the director of public health annual report - health profile of cannock chase judith wright director...

The Director of Public Health Annual Report - Health Profile of Cannock Chase

Judith Wright

Director of Public Health

South Staffordshire Health Care Trust

Population profile

• Presented by

comparisons across

the PCT area.

Population age structure for Cannock Chase, 2007

0% 5% 10% 15% 20% 25% 30% 35%

0-4

5-15

16-24

25-44

45-64

65-74

75+

Ag

e g

rou

p

Percentage of population

Cannock Chase South Staffordshire PCT England (2005)

Source: GP registered populations as at January 2007, Exeter System, South Staffordshire PCT and 2005 mid-year population estimates, National Statistics, Crown copyright

Percentage of people aged 65 and over by PBC consortium 2007

Source: GP registered populations as at January 2007, Exeter System, South Staffordshire PCT and 2005 mid-year population estimates, National Statistics, Crown copyright

0% 5% 10% 15% 20% 25%

South East Staffordshire

Cannock Chase

East Staffordshire

Stafford and Surrounds

Seisdon Peninsula

South Staffordshire PCT

England (2005)

Percentage

Percentage change between 2007 and 2012 in people aged 65 and over by PBC Consortia in South Staffordshire PCT

Source: 2004-based sub-national population projections, National Statistics, Crown copyright

0% 5% 10% 15% 20% 25%

East Staffordshire

Cannock Chase

Siesdon Peninsula




England

Percentage change between 2012 and 2007

Population by ethnic group and PBC Consortium, 2001

Source: Key statistics for electoral wards, 2001 Census, National Statistics, Crown copyright

All People White Mixed Asian BlackChinese or other

Any BME group

Cannock Chase 127,822 98.7% 0.4% 0.5% 0.2% 0.2% 1.3%East Staffordshire 111,774 94.3% 0.8% 4.0% 0.6% 0.3% 5.7%Seisdon Peninsula 66,964 97.6% 0.7% 1.1% 0.4% 0.2% 2.4%South East Staffordshire 152,802 98.0% 0.6% 0.7% 0.4% 0.3% 2.0%Stafford and Surrounds 130,849 97.6% 0.8% 0.9% 0.4% 0.3% 2.4%South Staffordshire PCT 590,211 97.3% 0.6% 1.4% 0.4% 0.3% 2.7%West Midlands 5,267,303 88.7% 1.4% 7.3% 2.0% 0.6% 11.3%England 49,138,831 90.9% 1.3% 4.6% 2.3% 0.9% 9.1%

Health Inequalities

Health Inequalities: Index of Multiple Deprivation Scores 2004 for South Staffordshire PCT by PBC consortia

Source: Indices of Deprivation 2004, Office of the Deputy Prime Minister, Crown Copyright 2004

1 (most deprived)

2 3 45 (least

deprived)All

quintiles

Cannock Chase 10% 26% 27% 23% 13% 100%East Staffordshire 15% 15% 11% 37% 22% 100%Seisdon Peninsula 0% 5% 20% 25% 50% 100%South East Staffordshire 8% 17% 24% 24% 27% 100%Stafford and Surrounds 3% 12% 18% 36% 31% 100%South Staffordshire PCT 8% 16% 21% 29% 27% 100%

National quintile

Wards falling within the most deprivedquintile for England

Note: For the purposes of Siesdon Peninsula PBC Consortia the wards falling between 21-30% deprived area nationally have been shown as none fall within the most deprived quintileSource: Indices of Deprivation 2004, Office of the Deputy Prime Minister, Crown Copyright 2004

Cannock Chase

East Staffordshire

Seisdon Peninsula



Cannock North WinshillFeatherstone and Shareshill

GlascoteHighfields and

Western Downs

Etching Hill and The Heath

ShobnallWombourne South West

Belgrave Penkside

Hednesford North

Stapenhill Castle

Norton Canes Eton Park AmingtonCannock East Anglesey Stonydelph

Cannock South HorninglowHagley Burton

Infant mortality rates byPBC Consortia, 2004-2006

Source: Public Health Birth Files and Public Health Mortality Files, National Statistics and NCHOD

0 2 4 6 8 10 12 14

Siesdon Peninsula



Cannock Chase

East Staffordshire


West Midlands 2003-2005

England 2003-2005

Rate per 1,000 live births

Smoking in pregnancy: Estimated number of mothers who continue to smoke throughout pregnancy by PBC Consortia, 2006/07

Source: LDPR, South Staffordshire PCT

Proxy percentage of mothers

smoking based on former PCT

Estimated number of maternities

2006/07

Estimated number of mothers

continuing to smoke

Cannock Chase 15.5% 1,291 200East Staffordshire 15.1% 1,180 179Seisdon Peninsula 9.0% 482 43South East Staffordshire 15.7% 1,478 232Stafford and Surrounds 9.0% 1,181 106South Staffordshire PCT 13.7% 5,612 761

Percentage of babies with a LBW(< 2,500 grams), 2004-2006

Source: Birth extracts and Vital Statistics tables, National Statistics, Crown copyright

0% 2% 4% 6% 8% 10% 12%



Siesdon Peninsula

Cannock Chase

East Staffordshire


West Midlands 2003-05

England & Wales 2003-05

Percentage

Morbidity and Mortality

Morbidity and mortality - Life expectancy at birth for PBC Consortia, 2004-2006

Source: Public Health Mortality Files, National Statistics

Life expectancy

(years)

Difference from England

(months)

Life expectancy

(years)

Difference from England

(months)

Cannock Chase 76.0 -11 80.5 -7East Staffordshire 77.0 1 80.5 -7Seisdon Peninsula 78.6 20 82.3 14South East Staffordshire 78.4 18 80.9 -3Stafford and Surrounds 77.9 11 82.3 14South Staffordshire PCT 76.9 0 81.0 -2England 2003-2005 76.9 81.1

Men Women

All age all cause mortality rates by PBC Consortia, 2004 -2006

0 100 200 300 400 500 600 700 800 900 1,000


Siesdon Peninsula


East Staffordshire

Cannock Chase


England 2003-2005

Directly age standardised rate per 100,000

Males FemalesSource: Public Health Mortality File, National Statistics

Electoral wards that have all age all cause mortality rates significantly higher than England (2004-2006)

Source: Public Health Mortality File, National Statistics

Ward code

Ward name Local AuthorityASR per 100,000

population

41UBFZ Hawks Green Cannock Chase 1,32541UFHT Essington South Staffordshire 90241UFHZ Huntington and Hatherton South Staffordshire 87641UBGA Heath Hayes East and Wimblebury Cannock Chase 78241UDGG Armitage with Handsacre Lichfield 77741UFHX Great Wyrley Town South Staffordshire 758

41UCGD Anglesey East Staffordshire 81141UCGG Brizlincote East Staffordshire 80341UCGR Shobnall East Staffordshire 79341UCGN Horninglow East Staffordshire 79041UCGY Winshill East Staffordshire 734

41UFHY Himley and Swindon South Staffordshire 832

41UKFM Belgrave Tamworth 87241UDHA Mease and Tame Lichfield 770

41UGHC Rowley Stafford 784Stafford and Surrounds PBC

Cannock Chase PBC

East Staffordshire PBC

Seisdon Peninsula PBC

South East Staffordshire PBC

Healthy Lifestyles

Healthy lifestyles: Estimated numbers of children aged 11-15 who are regular smokers by PBC Consortia

Source: Smoking, drinking and drug use among young people in England in 2006: headline figures, The Information Centre, Copyright 2007, and GP registered populations, 2007, Exeter System, South Staffordshire PCT

Number

Cannock Chase 702East Staffordshire 696Seisdon Peninsula 303South East Staffordshire 814Stafford and Surrounds 627South Staffordshire PCT 3,142

Estimated numbers of smokers by PBC consortia

Source: Synthetic estimates for lifestyle behaviours for PCOs, National Centre for Social Research, 2000-2002, Crown copyright and GP registered populations as at January 2007, Exeter System, South Staffordshire PCT

116,676

28,505

30,434

24,917

23,672

9,147

0% 5% 10% 15% 20% 25% 30%

Siesdon Peninsula


East Staffordshire


Cannock Chase


Percentage


Estimated numbersof binge drinkersby PBC consortia

16,932

8,199

19,009

17,891

23,131

85,162

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20%

East Staffordshire

Siesdon Peninsula


Cannock Chase



Percentage

Estimated number ofchildren who are obeseby PBC consortia

Source: Health Survey for England 2004 - updating of trend tables to include 2004 data, Copyright 2005, NHS Health and Social Care Information Centre, Public Health Statistics and GP registered populations, 2007, Exeter System, South Staffordshire PCT

2-10 years

11-15 years

2-15 years

Cannock Chase 2,186 1,759 3,944East Staffordshire 2,263 1,774 4,036Seisdon Peninsula 889 766 1,655South East Staffordshire 2,669 2,028 4,697Stafford and Surrounds 2,036 1,599 3,635South Staffordshire PCT 10,043 7,926 17,968

Proportion of children who are obese by PBC Consortia, 2006

Source: Height and weight measurement exercise 2006, South Staffordshire PCT and National Childhood Obesity Database

Reception year Year 6 Coverage

11.5% 17.6%(95% CI: 9.6-13.7%) (95% CI: 15.3-20.2%)

8.2% 14.1%(95% CI: 6.7-10%) (95% CI: 12.3-16.2%)

8.2% 15.1%(95% CI: 6-10.9%) (95% CI: 12.2-18.4%)

8.7% 16.6%(95% CI: 7.3-10.4%) (95% CI: 14.6-18.8%)

8.9% 14.4%(95% CI: 7.3-10.7%) (95% CI: 12.3-16.7%)

9.1% 15.6%(95% CI: 8.4-10%) (95% CI: 14.6-16.6%)

Stafford and Surrounds 83%

South Staffordshire PCT 78%

Seisdon Peninsula 80%

South East Staffordshire 77%

Cannock Chase 66%

East Staffordshire 88%

Estimated numbers ofobese people byPBC consortia


111,839

49,156

104,090

126,383

104,977

496,446

0% 5% 10% 15% 20% 25% 30%


Siesdon Peninsula

East Staffordshire


Cannock Chase


Percentage

Estimated numbers of adultseating five or moreportions of fruitand vegetables a day


110,283

12,772

25,005

26,588

27,470

18,447

0% 5% 10% 15% 20% 25% 30%

Cannock Chase



East Staffordshire

Siesdon Peninsula


Percentage

Levels of physical activity by PBC Consortia

Note: for the purposes of calculating PBC Consortia areas have been aligned to local authoritiesSource: Active People Diagnostic, Sport England Active People Survey 2005/06

Men Women Men Women Men Women

Cannock Chase 50.7% 55.0% 23.2% 19.3% 13.6% 10.7%East Staffordshire 43.0% 53.2% 26.6% 19.2% 14.5% 8.8%Seisdon Peninsula 50.1% 53.3% 21.1% 20.3% 12.5% 10.9%South East Staffordshire 44.2% 54.8% 22.4% 19.2% 11.4% 10.8%Stafford and Surrounds 43.6% 52.3% 27.6% 23.6% 14.8% 10.2%South Staffordshire PCT 47.0% 54.1% 23.2% 20.1% 12.3% 10.5%England 45.8% 55.2% 23.7% 18.5% 13.0% 10.2%

Zero days a week of 30 minutes moderate

participation

At least three days a week of 30 minutes

moderate participation

At least five days a week of 30 minutes

moderate participation

Public Health Indicators - Cannock Chase Local Authority2 3.00 ### ###

Group Sub group IndicatorCannock Number

Cannock Value

Eng Avg

Eng Worst

Eng Best

17 Life expectancy- Male * Life expectancy - Male n/a 75.5 76.9 72.5 82.2

18 Life expectancy -Female * Life expectancy - Female n/a 80.2 81.1 78.1 86.2

All age, all cause mortality All age, all cause mortality 2,652 710.6 633.5 839.6 430.3

20 Early deaths: heart disease & stroke *Early deaths: heart disease & stroke 311 104.8 90.5 151.3 44.9

21 Early deaths: cancer * Early deaths: cancer 371 127.1 119.0 168.0 81.6

19 Deaths from smoking Deaths from smoking 495 265.9 234.4 366.5 147.6

23 Road injuries and deaths * Road injuries and deaths 32 34.5 59.9 214.1 20.2

Flu vaccination ratesPrimary

careFlu vaccination rates 10,807 71% 74% 61% 80%

12 Adults w ho smoke Adults w ho smoke n/a 28.3 26.0 37.3 15.5

16 Obese adults Obese adults n/a 25.1 21.8 31.0 14.6

13 Binge drinking adults Binge drinking adults n/a 17.0 18.2 29.2 8.8

14 Healthy eating adults Healthy eating adults n/a 16.1 23.8 11.4 38.1

15 Physically active adults Physically active adults n/a 12.1 11.6 7.5 17.2

26 Hospital stays due to alcoholHospital stays due to alcohol 164 173.0 247.7 652.4 85.6

22 Infant deaths * Infant deaths 19 5.8 5.1 9.9 1.2

Perinatal Mortality Perinatal Mortality 14 4.3 2.7 6.9

11 Teenage pregnancy (under 18) *Teenage pregnancy (under 18) 280 50.3 42.1 95.3 12.8

24 Feeling 'in poor health' Feeling 'in poor health' 9,126 9.3 7.8 15.4 4.2

25 Mental health Mental health 1,370 23.5 27.4 72.0 8.5

28 People w ith diabetes People w ith diabetes 3,024 3.2 3.7 5.9 2.1

31 Older people: hip fracture Older people: hip fracture 80 518.1 565.3 936.8 259.7

1 Income deprivation Income deprivation 10,540 11.3 12.9 31.1 3.3

2 Ecological footprint Ecological footprint n/a 5.1 5.5 6.4 4.9

3 Homelessness Homelessness 345 17.5 7.8 35.8

4 Children in poverty * Children in poverty 3,468 17.8 21.3 58.8 5.2

6 Violent crime Violent crime 2,169 23.4 19.8 41.1 5.0

6 Violent crime

England Range

Mortality

Socio-economy in communities

Lifestyle

Infant mortality

Lif

e ex

pec

tan

cy

Sexual health

Health in communities

75thPercentile25th

England averageRegional averageSignifcantly better than England averageSignficantly w orse than England averageNot signficantly dif ferent from England averageor no statistical signif icance calculated

How are the population health profiles being used

• to inform local planning decisions• to help priorities early investment• prioritise toward those areas with greatest health

inequalities• Inform the delivery of Choosing Health schemes

Commissioning recommendations

Increase targeted smoking cessation service

Health and well-being programme

Target Infant mortality

Integrated childhood obesity programme

the director of public health annual report - health profile of cannock chase judith wright director...

Documents

mortality slide

national statistics

pbc consortia source

crown copyright slide

south staffordshire

nchod slide

south staffordshire

healthy lifestyles slide