public health devon outcomes report 16th june 2015 … · public health devon outcomes report:...

PUBLIC HEALTH DEVON OUTCOMES REPORT16TH JUNE 2015

DEVON COUNTY COUNCILFULL VERSION

The public health outcomes framework sets the context and 'strategic direction' for the new public health system with the vision of 'improving and protecting the nation's health while improving the health of the poorest fastest'. There are two overarching indicators concerning healthy life expectancy and life expectancy, and four domains with 66 further indicators, and around 130 sub-indicators. The domains are improving the wider determinants of health, health improvement, health protection, and healthcare public health. A prioritisation exercise was completed in September 2013 which looked at performance, human impact, and financial costs for these indicators and the prioritisation grid which lists out all indicators is available at www.devonhealthandwellbeing.org.uk/jsna/performance/phofThree types of indicators were identified from this exercise:

Core Indicators – these are indicators which have a large impact in terms of numbers affected and impact, or which are high spend areas for Public Health Devon. These indicators are covered by this report.

Improvement Indicators – these are indicators for areas where performance is poorer than expected or deteriorating and improvements to outcomes are required. These indicators are covered by this report.

Monitoring Indicators – these cover areas where local outcomes are positive and the scale, human impact and cost are not high. These indicators can be monitored through the Public Health Outcomes Tool: www.phoutcomes.info and other sources.

There are six main analyses in each individual indicator report:

South West Benchmarking – showing the position of Devon relative to other upper tier or unitary authorities in the South West, the South West rate and the national rate.

Local Authority District – highlighting differences within Devon between local authority districts.

Local Authority Comparator Group – showing Devon’s position relative to the national family of peer authorities

Clinical Commissioning Group and Locality Comparison – highlighting differences within Devon between the Clinical Commissioning Groups and sub localities.

Trend and Future Trajectory – showing change over time on the selected indicator compared to the South West and England, and where available a future trajectory based on local targets or ambitions.

Inequalities – illustrating the extent of inequalities within Devon for the selected indicator. These will typically focus on social deprivation, but may relate to age, sex or other factors as appropriate.

Indicators which have been updated since the last report are marked as:*UPDATED INDICATOR*

Any queries on this report should be directed to the Devon Public Health Intelligence Team at [email protected]

Public Health Devon Outcomes Report: Indicator List and Summary

Domain RAG Indicator Value Trend Dev/SW/Eng

G 0.01 Healthy Life Expectancy Male 66.0

G 0.01 Healthy Life Expectancy Female 67.7

G 0.02 Gap in Life Expectancy Male 5.2

G 0.02 Gap in Life Expectancy Female 3.3

A 1.01 Children in Poverty 12.7%

G 1.10 Killed or Seriously Injured on Roads 37.7

A 1.11 Domestic Violence 13.5

A 1.17 Fuel Poverty * 12.5%

G 1.18 Social Contentedness 47.5%

G 2.03 Smoking at Time of Delivery 12.2%

A 2.04 Under 18 Conception Rate * 20.7

A 2.06 Excess Weight in Four / Five Year Olds 23.4%

A 2.06 Excess Weight in 10 / 11 Year Olds 30.3%

G 2.07 Hospital Admissions for Injury, 0 to 14 103.2

A 2.08 Emotional difficulties in looked after children 15.2

- 2.09 Smoking at Age 15 - - -

R 2.10 Hospital Admissions Self-Harm, 10 to 24 419.5

G 2.11 Diet - Fruit and Veg '5-a-day' 64.5% -

G 2.12 Excess Weight Adults 60.6% -

G 2.13 Proportion of Physically Active Adults 60.9%

G 2.14 Adult Smoking Prevalence 16.4%

A 2.15 Drug Treatment Completion, Opiates 9.5%

A 2.15 Drug Treatment Completion, Non-Opiates 46.0%

A 2.18 Alcohol-Related Admissions 639.7

G 2.19 Cancer Diagnosed at Stage 1 or 2 48.4%

A 2.22 Percentage offered a NHS health check * 32.4%

A 2.22 Percentage receiving a NHS health check * 16.1%

A 2.22 NHS health check uptake rate * 49.6%

G 2.23 Self-Reported Wellbeing (% low happiness) 8.5%G 2.24 Injuries Due to Falls 1766.1

G 3.02 Chlamydia Diagnosis Rate 2059.8A 3.03 Population Vaccination (MMR Aged 5) 90.0%

G 4.03 Mortality Rate from Preventable Causes 156.6

G 4.04 Under 75 Mortality Rate Circulatory Disease 63.8

G 4.05 Under 75 Mortality Rate All Cancers 130.9

A 4.10 Suicide Rate 10.4

A 4.12 Preventable Sight Loss (Registrations) 64.7

G 4.13 Health-Related Quality of Life 0.761

A 4.16 Dementia Diagnosis Rate 56.5%

RAG Ratings

Red R

Amber A

Green G No major cause for concern in Devon, benchmarking good / on-target

2. Health

Improvement

3. Health

Protection

4. Healthcare

Public Health

1. Wider

Determinants

of Health

Overarching

Indicators

Major cause for concern in Devon, benchmarking poor / off-target

Possible cause for concern in Devon, benchmarking average / target at risk

Devon compared with the Local Authority Comparator Group for Public Health Devon outcomes

Devon LACG England LACG England Rank

Fruit and Veg 5-a-day 64.5% 59.3% 56.3% Better Better 1 / 16 Y

Physical Activity (%) 60.9% 57.9% 55.6% Better Better 1 / 16 Y

Adults Excess Weight (%) 60.6% 65.3% 63.8% Better Better 1 / 16 Y

Life Expectancy Gap in Years (Male) 5.2 7.2 8.4 Better Better 1 / 16 Y

Chlamydia Diagnosis Rate 2059.8 1692.2 2015.6 Better Similar 1 / 15 Y X

Domestic Violence 13.5 16.3 19.4 Better Better 2 / 16 Y

Life Expectancy Gap in Years (Female) 3.3 5.4 6.2 Better Better 2 / 16 Y

Drug Treatment Success Non-Opiates 46.0% 38.9% 37.7% Better Better 3 / 16 Y

Healthy Life Expectancy (Female) 67.7 66.1 63.9 Better Better 3 / 16 Y

Social Connectedness 47.5% 45.2% 44.2% Better Better 3 / 16 Y

Killed or Seriously Injured on Roads 37.7 48.1 39.7 Better Similar 3 / 16 Y

Health-Related Quality of Life 0.761 0.751 0.726 Better Better 4 / 16 Y

Cancer Deaths, under 75 130.9 134.3 144.4 Similar Better 5 / 16 Y

Drug Treatment Success Opiates 9.5% 8.1% 7.8% Similar Better 6 / 16 Y

Healthy Life Expectancy (Male) 66.0 65.2 63.3 Similar Better 6 / 16 Y

Circulatory Disease Deaths, under 75 63.8 66.7 78.2 Similar Better 6 / 16 Y

Admission Rate for Accidental Falls 1766.1 1809.9 2011.0 Similar Better 6 / 16 Y

Preventable Deaths, under 75 156.6 163.2 183.9 Better Better 6 / 16 Y

Under 18 injuries 103.2 112.0 112.2 Better Better 6 / 16 Y

Smoking at Time of Delivery (%) 12.2% 12.3% 12.0% Similar Similar 6 / 15 Y X

NHS Health Checks Uptake (%) 49.6% 45.9% 48.9% Better Better 7 / 16 Y

Child Poverty (%) 12.7% 13.9% 19.2% Better Better 7 / 16 Y

Excess Weight in Year Six (%) 30.3% 30.8% 33.5% Similar Better 7 / 16 Y

Adult Smoking Rate (%) 16.4% 16.7% 18.4% Similar Better 7 / 16 Y

Cancer Early Diagnosis 48.4% 48.9% 45.7% Similar Better 8 / 13 Y X X X

Dementia Diagnosis Rate (%) 56.5% 56.5% 60.8% Similar Worse 9 / 16 Y

Low Happiness Score (%) 8.5% 8.6% 9.7% Similar Similar 9 / 16 Y

Teen Conception Rate per 1,000 20.7 20.3 23.9 Similar Better 9 / 16 Y

NHS Health Checks received (%) 16.1% 18.1% 18.6% Worse Worse 10 / 16 Y

Excess Weight in Reception Year (%) 23.4% 22.3% 22.5% Worse Similar 10 / 16 Y

Hospital Admission Rate for Self-Harm 419.5 388.8 346.3 Similar Worse 11 / 16 Y

NHS Health Checks Offered (%) 32.4% 39.4% 37.9% Worse Worse 12 / 16 Y

Mental Health Looked After Children 15.2 14.3 13.9 - - 12 / 14 Y X X

MMR Vaccination Uptake at Age 5 (%) 90.0% 91.3% 88.5% Similar Better 13 / 16 Y

Alcohol Admission Rate (Narrow) 639.7 597.2 636.1 Worse Similar 13 / 16 Y

Suicide Rate 10.4 9.5 8.8 Similar Worse 13 / 16 Y

Fuel Poverty (%) 12.5% 9.3% 10.4% Worse Worse 16 / 16 Y

Measure

Rates Significance LACG Rank / Position

Position

PUBLIC HEALTH DEVON OUTCOMES REPORT

Overarching Indicators G Green

Indicator 0.01: Healthy Life Expectancy Male Amber

Period: 2011-13 Red

South West Benchmarking Local Authority District

Local Authority Comparator Group CCG and Locality Comparison

Trend and Future Trajectory Inequalities (Deprivation)

RAG Rating

Overview

Males in Devon can expect to live for 66.0 years in good health, compared with 63.3

years in England, 65.3 years in the South West, and 65.2 years in the local authority

comparator group. Healthy Life expectancy for males ranged from 53.6 (Tower

Hamlets) to 71.4 (Wokingham) nationally, ranged from 58.3 (Plymouth) to 68.5

(Wiltshire) within the South West, and from 62.7 (Cumbria) to 67.5 (Somerset) within

the local authority comparator group.

Equalities

No local breakdowns by equality characteristics are currently available. Males in

Devon spend 1.7 years less in good health than females, which is much smaller than

the gap in life expectancy (3.7 years). Nationally, more deprived areas have lower

healthy life expectancy.

68.5

67.8

67.5

67.0

66.4

66.0

66.0

65.5

64.2

63.9

63.7

63.6

63.0

62.4

58.3

55 65 75

WiltshireSouth Glos

SomersetDorset

North SomDevon

BANESPooleGlos

SwindonCornwall

BournemouthBristol

TorbayPlymouth

Healthy Life Expectancy (Years)

Devon LA South West England

0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon


England South West Devon District

55

57

59

61

63

65

67

69

71

73

75

2009-11 2010-12 2011-13


Devon South West England

0

0

0

1

1

1

1

2001-

2005

2002-

2006

2003-

2007

2004-

2008

2005-

2009

2006-

2010


Most Deprived Above Average

Average Below Average

Least Deprived

67.5

67.0

67.0

66.9

66.4

66.0

66.0

65.6

64.6

64.2

64.2

64.1

63.9

63.6

63.5

62.7

55 65 75

SomersetDorset

WarwickshireWest Sussex

CambridgeshireDevon

WorcestershireHampshire

EssexLincolnshire

GlosLeicestershire

NorfolkNorth Yorkshire

East SussexCumbria


Devon LA LACG England

0 1 1 2

TorquayPaignton/Brixham

N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth

Western LocalityNorthern Locality

WEBWakley

Mid DevonExeter

Eastern LocalityNEW Devon CCG


England South West CCG/Locality

NOT CURRENTLY AVAILABLE AT LOCAL

AUTHORITY DISTRICT LEVEL

NOT CURRENTLY AVAILABLE AT CCG /

LOCALITY LEVEL

NOT CURRENTLY AVAILABLE AT A LOCAL

LEVEL


INDICATOR SPECIFICATION

Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Male

Period: 2011-13

Chart Notes

CCG/Locality

Figures are not currently available at a Clinical Commissioning Group and locality

level.

Chart Notes

Comparator

Compares Devon to similar upper tier / unitary local authorities using the 15 closest

comparator councils from the Institute of Public Finance (IPF) statistical neighbours.

Error bar is 95% confidence interval.

Description The average number of years males can expect to be in good general health

Source

Chart Notes

TrendCompares Devon rate with South West region and England over time.

Chart Notes

South West

Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar

is 95% confidence interval.

Chart Notes

InequalitiesFigures are not currently available for an inequalities analysis at a local level.

Detailed

Specification

The prevalence of ‘Good’ general health among males and females resident in private

households by local authority used from Annual Population Survey. HLE was then

calculated using the Sullivan method which combines prevalence data with mortality

and mid-year population estimates (MYPE) over the same period and geographical

coverage to calculate estimates of LE and HLE at birth by sex. The age band

structure used for calculating HLE was the traditional age band structure of <1, 1-4, 5-

9, 10-14, 15-19BB85+.

Office for National Statistics (Annual Population Survey and Mid-Year Population

estimates)

Outcomes

FrameworkPublic Health Outcomes Framework, Overarching Indicator 0.1

Chart Notes

Local AuthorityFigures are not currently available at a local authority district level.

Update

FrequencyAnnually, around 18 months in arrears



Indicator 0.01: Healthy Life Expectancy Female Amber

Period: 2011-13 Red




RAG Rating

Overview

Females in Devon can expect to live for 67.7 years in good health, compared with

63.9 years in England, 65.5 years in the South West, and 66.1 years in the local

authority comparator group. Healthy life expectancy for females ranged from 55.5

(Barking and Dagenham) to 71.3 (Rutland) nationally, ranged from 59.4 (Plymouth) to

68.5 (BANES) within the South West, and from 63.6 (Cumbria) to 68.1 (Somerset)

within the local authority comparator group.

Equalities

No local breakdowns by equality characteristics are currently available. Females in

Devon spend one year longer in good health than males, which is much smaller than

the gap in life expectancy (3.7 years). Nationally, more deprived areas have lower

healthy life expectancy.

68.5

68.1

67.7

66.8

66.8

66.7

66.6

65.2

64.1

64.0

63.9

62.8

62.6

62.6

59.4

55 65 75

BANESSomerset

DevonSouth Glos

GlosWiltshire

PooleDorset

CornwallTorbay

BournemouthSwindon

BristolNorth Som

Plymouth



0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



5557596163656769717375

2009-1

1

2010-1

2

2011-1

3



0

0

0

1

1

1

1

2001-

2005

2002-

2006

2003-

2007

2004-

2008

2005-

2009

2006-

2010




Least Deprived

68.1

67.8

67.7

66.8

66.4

66.3

66.3

66.2

66.1

65.8

65.6

65.5

65.3

65.2

64.7

63.6

55 65 75

SomersetWest Sussex

DevonGlos

WorcestershireWarwickshire

HampshireNorth Yorkshire

LincolnshireNorfolk

East SussexCambridgeshire

EssexDorset

LeicestershireCumbria



0 1 1 2


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter







LOCALITY LEVEL


LEVEL



Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Female

Period: 2011-13

Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Chart Notes


Chart Notes


Update


Chart Notes

South West



Chart Notes


Outcomes

FrameworkPublic Health Outcomes Framework, Overarching Indicator 0.1

Detailed

Specification

The prevalence of ‘Good’ general health among males and females resident in private

households by local authority used from Annual Population Survey. HLE was then

calculated using the Sullivan method which combines prevalence data with mortality

and mid-year population estimates (MYPE) over the same period and geographical

coverage to calculate estimates of LE and HLE at birth by sex. The age band

structure used for calculating HLE was the traditional age band structure of <1, 1-4, 5-

9, 10-14, 15-19BB85+.

Description The average number of years females can expect to be in good general health

SourceOffice for National Statistics (Annual Population Survey and Mid-Year Population

estimates)



Indicator 0.02: Male Life Expectancy Gap Amber

Period: 2011 to 2013 Red



Period: 2011 to 2013 Inequalities (Sex)

Equalities

As the slope index of inequality compare the most and least deprived communities

within an area's population, the smaller gap seen is partly a product of less severe

social inequalities compared to other areas. The gap is more notable at the extremes

with a 15 year gap in life expectancy at an electoral ward level. The life expectancy

gap is much larger for males than females.

Overview

The Slope Index of Inequality compares life expectancy in the most deprived and

least deprived communities within an area's population, revealing the gap in life

expectancy in years. For males in Devon the gap is 5.2 years which is significantly

lower than the gaps for the South West (7.5), the local authority comparator group

(7.2), and England (8.4).

RAG Rating

10.5

9.0

9.0

8.9

8.6

7.9

7.9

7.8

7.8

6.9

6.4

6.3

5.3

5.2

5.1

0 10 20

BournemouthSwindon

North SomBristol

BANESPoole

TorbayGlos

PlymouthSomerset

DorsetSouth Glos

CornwallDevon

Wiltshire

Life Expectancy Gap (Years)


0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon


District Devon South West England

0

2

4

6

8

10

12

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

Life Expectancy (Years)


0

1

2

3

4

5

6

7

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3


Female Male

9.5

8.2

8.1

7.9

7.8

7.7

7.2

6.9

6.9

6.8

6.8

6.7

6.4

6.4

6.2

5.2

0 5 10 15

CumbriaEast Sussex


GloucestershireWest Sussex

EssexHampshireSomerset

North YorksCambridgeshire

LincolnshireDorsetNorfolk

LeicestershireDevon



0 1 1


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter



CCG/Locality South West England

NOT CURRENTLY AVAILABLE

AT A LOCAL LEVEL


AT A LOCAL LEVEL



Overarching IndicatorsIndicator 0.02: Male Life Expectancy Gap

Period: 2011 to 2013

Chart Notes

Comparator




Chart Notes

Local AuthorityNo longer available at local authority district level.

Chart Notes

CCG/LocalityNot available at CCG or locality level.

Chart Notes

South West



Detailed

Specification

Chart Notes

Inequalities

Shows overall average life expectancy for the most deprived 10% of the population

and least deprived 10% of the population and other groups over time.

Chart Notes


Local authority populations divided into 10 local deciles using Index of Multiple

Deprivation 2010 at a Lower Super Output Area (LSOA) level. Life expectancy

calculated for each local decile using Office for National Statistics annual mortality

extracts and mid-year population estimates. Regression analysis performed across

10 local deciles to produce estimated gap in life expectancy in years within area.

Outcomes

Framework

Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to

cover three year period)

Source

Description

Update

FrequencyAnnually, typically around 12 months in arrears

Slope Index of Inequality, Association of Public Health Observatories, London and

East Midlands Public Health Observatories (now Public Health England), CCG figures

derived by Devon Public Health Intelligence Team

Estimated gap in male life expectancy in years between the most and least deprived

communities in a given area



Indicator 0.02 Female Life Expectancy Gap Amber

Period: 2011 to 2013 Red



Trend and Future Trajectory Inequalities (Sex)

As the slope index of inequality compare the most and least deprived communities

within an area's population, the smaller gap seen is partly a product of less severe

social inequalities compared to other areas. The gap is more notable at the extremes

with a 15 year gap in life expectancy at an electoral ward level. The life expectancy

gap is much larger for males than females.

Overview

The Slope Index of Inequality compares life expectancy in the most deprived and

least deprived communities within an area's population, revealing the gap in life

expectancy in years. For females in Devon the gap is 3.3 years which is significantly

lower than the gaps for the South West (5.0), the local authority comparator group

(5.4), and England (6.2).

Equalities

RAG Rating

6.6

6.5

6.4

6.3

6.3

5.6

5.5

5.4

5.1

4.7

4.2

3.7

3.3

2.9

2.7

0 5 10 15

BristolNorth Som

PooleTorbay

GlosBournemouth

DorsetPlymouth

South GlosBANES

CornwallSomerset

DevonSwindonWiltshire



0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



0

1

2

3

4

5

6

7

8

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3



0

1

2

3

4

5

6

7

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3


Female Male

7.3

7.1

6.6

6.3

6.0

6.0

5.8

5.5

5.5

5.0

5.0

5.0

4.8

3.7

3.3

3.0

0 5 10 15

CumbriaWarwickshireWest Sussex

GloucestershireEssex

East SussexWorcestershire

North YorksDorset

LincolnshireCambridgeshire

LeicestershireHampshireSomerset

DevonNorfolk



0 1 1


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter





AT A LOCAL LEVEL


AT A LOCAL LEVEL



Overarching IndicatorsIndicator 0.02 Female Life Expectancy Gap

Period: 2011 to 2013

Chart Notes

Comparator




Chart Notes

Local AuthorityNo longer available at local authority district level.

Not available at CCG or locality level.Chart Notes

CCG/Locality

Chart Notes

South West

Chart Notes

Inequalities

Shows overall average life expectancy for the most deprived 10% of the population

and least deprived 10% of the population and other groups over time.

Chart Notes




Detailed

Specification

Local authority populations divided into 10 local deciles using Index of Multiple

Deprivation 2010 at a Lower Super Output Area (LSOA) level. Life expectancy

calculated for each local decile using Office for National Statistics annual mortality

extracts and mid-year population estimates. Regression analysis performed across

10 local deciles to produce estimated gap in life expectancy in years within area.

Outcomes

Framework

Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to

cover three year period)

Annually, typically around 12 months in arrearsUpdate

Frequency

Source

Slope Index of Inequality, Association of Public Health Observatories, London and

East Midlands Public Health Observatories (now Public Health England), CCG figures

derived by Devon Public Health Intelligence Team

DescriptionEstimated gap in female life expectancy in years between the most and least deprived

communities in a given area


Domain 1. Improving the Wider Determinants of Health Green

Indicator 1.01 Children in Poverty A Amber

Period: 2012 Red



Trend and Future Trajectory Inequalities

Equalities

Considerable variation exists across Devon communities. Rates of child poverty are

higher in younger families due to higher benefit claimant rates and lower incomes in

persons in their 20s and 30s. Single parent households, particularly where headed by

a female, are also more likely to experience economic poverty, as are children of

disabled parents. There are no significant variations by ethnic group in Devon.

RAG Rating

Overview

15,615 children (12.7%) in Devon live in households dependent on benefits or tax

credits, compared with 15.1% in the South West and 19.2% nationally. Child poverty

rates in Devon fell between 1999 and 2008 and have dropped further from the South

West average over time. Rates increased in 2009 and 2010 before falling slightly in

2011 and 2012. Rates at a district level range from 10.3% in East Devon to 16.0% in

Torridge. Rates in the most deprived areas are five times those in the least.

23.6%

22.1%

20.8%

18.3%

16.9%

15.9%

15.3%

14.1%

14.0%

13.8%

12.7%

12.3%

12.0%

11.4%

11.2%

0% 10% 20% 30%

BristolTorbay

PlymouthBournemouth

CornwallSwindon

PooleNorth SomSomerset

GlosDevonDorset

BANESSouth Glos

Wiltshire

Percentage


11.9%

16.0%

13.0%

11.1%

13.5%

11.6%

14.7%

10.3%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

5%

10%

15%

20%

25%

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

Percentage


0%

5%

10%

15%

20%

25%

30%

35%

40%

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

Percentage



Least Deprived

17.2%

17.1%

16.5%

16.1%

14.9%

14.7%

14.0%

13.8%

13.2%

12.7%

12.5%

12.4%

12.3%

11.5%

11.5%

11.0%

0% 10% 20% 30%

East SussexNorfolk

LincolnshireEssex

WorcestershireCumbria

SomersetGloucestershire

WarwickshireDevon

CambridgeshireWest Sussex

DorsetLeicestershire

HampshireNorth Yorks

Percentage


23.1%

20.5%

13.8%

12.8%

15.4%

17.8%

10.5%

20.8%

18.5%

14.5%

11.0%

10.2%

11.7%

13.7%

12.1%

15.1%

0% 10% 20% 30%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage




Domain 1. Improving the Wider Determinants of HealthIndicator 1.01 Children in Poverty

Period: 2012

Chart Notes

Comparator




Detailed

Specification

Children living in families in receipt of Child Tax Credit (CTC) whose reported income

is less than 60 per cent of the median income or are in receipt of income support (IS)

or Income-Based Jobseeker's Allowance (JSA), as a proportion of the total number of

children in the area.

Chart Notes

Local Authority

Compares Local Authority Districts in the Devon County Council area. Error bar is

95% confidence interval.

Chart Notes

Inequalities

Compares areas within Devon based on area deprivation. National deprivation

quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.

Chart Notes

Trend

Compares Devon rate with South West region and England over time. Trajectory is a

'no change' projection from the 2009 baseline.

Chart Notes

CCG/Locality

Displays rates for the two Clinical Commissioning Groups in the wider Devon area,

their localities, and their sub-localities. This is based on the geographic areas defined

at Lower Super Output Area level www.devonhealthandwellbeing.org.uk/library/maps.


Chart Notes

South West



Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.01

Update

FrequencyAnnually, around 20 months in arrears (2013 due Autumn 2015)

DescriptionPercentage of children (aged 0 to 15) living in households dependent on benefits or

tax credits.

HM Revenue and Customs (Personal Tax Credits: Related Statistics - Child Poverty

Statistics)Source


Priority 1. Improving the Wider Determinants of Health G Green

Indicator 1.10 Killed and Seriously Injured (KSI) on roads Amber

Period: 2011-13 Red



Trend and Future Trajectory Inequalities (Rurality and Deprivation)

Equalities

Males are more likely to be killed or seriously injured than females. The likelihood is

also greater in younger adults (16 to 24), and reduces through adult life with the

lowest rates in over 65s. An analysis by rurality and deprivation reveals that more

deprived rural areas have higher KSI rates (69.7) than less deprived areas (57.8),

which the inverse is true in urban areas (more deprived 17.1, less deprived 23.3).

Overview

852 people were killed or seriously injured on Devon's roads between 2011 and 2013,

an average of 284 per year, with an average of just over five cases per week. The

KSI rate in Devon (37.7 per 100,000) was in line with the South West rate (37.5),

signficantly below the local authority comparator group (48.1), and below the England

rate (39.7). Within Devon rates were highest in West Devon (55.7) and lowest in

Exeter (26.5). By CCG Locality they are lowest in Coastal (Dawlish and Teignmouth).

RAG Rating

51.7

47.0

45.2

42.2

40.8

40.7

39.4

37.7

34.4

31.7

30.9

27.7

25.7

20.1

17.9

0 20 40 60

DorsetWiltshire

BournemouthPoole

SomersetCornwall

GlosDevon

SwindonBristol

TorbayNorth Som

PlymouthBANES

South Glos

Rate per 100,000


55.7

35.0

38.9

41.9

48.0

29.4

26.5

35.7

0 20 40 60 80

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

10

20

30

40

50

60

70

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

Rate per 100,000


77.6

61.5

59.3

54.7

54.0

53.7

51.7

49.8

45.7

42.8

42.3

40.8

39.4

37.7

31.4

30.6

0 20 40 60 80

North YorksLincolnshireEast Sussex

WarwickshireHampshire

West SussexDorset

CambridgeshireCumbria

EssexNorfolk


DevonLeicestershire

Worcestershire

Rate per 100,000


30.9

30.9

38.6

41.7

16.1

32.8

46.8

25.7

30.8

42.7

22.5

38.1

37.4

35.2

34.8

34.7

0 20 40 60 80


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Rate per 100,000


0

10

20

30

40

50

60

70

80

90

100

2008-10 2009-11 2010-12 2011-13

Rate per 100,000

Urban Deprived Urban Less Deprived

Devon Rural Less Deprived

Rural Deprived



Priority 1. Improving the Wider Determinants of HealthIndicator 1.10 Killed and Seriously Injured (KSI) on roads

Period: 2011-13

Compares areas according 2010 Indices of Deprivation (Index of Multiple Deprivation)

and 2004 Urban Rural Classification groupings.




Chart Notes

CCG/Locality





Chart Notes

Comparator

Numerator was The number of people of all ages reported killed or seriously injured

on the roads in the three year period. Denominator was 2011 Census based mid-

year resident population estimate for the year 2012 multiplied by three. Crude rate per

100,000 population. The number of events observed over the three year period was

divided by the mid-period population multiplied by 3, and the resulting rate multiplied

by 100,000.

Chart Notes

Local Authority



Chart Notes

Inequalities

Chart Notes


Chart Notes

South West



Detailed

Specification

Outcomes


Update

FrequencyAnnually, next update due summer 2015

Source Department for Transport

DescriptionNumber of people reported killed or seriously injured on the roads, all ages, per

100,000 resident population.


Priority 1. Improving the Wider Determinants of Health Green

Indicator 1.11 Domestic Violence A Amber

Period: 2013-14 Red




Equalities

Domestic violence is more common in females with 7.3% women and 5.0% of men

having been a victim of domestic abuse past year and 31.0% of women and 17.8% of

men have been victims at some point since the age of 16 (British Crime Survey).

Younger persons (18 to 29) are more likely to report domestic violence. Incident

rates also tend to be higher in more deprived areas.

Domestic Violence incidents recorded by police are reported by Police Force through

the Public Health Outcomes Framework. However, Devon breakdowns are possible

through local sources and have been added. Devon has a rate of 13.49 per 1,000,

below the South West (15.25), comparator group (16.30) and England (19.37) rates.

Within Devon rates are highest in Exeter (17.94). Local trend infromation, including

provisional figures for 2013-14 highlight increases over time.

RAG Rating

Overview

21.14

21.14

21.14

14.10

14.10

14.10

14.10

14.10

13.52

13.52

13.52

13.49

9.91

9.91

0.0 10.0 20.0 30.0

PlymouthTorbay

CornwallSouth Glos

SomersetBANES

BristolNorth Som

PooleDorset

BournemouthDevon

SwindonWiltshire

Rate per 1,000


10.89

15.13

13.41

9.64

15.10

12.72

17.56

11.83

0.0 5.0 10.0 15.0 20.0 25.0

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 1,000


0.0

5.0

10.0

15.0

20.0

25.0

2010-11 2011-12 2012-13 2013-14

Rate per 1,000


22.01

19.97

17.81

17.17

17.01

16.65

15.75

15.48

15.30

15.07

15.07

14.94

14.10

13.52

13.49

9.83

0.0 10.0 20.0 30.0

LeicestershireEssex

CambridgeshireLincolnshireHampshire

CumbriaWarwickshire

WorcestershireNorth Yorks

West SussexEast Sussex

NorfolkSomerset

DorsetDevon

Gloucestershire

Rate per 1,000


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage


LOCALITY LEVEL


LEVEL



Priority 1. Improving the Wider Determinants of HealthIndicator 1.11 Domestic Violence

Period: 2013-14

Chart Notes

Comparator



Error bar is 95% confidence interval. Figures relate to police force area.

Chart Notes


Chart Notes

CCG/Locality


level.

Chart Notes

Trend

Compares Devon rate (Devon and Cornwall) with South West region and England

over time.

Detailed

Specification

Numerator is the number of incidents of domestic violence recorded by the police.

Denominator is the over 18 rounded mid-year population of the area. Rate is

numerator divided by denominator multiplied by 1,000.

Public Health Outcomes Framework Indicator 1.11

Description Domestic abuse incidents recorded by the police, crude rate per 1,000 population

SourceCrime Statistics, Focus on: Violent Crime and Sexual Offences

(Office for National Statistics)

Update

FrequencyAnnually, timing to be determined

Outcomes

Framework

Chart Notes

South West


is 95% confidence interval. Figures relate to police force area (Devon & Cornwall)

Chart Notes




Indicator 1.17 Fuel Poverty A Amber

Period: 2013 Red




Equalities

Fuel poverty in more prevalent in groups with low household incomes, including

pensioners, persons on benefits, and working families with below average incomes.

The low wage economy, particularly in North and West Devon and higher living costs

contribute to levels of fuel poverty locally. Fuel poverty is highest and has increased

fastest in the most deprived areas.

RAG Rating

Overview

Just over one in eight households in Devon are in fuel poverty (12.55%), which is

above the South West (11.54%), local authority comparator group (9.27%), and

England (10.39%) rates. Within Devon the highest levels of fuel poverty were seen in

Torridge (14.02%) and the lowest were seen in East Devon (11.02%). Levels of fuel

poverty increased between 2011 and 2013 in Devon but fell in many other areas of

the country.

14.47%

13.40%

13.23%

12.78%

12.55%

12.08%

11.51%

11.18%

10.70%

10.04%

9.94%

9.79%

9.54%

9.08%

9.06%

0% 10% 20%

CornwallPlymouth

BristolTorbayDevon

BANESBournemouth

SomersetGlos

WiltshireDorset

SwindonNorth Som

PooleSouth Glos

Percentage


13.75%

14.02%

11.80%

12.15%

13.57%

12.76%

13.12%

11.02%

0% 5% 10% 15% 20%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

2%

4%

6%

8%

10%

12%

14%

2011 2012 2013

Percentage


12.55%

11.18%

11.18%

10.90%

10.89%

10.70%

9.94%

9.57%

9.42%

9.35%

8.89%

8.72%

8.15%

7.96%

7.39%

6.68%

0% 5% 10% 15%

DevonSomerset


CumbriaGloucestershire

DorsetLincolnshireNorth Yorks

NorfolkLeicestershire

East SussexCambridgeshire

EssexWest Sussex

Hampshire

Percentage


13.56%

11.97%

10.94%

13.14%

12.27%

12.45%

11.84%

13.40%

13.02%

13.75%

11.17%

10.67%

13.29%

13.03%

12.34%

12.87%

0% 5% 10% 15%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0%

2%

4%

6%

8%

10%

12%

14%

16%

2011 2012 2013

Percentage



Least Deprived

*UPDATED INDICATOR*



Priority 1. Improving the Wider Determinants of HealthIndicator 1.17 Fuel Poverty

Period: 2013

Chart Notes

Comparator




Detailed

Specification

Chart Notes

Local Authority



Under the "Low Income, High Cost" measure, houeholds are considered to be fuel

poor where:

1.They have required fuel costs that are above average (the national median level)

2.Were they to spend that amount, they would be left with a residual income below

the official fuel poverty line.

The key elements in determining whether a household is fuel poor or not are income,

fuel prices, fuel consumption (which is dependent on the dwelling characteristics and

the lifestyle of the household)

Chart Notes

Inequalities



Compares Devon rate with South West region and England over time.

Chart Notes

CCG/Locality





Chart Notes

Trend

Chart Notes

South West



Outcomes


Department of Energy and Climate Change (DECC)

https://www.gov.uk/government/publications/2012-sub-regional-fuel-poverty-data-low-

income-high-costs-indicator

Update


DescriptionThe percentage of households that experience fuel poverty based on the "Low

income, high cost" methodology

Source



Indicator 1.18 Social Contentedness A Amber

Period: 2013-14 Red




Equalities

Female social care users in Devon reported being more satisfied with their social

situation than male social care users. Social care users with Learning Disabilities

reported being the most satisfied with their level of social contact compared with other

client groups.

Overview

47.5% of social care users surveyed in Devon in 2013-14 reported being satisfied with

their social situation. This was significantly above South West (44.3%), local authority

comparator group (45.2%) and England (44.2%) rates. Within Devon whilst there is

some variation in responses at district level, smaller sample sizes mean the

differences are not statistically significant. Rates increased significantly on 2012-13

levels.

RAG Rating

47.9%

47.5%

47.1%

45.6%

45.4%

44.5%

44.0%

43.9%

43.8%

43.0%

42.9%

40.1%

37.9%

37.6%

35.3%

0% 20% 40% 60%

WiltshireDevonTorbayBANES

PooleCornwall

South GlosNorth Som

PlymouthBournemouth

SomersetGlos

SwindonDorsetBristol

Percentage


63.9%

47.1%

40.9%

62.2%

42.0%

50.0%

45.5%

50.9%

0% 20% 40% 60% 80% 100%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%5%

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

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


48.8%

47.9%

47.5%

45.8%

45.6%

45.5%

45.4%

45.3%

45.3%

44.9%

44.6%

44.4%

42.9%

42.3%

40.1%

37.6%

0% 20% 40% 60%

NorfolkCumbria

DevonCambridgeshire

HampshireWarwickshireWest SussexEast Sussex

WorcestershireLincolnshire

LeicestershireEssex

SomersetNorth Yorks

GloucestershireDorset

Percentage


47.1%

47.1%

45.5%

61.3%

31.0%

47.1%

60.5%

43.8%

44.1%

44.0%

62.5%

43.8%

56.5%

42.2%

49.4%

44.3%

0% 20% 40% 60% 80% 100%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


37.5%

49.1%

54.7%

39.3%

62.5%

0% 20% 40% 60% 80%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage



Priority 1. Improving the Wider Determinants of HealthIndicator 1.18 Social Contentedness

Period: 2013-14

Chart Notes

Comparator

Chart Notes

CCG/Locality







Chart Notes

Inequalities

Chart Notes


Chart Notes

Local Authority






Chart Notes

South West



The percentage of users responding "I have as much contact as I want with people I

like" and carers choosing "I have as much contact as I want" to questions based on

their social situation in the Adult Social Care Survey and Carers Survey. Currently

just measuring social care users. Measures for users and carers will be presented

separately

Detailed

Specification

Outcomes

Framework

Adult Social Care Outcomes Framework Indicator 1i, Public Health Outcomes

Framework Indicator 1.18

Update

Frequency

Annually for social care users, around four months in arrears.

Bi-annually for Carers, around four months in arrears.

DescriptionProportion of people who use services who reported that they had as much social

contact as they would like.

Adult Social Care Survey and Carers Survey. National Adult Social Care Intelligence

Service (SW Benchmarking, Trend and Comparator Group) DCC Management

Information Team (District, Inequalities and CCG / Locality Comparison)

Source


Domain 2. Health Improvement G Green

Indicator 2.03 Smoking at Time of Delivery Amber

Period: 2013-14 Red

South West Benchmarking Local Authority District (2012-13)

Local Authority Comparator Group CCG and Locality Comparison (2012-13)

Trend and Future Trajectory Inequalities (2012-13)

Equalities

Whilst overall rates in Devon are the lowest in the South West, there is a strong

inequalities gradient. Rates in the most deprived areas (25.7%) are almost five times

higher than those in the least deprived areas (5.4%). Smoking at time of delivery

varies by age with younger mothers in their teens and twenties much more likely to

smoke than mothers in their thirties and forties.

Overview

In the year 2013-14, 847 mothers were smoking at time of delivery in Devon. This

represents 12.2% of all mothers in Devon, compared with 13.0% in the South West,

and 12.0% in England. Nationally data are no longer reported on a local authority

basis but on a CCG basis. The higher Devon rate in 2013-14 is influenced by higher

rates in Torbay and Plymouth. Within Devon the lowest rates were in East Devon

(6.3%), and the highest in Torridge (13.2%). Rates have fallen over recent years.

RAG Rating

18.6

16.8

15.2

14.1

13.6

12.7

12.3

12.3

12.3

12.2

11.8

11.4

11.3

10.1

9.3

0 10 20 30

WiltshireTorbay

SomersetSwindonCornwall

BristolPoole

BournemouthDorsetDevon

North SomGloucestershire

PlymouthBANES

South Glos

Percentage


11.2%

13.2%

11.8%

8.1%

12.0%

9.3%

8.0%

6.3%

0% 5% 10% 15% 20%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


02468

101214161820

2004-0

5

2005-0

6

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


15.2

14.9

14.3

13.8

13.6

13.1

12.9

12.9

12.3

12.2

11.4

11.2

10.7

10.6

8.7

0 10 20

SomersetLincolnshire


East SussexWarwickshire

North YorksNorfolkDorsetDevon

GloucestershireHampshire

LeicestershireCambridgeshire

West SussexEssex

Percentage


16.2%

17.8%

14.3%

9.9%

11.4%

14.7%

8.9%

18.3%

16.7%

12.5%

6.6%

6.5%

9.3%

7.6%

7.8%

12.4%

0% 10% 20% 30%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


5.4%

7.1%

9.6%

14.9%

25.7%

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

Least Deprived

Below Average

Average

Above Average

Most Deprived

Percentage



Domain 2. Health ImprovementIndicator 2.03 Smoking at Time of Delivery

Period: 2013-14

Chart Notes

Comparator




Detailed

Specification

Number of women known to smoke at time of delivery. Numerator counts for areas

are based on all women resident within the PCT’s boundary known to smoke.

Denominator counts for areas are based on all women resident within the PCT’s

boundary who gave birth in the period. Data collected from Health and Social Care

Information Centre's return on Smoking Status At Time of Delivery. This information

has been collected using the Health and Social Care Information Centre’s (HSCIC's)

Omnibus system, a web based system set up to collect performance and other

central returns directly from the NHS.

Chart Notes

Inequalities

Compares rates in the wards with the highest teenage conception areas with the

Devon average.

Compares Devon rate with South West region and England over time.Chart Notes

Trend

Chart Notes

CCG/Locality







Chart Notes

Local Authority

Chart Notes

South West

Compares Primary Care Trust areas in the South West Region. Error bar is 95%

confidence interval.

Public Health Outcomes Framework Indicator 2.03Outcomes

Framework

Update

FrequencyAnnually - typically three months in arrears (2014-15 data is due July 2015)

Number of women who currently smoke at time of delivery per 100 maternities.Description

Source The Health and Social Care Information Centre, Lifestyle Statistics


Domain 2. Health Improvement Green

Indicator 2.04 Teenage Conception Rate A Amber

Period: 2014 Q1 Rolling Year Red




Equalities

There is a very clear link between area deprivation and teenage conception, with

rates in the most deprived areas around four times higher than the least deprived

areas both locally and nationally. Most teenage conceptions occur at the age of 17,

and there are only a small proportion under the age of 16 (around 50 to 60 per

annum), and less than 10 births per annum to under 16s.

Overview

There were 256 conceptions in Devon between April 2013 and March 2014 for

females aged under 18, with around half leading to a birth. The latest annual

conception rate is 20.7 per 1,000 females compared with 20.0 for the South West,

20.3 for the local authority comparator group and 23.9 for England. Higher rates are

seen in Exeter, Mid Devon and Teignbridge but the differences are not statistically

signficant. Stronger decreases in the national rate mean the gap has narrowed.

RAG Rating

29.9

27.0

24.7

23.8

22.7

20.7

20.7

20.6

18.9

18.2

18.1

17.5

17.4

14.7

14.6

0 20 40 60

TorbayPlymouth

BristolSwindon

PooleDevon

SomersetBournemouth

DorsetCornwall

GlosWiltshire

North SomBANES

South Glos

Rate per 1,000 females aged 15-17


20.5

24.0

25.8

16.6

18.6

20.5

28.6

19.8

0 10 20 30 40

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



0

5

10

15

20

25

30

35

40

45

50

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rate per 1,000 females aged 15-

17


25.7

24.0

23.8

23.1

21.6

21.2

20.7

20.7

20.7

20.0

18.9

18.1

17.7

17.7

17.3

15.7

0 20 40

LincolnshireWorcestershire

WarwickshireNorfolk

LeicestershireCumbria

EssexDevon

SomersetEast Sussex

DorsetGloucestershireNorth Yorkshire

HampshireWest Sussex

Cambridgeshire



0 0.5 1 1.5

ToBPaiB

NBMoBCoBSDBSHBPlyBWB

NoBWEB

WBMiBExBEaBNEB




LOCALITY LEVEL

0

20

40

60

80

100

120

2007-09 2008-10 2009-11

Rate per 1,000 females aged 15-

17

Devon Wards Ranked 21 to 30

Wards Ranked 11 to 20 Wards Ranked 1 to 10

*UPDATED INDICATOR*



Domain 2. Health ImprovementIndicator 2.04 Teenage Conception Rate

Period: 2014 Q1 Rolling Year

Chart Notes

Comparator




Detailed

Specification

Compares rates in the wards with the highest teenage conception areas with the

Devon average over time.

Chart Notes

Inequalities

Chart Notes

Trend

Compares Devon rate with South West region and England over time. Trajectory is

based on 0.5 fall in rate per annum from 2009 baseline.

Chart Notes

CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.

Chart Notes

Local Authority



Chart Notes

South West



Number of pregnancies that occur to women aged under 18, that result in either one

or more live or still births or a legal abortion under the Abortion Act 1967. Population

aged 15 to 17 derived from Office for National Statistics Mid Year Population

Estimates. Conceptions are divided by population and then multiplied by 1,000.

Outcomes


Update

FrequencyQuarterly - 15 months in arrears (Q2 2014 due September 2015)

Description Conceptions in women aged under 18 per 1,000 females aged 15-17.

Source Office for National Statistics



Indicator 2.06 Excess Weight in Four / Five Year Olds A Amber

Period: 2013-14 (School Year) Red



Trend and Future Trajectory Inequalities (Deprivation) (2012-13)

Equalities

Local results by deprivation and other criteria have not yet been released. National

results for 2012-13 reveal 18.2% of pupils in the excess weight category in the least

deprived decile compared with 25.9% in the most deprived decile. Levels of excess

weight were higher in boys than girls. No significant differences were observed by

ethnic group in Devon.

Overview

This measure of 'excess weight' covers children classified as overweight or very

overweight. In reception year (aged four or five) 23.4% of pupils in Devon were

recorded in the excess weight category, compared to 23.5% for the South West

(22.9%), 22.3% for the local authority comparator group, and 22.5% for England.

Within Devon, Exeter (27.0%), and Torridge (25.6%) were significantly above the

national rate. Rates decreased on 2013-14 levels.

RAG Rating

26.5%

25.3%

25.3%

25.0%

24.7%

24.1%

23.9%

23.5%

23.4%

23.1%

23.0%

22.1%

21.8%

21.2%

18.2%

0% 10% 20% 30%

North SomCornwall

TorbayPlymouth

GlosSwindon

DorsetSomerset

DevonBANES

BristolWiltshire

BournemouthPoole

South Glos

Percentage


22.7%

25.6%

22.9%

20.7%

23.3%

23.2%

27.0%

21.2%

0% 10% 20% 30% 40%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

5%

10%

15%

20%

25%

30%

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


25.1%

24.7%

24.2%

24.0%

23.9%

23.5%

23.4%

22.3%

22.0%

21.8%

21.8%

21.2%

20.9%

20.8%

20.8%

20.6%

0% 10% 20% 30%

CumbriaGloucestershireWorcestershire

LincolnshireDorset

SomersetDevonNorfolk

North YorksEast SussexWest Sussex

EssexCambridgeshire

LeicestershireHampshire

Warwickshire

Percentage


28.0%

28.0%

31.3%

25.5%

22.6%

27.6%

23.7%

24.8%

24.6%

24.7%

23.1%

22.7%

25.6%

24.7%

24.4%

24.5%

0% 20% 40%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


28.8%

29.1%

23.7%

22.9%

23.1%

0% 10% 20% 30% 40%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage



Domain 2. Health ImprovementIndicator 2.06 Excess Weight in Four / Five Year Olds

Period: 2013-14 (School Year)

Chart Notes

Inequalities



Chart Notes

Trend


based on 0.1% per annum fall.

Chart Notes

CCG/Locality





Chart Notes

Comparator




Chart Notes

Local Authority



Chart Notes

South West



Detailed

Specification

Number of children in Reception (aged 4-5 years) classified as overweight or very

overweight in the academic year as percentage of all children with height and weight

recorded. Children are classified as overweight (including very overweight) if their BMI

is on or above the 85th centile of the British 1990 growth reference (UK90) according

to age and sex. Results obtained from National Child Measurement Programme

(NCMP) covering children attending participating state maintained schools in

England.

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.06i

Update

FrequencyAnnually, four months after end of school year (2014-15 due December 2015).

Proportion of children aged 4-5 (reception year) classified as overweight or very

overweight.

SourceHealth and Social Care Information Centre and Devon Public Health Intelligence

Team

Description



Indicator 2.06 Excess Weight in 10 / 11 Year Olds A Amber

Period: 2013-14 (School Year) Red



Trend and Future Trajectory Inequalities (Deprivation) (2012-13)

Equalities

Local results by deprivation and other criteria have not yet been released. National

results for 2012-13 reveal 26.1% of pupils in the excess weight category in the least

deprived decile compared with 38.1% in the most deprived decile. Levels of excess

weight were higher in boys than girls. No significant differences were observed by

ethnic group in Devon.

Overview

This measure of 'excess weight' covers children classified as overweight or very

overweight. In year six (aged 10 or 11) 30.3% of pupils in Devon were recorded in the

excess weight category, which was below the South West (31.0%), local authority

comparator group (30.8%), and England (33.5%) rates. The rates in the East Devon,

North Devon and the South Hams were significantly below the South West and

national rates. Rates have remained fairly level over recent years.

RAG Rating

35.5%

34.8%

33.3%

33.1%

32.1%

31.0%

30.9%

30.9%

30.3%

30.2%

30.1%

29.7%

29.2%

28.6%

27.7%

0% 20% 40% 60%

TorbayBristol

PlymouthSwindon

GlosSomerset

North SomCornwall

DevonBournemouth

PooleWiltshireBANESDorset

South Glos

Percentage


32.0%

32.1%

32.3%

27.0%

29.4%

30.5%

32.8%

27.9%

0% 10% 20% 30% 40%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

5%

10%

15%

20%

25%

30%

35%

40%

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


33.4%

33.4%

33.2%

32.2%

32.1%

31.0%

30.7%

30.7%

30.7%

30.3%

30.3%

30.1%

29.3%

29.0%

28.9%

0% 20% 40%

LincolnshireCumbria

WorcestershireNorfolk

GloucestershireSomerset

EssexNorth Yorks

East SussexDevon

WarwickshireLeicestershireWest Sussex

CambridgeshireHampshire

Percentage


38.5%

38.5%

31.2%

27.3%

26.7%

33.3%

26.2%

32.1%

30.8%

32.1%

31.6%

29.9%

29.9%

29.8%

30.1%

30.7%

0% 10% 20% 30% 40% 50%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


32.4%

32.3%

29.2%

29.6%

25.8%

0% 10% 20% 30% 40%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage



Domain 2. Health ImprovementIndicator 2.06 Excess Weight in 10 / 11 Year Olds

Period: 2013-14 (School Year)

Chart Notes

Inequalities



Chart Notes

Trend

Chart Notes

CCG/Locality


based on 0.1% per annum fall.





Chart Notes

Comparator




Chart Notes

Local Authority



Chart Notes

South West



Detailed

Specification

Number of children in Year Six (aged 10-11 years) classified as overweight or very

overweight in the academic year as percentage of all children with height and weight

recorded. Children are classified as overweight (including very overweight) if their BMI

is on or above the 85th centile of the British 1990 growth reference (UK90) according

to age and sex. Results obtained from National Child Measurement Programme

(NCMP) covering children attending participating state maintained schools in

England.

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.06ii

Update

FrequencyAnnually, four months after end of school year (2014-15 due December 2015).

DescriptionProportion of children aged 10-11 (year six) classified as overweight or very

overweight.

SourceHealth and Social Care Information Centre and Devon Public Health Intelligence

Team



Indicator 2.07 Hospital Admissions for injuries, aged 0 to 14 Amber

Period: 2013-14 Red




RAG Rating

Overview

1,193 persons aged 0 to 14 were admitted to hospital due to accidental and deliberate

injuries in 2013-14. The standardised rate per 10,000 in Devon was 103.2, which is

below the South West (110.6), local authority comparator group (112.0), and England

(112.2) rates. Within Devon the highest admission rates were seen in North Devon

(122.3) and the lowest in East Devon (87.5). Admission rates have been stable over

recent years in Devon.

Equalities

Admissions for injuries are significantly higher in males than females. Higher

admission levels are seen in very young children (0 to 5) and those aged 13 or 14.

Admission rates are also typically higher in more deprived areas.

144.3

141.7

129.5

126.3

123.5

119.5

109.7

103.7

103.3

103.2

103.1

100.4

100.1

98.1

94.3

0 100 200

PlymouthPoole

BANESSomerset

DorsetBournemouth

BristolCornwall

North SomDevon

SwindonTorbay

WiltshireGlos

South Glos

Rate per 10,000


103.0

118.6

98.2

89.2

122.3

100.2

112.7

87.5

0 50 100 150

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 10,000


0

20

40

60

80

100

120

140

2010-11 2011-12 2012-13 2013-14

Rate per 10,000


133.7

126.5

126.3

125.3

125.2

123.5

122.1

121.7

113.8

105.5

103.2

100.5

98.5

98.1

92.3

76.2

0 50 100 150

CumbriaNorth Yorkshire

SomersetWarwickshireEast Sussex

DorsetNorfolk

LincolnshireWest Sussex

HampshireDevon

CambridgeshireWorcestershire

GloucestershireEssex

Leicestershire

Rate per 10,000


0 1 1 2


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


0

0

0

1

1

1

1

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

DASR per 100,000



Least Deprived


LOCALITY LEVEL


LEVEL



Domain 2. Health ImprovementIndicator 2.07 Hospital Admissions for injuries, aged 0 to 14

Period: 2013-14

Numerator is the number of finished emergency admissions (episode number = 1,

admission method = 21 to 28), with one or more codes for injuries and other adverse

effects of external causes (ICD 10: S00-T79 and/or V01-Y36) in any diagnostic field

position, in children (aged 0-14 years). Admissions that only include T80-98 or Y40-

98, quality of care issues, in any field are excluded. Denominator is mid-year

population estimate for the relevant year for children aged 0-14 years, unrounded

populations. The numerator is divided by the denominator; the resulting value is then

multiplied by 10,000 to a give a crude rate per 10,000 population.

Chart Notes

South West



Chart Notes

Comparator




Chart Notes

Local Authority



DescriptionCrude rate of hospital emergency admissions caused by unintentional and deliberate

injuries in children and young people aged 0-14 years, per 10,000 resident population

Source Public Health England Knowledge and Information Team (South West)

Chart Notes


Chart Notes

InequalitiesRates are not currently available by inequality characteristics within Devon.

Chart Notes


Detailed

Specification

Outcomes


Update

FrequencyAnnual



Indicator 2.08 Emotional Wellbeing of Looked After Children A Amber

Period: 2013-14 Red




Equalities

Detailed local breakdowns by equalities characteristics are not currently available.

Nationally the difficulties score tends to increase with age with teenagers having

higher difficulties scores. The older age profile of children in care in Devon may well

influence the higher average scores observed.

RAG Rating

Overview

The difficulties score is collected through a strengths and difficulties questionnaire,

with higher scores (on a scale of 0 to 40) highlighting greater difficulties. The average

difficulty score in Devon was 15.2 compared which is higher than the South West

(14.8), local authority comparator group (14.3) and England (13.8) averages. The

average score has decreased since 2011-12 level and the gap to the regional and

national average scores has lowered.

16.6

15.7

15.5

15.2

15.2

15.1

15.1

14.7

14.7

14.6

14.6

14.3

14.1

13.9

13.9

0 10 20

PlymouthNorth Som

TorbaySomerset

DevonSouth Glos

BANESWiltshire

PooleSwindonCornwall

BristolDorset

GlosBournemouth

Difficulties Score


0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Difficulties Score


0

2

4

6

8

10

12

14

16

18

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Difficulties Score


15.2

15.2

15.2

15.1

14.7

14.5

14.4

14.1

13.9

13.9

13.9

13.6

13.6

13.1

0 10 20

SomersetWorcestershire

DevonEast SussexLincolnshire

NorfolkCumbria

DorsetEssex

GlosHampshire

CambridgeshireNorth Yorks

Warwickshire

Difficulties Score


0 1 1 2

ToBPaiB


NoBWEB

WBMiBExBEaBNEB

Difficulties Score


0 0 0 1 1 1 1

Most Deprived

Above Average

Average

Below Average

Least Deprived

Difficulties Score




LOCALITY LEVEL


LEVEL



Domain 2. Health ImprovementIndicator 2.08 Emotional Wellbeing of Looked After Children

Period: 2013-14

Description

Average of total difficulties score for all looked after children aged between four and

16 (inclusive) at the date of their latest assessment, who have been in care for at

least 12 months on 31 March.

Source Department for Education (Strengths and Difficulties Questionnaire - SDQ)

Chart Notes


Chart Notes

InequalitiesRates are not currently available by inequality characteristics within Devon.

Rates are not currently available at a Clinical Commissioning Group and locality level.Chart Notes

CCG/Locality



95% confidence interval are not calculable.

Chart Notes

Comparator

Chart Notes

Local AuthorityRates are not currently available at a local authority district level.

Chart Notes

South West

Detailed

Specification

Data is collected by local authorities through the SDQ. A single summary figure for

each child (the total difficulties score), ranging from 0 to 40, is submitted to the

Department for Education through the SSDA903 data return. A higher score indicates

greater difficulties.The mean of total difficulties score for all looked after children aged

between 4 and 16 (inclusive) at the date of their latest assessment, who have been in

care for at least 12 months on 31st March is calculated. Average scores have been

rounded to one decimal place and have been derived from unrounded numerator and

denominator values.

Compares Upper Tier / Unitary Local Authorities in the South West Region. 95%

confidence interval are not calculable.

Outcomes


Update

FrequencyAnnual



Indicator 2.09 Smoking at Age 15 Amber

Period: TBC Red




Equalities Not yet available.

Overview Not yet available.

RAG Rating

0% 20% 40% 60% 80% 100%

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

Percentage

England South West Devon LA

0% 20% 40% 60% 80% 100%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

20%

40%

60%

80%

100%

120%

2004-0

5

2005-0

6

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


0% 20% 40% 60% 80% 100%

CambridgeshireCumbria

DevonDorset

East SussexEssex


LeicestershireLincolnshire

NorfolkNorth Yorks

SomersetWarwickshireWest Sussex

Worcestershire

Percentage

England Comp Group Devon LA

0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

INDICATOR STILL IN DEVELOPMENT



Domain 2. Health ImprovementIndicator 2.09 Smoking at Age 15

Period: TBC

Chart Notes

InequalitiesIndicator still in development.

Chart Notes

TrendIndicator still in development.

Chart Notes

CCG/LocalityIndicator still in development.

Chart Notes

ComparatorIndicator still in development.

Chart Notes

Local AuthorityIndicator still in development.

Chart Notes

South WestIndicator still in development.

Indicator still in development.Detailed

Specification

Outcomes


Update

FrequencyIndicator still in development.

Description Indicator still in development.

Source Indicator still in development.



Indicator 2.10 Hospital Admissions for Self-Harm (10 to 24) Amber

Period: 2012-13 R Red




Equalities

Rates of hospital admission for self-harm are three times higher in females than

males and the gap has widened in recent years. Within the 10 to 24 age group

admission rates were highest in those aged 15 to 19 (625.4). Admission rates also

are higher in more deprived areas, with a rate of 1034.0 in the most deprived areas

compared with 308.6 in the least deprived areas in 2012-13.

Overview

There were 548 hospital admissions for self-harm in persons aged 10 to 24 in Devon

in 2012-13. The rate per 100,000 in Devon was 419.5, which is below the South

West rate (442.5), but above the local authority comparator group (388.8) and

England (346.3) rates. Admission rates increased from 376.6 in 2007-08 to 419.5 in

2012-13. Within Devon rates were highest in North Devon, and lowest in the South

Hams and Torridge.

RAG Rating

638.9

567.4

555.9

522.8

521.8

497.7

456.1

439.5

430.2

425.5

422.1

419.5

407.0

294.1

239.2

0 200 400 600 800

PooleSwindon

BournemouthTorbay

WiltshireSomerset

BANESGlos

BristolPlymouthCornwall

DevonDorset

South GlosNorth Som

Rate per 100,000


471.8

282.4

460.3

325.5

518.1

426.4

472.7

421.5

0 200 400 600 800

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

50

100

150

200

250

300

350

400

450

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

Rate per 100,000


497.7

479.8

458.7

439.5

420.5

419.5

416.3

407.0

396.2

395.5

368.1

356.7

322.9

287.3

222.4

203.2

0 200 400 600

SomersetWest Sussex

CumbriaGloucestershire

WarwickshireDevon

WorcestershireDorset

CambridgeshireHampshire

NorfolkLincolnshire

North YorkshireEast Sussex

EssexLeicestershire

Rate per 100,000


420.5

641.3

462.0

217.0

603.6

467.9

398.4

425.5

422.2

424.5

478.7

377.5

436.6

470.5

440.2

427.6

0 200 400 600 800 1,000


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Rate per 100,000


0

100

200

300

400

500

600

700

2007-

08

2008-

09

2009-

10

2010-

11

2011-

12

2012-

13

DASR per 100,000

Female Male



Domain 2. Health ImprovementIndicator 2.10 Hospital Admissions for Self-Harm (10 to 24)

Period: 2012-13

Chart Notes

Inequalities

Chart Notes

Trend

Compares Devon rate over time. South West region and England rates not available

as historical information has been been published for the indicator.

Chart Notes

CCG/Locality










Chart Notes

Comparator

Chart Notes

Local Authority

Detailed

Specification

Numerator is number of finished admission episodes in children aged between 10

and 24 years where the main recorded cause is between ‘X60’ and ‘X84’ (Intentional

self-harm). Population for people aged 10 to 24, aggregated into quinary age bands.

Age specific rates are calculated and multiplied by the standard population for each

age group and aggregated to give the age adjusted count of deaths for the area, and

divided by the total standard population and multiplied by 100,000 to give the age

standardised mortality rate for the area. The 2013 revision to the European Standard

Population has been used.

Chart Notes

South West



Outcomes

Framework

Local Proxy Indicator based on 2014 Child Health Profiles. Full Indicator will appear

as: Public Health Outcomes Framework Indicator 2.10 when finalised.

SourceSource: CHIMAT Child Health Profiles http://www.chimat.org.uk/profiles

Uses Hospital Episode Statistics from Health and Social Care Information Centre

Update

FrequencyAnnual, 2013-14 due late 2014

DescriptionDirect Age Standardised Rate of finished admission episodes for self-harm per

100,000 population aged 10 to 24 years

Compares rates within Devon by sex.



Indicator 2.11 Diet - Fruit and Veg '5-a-day' Amber

Period: 2014 Red




RAG Rating

Overview

In Devon in 2014, 64.5% of the adult population consumed five or more portions of

fruit and vegetables per day. This was significantly above the South West (61.2%),

local authority comparator group (59.3%) and England (56.3%) rates. Devon had the

highest rates in both the South West and the local authority comparator group.

Within Devon the lowest rates of excess weight were seen in North Devon (59.3%),

and the highest in East Devon (68.5%).

Equalities

Local breakdowns are not currently available. Fruit and vegetable consumption tends

to be lower in areas with higher levels of deprivation. Women are more like to

consume five or more portions of fruit and vegetables per day than men.

64.5%

62.8%

62.8%

62.5%

62.3%

61.2%

60.5%

60.4%

59.2%

59.0%

58.1%

58.1%

57.4%

54.8%

54.0%

0% 20% 40% 60% 80%

DevonBANES

WiltshireNorth Som

DorsetSomerset

South GlosPooleGlos

TorbayPlymouthCornwall

BournemouthSwindon

Bristol

Percentage


64.3%

62.5%

64.5%

68.2%

59.3%

65.3%

63.2%

68.5%

0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


52%

54%

56%

58%

60%

62%

64%

66%

2004-0

5

2005-0

6

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


64.5%

62.3%

61.2%

60.6%

60.4%

59.3%

59.2%

59.1%

59.1%

59.0%

58.8%

58.8%

57.5%

57.5%

56.8%

55.4%

0% 20% 40% 60% 80%

DevonDorset

SomersetEast Sussex

North YorkshireCambridgeshireGloucestershire

NorfolkHampshire

CumbriaWorcestershire

West SussexLincolnshire

LeicestershireWarwickshire

Essex

Percentage


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

Priority 3: HealthChoices Indicator:

Proportion of Physly Active Adults Period:

2009-11


AT A LOCAL LEVEL

NOT CURRENTLY AVAILABLE (ONLY 2014

DATA IS AVAILABLE)


LOCALITY LEVEL



Domain 2. Health ImprovementIndicator 2.11 Diet - Fruit and Veg '5-a-day'

Period: TBC



Rates cannot currently be calculated at a local level.Chart Notes

Inequalities

Chart Notes

TrendFigures only available for 2014 so trend analysis not possible.

Chart Notes

CCG/Locality

Rates cannot currently be calculated at a Clinical Commissioning Group and locality

level.

Chart Notes

Comparator




Chart Notes

Local Authority



Chart Notes

South West

DescriptionProportion of the adult population (aged 16 and over) meeting the recommended '5-a-

day’

Source Sports England Active People Survey

Update

FrequencyAnnually, timings to be decided

Outcomes


Detailed

Specification

Proportion of the population who, when surveyed, reported that they had eaten the

recommended 5 portions of fruit and vegetables on the previous day. All respondents

to the Active People Survey who answered both of the following questions were

included:

1) How many portions of fruit did you eat yesterday? Please include all fruit, including

fresh, frozen dried or tinned fruit, stewed fruit or fruit juices and smoothies.

2) How many portions of vegetables did you eat yesterday? Please include fresh,

frozen, raw or tinned vegetables, but do not include any potatoes you ate.



Indicator 2.12 Excess Weight in Adults Amber

Period: 2012 Red




Equalities

Rates vary by age, with the lowest rates in younger age groups, and the highest rates

for 45 to 64 year olds in males, and 65 to 74 year olds in females. Levels of excess

weight are higher in males than females (66.5% vs 57.8% nationally), although levels

of obesity are slightly higher in females (24.7% vs 25.7% nationally).

Overview

In Devon in 2012, 60.6% of the population had a BMI in excess of 25 (overweight or

obese). This was significantly below the South West (63.8%), local authority

comparator group (65.3%) and England (63.8%) rates, with Devon ranked lowest in

the local authority comparator group. Within Devon the lowest rates of excess weight

were seen in Exeter (52.8%) which also reflects the younger age profile in the city.

RAG Rating

0% 20% 40% 60% 80%

DevonBANES

WiltshireNorth Som

DorsetSomerset

South GlosPooleGlos

TorbayPlymouthCornwall

BournemouthSwindon

Bristol

Percentage


0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


52%

54%

56%

58%

60%

62%

64%

66%

2004-0

5

2005-0

6

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


0% 20% 40% 60% 80%

DevonDorset

SomersetEast Sussex

North YorkshireCambridgeshireGloucestershire

NorfolkHampshire

CumbriaWorcestershire

West SussexLincolnshire


Essex

Percentage


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

70.4%

69.8%

66.8%

65.5%

63.8%

62.4%

61.9%

61.6%

60.6%

60.0%

59.2%

59.1%

58.7%

57.6%

55.7%

0% 20% 40% 60% 80%

SwindonCornwall

TorbaySomerset

GlosDorset

North SomWiltshire

DevonPlymouth

South GlosBristol

BournemouthPoole

BANES

Percentage


63.5%

63.4%

59.5%

60.9%

64.1%

64.1%

52.8%

61.3%

0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

20%

40%

60%

80%

100%

120%

2004-0

5

2005-0

6

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


68.3%

68.2%

67.9%

67.3%

65.7%

65.5%

65.5%

65.4%

65.1%

65.0%

65.0%

64.8%

64.4%

63.8%

62.4%

60.6%

0% 20% 40% 60% 80%

CumbriaLincolnshire

North YorkshireEssex

NorfolkWorcestershire

SomersetLeicestershire

HampshireEast Sussex

CambridgeshireWarwickshireWest Sussex

GloucestershireDorsetDevon

Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage



2009-11


AT A LOCAL LEVEL

NOT CURRENTLY AVAILABLE (ONLY 2012

DATA IS AVAILABLE)


LOCALITY LEVEL



Domain 2. Health ImprovementIndicator 2.12 Excess Weight in Adults

Period: 2012

Chart Notes

InequalitiesRates cannot currently be calculated at a local level.

Chart Notes

CCG/Locality


level.

Chart Notes

TrendFigures only available for 2009-11 so trend analysis not possible.

Chart Notes

Local Authority

Chart Notes

Comparator




Chart Notes

South West



Source Active People Survey, Sport England

Update

Frequency

Number of adults with a BMI classified as overweight (including obese), calculated

from the adjusted height and weight variables. Data are from APS6 quarters 2-4 and

APS7 quarter 1 (mid-Jan 2012 to mid-Jan 2013). Adults are defined as overweight

(including obese) if their body mass index (BMI) is greater than or equal to 25kg/m2.

Denominator is number of adults with valid height and weight recorded. Data are from

APS6 quarters 2-4 and APS7 quarter 1 (mid-Jan 2012 to mid-Jan 2013). Height and

weight is self-reported but is adjusted by age and sex using Health Survey for

England data to adjust for differences between self-reports and actual BMI.

Description Percentage of adults classified as overweight or obese.

Annually, timings to be decided

Outcomes


Detailed

Specification





Indicator 2.13 Proportion of Physically Active Adults Amber

Period: 2013 Red




Equalities

Local breakdowns by deprivation or equality characteristics are not available.

National results from the Active People survey highlight that physical activity rates are

higher in less deprived areas and professional groups. Participation is also higher in

males and younger age groups. There are no significant differences by ethnicity.

Activity rates are significantly lower in people with limiting long-term health problems.

Overview

60.9% of adults in Devon were physically active for at least 150 minutes per week in

2013. This is significantly above the South West (57.7%), comparator group (57.9%)

and national (55.6%) rates. Rates in Devon were the highest in the local authority

comparator group. Rates were significantly higher in West Devon (68.3%), although

the differences between the districts themselves were not statistically significant.

Levels of physical activity increased from 59.5% in 2012 to 60.9% in 2013.

RAG Rating

61.6%

61.4%

60.9%

60.6%

59.5%

58.6%

58.1%

57.6%

57.1%

57.0%

56.5%

55.8%

51.4%

50.1%

49.5%

0.0% 20.0% 40.0% 60.0% 80.0%

PooleBANESDevon

CornwallSomerset

South GlosWiltshire

North SomBournemouth

GlosDorsetBristol

TorbaySwindon

Plymouth

Percentage


68.3%

60.5%

61.4%

63.5%

59.5%

60.2%

56.1%

61.0%

0.0% 20.0% 40.0% 60.0% 80.0%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

2012 2013

Percentage


00000111111

2006-0

8

2007-0

9

2008-1

0

2009-1

1

Percentage



Least Deprived

60.9%

59.9%

59.5%

59.3%

58.0%

58.0%

57.7%

57.6%

57.5%

57.4%

57.1%

57.0%

56.9%

56.5%

56.5%

56.3%

0.0% 20.0% 40.0% 60.0% 80.0%

DevonCambridgeshire

SomersetNorth Yorks

West SussexWorcestershire

NorfolkHampshire

EssexWarwickshire

LeicestershireGloucestershire

LincolnshireDorset

East SussexCumbria

Percentage


0 1 1 2

ToBPaiB


NoBWEB

WBMiBExBEaBNEB

Percentage



LOCALITY LEVEL



2009-11


AT A LOCAL LEVEL



Domain 2. Health ImprovementIndicator 2.13 Proportion of Physically Active Adults

Period: 2013


level.

Chart Notes


Rates cannot currently be calculated at a local level.Chart Notes

Inequalities

Chart Notes

CCG/Locality

Chart Notes

Comparator




Chart Notes

Local Authority





Chart Notes

South West

The number of respondents aged 16 and over, with valid responses to questions on

physical activity, doing at least 150 “equivalent” minutes of at least moderate intensity

physical activity per week in bouts of 10 minutes or more in the previous 28 days

expressed as a percentage of the total number of respondents aged 16. This includes

physical activity as a mode of transportation to work, as well as direct leisure

activities.

Detailed

Specification

Outcomes

Framework

Public Health Outcomes Framework Indicator 2.13 will relate to physical activity /

inactivity - indicator still in development and likely to deviate from this measure.

Annually, around eight months in arrears (2014 update expected August 2015)

DescriptionPercentage of adults achieving at least 150 minutes of physical activity per week in

accordance with UK CMO recommended guidelines on physical activity.

Update

Frequency

Sport England’s Active People Survey (APS)

http://www.sportengland.org/research.aspx Source



Indicator 2.14 Adult Smoking Prevalence Amber

Period: 2013 Red




Equalities

Smoking rates in Devon are higher in people working in routine and manual

occupations (24.6%). Levels of smoking are highest in the 16 to 29 age group, and

are higher in males than females, although it should be noted that rates have been

slower to fall in females. Adults smoking in the household greatly increases the

likelihood of children taking up smoking at age 16.

Overview

The latest figures from the Integrated Household Survey suggest that 16.4% of the

adult population in Devon smoke. This is below the South West (17.3%), local

authority comparator group (16.7%) and England rate (18.4%). This is also below the

2011 (19.5%) and 2012 (16.8%) although the difference is not statistically signficant

due to a relatively small sample size. Variations observed at a local authority district

level were not statistically significant.

RAG Rating

24.5%

20.2%

19.4%

18.6%

18.3%

18.2%

17.5%

16.7%

16.7%

16.6%

16.4%

16.0%

15.6%

14.5%

14.3%

0% 10% 20% 30%

PlymouthPoole

SwindonCornwall

SomersetBristol

TorbaySouth Glos

WiltshireBournemouth

DevonGloucestershire

North SomBANESDorset

Percentage


12.0%

21.6%

17.4%

18.0%

19.9%

18.2%

14.5%

12.1%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

5%

10%

15%

20%

25%

2010

2011

2012

2013

2014

2015

Percentage


0%

5%

10%

15%

20%

25%

30%

35%

40%

2011

2012

2013

Percentage

Routine and Manual All Persons

19.1%

18.9%

18.4%

18.3%

18.1%

18.0%

18.0%

17.2%

16.5%

16.4%

16.0%

15.4%

14.7%

14.5%

14.3%

13.5%

0% 10% 20% 30%

LincolnshireEssex

East SussexSomersetCumbria

LeicestershireNorfolk

West SussexNorth Yorks

DevonGloucestershire

HampshireWorcestershire

WarwickshireDorset

Cambridgeshire

Percentage


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage



LOCALITY LEVEL



Domain 2. Health ImprovementIndicator 2.14 Adult Smoking Prevalence

Period: 2013

Chart Notes

Inequalities

Compares smoking prevalence in routine and manual occupation groups with the

overall prevalence over time.

Chart Notes

Trend

Chart Notes

CCG/Locality


level.

Chart Notes

Comparator




Chart Notes

Local Authority





Chart Notes

South West

Detailed

Specification

The number of persons aged 18+ who are self-reported smokers in the Integrated

Household Survey. The number of respondents has been weighted in order to

improve representativeness of the sample. The weights take into account survey

design and non-response. Denominator is Total number of respondents (with valid

recorded smoking status) aged 18+ in the Integrated Household Survey. The number

of respondents has been weighted in order to improve representativeness of the

sample. The weights take into account survey design and non-response.

Outcomes


Description Percentage of adults aged 18 and over who smoke

Update

Frequency

SourceOffice for National Statistics Integrated Household Survey. Analysed by DH and

published by LHO.

Annually, next update due late 2015




Indicator 2.15 Successful Drug Treatment Comp Opiate A Amber

Period: 2013 Red




Equalities

The peak ages for drug treatment are for people in the 40s, with higher levels of

males than females. People living in more deprived areas are more likely to be in

drug treatment.

RAG Rating

Overview

9.5% of opiate users who left drug treatment successfully in Devon did not re-present

to treatment within six months. This is above the South West (8.1%), local authority

comparator group (8.5%) and England (7.8%) rates, but not significantly so. Rates

increased on 2012 levels.

15.3%

12.1%

10.6%

10.1%

9.5%

9.5%

9.3%

8.7%

8.4%

7.7%

7.2%

6.5%

6.1%

5.7%

5.0%

0% 10% 20% 30%

PooleDorset

CornwallSomerset

DevonNorth SomSouth Glos

BristolTorbayBANES

PlymouthBournemouth

WiltshireGloucestershire

Swindon

Percentage


0% 20% 40% 60% 80% 100%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

2%

4%

6%

8%

10%

12%

2010

2011

2012

2013

Percentage


12.1%

11.5%

10.7%

10.6%

10.1%

9.5%

9.2%

8.4%

8.1%

8.0%

7.3%

6.5%

6.2%

5.7%

5.1%

4.8%

0% 10% 20%

DorsetCumbria

LeicestershireHampshireSomerset

DevonWest SussexWarwickshireEast Sussex

CambridgeshireLincolnshireNorth Yorks

NorfolkGloucestershire

EssexWorcestershire

Percentage


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0%

20%

40%

60%

80%

100%

120%

2008

2009

2010

2011

2012

Percentage



Least Deprived




LOCALITY LEVEL


LEVEL



Domain 2. Health ImprovementIndicator 2.15 Successful Drug Treatment Comp Opiate

Period: 2013

Description

Detailed

Specification

Numerator is the number of adults that successfully complete treatment for opiates in

a year and who do not re-present to treatment within six months. Denominator is the

total number of adults in treatment for opiate use in a year. Age group is 18 to 75.

Chart Notes


Chart Notes


Chart Notes


Outcomes


Percentage of opiate drug users that left drug treatment successfully who do not re-

present to treatment within six months

Source National Drug Treatment Monitoring System

Update

FrequencyAnnual, 2014 due summer 2015




Chart Notes

CCG/Locality


level.

Chart Notes

South West



Chart Notes

Comparator



Indicator 2.15 Successful Drug Treatment Comp Non-Opiate A Amber

Period: 2013 Red




Equalities

The peak ages for drug treatment are for people in the 40s, with higher levels of

males than females. People living in more deprived areas are more likely to be in

drug treatment.

RAG Rating

Overview

46.0% of non-opiate users who left drug treatment successfully in Devon did not re-

present to treatment within six months. This is significantly higher than the South

West (37.6%), local authority comparator group (38.9%) and England (37.7%) rates.

Rates have increased from 2012.

47.8%

46.0%

44.7%

43.5%

40.0%

39.8%

36.3%

35.3%

35.0%

34.2%

33.7%

29.7%

28.9%

24.8%

23.0%

0% 20% 40% 60%

BristolDevon

North SomDorset

CornwallPoole

SwindonSomerset

TorbayBournemouth

BANESSouth Glos

PlymouthGloucestershire

Wiltshire

Percentage


0% 20% 40% 60% 80% 100%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

10%

20%

30%

40%

50%

60%

2010

2011

2012

2013

Percentage


54.2%

48.0%

46.0%

46.0%

43.5%

40.1%

39.4%

39.2%

39.0%

36.8%

35.3%

31.3%

29.1%

29.1%

24.8%

23.0%

0% 20% 40% 60% 80%

East SussexWest Sussex

DevonHampshire

DorsetEssex

CumbriaCambridgeshire

LincolnshireLeicestershire

SomersetNorfolk

WarwickshireNorth Yorks

GloucestershireWorcestershire

Percentage


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0%

20%

40%

60%

80%

100%

120%

2008

2009

2010

2011

2012

Percentage



Least Deprived




LOCALITY LEVEL


LEVEL



Domain 2. Health ImprovementIndicator 2.15 Successful Drug Treatment Comp Non-Opiate

Period: 2013

Chart Notes


Figures are not currently available at a local authority district level.


Trend


level.




Chart Notes

Comparator

Chart Notes

Local Authority

Outcomes


DescriptionPercentage of non-opiate drug users that left drug treatment successfully who do not

re-present to treatment within six months

Source National Drug Treatment Monitoring System

Update

FrequencyAnnual, 2014 due summer 2015

Detailed

Specification

Numerator is the number of adults that successfully complete treatment for non-

opiates in a year and who do not re-present to treatment within six months.

Denominator is the total number of adults in treatment for non-opiate use in a year.

Age group is 18 to 75.

Chart Notes

South West



Chart Notes

CCG/Locality



Indicator: Alcohol-Related Admissions (narrow definition) A Amber

Period: Year to September 2014 Red



Trend and Future Trajectory Inequalities (Deprivation - England)

Equalities

Alcohol-Related Admission rates vary by age, with the highest rates in older age

groups, reflecting the long-term effects of alcohol-use through life. Acute admissions

(accidents and poisonings) are most common in young adults, mental health

admissions in persons in their 40s and 50s, and admissions for chronic conditions in

older age groups. Admission rates are higher for males than females.

RAG Rating

Overview

Using the narrow definition from the Public Health Outcomes Framework, there were

around 5,000 alcohol-related admissions to hospital for Devon residents between

October 2013 and September 2014. The Direct Age Standardised Rate of

admissions (639.7 per 100,000) is broadly in line with the regional and national rates

but significantly above the local authority comparator group rate. Rates within Devon

are highest in Exeter and North Devon. Rates are higher in more deprived areas.

794.3

792.8

746.0

711.6

665.9

661.6

650.1

649.7

639.7

608.1

582.8

571.4

562.6

535.0

507.1

0 200 400 600 800 1000

TorbayBristol

BournemouthCornwall

PlymouthGloucestershire

North SomSwindon

DevonSomerset

South GlosBANES

PooleWiltshire

Dorset

DASR per 100,000


614.6

656.7

636.0

542.9

708.3

642.1

752.2

583.1

0 200 400 600 800 1000

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

100

200

300

400

500

600

700

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

DASR per 100,00


0

100

200

300

400

500

600

700

800

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

DASR per 100,000



Least Deprived

727.9

685.5

661.6

639.7

622.4

620.7

608.1

601.3

587.6

587.2

579.1

575.4

554.4

528.9

507.1

468.9

0 500 1000

CumbriaNorfolk

GloucestershireDevon

CambridgeshireWorcestershire

SomersetNorth Yorkshire


East SussexEssex

West SussexWarwickshire

DorsetHampshire

DASR per 100,000


0 500

ToBPaiBNeBMoBCoBSDBSHBPlyBWB

NoBWEB

WBMiBExBEaBNEB

DASR per 100,000



LOCALITY LEVEL



Domain 2. Health ImprovementIndicator: Alcohol-Related Admissions (narrow definition)

Period: Year to September 2014

Compares areas within England based on area deprivation. National deprivation


Chart Notes

Inequalities

Chart Notes


Chart Notes


Chart Notes

Comparator




Chart Notes

Local Authority



Chart Notes

South West



Admissions to hospital involving an alcohol-related primary diagnosis or an alcohol-

related external cause. Admissions of children under 16 were only included if they had

an alcohol-specific diagnosis i.e. where the attributable fraction = 1, meaning that the

admission is treated as being wholly attributable to alcohol. For other conditions,

estimates of the alcohol-attributable fraction were not available for children. A detailed

definition of the numerator data used for this indicator can be found at:

www.lape.org.uk/downloads/Lape_guidance_and_methods.pdf

Detailed

Specification

Outcomes


Update

FrequencyQuarterly - typically three months in arrears.

DescriptionDirect age-standarised rate of hospital admissions involving an alcohol-related

primary diagnosis or an alcohol-related external cause per 100,000 population.

North West Public Health Observatory (South West Benchmarking, Local Authority

District, Trend and Local Authority Comparator Group). Devon Public Health

Intelligence Team (Inequalities and CCG / Locality Comparison)

Source



Indicator 2.19 Cancer Diagnosed at Stage One and Two Amber

Period: 2013 Red




Equalities

Overview

In 2012, 48.4% of diagnoses for selected cancers were diagnosed at an early stage

(one or two). This compares to 47.1% for the South West, 48.9% for the local

authority comparator group and 45.7% for England. Within Devon the highest rates

were seen in West Devon (45.2%). These are experimental statistics, with poor data

quality in some areas meaning data are not available. Differences between areas

may relate to better coding as well as earlier diagnosis.

RAG Rating

Breakdowns by equality characteristics are not yet available for this indicator.

54.7%

51.6%

50.8%

50.2%

49.7%

48.4%

47.5%

47.1%

46.2%

45.9%

45.0%

44.9%

42.7%

41.2%

38.7%

0% 20% 40% 60% 80%

BANESSouth Glos

WiltshireDorset

SwindonDevon

CornwallTorbay

North SomBristolPoole

SomersetPlymouth

GlosBournemouth

Percentage


54.2%

47.5%

45.5%

42.1%

45.0%

50.4%

49.9%

52.8%

0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

10%

20%

30%

40%

50%

60%

2012 2013

Percentage


57.5%

54.9%

54.2%

50.9%

50.2%

49.8%

49.5%

48.4%

46.8%

46.5%

44.9%

41.2%

41.1%

0% 20% 40% 60% 80%

CambridgeshireNorfolkEssex

WorcestershireDorset

North YorkshireCumbria

DevonLeicestershireWest Sussex


HampshireWarwickshireEast SussexLincolnshire

Percentage


Not currently available

0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage


LOCALITY LEVEL


LEVEL



Domain 2. Health ImprovementIndicator 2.19 Cancer Diagnosed at Stage One and Two

Period: 2013



Chart Notes


Rates are not currently available at a Clinical Commissioning Group and locality level.

Chart Notes

TrendTrend data not currently available.

Chart Notes

CCG/Locality

Detailed

Specification

New cases of cancer diagnosed at stage 1 and 2 as a proportion of all new cases of

cancer diagnosed (specific cancer sites, morphologies and behaviour: invasive

malignancies of breast, prostate, colorectal, lung, bladder, kidney, ovary , uterus, non-

Hodgkin lymphomas, and invasive melanomas of skin). This indicator is labelled as

experimental statistics because of the variation in data quality: the indicator values

primarily represent variation in completeness of staging information.

Outcomes


Update

FrequencyAnnual, exact timings to be determined

Source National Cancer Registry, Public Health England

Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

South West

Description

The proportion of invasive malignancies of breast, prostate, colorectal, lung, bladder,

kidney, ovary and uterus, non-Hodgkin lymphomas, and melanomas of skin,

diagnosed at stage 1 or 2.



Indicator 2.22 Percentage Offered an NHS Health Check A Amber

Period: 2014-15 Q4 cumulative Red




Equalities

Whilst practices covering areas with below average deprivation have the lowest

offered rates, the pattern by deprivation is mixed, with high rates in practices with

above average levels of deprivation highlighting that the programme is more

established in Torridge, Teignbridge, Exeter and the Exmouth area and also in the

least deprived practices.

Overview

79,999 people in Devon have been offered a health check since April 2013. This

represents 32.37% of the eligible population (247,160), which is below the South

West (33.67%), comparator group (39.42%) and England (37.94%) rates. Within

Devon rates are highest in East Devon, Torridge and West Devon. Within local

CCGs, rates are highest in the South Devon and Torbay localities. The percentage

offered continued to rise in Q4 narrowing the gap to the South West average.

RAG Rating

48.51%

45.73%

44.59%

39.63%

35.83%

35.47%

35.25%

35.24%

34.37%

32.93%

32.37%

28.10%

23.49%

22.89%

21.52%

0% 20% 40% 60%

BANESGlos

WiltshireSwindon

BournemouthPooleBristol

South GlosNorth Som

TorbayDevon

SomersetPlymouth

DorsetCornwall

Percentage


41.23%

37.62%

35.32%

30.46%

28.40%

17.09%

33.54%

38.62%

0% 10% 20% 30% 40% 50%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

5%

10%

15%

20%

25%

30%

35%

40%

Q1 2

013-1

4

Q2 2

013-1

4

Q3 2

013-1

4

Q4 2

013-1

4

Q1 2

014-1

5

Q2 2

014-1

5

Q3 2

014-1

5

Q4 2

014-1

5

Percentage


50.46%

49.02%

47.45%

47.44%

46.34%

45.73%

43.42%

43.25%

41.42%

40.07%

33.81%

32.37%

30.16%

28.80%

28.10%

22.89%

0% 20% 40% 60%


CumbriaCambridgeshireWorcestershire

GloucestershireEast SussexLincolnshire

EssexHampshire

NorfolkDevon

North YorksWest Sussex

SomersetDorset

Percentage


32.93%

32.93%

35.75%

42.72%

27.92%

34.87%

28.48%

23.49%

24.76%

32.09%

32.95%

42.26%

23.78%

33.66%

32.14%

29.48%

0% 20% 40% 60%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


40.45%

23.01%

31.44%

40.15%

29.53%

0% 10% 20% 30% 40% 50%

Least Deprived

Below Average

Average

Above Average

Most Deprived

Percentage

*UPDATED INDICATOR*



Domain 2. Health ImprovementIndicator 2.22 Percentage Offered an NHS Health Check

Period: 2014-15 Q4 cumulative

Chart Notes

Inequalities

Compares areas within Devon based on local GP practice deprivation quintiles.

Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).


Chart Notes

CCG/Locality


their localities, and their sub-localities. This is based on GP practice attributions.


Chart Notes

Trend

Chart Notes

Local Authority

Detailed

Specification

Numerator is number of people aged 40-74 eligible for an NHS Health Check who

were offered an NHS Health Check in the financial year. Denominator is number of

people aged 40-74 eligible for an NHS Health Check in the financial year. Percentage

of eligible population aged 40-74 offered an NHS Health Check: the number of eligible

people aged 40-74 who were offered an NHS Health Check is divided by the number

of eligible people aged 40-74 and multiplied by 100.

Chart Notes

South West



Outcomes


Update

FrequencyQuarterly, Q1 2015-16 data update due late August 2015

Source Public Health England: NHS Health Check website

Description Percentage of eligible population aged 40-74 offered an NHS Health Check



Chart Notes

Comparator






Indicator 2.22 Percentage Receiving an NHS Health Check A Amber





39,685 people in Devon received a health check since April 2013. This represents

16.06% of the eligible population (247,160), which is above the South West (15.70%),

but below the comparator group (18.09%) and England (18.56%) rates. Within Devon

rates are highest in Torridge and Teignbridge. Within local CCGs, rates are highest

in the South Devon and Torbay 'Moor to Sea' locality. The percentage receiving a

health check continued to rise in Q4, narrowing the gap to other South West areas.

Equalities

The pattern by deprivation is mixed at present, with high rates in areas with above

average levels of deprivation and in the least deprived practices, whereas rates in the

other three practice deprivation quintiles were broadly similar.

Overview

RAG Rating

24.46%

21.48%

19.45%

18.74%

18.09%

16.87%

16.84%

16.06%

16.06%

15.53%

15.18%

14.30%

11.42%

11.10%

9.74%

0% 10% 20% 30%

BANESSouth Glos

WiltshirePoole

North SomGlos

TorbayDevon

SwindonBournemouth

SomersetBristolDorset

PlymouthCornwall

Percentage


14.55%

19.63%

21.12%

18.30%

14.38%

10.13%

11.30%

18.16%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%2%4%6%8%

10%12%14%16%18%20%

Q1 2

013-1

4

Q2 2

013-1

4

Q3 2

013-1

4

Q4 2

013-1

4

Q1 2

014-1

5

Q2 2

014-1

5

Q3 2

014-1

5

Q4 2

014-1

5

Percentage


24.34%

23.51%

23.19%

22.15%

21.73%

20.91%

18.92%

17.18%

16.87%

16.06%

15.18%

14.91%

13.97%

13.52%

13.21%

11.42%

0% 10% 20% 30%


EssexEast Sussex


CambridgeshireNorfolk

GloucestershireDevon

SomersetWarwickshire

HampshireWest SussexNorth Yorks

Dorset

Percentage


16.84%

16.84%

14.51%

29.83%

19.39%

19.55%

13.95%

11.10%

11.83%

16.51%

17.01%

18.90%

12.19%

11.36%

13.97%

13.72%

0% 20% 40%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


18.62%

13.79%

15.29%

17.64%

15.43%

0% 5% 10% 15% 20%

Least Deprived

Below Average

Average

Above Average

Most Deprived

Percentage

*UPDATED INDICATOR*



Domain 2. Health ImprovementIndicator 2.22 Percentage Receiving an NHS Health Check


Chart Notes

Inequalities






Chart Notes

Comparator




Chart Notes

CCG/Locality

Chart Notes

Trend

Chart Notes

Local Authority



Chart Notes

South West



Outcomes


DescriptionPercentage of eligible population aged 40-74 receiving an NHS Health Check who

received an NHS Health Check


Update



Detailed

Specification


received an NHS Health Check in the financial year. Denominator is number of

people aged 40-74 eligible for an NHS Health Check in the financial year. Percentage

of eligible population aged 40-74 receiving an NHS Health Check: the number of

eligible people aged 40-74 who received an NHS Health Check is divided by the

number of eligible people aged 40-74 and multiplied by 100.



Indicator 2.22 NHS Health Check Uptake Rate A Amber





RAG Rating

Overview

The uptake rate for NHS health checks in Devon current stands at 49.61%, which is

above the South West (46.64%), local authority comparator group (45.89%) rates,

and England (48.93%) rates. Within Devon rates are highest in the South Hams,

Teignbridge and Mid Devon, and lowest in Exeter and West Devon. Within local

CCGs, rates are highest in the South Devon and Torbay 'Moor to Sea' and 'Coastal'

localities. The uptake rate has improved over recent quarters.

Equalities

The pattern by deprivation is mixed at present, with high rates in areas with below

average levels of deprivation and in the most deprived areas, which is more indicative

of variations between different areas of Devon.

60.95%

54.00%

52.83%

52.65%

51.15%

50.43%

49.91%

49.61%

47.26%

45.28%

43.61%

43.33%

40.56%

40.51%

36.90%

0% 20% 40% 60% 80%

South GlosSomerset

PooleNorth Som

TorbayBANESDorsetDevon

PlymouthCornwallWiltshire

BournemouthBristol

SwindonGlos

Percentage


35.29%

52.17%

59.80%

60.07%

50.62%

59.27%

33.70%

47.03%

0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

10%

20%

30%

40%

50%

60%

Q2 2

013-1

4

Q3 2

013-1

4

Q4 2

013-1

4

Q1 2

014-1

5

Q2 2

014-1

5

Q3 2

014-1

5

Q4 2

014-1

5

Percentage


56.29%

55.98%

54.00%

51.01%

50.81%

49.91%

49.61%

46.96%

46.89%

46.59%

44.07%

43.79%

39.88%

36.90%

34.86%

30.41%

0% 20% 40% 60%

LincolnshireEssex

SomersetEast Sussex

NorfolkDorsetDevon

West SussexWorcestershireLeicestershire

CumbriaNorth Yorks

CambridgeshireGloucestershire

HampshireWarwickshire

Percentage


51.15%

51.15%

40.60%

69.83%

69.45%

56.06%

49.00%

47.26%

47.77%

51.45%

51.63%

44.72%

51.27%

33.76%

43.45%

46.55%

0% 20% 40% 60% 80%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


46.04%

59.92%

48.62%

43.95%

52.26%

0% 20% 40% 60% 80%

Least Deprived

Below Average

Average

Above Average

Most Deprived

Percentage

*UPDATED INDICATOR*



Domain 2. Health ImprovementIndicator 2.22 NHS Health Check Uptake Rate


Chart Notes

CCG/Locality

Chart Notes

Comparator




Chart Notes

Trend






DescriptionPersons aged 40 to 74 receiving a health check as a percentage of those offered a

health check


Update


Outcomes


Detailed

Specification


received an NHS Health Check in the period. Denominator is number of people aged

40-74 offered an NHS Health Check in the period. Uptake rate is the number of

eligible people aged 40-74 who received an NHS Health Check is divided by the

number of people aged 40-74 who were offered an NHS Health Check and multiplied

by 100.

Chart Notes

South West



Chart Notes

Local Authority




Chart Notes

Inequalities



Indicator 2.23 Self-Reported Wellbeing (low happiness score) Amber

Period: 2013-14 Red




Equalities

No local information is available based on area deprivation or other characteristics.

National findings highlight that self-reported wellbeing tends to be poorer in more

deprived areas. There is a notable pattern by age with younger people and older

people with higher levels of wellbeing than people in their 40s and 50s (known as the

U shaped curve of happiness).

Overview

Low happiness score is one of four self-reported wellbeing measures in the Public

Health Outcomes Framework, with others covering life satisfaction, feeling worthwhile

and anxiety. Within Devon, 8.51% of the population had a low happiness score

(ranked 0-4 on a scale of 10) on the index compared with 9.71% for the South West,

8.55% in the local authority comparator group and 9.71% in England overall. The

percentage with a low happiness score is falling over time.

RAG Rating

12.78%

11.91%

11.72%

11.50%

11.26%

10.19%

10.08%

9.35%

9.34%

9.21%

8.51%

8.50%

8.43%

8.37%

7.93%

0% 10% 20%

TorbayBristol

SwindonBournemouth

CornwallPlymouthSomerset

North SomPoole

DorsetDevon

GlosBANES

South GlosWiltshire

Percentage


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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

2%

4%

6%

8%

10%

12%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


10.08%

9.72%

9.48%

9.21%

9.13%

8.87%

8.85%

8.51%

8.50%

8.48%

8.19%

8.11%

7.64%

7.50%

7.36%

7.11%

0% 5% 10% 15%

SomersetCumbria

WarwickshireDorsetEssex

WorcestershireEast Sussex

DevonGlos

LincolnshireCambridgeshire

HampshireWest Sussex

NorfolkNorth Yorks

Leicestershire

Percentage


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage


AT A LOCAL LEVEL


LOCALITY LEVEL


AT A LOCAL LEVEL



Domain 2. Health ImprovementIndicator 2.23 Self-Reported Wellbeing (low happiness score)

Period: 2013-14

Chart Notes

Inequalities

Rates cannot currently be calculated at a local level as this is a new survey with no

previous trend information available.

Chart Notes

TrendTrend data not currently available.

Chart Notes


Chart Notes

Comparator




Rates cannot currently be calculated at a local level.

Chart Notes

South West



Detailed

Specification

The percentage of respondents who answered 0-4 to the question "Overall, how

happy did you feel yesterday?"ONS are currently measuring individual/subjective well-

being based on four questions included on the Integrated Household Survey.

Responses are given on a scale of 0-10 (where 0 is “not at all happy” and 10 is

“completely happy”)The first full year data from these questions was published by

ONS in July 2012 and are being treated as experimental statistics. In the ONS report,

the percentage of people scoring 0-6 and 7-10 have been calculated for this indicator.

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.23iii

Update

FrequencyAnnually, six to eight months in arrears (2014/15 update due Autumn 2015)

SourceOffice for National Statistics Integrated Household Survey. Experimental Statistics

from 2011 onwards.

Self-reported well-being - percentage of people with a low happiness scoreDescription

Chart Notes

Local Authority



Indicator 2.24 Injuries Due to Falls Amber

Period: 2013-14 Red




Equalities

Age standardised admission rates have remained consistently higher in the most

deprived deprivation quintile. Whilst the gap narrowed in 2012-13, the rate is the

most deprived areas (2233.1) was still 47% higher than the least deprived areas

(1523.9). Rates increase sharply with age with an age-specific rate of 484.2 for

persons aged 65 to 69, compared with 6146.8 for those aged 85 and over.

Overview

RAG Rating

There were 3,518 admissions due to falls in 2013-14 in Devon for people aged 65 and

over. The age standardised rate per 100,000 was 1766.1 in Devon, which is below

the South West (1950.3), local authority comparator group (1905.3) and England

(2064.3) rates. The rate is Devon is the second lowest in the South West. Within

Devon rates were significantly lower in Mid Devon (1520.8). Rates have increased on

2012-13 levels.

2,684.6

2,172.4

2,163.7

2,144.3

2,144.1

2,081.2

2,019.4

1,953.7

1,924.0

1,919.3

1,871.4

1,783.0

1,766.1

1,742.9

1,739.9

0 1,000 2,000 3,000

BristolBANES

BournemouthPoole

SomersetSwindonWiltshire

PlymouthTorbay

South GlosCornwall

DorsetDevon

North SomGlos

DASR per 100,000


1,583.1

1,744.2

1,884.9

1,701.4

1,859.8

1,520.8

1,949.9

1,744.5

0 500 1,000 1,500 2,000 2,500

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

500

1,000

1,500

2,000

2,500

2010-11 2011-12 2012-13 2013-14

DASR per 100,000


2,221.3

2,185.8

2,144.1

2,118.0

2,020.5

2,015.3

1,977.4

1,976.0

1,792.1

1,783.0

1,766.1

1,755.5

1,739.9

1,695.4

1,666.5

1,628.4

0 500 1,000 1,500 2,000 2,500

CambridgeshireEast Sussex

SomersetWarwickshire

EssexWest SussexLincolnshireHampshire

WorcestershireDorsetDevonNorfolk

GloucestershireCumbria

LeicestershireNorth Yorks

DASR per 100,000


1,891.0

1,770.2

1,950.6

1,906.3

2,036.9

1,931.6

1,697.2

2,032.3

2,008.5

1,765.9

1,785.5

1,567.8

1,441.2

1,808.4

1,641.8

1,791.8

0 500 1,000 1,500 2,000 2,500


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


0

500

1,000

1,500

2,000

2,500

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

DASR per 100,000



Least Deprived



Domain 2. Health ImprovementIndicator 2.24 Injuries Due to Falls

Period: 2013-14

Chart Notes

Inequalities




projection to reach the national target of 67% by 2015.

Chart Notes

Trend

Chart Notes

CCG/Locality




Chart Notes

Comparator




Chart Notes

Local Authority



Chart Notes

South West

Detailed

Specification

Emergency admissions for falls injuries classified by primary diagnosis code (ICD10

code S00-T98) and external cause (ICD10 code W00-W19) and an emergency

admission code. Age at admission 65 and over.Counted by first finished consultant

episode (excluding regular and day attenders) in financial year in which episode

ended, by local authority and region of residence from the HES data. Population

based on Local Authority estimates of resident population produced by ONS. Analysis

uses the quinary age bands 65-69, 70-74, 75-79, 80-84 and 85+, by sex. Calculated

using the 2013 European Standard Population.

Public Health Outcomes Framework Indicator 2.24Outcomes

Framework

Update

Frequency

Annually, around six months after year end (2014-15 national comparators due

Autumn 2014).

Description

Source

Hospital Episode Statistics (HES), Health and Social Care Information Centre:

analysed nationally by West Midlands Knowledge and Information Team, and locally

by Devon Public Health Intelligence Team

Emergency hospital admissions for falls injuries in persons aged 65 and over, directly

age-sex standardised rate per 100,000.




Domain 3. Health Protection G Green

Indicator 3.02 Chlamydia Diagnosis Rate (Aged 15 to 24) Amber

Period: 2013 Red




Equalities

Females are more likely to present for Chlamydia screening than males, although the

gap narrowed between 2012 and 2013. Access to services is an important factor,

with people living in urban areas such as Exeter and Torbay more likely to access

services, with lower levels of usage in rural areas, which also influences higher rates

in more deprived areas.

Overview

There is a national aim to increase the detection and diagnosis of Chlamydia with a

target level of 2,400 diagnoses per 100,000 population in the 15 to 24 age group.

Devon has a diagnosis rate of 2059.8 which is above the South West (1906.9),

comparator group (1692.2) and England (2015.6) rates and the highest in the local

authority comparator group. Within Devon, diagnosis rates are much higher in Exeter

(3502.9) and are lowest in the South Hams (1326.7).

RAG Rating

2,598.1

2,323.7

2,312.3

2,302.5

2,091.6

2,081.8

2,059.8

1,942.9

1,847.8

1,837.2

1,731.0

1,728.5

1,724.9

1,607.4

0 500 1,0001,5002,0002,5003,000

TorbayNorth Som

BournemouthSwindon

BristolPoole

DevonPlymouthCornwallWiltshire

DorsetGloucestershire

South GlosBANES

Rate per 100,000


1,525.6

1,388.9

1,912.6

1,326.7

1,347.4

1,369.2

3,502.9

1,590.8

0 1,000 2,000 3,000 4,000

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

500

1,000

1,500

2,000

2,500

2012 2013

Rate per 100,000


2,059.8

1,983.4

1,808.5

1,761.1

1,739.7

1,731.0

1,728.5

1,710.3

1,701.8

1,687.4

1,556.0

1,535.4

1,525.8

1,519.9

1,387.0

0 500 1,000 1,500 2,000 2,500

DevonLincolnshire

West SussexEast Sussex

EssexDorset

GloucestershireWorcestershireLeicestershire

North YorksHampshire

WarwickshireCumbria

CambridgeshireNorfolk

Rate per 100,000


0 1 1 2

ToBPaiB


NoBWEB

WBMiBExBEaBNEB

Rate per 100,000



LOCALITY LEVEL

0

500

1000

1500

2000

2500

3000

2012 2013

Rate per 100,000

Female Male



Domain 3. Health ProtectionIndicator 3.02 Chlamydia Diagnosis Rate (Aged 15 to 24)

Period: 2013

Detailed

Specification

Numerator is the number of people aged 15-24 diagnosed with chlamydia.

Denominator is the resident population aged 15-24. Crude rate per 100,000

population. The number of diagnoses made divided by the population aged 15-24 and

multiplied by 100,000.

Chart Notes

South West

Chart Notes

InequalitiesCompares diagnosis rates by sex over time.

Chart Notes


Chart Notes


Chart Notes

Local Authority



Outcomes


Update

FrequencyAnnually, around eight months in arrears

Public Health England, using Chlamydia Testing Activity Database (CTAD) dataSource

DescriptionCrude rate of chlamydia diagnoses per 100,000 young adults aged 15-24 using CTAD

data

Chart Notes

Comparator







Domain 3. Health Protection Green

Indicator 3.03 Population Vaccination (MMR Aged 5) A Amber

Period: 2014-15 Q1 Red




Overview

There is no clear relationship between area deprivation, age of parent(s), martial

status of parent(s), other socio-economic factors and MMR uptake in Devon.

However differences exist between communities based on local factors. The lowest

uptake levels are seen in the Totnes area (74.3%), although rates have improved

over recent years and the gap between Totnes and other areas has reduced.

Equalities

RAG Rating

Of the 1,983 reaching the age of five in Devon in 2013-14, 1,785 were fully MMR

immunised, meaning 198 were not. The uptake rate of 90.0% in Devon was below

the South West (90.9%) and local authority comparator group (91.3%), and slightly

above the England rate (88.5%). The highest uptake rates were in Northern and

Eastern Devon and the lowest in the South Hams. Whilst uptake has improved

locally, the increase has been slower than England as a whole.

94.1%

93.6%

93.4%

93.4%

93.2%

92.7%

91.7%

90.9%

90.8%

90.1%

90.0%

88.8%

88.7%

88.7%

85.5%

50% 60% 70% 80% 90% 100%

SwindonDorset

SomersetNorth SomSouth Glos

BANESGlos

WiltshireTorbay

CornwallDevonBristol

BournemouthPoole

Plymouth

Percentage


87.0%

93.8%

88.8%

76.6%

93.5%

93.6%

92.2%

93.1%

50% 60% 70% 80% 90% 100%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%10%20%30%40%50%60%70%80%90%

100%

2004-0

5

2005-0

6

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


96.0%

95.7%

93.8%

93.6%

93.4%

92.8%

91.7%

91.6%

91.3%

90.5%

90.3%

90.2%

90.0%

88.1%

87.1%

85.7%

50% 60% 70% 80% 90% 100%


CumbriaDorset

SomersetEssex


West SussexWorcestershire

NorfolkNorth Yorks

DevonEast SussexLincolnshire

Cambridgeshire

Percentage


91.1%

90.4%

88.9%

72.0%

95.7%

88.0%

82.1%

85.3%

84.7%

93.6%

91.9%

94.1%

93.2%

92.4%

92.9%

89.7%

50% 60% 70% 80% 90% 100%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0%10%20%30%40%50%60%70%80%90%

100%

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

Percentage

Totnes Devon



Domain 3. Health ProtectionIndicator 3.03 Population Vaccination (MMR Aged 5)

Period: 2013-14 (provisional)

Chart Notes

InequalitiesCompares Devon rate with town with lowest uptake rate (Totnes) over time.

Detailed

Specification

Numerator is the total number of children who received two doses of MMR on or after

their first birthday and at any time up to their fifth birthday. Denominator is the total

number of children whose fifth birthday falls within the time period. Crude percentage:

numerator is divided by denominator and then multiplied by 100.

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes


Chart Notes

Comparator




Chart Notes

CCG/Locality




Outcomes


SourceCover of Vaccination Evaluated Rapidly (COVER) data collected by Public Health

England (PHE). Available from The Health and Social Care Information Centre (IC).

Update

FrequencyQuarterly, three months in arrears (Q2 2013-14 due end December 2014)

DescriptionPercentage of eligible children who have received two doses of MMR vaccine on or

after their 1st birthday and at any time up to their 5th birthday


Domain 4. Healthcare Public Health G Green

Indicator 4.03 Mortality Rate from preventable causes Amber

Period: 2011-2013 Red




EqualitiesMortality rates from preventable causes tend to be higher in males than females.

Preventable mortality rates are higher in more deprived areas across all age groups.

Overview

The mortality rate from causes considered preventable in Devon is 156.6 per

100,000, which is significantly below the South West (165.2), local authority

comparator group (163.2) and England (183.9) rates. Within Devon rates were

highest in Exeter (180.5) and lowest in Mid Devon (136.2). The rate has fallen over

time from 204.5 in 2001-03 to 156.6 in 2011-13.

RAG Rating

213.3

207.6

195.9

190.2

182.2

173.3

169.6

162.1

158.0

156.6

155.3

148.9

147.3

142.9

141.7

0 100 200 300

PlymouthBristol

BournemouthTorbay

SwindonGloucestershire

CornwallNorth Som

PooleDevon

SomersetWiltshireBANESDorset

South Glos

DASR per 100,000


149.7

175.3

160.7

143.9

170.8

136.2

180.5

144.8

0 100 200 300

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

50

100

150

200

250

300

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

DASR per 100,00


0

50

100

150

200

250

300

350

400

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

DASR per 100,000



Least Deprived

198.0

181.1

173.3

169.2

167.3

164.0

164.0

162.8

162.3

160.6

156.6

156.6

155.3

149.1

147.6

142.9

0 100 200 300

CumbriaLincolnshire

GloucestershireEast Sussex


WarwickshireLeicestershire

EssexNorth Yorks

DevonWest Sussex

SomersetCambridgeshire

HampshireDorset

DASR per 100,000


199.3

174.2

164.9

164.4

171.4

175.3

139.8

212.7

190.5

171.6

155.4

138.6

139.5

168.7

149.9

169.1

0 100 200 300


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000




Domain 4. Healthcare Public HealthIndicator 4.03 Mortality Rate from preventable causes

Period: 2011-2013

Chart Notes

Inequalities



Chart Notes

Comparator




Office for National Statistics annual death extracts (South West Benchmarking, Local

Authority District, Trend and Local Authority Comparator Group). Devon Public Health


Update

FrequencyAnnual, 2014 data due autumn 2015

Outcomes


Detailed

Specification

Numerator is number of deaths that are considered preventable (classified by

underlying cause of death recorded as ICD codes A15-A19, B17.1, B18.2, B20-B24,

B90, C00-C16, C18-C22, C33-C34, C43, C45, C50, C53, E10-E14, F10-F16, F18-

F19, G31.2, G62.1, I20-I26, I42.6, I71, I80.1-I80.3, I80.9, I82.9, J09-J11, J40-J44,

K29.2, K70, K73-K74 (excl. K74.3-K74.5), K86.0, U50.9, V01-Y34, Y60-Y69, Y83-

Y84) registered in the respective calendar years, aggregated into quinary age bands

(0-4, 5-9,B, 80-84, 85+). The 2013 revision to the European Standard Population has

been used for this measure.

Chart Notes

South West



DescriptionAge-standardised mortality rate from causes considered preventable per 100,000

population

Source

Chart Notes


Chart Notes

CCG/Locality





Chart Notes

Local AuthorityRates cannot currently be calculated at a local authority district level.



Indicator 4.04 Under 75 Mortality Rate - Circulatory Diseases Amber




Trend and Future Trajectory (annual) Inequalities (Deprivation)

Equalities

Mortality from circulatory disease increases rapidly with age, with the highest mortality

rates in under 75s in the 65 to 74 age group, and very few deaths in persons aged

under 40. In Devon mortality rates are 2.5 times higher in males than females. In

terms of ethnicity, the British Heart Foundation highlight that whilst risks did not vary

considerably by ethnic group for females, white males were at higher risk.

Overview

In 2013, there were 500 circulatory deaths in under 75s, with an direct age

standardised rate of 63.8 per 100,000 for 2011-13. The Devon rate in 2011-13 was

below the South West (67.1), local authority comparator group (66.7) and England

(78.2) rates. Within the county, rates are highest in Exeter and Torridge. Mortality

rates fell from 107.7 in 2001-03. Whilst rates have fallen more quickly in areas of

above average deprivation, the gap persisted for those in the most deprived areas.

RAG Rating

88.8

85.4

85.1

83.6

77.3

74.7

70.9

67.2

63.8

62.6

60.3

58.2

57.0

56.9

52.1

0 50 100 150

BristolBournemouth

PlymouthTorbay

SwindonNorth Som

CornwallGloucestershire

DevonWiltshire

SomersetSouth Glos

BANESPoole

Dorset

DASR per 100,000


66.9

72.1

62.7

59.0

71.8

54.9

72.1

57.2

0 50 100

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

20

40

60

80

100

120

140

160

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

DASR per 100,00


0

50

100

150

200

250

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

DASR per 100,000



Least Deprived

81.6

78.7

71.9

70.8

70.2

69.5

68.5

67.2

66.7

65.1

63.8

63.0

60.3

59.5

58.5

52.1

0 50 100

LincolnshireCumbria


North YorksNorfolk


EssexEast Sussex

DevonWest Sussex

SomersetCambridgeshire

HampshireDorset

DASR per 100,000


91.5

72.8

64.2

60.4

81.7

73.8

58.0

84.9

77.1

71.7

61.4

52.1

58.8

67.8

60.2

68.8

0 50 100 150


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000




Domain 4. Healthcare Public HealthIndicator 4.04 Under 75 Mortality Rate - Circulatory Diseases

Period: 2011-2013

Chart Notes

Comparator



Chart Notes

Inequalities

Chart Notes


Chart Notes

CCG/Locality








Chart Notes

Local Authority



Chart Notes

South West



Number of deaths from all cardiovascular diseases (classified by underlying cause of

death recorded as ICD codes I00-I99) registered in the respective calendar years, in

people aged under 75, aggregated into quinary age bands. Population for people

aged under 75, aggregated into quinary age bands. Age specific rates are calculated

and multiplied by the standard population for each age group and aggregated to give

the age adjusted count of deaths for the area, and divided by the total standard

population and multiplied by 100,000 to give the age standardised mortality rate for

the area. The 2013 revision to the European Standard Population has been used for

Detailed

Specification

Outcomes

Framework

Public Health Outcomes Framework Indicator 4.04i, NHS Outcomes Framework

Indicator 1.1

Description

Direct age-standardised rate (DASR) of mortality from all cardiovascular diseases

(including heart disease and stroke) in persons less than 75 years per 100,000

population.




Source

Update

FrequencyAnnually, nine months in arrears (2014 results due October 2015)



Indicator 4.05 Under 75 Mortality Rate - All Cancers Amber





Equalities

Mortality from cancer increases rapidly with age, with the highest mortality rates in

under 75s in the 65 to 74 age group. Mortality rates from cancer are around 20%

higher in males than females in England. In terms of ethnicity, Cancer Reseach UK

suggests higher mortality rates in white groups, although survival rates for breast

cancer are lower in Asian and Black ethnic groups.

RAG Rating

Overview

In 2013, there were 942 deaths due to cancer in under 75s, with an direct age

standardised rate of 130.9 per 100,000 for 2010-12. The Devon rate in 2011-13 was

below the South West (134.3), local authority comparator group (134.3), and England

(144.4) rates. Within the county, rates are highest in North Devon (147.4). Mortality

rates by year have fallen from 157.2 in 2001-03. Mortality rates are higher in more

deprived areas, although the health inequality gap has decreased over recent years.

164.4

156.9

149.1

137.8

137.6

137.0

134.1

132.4

131.6

130.9

130.9

130.8

125.2

124.8

122.2

0 100 200

PlymouthBristol

SwindonTorbay

BournemouthCornwall

PooleSomerset

North SomDevon

GloucestershireWiltshire

South GlosBANESDorset

DASR per 100,000


128.2

132.2

138.0

119.8

147.4

119.3

135.9

125.1

0 50 100 150 200

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0.00

20.00

40.00

60.00

80.00

100.00

120.00

140.00

160.00

180.00

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

DASR per 100,00


0

50

100

150

200

250

300

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

DASR per 100,000



Least Deprived

148.2

142.6

141.7

141.7

139.2

135.6

132.9

132.4

131.2

131.2

131.1

130.9

130.9

128.4

127.8

122.2

0 100 200

CumbriaEast Sussex

EssexLincolnshire

WorcestershireWest Sussex

NorfolkSomerset

North YorksWarwickshire

LeicestershireDevon

GloucestershireCambridgeshire

HampshireDorset

DASR per 100,000


140.7

133.5

132.8

147.5

139.1

138.6

112.2

164.2

148.5

140.5

132.6

116.5

122.5

137.2

126.9

137.5

0 100 200


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000




Domain 4. Healthcare Public HealthIndicator 4.05 Under 75 Mortality Rate - All Cancers

Period: 2011-2013

Chart Notes

Trend

Direct age-standardised rate (DASR) of mortality from all cancers in persons less

than 75 years per 100,000 population

Chart Notes

Comparator




Chart Notes

Inequalities




Chart Notes

CCG/Locality







Chart Notes

Local Authority

Chart Notes

South West



Detailed

Specification

Number of deaths from all cancers (classified by underlying cause of death recorded

as ICD codes C00-C97) registered in the respective calendar years, in people aged

under 75, aggregated into quinary age bands. Population for people aged under 75,

aggregated into quinary age bands. Age specific rates are calculated and multiplied

by the standard population for each age group and aggregated to give the age

adjusted count of deaths for the area, and divided by the total standard population

and multiplied by 100,000 to give the age standardised mortality rate for the area.

The 2013 revision to the European Standard Population has been used for this

Public Health Outcomes Framework Indicator 4.05i, NHS Outcomes Framework

Indicator 1.4

Outcomes

Framework

Description

Source




Update



Domain 4. Healthcare Public Health Green

Indicator 4.10 Suicide Rate A Amber





Equalities

There are no significant differences in suicide rates based on area deprivation in

Devon. Differences by sex are notable, and tend to be low and stable for females and

higher and more variable in males. Suicide rates are highest for people in the 40s

and 50s and are relatively low for persons in their teens and 20s.

RAG Rating

Around 65 deaths per annum are registered as suicide or injury undetermined (open

verdict), with an direct age standardised rate of 10.4 per 100,000. This was above

the South West (10.1), local authority comparator group (9.5) and England (8.8) rates.

Within the county, rates are similar between districts, with no significantly higher

rates. Whilst year-on-year variations are seen due to the small numbers involved,

rates in Devon have typically remained around or slightly above the national rate.

Overview

11.7

11.7

11.5

11.3

10.4

10.2

10.2

10.0

9.8

9.6

9.6

9.3

8.3

8.0

7.6

0.0 5.0 10.0 15.0 20.0

CornwallTorbay

GloucestersBPlymouth

DevonDorset

BANESBristol

SomersetNorth Som

BournemouthSwindon

PooleWiltshire

South Glos

DASR per 100,000


15.1

10.9

10.9

11.8

9.6

9.9

0 10 20 30

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

2

4

6

8

10

12

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

DASR per 100,00


02468

101214161820

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

DASR per 100,000

Female Male

11.5

11.0

10.9

10.4

10.2

9.8

9.7

9.5

9.4

9.3

9.1

8.9

8.8

8.3

8.0

7.8

0.0 5.0 10.0 15.0

GloucestershireEast Sussex

CumbriaDevonDorset

SomersetNorth YorksLincolnshire

EssexWarwickshire


LeicestershireWest Sussex

HampshireCambridgeshire

DASR per 100,000


17.6

9.1

15.6

14.8

11.9

13.8

11.5

13.5

12.9

15.6

12.8

10.4

8.8

8.8

9.8

12.1

0 10 20 30


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000




Priority 4: Social Capital and Building CommunitiesIndicator: Suicide Rate

Period: 2011-2013

Chart Notes

InequalitiesCompares rates within Devon by sex.




Trend

Chart Notes

Comparator





level.

Chart Notes

CCG/Locality

Chart Notes

Local Authority

Chart Notes

South West

Detailed

Specification

Number of deaths from suicide and injury of undetermined intent (classified by

underlying cause of death recorded as ICD10 codes X60-X84 (all ages), Y10-Y34

(ages 15+ only) registered in the respective calendar years, aggregated into quinary

age bands, with corresponding mid-year population totals. Age specific rates are

calculated and multiplied by the standard population for each age group and

aggregated to give the age adjusted count of deaths for the area, and divided by the

total standard population and multiplied by 100,000 to give the age standardised

mortality rate for the area. New 2013 European Standard population used.



Outcomes


Update





Direct age-standardised mortality rate (DASR) from suicide and injury of

undetermined intent per 100,000 populationDescription

Source



Indicator 4.12 Preventable Sight Loss (Registrations) A Amber

Period: 2012-13 Red




EqualitiesSight loss registrations increase significantly with age and are highest in those aged

85 and older.

RAG Rating

Overview

There were 487 sight loss registrations in Devon in 2012-13. The rate per 100,000

population was 64.7 which is above the South West (45.1), local authority comparator

group (45.2) and England (42.3) rates. The registration rate increased from 54.7 in

2011-12 and remains above South West and England levels. The measure is

influenced by the age structure of the population and detection rates as well as

underlying rates of sight loss.

64.7

55.2

51.2

49.4

44.8

44.4

43.8

42.3

41.1

39.4

39.0

37.7

31.9

27.4

25.5

0 50 100

DevonDorset

SomersetTorbay

CornwallBournemouth

PlymouthGlos

BANESWiltshire

PooleNorth Som

BristolSwindon

South Glos

Rate per 100,000


0 0.5 1 1.5

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

10

20

30

40

50

60

70

2010-11 2011-12 2012-13

Rate per 100,00


0

0.2

0.4

0.6

0.8

1

1.2

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

Rate per 100,000



Least Deprived

79.8

64.7

56.7

55.2

51.2

51.2

48.5

45.4

44.2

42.3

40.8

40.1

35.5

34.6

24.6

23.9

0 50 100

East SussexDevon

CumbriaDorset

SomersetHampshire

NorfolkLincolnshire


North YorksWorcestershire

CambridgeshireEssex

WarwickshireWest Sussex

Rate per 100,000


0 0.5 1 1.5

ToBPaiB


NoBWEB

WBMiBExBEaBNEB

Rate per 100,000



LOCALITY LEVEL


LEVEL


AT A LOCAL LEVEL



Domain 4. Healthcare Public HealthIndicator 4.12 Preventable Sight Loss (Registrations)

Period: 2012-13

Chart Notes


Chart Notes

InequalitiesRates cannot currently be calculated by inequality characteristics at a local level.

Description Crude rate of sight loss certifications per 100,000 population

Source

Calculated by Public Health England Knowledge and Intelligence Team (West

Midlands) from data provided by Moorfields Eye Hospital and Office for National

Statistics

Update

FrequencyAnnual, around 16 months in arrears

Outcomes


Detailed

Specification

New Certifications of Visual Impairment (CVI), rate per 100,000 population. The

indicator relates completions of CVI (all causes - preventable and non-preventable) by

a consultant ophthalmologist, this initiates the process of registration with a local

authority and leads to access to services. Taken from The Database for

Epidemiological data on Visual Impairment Certificates (DEVICE), the Certifications

Office, the Royal College of Ophthalmologists, at Moorfields Eye Hospital NHS

Foundation Trust, supported by a grant from RNIB. Denominator are ONS Mid-Year

Population Estimates.

Chart Notes

South West



Chart Notes


Chart Notes

Comparator




Chart Notes

CCG/Locality


level.



Indicator 4.13 Health-Related Quality of Life Amber

Period: 2012-13 Red




Overview

This measure calculates an average health status score for adults aged 65 and over

using data collected in the GP Patient Survey. The average score in Devon (0.761) is

above the South West, Local Authority Comparator Group and England rates. There

are no significant differences between Local Authority Districts within Devon.

Equalities Breakdowns by equality characteristics are not currently available.

RAG Rating

0.761

0.761

0.760

0.757

0.756

0.753

0.751

0.750

0.749

0.741

0.740

0.740

0.737

0.719

0.713

0.000 0.200 0.400 0.600 0.800 1.000

DorsetDevon

BANESSomersetWiltshire

GloucestershireTorbay

South GlosBournemouth

SwindonNorth Som

CornwallPooleBristol

Plymouth

Score


0.766

0.767

0.755

0.766

0.758

0.766

0.752

0.760

0.000 0.200 0.400 0.600 0.800 1.000

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Score


0.000

0.100

0.200

0.300

0.400

0.500

0.600

0.700

0.800

0.900

2011-1

2

2012-1

3

Score


0

0.2

0.4

0.6

0.8

1

1.2

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

DASR per 100,000



Least Deprived

0.766

0.764

0.761

0.761

0.760

0.757

0.753

0.751

0.750

0.749

0.748

0.747

0.743

0.737

0.735

0.733

0.000 0.200 0.400 0.600 0.800 1.000

North YorksHampshire

DorsetDevon

West SussexSomerset

GloucestershireWorcestershire

CambridgeshireEast Sussex

NorfolkLeicestershire

CumbriaEssex

WarwickshireLincolnshire

Score


0 0.5 1 1.5

ToBPaiB


NoBWEB

WBMiBExBEaBNEB

DASR per 100,000



LOCALITY LEVEL


LEVEL



Domain 4. Healthcare Public HealthIndicator 4.13 Health-Related Quality of Life

Period: 2012-13

Detailed

Specification

Health status is derived from responses to Q34 on the GP Patient's Survey, which

asks respondents to describe their health status using the five dimensions of the

EuroQuol 5D (EQ-5D) survey instrument (Mobility, Self-care, Usual activities, Pain /

discomfortAnxiety / depression). The result of the patient survey have been

calculated for the different geographies and inequalities dimensions by using an

average of the EQ-5D score where there was a valid response. The England value

excludes results where the geographical area is unknown.

Chart Notes

South West



Chart Notes


Description Average health status score for adults aged 65 and over

Source GP Patient Survey

Chart Notes

Comparator




Chart Notes

CCG/LocalityIndicator not available at this level.

Chart Notes

InequalitiesIndicator not available at this level.

Chart Notes


Outcomes


Update

FrequencyAnnually, 2013-14 data due 2015



Indicator 4.16 Dementia Diagnosis Rate A Amber

Period: 2014-15 Red




Overview

In March 2015, 7,838 people in Devon were on a GP register for dementia, compared

with an expected prevalence of 13,864, this is a diagnosis rate of 56.5%. The gap

between Devon and the South West and England has narrowed considerably over the

last two years. Diagnosis rates increased from 28.0% in 2006-07 and 44.9% in March

2014. The highest rates in Devon are seen in Exeter area (62.9%) and are

particularly high in the Coastal locality covering Teignmouth and Dawlish (66.1%).

RAG Rating

Equalities

There are no significant differences in Devon based on area deprivation. Dementia

prevalence rates are higher in females. This, coupled with longer life expectancy,

means females with dementia outnumber males by more than two to one.

Prevalence rates for dementia increase rapidly with age, with one in 1400 affected

under the age of 65, compared with more than one in five in those aged 85 and over.

70.7%

68.9%

62.6%

60.6%

59.9%

59.8%

59.5%

59.1%

58.3%

56.7%

56.5%

56.5%

54.1%

53.0%

52.1%

0% 20% 40% 60% 80%

BournemouthPoole

TorbayBristol

GlosBANES

SwindonSomersetCornwall

South GlosDevon

WiltshireDorset

PlymouthNorth Som

Percentage


58.5%

54.3%

61.5%

49.5%

58.4%

47.7%

62.9%

55.9%

0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

10%

20%

30%

40%

50%

60%

70%

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


0%

10%

20%

30%

40%

50%

60%

70%

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage



Least Deprived

61.9%

60.6%

59.9%

59.1%

58.4%

57.0%

56.8%

56.7%

56.5%

55.4%

55.0%

54.7%

54.3%

54.1%

53.8%

53.0%

0% 20% 40% 60% 80%

CumbriaNorth Yorks

GloucestershireSomerset

HampshireCambridgeshire


DevonWest Sussex

WorcestershireEssex

WarwickshireDorset

East SussexNorfolk

Percentage


62.7%

62.6%

63.7%

49.8%

66.1%

61.2%

56.7%

53.0%

54.3%

56.7%

54.6%

56.8%

47.2%

61.7%

55.1%

55.2%

0% 20% 40% 60% 80%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage




Priority 3: Independence in Older AgeIndicator: Dementia Diagnosis Rate

Period: 2014-15



Chart Notes

Inequalities

Chart Notes

Trend

Chart Notes

CCG/Locality








Chart Notes

Comparator

Chart Notes

Local Authority



Chart Notes

South West

Compares Former Primary Care Trusts in the South West Region. Error bar is 95%

confidence interval.

Numerator is the number of people on a GP practice dementia disease register at the

end of the given period and reported through the Quality and Outcomes Framework.

Numbers predicted to have dementia apply local GP practice population in quinary

age bands to age and sex specific dementia prevalence rates from the 2007

Dementia UK prevalence study. Rate divides the number on the QOF register by the

predicted number with dementia to give the percentage diagnosed. GP practice

numerators and denominators are aggregated to areas based on location of practice.

Detailed

Specification

Outcomes

Framework

NHS Outcomes Framework Indicator 2.6i, Public Health Outcomes Framework

Indicator 4.11 - not yet finalised as new dementia prevalence estimates are currently

being devised to inform the frameworks.

Update

Frequency

NHS Dementia Prevalence Calculator Primary Care Data Tool, Devon Public Health

Intelligence Team (Local GP Practice Deprivation Quintiles)Source

DescriptionNumber of persons recorded on a GP Dementia Disease Register as a % of those in

the area predicted to have dementia (using age and sex based estimates)

Quarterly, typically three to four weeks in arrears

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