percent of respondents
1992 2000 2004 2011
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Self-rated health as ‘not good’, analysed by age band: trends 2004 -2011
0 10 20 30 40 50
under 35
35-64
65 and over
Ave
2011
2004
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Self-rated health as ‘not good’, analysed Self-rated health as ‘not good’, analysed by gender: trends 2004 -2011by gender: trends 2004 -2011
0 10 20 30 40
Male
Female
Ave
2011
2004
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Self-rated health as ‘not good’, by length of CV residence: trends 2004 -2011
0 10 20 30 40
under 1
1 to 5
6 to 10
11 to 20
21 plus
Ave
2011
2004
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Health status: Long term limiting illness 2000, 2004 & 2011Source: M·E·L Castle Vale Health Surveys
0
10
20
30
40
50
60
70
Yes No
2000
2004
2011
Self-reported LTLI is 10% higher in 2011 than Self-reported LTLI is 10% higher in 2011 than 2004, and the 2011 figure is the same as that 2004, and the 2011 figure is the same as that from 2000 (46%)from 2000 (46%)
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Long term limiting illness, analysed by age band: trends 2004 -2011
0 20 40 60 80
under 35
35-64
65 and over
Ave
2011
2004
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Life expectancy by Ward (Kingsbury to 2003 then Tyburn for 2007-09)
Source: B’ham Public Health Directory 1997 & 2000. PHIT 2004 & 2011
60
70
80
90
Mid-80 est 1990-92 1994-98 1999-03 2007-09
Men Women All
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Teenage pregnancy (conception rates Teenage pregnancy (conception rates females under 18 years of age)females under 18 years of age)
rates per 1,000 womenrates per 1,000 women Source WMPHO 2004 and WMPHO PCT profiles 1997-Source WMPHO 2004 and WMPHO PCT profiles 1997-
2001; PHIT data 2008/09 2001; PHIT data 2008/09 Kingsbury Ward 2000: 57.14Kingsbury Ward 2000: 57.14 EBPCT 1997-2001: 66.57EBPCT 1997-2001: 66.57 WMids 1997-2001: 48.32WMids 1997-2001: 48.32
Tyburn Ward Aug 2008-July 2009: 70.6Tyburn Ward Aug 2008-July 2009: 70.6 BEN PCT Aug 2008-July 2009 : 47.3BEN PCT Aug 2008-July 2009 : 47.3 Bham LA Aug 2008-July 2009 : 44.8Bham LA Aug 2008-July 2009 : 44.8
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New : A&E attendance and alcohol-New : A&E attendance and alcohol-relatedrelated
A&E Attendances 2008/09 DSR per 100,000 pop: DSR per 100,000 pop: Castle Vale (by MSOA): 39,855Castle Vale (by MSOA): 39,855 BEN PCT: 37,398BEN PCT: 37,398 Bham LA: 36,110Bham LA: 36,110
Alcohol Related Admissions 2008/09 DSR per 100,000 DSR per 100,000 pop:pop: Castle Vale (by MSOA): 1,845Castle Vale (by MSOA): 1,845 BEN PCT: 1,681BEN PCT: 1,681 Bham LA: 1,886Bham LA: 1,886
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Lifestyles: Smoking prevalenceLifestyles: Smoking prevalenceSource: M·E·L Castle Vale Health Studies and PHIT data 2009Source: M·E·L Castle Vale Health Studies and PHIT data 2009
40% smoked in 200440% smoked in 2004 32% smoked in 2011 32% smoked in 2011
(37% male, 30% female)(37% male, 30% female) Higher than data for Higher than data for
B’ham 2009 (23.3% B’ham 2009 (23.3% smoke)smoke)
2011: Fewer 2011: Fewer light light smokers; fewer smokers; fewer heavy heavy smokerssmokers
0
5
10
15
20
Light - under 10 per day Moderate - 10 to 19 perday
Heavy - 20+ per day
2004
2011
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Smoking prevalence, analysed by age band: trends 2004 -2011
0 10 20 30 40 50 60
under 35
35-65
65 and over
Ave
2011
2004
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Smoking prevalence analysed by gender: Smoking prevalence analysed by gender: trends 2004 -2011trends 2004 -2011
0 10 20 30 40 50
Male
Female
Ave
2011
2004
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Lifestyles: Average consumption of fresh Lifestyles: Average consumption of fresh fruit and vegetablesfruit and vegetables
Source: M·E·L Castle Vale Health Studies and PHIT data 2003-05Source: M·E·L Castle Vale Health Studies and PHIT data 2003-05 Only 1 in 5 residents eat the required 5+ portions Only 1 in 5 residents eat the required 5+ portions
of fruit and vegetables a day in 2011 (same as of fruit and vegetables a day in 2011 (same as 2004)2004)
Lower than Birmingham figure 2003-05 of 24.6% Lower than Birmingham figure 2003-05 of 24.6% (PHIT data)(PHIT data)
However, has been a 7% drop in the proportion However, has been a 7% drop in the proportion of residents eating none or only 1 portion a day of residents eating none or only 1 portion a day (now 9%, was 16% in 2004)(now 9%, was 16% in 2004)
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Lifestyles: Body Mass IndexLifestyles: Body Mass IndexSource: M·E·L Castle Vale Health Studies and PHIT data 2003-05Source: M·E·L Castle Vale Health Studies and PHIT data 2003-05
0 10 20 30 40 50
Extreme obesity
Obesity
Overw eight
Normal
Underw eight
Percent of respondents
2004 2011
Increase in obesity levels Increase in obesity levels in 2011 (up from 19% to in 2011 (up from 19% to 25%)25%)
Shifted from proportion Shifted from proportion overweight since 2004 overweight since 2004 (35% down to 28%)(35% down to 28%)
Obesity figure similar to Obesity figure similar to B’ham data for 2003-05: B’ham data for 2003-05: 26.2% obese26.2% obese
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Lifestyles: % taking at least 30 mins moderate exercise on at least 5 days a week
Source: M·E·L Castle Vale Health Surveys
Considerable Considerable decreasedecrease of 16% in residents of 16% in residents taking at least 30 mins moderate exercise on 5+ taking at least 30 mins moderate exercise on 5+ days a week - from days a week - from 46% in 2004 to in 2004 to 30% in 2011 in 2011
Also been an Also been an increaseincrease in % on average never in % on average never taking 30 mins moderate exercise a week - from taking 30 mins moderate exercise a week - from 35% in 2004 to in 2004 to 42% in 2011 in 2011
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Lifestyles: alcohol consumptionLifestyles: alcohol consumption Source: M·E·L Castle Vale Health StudiesSource: M·E·L Castle Vale Health Studies
Considerable increase in Considerable increase in % of residents above the % of residents above the HDA guidelines for HDA guidelines for alcohol consumption (up alcohol consumption (up from from 15% in 2004 to in 2004 to 31% in 2011)in 2011)
2004: 55% drink alcohol2004: 55% drink alcohol 2011: 60% drink alcohol2011: 60% drink alcohol0
1020304050607080
90
Above HDA guidelines Below HDA guidelines
2004
2011
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Mental Health and WellbeingMental Health and Wellbeing Source: M·E·L Castle Vale Health Tracker 2011Source: M·E·L Castle Vale Health Tracker 2011
WEMWBS: Warwick Edinburgh Mental Wellbeing WEMWBS: Warwick Edinburgh Mental Wellbeing ScaleScale
Calculated from perceptions on a series of Calculated from perceptions on a series of statementsstatements
The minimum score 14, maximum score is 70The minimum score 14, maximum score is 70 Castle Vale Mean Figure: Castle Vale Mean Figure: 48.7 Data lower than reference average (Data lower than reference average (Nottingham 51)) Need to benchmark this furtherNeed to benchmark this further
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Raising Aspirations KPI Baseline 2011Raising Aspirations KPI Baseline 2011
0 20 40 60 80 100
'There are people in CV I admire'
'My family can get on well'
'We feel proud of CV'
'People in Bham respect CV'
Feeling optimistic about future
Interested in other people
Feeling confident
Feeling good about myself
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Cohort tracker studyCohort tracker study
Data matched for 71 individuals in 2004 and 2011surveysData matched for 71 individuals in 2004 and 2011surveys Self-rated health down, long term illness up, diseases up, Self-rated health down, long term illness up, diseases up,
service satisfaction upservice satisfaction up Smoking down 10%, as for general surveySmoking down 10%, as for general survey Fewer drink but those that do, drink moreFewer drink but those that do, drink more Obesity static, fresh fruit up but so is fried foodObesity static, fresh fruit up but so is fried food Generally less physical activity but the active ones (20%) Generally less physical activity but the active ones (20%)
are doing moreare doing more Unique community-based data set – NPB asset!Unique community-based data set – NPB asset!
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Community and partner consultationsCommunity and partner consultations
Residents – about 100 consulted Residents – about 100 consulted Community Health Improvement event, 26 MarchCommunity Health Improvement event, 26 March Community Café, 8 April (42 attendees)Community Café, 8 April (42 attendees) Job Club Job Club Crafty Ladies Crafty Ladies Youth Group, SanctuaryYouth Group, Sanctuary
(under 12s) (under 12s) Parents, Astral Stay and PlayParents, Astral Stay and Play Youth Group, Astral (over 12s)Youth Group, Astral (over 12s)PartnersPartners Castle Vale Nursery NurseCastle Vale Nursery Nurse Castle Vale Childrens CentreCastle Vale Childrens Centre MIND (Circle of Friends)MIND (Circle of Friends) Environment TrustEnvironment Trust Tenancy Support Worker, CVCHATenancy Support Worker, CVCHA AquariusAquarius
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Partner ConsultationsPartner Consultations
Young PeopleYoung People Young people drinking alcohol – with local shops Young people drinking alcohol – with local shops
providing it directly to young peopleproviding it directly to young people Stopping smoking and alcohol use amongst young Stopping smoking and alcohol use amongst young
people: people: awareness-raising does work but we need to get does work but we need to get the message to the message to more peoplemore people
Smoking and alcohol still major issues in Castle ValeSmoking and alcohol still major issues in Castle Vale Mental Health – lack of understanding, stigma still exists, Mental Health – lack of understanding, stigma still exists,
impact on whole family health, well-being of children impact on whole family health, well-being of children linked to parentslinked to parents
Residents at Community Café put this topResidents at Community Café put this top Childhood ObesityChildhood Obesity
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Partner consultationsPartner consultations
Residents generallyResidents generally
Isolation: linked to mental health, but range of Isolation: linked to mental health, but range of groups suffer (empty nesters, single males, older groups suffer (empty nesters, single males, older people)people)
Healthy Lifestyles: in-active and poor diet Healthy Lifestyles: in-active and poor diet amongst residents generally, but particularly amongst residents generally, but particularly “pre-retired”“pre-retired”
Residents taking responsibility for safeguarding Residents taking responsibility for safeguarding childrenchildren
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Partner consultationsPartner consultations
Other issuesOther issuesNeed to engage GPs – missing link to inter-Need to engage GPs – missing link to inter-
agency workagency workGet people involved in green space more – Get people involved in green space more –
allotments? Gardening? Fun-events?allotments? Gardening? Fun-events?Lots of groups in Castle Vale – can we mobilise Lots of groups in Castle Vale – can we mobilise
better?better?Authority stops people engaging! Authority stops people engaging!
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Summary – key headline issuesSummary – key headline issues
Smoking prevalence, especially mid-age menGrowing obesity, poor diet, low physical activityAlcohol consumption especially young peopleMental wellbeing? Isolation in mid-years?Low, declining self-rated health status generally Whole person / whole family approach (work,
skills, money, lifestyle, positive aspiration, quality of life, civic engagement)
Need to integrate GP and community based actions better