JSNA 2012:Summary of Main Findings

Infant mortality trend, England, Yorkshire and Humber and North East Lincolnshire

2005 2006 2007 2008 2009 20100.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

North East LincolnshireYorkshire and HumberEngland

Crude Rate Per 1000 live births

There have been big reductions in infant mortality in NE Lincs since 2007 and our rates are now amongst the lowest in the region

Trends of Life Expectancy at Birth for Males in NEL, Yorkshire & Humber and England (1991/93 to 2008/10)

1991

-199

3

1992

-199

4

1993

-199

5

1994

-199

6

1995

-199

7

1996

-199

8

1997

-199

9

1998

-200

0

1999

-200

1

2000

-200

2

2001

-200

3

2002

-200

4

2003

-200

5

2004

-200

6

2005

-200

7

2006

-200

8

2007

-200

9

2008

-201

071.071.572.072.573.073.574.074.575.075.576.076.577.077.578.078.579.079.580.0

ENGLAND (Males) Y&H GOR (Males) NELUA (Males)

AG

E IN

YEA

RS

But the increase in NE Lincshas been less than in England & the Region so theHealth Inequality gaphas widened

There have been significant increases in life expectancy in the last 20 years

Trends of All Circulatory Diseases Mortality for Persons aged Under 75 in NEL, Yorkshire & Humber and England (1993-2010)

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

0

20

40

60

80

100

120

140

160

180

200

220

ENGLAND Yorks & Humber GOR NE Lincolnshire UA

YEARS

RATE

PER

100

,000

PO

PULA

TIO

N

Substantial falls in early deaths from circulatorydisease have been a majorfactor in improved lifeexpectancy

Self-reported smoking prevalence in adults aged 18 and over (IHS 2010/11)

England

Yorkshire and The Humber

Richmondshire CD

Ryedale CD

Craven CD

East Riding of Yorkshire UA

Hambleton CD

York UA

Harrogate CD

Selby CD

Sheffield MCD

Bradford MCD

Kirklees MCD

Leeds MCD

North Lincolnshire UA

Rotherham MCD

Scarborough CD

Calderdale MCD

Wakefield MCD

Barnsley MCD

Doncaster MCD

North East Lincolnshire UA

Kingston upon Hull UA

0 5 10 15 20 25 30

20.722.816.016.416.617.818.018.519.620.421.521.923.023.423.523.924.325.025.625.726.327.027.8

Percentage

High rates of smoking partly explain why we have lower rates of life expectancy in NE Lincs

Lung Cancer Mortality for Persons Aged Under 75 in NE Lincolnshire (2005-09)

NEL

UA

Hum

b &

N W

al...

Hav

erst

oe

Scar

tho

Wol

ds

Imm

ingh

am Park

Wal

tham

Croft

Bak

er

Hen

eage

Yarb

orou

gh

Fres

hney

Wes

t Mar

sh

Sidn

ey S

usse

x

Sout

h

East

Mar

sh

0

10

20

30

40

50

60

70

80

90

100

110

DA

SR P

er 1

00,0

00 P

erso

ns

There is a more than seven fold differencein the rate of early deaths fromlung cancer between theworst ward and the best ward

All Cardiovascular Diseases Mortality for Persons (Aged Under 75) in the NE Lincolnshire

NEL

UA

Hum

b &

Ne.

..

Hav

erst

oe

Wal

tham Pa

rk

Scar

tho

Wol

ds

Fres

hney

Croft

Bak

er

Hen

eage

Imm

ingh

am

Yarb

orou

gh

Sidn

ey S

usse

x

Sout

h

Wes

t Mar

sh

East

Mar

sh

0

20

40

60

80

100

120

140

160

180

200

DA

SR P

er 1

00,0

00 P

erso

ns

There is almost a four fold differencein the rate of early deaths fromcardiovascular disease between theworst ward and the best ward

Deaths Considered Preventable in NE Lincolnshire, all Persons, by Ward 2007/11

NEL

UA

Hav

erst

oe

Hum

b &

N W

al...

Wol

ds

Scar

tho

Wal

tham Park

Imm

ingh

am

Hen

eage

Yarb

orou

gh

Fres

hney

Croft

Bak

er

Sidn

ey S

usse

x

Sout

h

Wes

t Mar

sh

East

Mar

sh

0

40

80

120

160

200

240

280

320

360

400

440

DA

SR P

er 1

00,0

00 P

erso

ns

Proportion of Children aged 0-15 yrs Living in Poverty in NE Lincolnshire by Electoral Ward (Aug 2010)

East Marsh

South

West Marsh

Sidney Sussex

Croft Baker

Heneage

Yarborough

Immingham

Park

Freshney

Waltham

Haverstoe

Scartho

Wolds

Humb & New Waltham

North East Lincolnshire UA

Yorkshire and the Humber

England

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

48.6%45.1%

41.2%31.6%

27.7%27.5%

23.1%20.9%

20.0%19.6%

9.5%8.5%8.4%

6.5%6.3%

26.8%21.4%

20.6%

Percentage of children

Underlying poverty has a major impact on health and wellbeing and some communities in NE Lincs have exceptionally high rates of child poverty

Out of Work benefit claimants in NE Lincolnshire, by electoral ward (2012)

East

Mars

h

Wes

t Mars

hSo

uth

Sidney

Susse

x

Henea

ge

Croft Bak

er

Immingh

am

Yarb

orough

Fresh

ney Park

Scart

hoW

olds

Humb & N

ew W

altham

Walt

ham

Havers

toe

0

5

10

15

20

25

30

35

40

45

%

Unemployment underpins poverty and poor health and a number of wards have exceptionally high numbers of people claiming out of work benefits.

The East Marsh, West Marsh, South and Sidney Sussex wards repeatedly come out worst in indicators throughout the JSNA

Proportion of households deemed to be living in fuel poverty by electoral ward (2010)

Sidney Sussex

Croft Baker

Heneage

West Marsh

East Marsh

South

Park

Wolds

Humb & New Waltham

Scartho

Immingham

Yarborough

Waltham

Haverstoe

Freshney

24.1%

24.0%

23.1%

23.1%

22.6%

20.9%

19.5%

18.3%

18.1%

18.1%

17.7%

17.6%

16.3%

14.9%

13.9%

Percentage of fuel poor households

Homelessness Rates by Local Authority, (2011/12)

Doncaster

Halton

Hartlepool

North East Lincolnshire

North Lincolnshire

Redcar & Cleveland

Rotherham

St. Helens

Tameside

Telford & Wrekin

Wigan

Yorkshire & Humber

England

2.5 2.0 1.5 1.0 0.5 0.0 0.5 1.0 1.5 2.0 2.5

0.50

1.31

0.49

2.28

1.29

0.21

1.10

2.43

1.00

2.04

2.08

2.22

2.31

0.06

0.20

0.00

0.22

0.21

0.19

0.32

0.23

0.27

1.01

0.18

0.42

2.33

1.15i: Homelessness acceptances 1.15ii: Households in temporary accommodation

Rate (per thousand households)

Alcohol Related Hospital Admissions in NE Lincolnshire (2002/03 to 2011/12)

2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/120

500

1000

1500

2000

2500

Alcohol Related Admissions

Older Population: Projected Number of People 65-79 and 80+ in NE Lincs up to 2020

2012 2014 2015 2018 20200

5,000

10,000

15,000

20,000

25,000

21,50022,200 22,400

23,000 23,300

8,100 8,300 8,6009,300

9,800

Total number of people aged 65-79

Total number of people aged 80+

Older People: Demographic trends which will impact on health & social care

2010 2015 2020 2025 20300

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

Total Pop. Aged 65-74 predicted to live alone

Total Pop. Aged 75 and over predicted to live alone

Total pop. Aged 65 and over predicted to have a fall

Total pop. Aged 65 and over pre-dicted to be admitted to hospital due to falls

People aged 65 and over unable to manage at least one domestic task on their own

People aged 65 and over unable to manage at least one self care activity on their own

No.

Prevalence of Dementia in GP Practice Populations 2006/11

2006-07 2007-08 2008-09 2009-10 2010-110.30%

0.35%

0.40%

0.45%

0.50%

0.55%

0.60%

England SHA ONS Cluster NELCTP

Prev

alen

ce o

ver P

racti

ce P

opul

ation

JSNA: Summary of Findings (1)Infant mortality- big improvements have been made since 2007 and local performance is now better than the regional and national averageLife Expectancy- year on year improvements overall but inequality gap for men is widening and little improvements are being made in our most deprived areasCardiovascular disease- big reduction in mortality in last 20 years but inequality gap remains, increasing incidence of diabetesCancer- survival rates are lower in NEL, wide inequality gap for cancer mortality, GP two week referral rate for suspected cancers is significantly lower in NELSmoking- some of the highest rates of smoking in the country, very high smoking in pregnancy rates, rates falling in younger peopleChild Health- some improvements but continuing concerns of low numbers breastfeeding, obesity in reception year children and teenage pregnancy, especially in areas of deprivation

JSNA: Summary of Findings (2)

Poverty- very high levels of poverty affecting children in some of our most deprived areas, fuel poverty also increasing but a more complex and widespread problemHomelessness- NEL has a high number of homelessness acceptances but a fairly low rate of households in temporary accommodationUnemployment- high proportion of the working population receiving out of work benefits in deprived communities, growing number of vacancies being advertisedAlcohol- continuing increase in alcohol related admissions, increasing incidence and mortality of liver disease especially in deprived areasDementia- prevalence of dementia increasing rapidly in NEL reflecting the ageing populations and now appears to exceed regional and national rates