health and wellbeing outcomes report …...2. healthy lifestyle choices - higher levels of physical...

HEALTH AND WELLBEING OUTCOMES REPORT10TH SEPTEMBER 2015

DEVON HEALTH AND WELLBEING BOARDFULL VERSION

The Joint Health and Wellbeing Strategy has four priority areas and the selected indicators in this report align to these. Further to this, there are three types of indicators reflecting how the board will address the issue in question. These three types are:

Challenge Indicators – these cover areas where outcomes are poor, where inequalities are widening locally, or areas which are critical to future plans to improve health and wellbeing. The board will monitor these indicators and challenge current processes and practices in lead organisations in these areas.

Monitoring ‘Watching Brief’ Indicators – these cover areas where local outcomes are positive or where improvements have been made. The role of the board will be to monitor these indicators and intervene should outcomes deteriorate.

Commissioning Improvement Indicators – these are indicators for areas where joint working is required to improve outcomes and where the board will need to play a more active role in coordinating local commissioning.

Joint Health and Wellbeing Strategy indicators are set out in the grid on the next page, grouped against the four Joint Health and Wellbeing Strategy priorities and three indicator types. The outcomes framework they align to is identified within brackets. Given the remit of the board, the Public Health Outcomes Framework, Adult Social Care Outcomes Framework and NHS Outcomes Framework all figure prominently.

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]

DEVON HEALTH AND WELLBEING OUTCOMES REPORT

Indicator List

Priority RAG Type Trend Dev/SW/Eng

A Chall

G Chall

G Watch

G Watch

- Improve - -

R Improve

G Chall

A Chall

A Chall

A Watch

A Watch

G Watch

G Improve

G Improve

A Chall

G Chall

A Chall

G Watch

G Watch

A Watch

A Improve

A Chall

G Chall

G Chall

G Watch

G Watch

G Watch -

A ImproveG Improve

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

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

Green G

1. A Focus on Children and Families - Child poverty levels fell between 2011 and 2012. Recorded

levels of child development are above the South West and England averages. Rates of smoking at delivery

are falling over time and are amongst the lowest in the South West. Conception rates have fallen over time,

particularly in more deprived areas. Self-harm admissions in younger people are above the national average.

2. Healthy Lifestyle Choices - Higher levels of physical activity are seen in Devon. Levels of excess weight in

children are above average at age 4/5 and below average at age 10/11. The narrow alcohol-related admissions

rate is similar to England. Adult smoking rates are below the national average. Mortality rates are falling.

3. Good Health and Wellbeing in Older Age - Clostridium Difficile incidence aligns with South West and

national rates. The gap between Devon and the South West and England for the detection of dementia, has

narrowed significantly. Devon has relatively low levels of injuries due to falls. A higher proportion feel supported

to manage their long-term condition in Devon. Reablement service effectiveness is above average, but

recorded coverage is low. Readmission rates are below average but are increasing over time.

4. Strong and Supportive Communities - Suicide rates in Devon are consistent with the national average.

There is a smaller gap in life expectancy between the most and least deprived communities in Devon than

nationally. Self-reported wellbeing in Devon tends to be better than the national average. The proportion stating

that they have as much social contact as they would like is above the national average. Quality of life for carers

is in line with the national average. Devon had similar levels of people with learning disabilities in stable and

appropriate accommodation than the national average, but lower rates for people with mental health issues.

2. Healthy

Lifestyle

Choices

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

Social Contentedness

Carer Reported Quality of Life

Incidence of Clostridium Difficile *

Self-Reported Wellbeing (low happiness score)

3. Good

Health and

Wellbeing in

Older Age

4. Strong and

Supportive

Communities

Priority Area Summaries

Indicator

Stable/Appropriate Accommodation (Learn. Dis.)Stable/Appropriate Accommodation (Mental Hlth)

Injuries Due to Falls

Dementia Diagnosis Rate

Feel Supported to Manage Own Condition *

Re-ablement Services (Effectiveness)

Re-ablement Services (Coverage)

Readmissions to Hospital Within 30 Days

Suicide Rate

Male Life Expectancy Gap

Female Life Expectancy Gap

1. A Focus

on Children

and Families

Under 75 Mortality Rate - Circulatory Diseases

Under 75 Mortality Rate - All Cancers

Adult Smoking Prevalence

Alcohol-Related Admissions (Broad Definition) *

Alcohol-Related Admissions (Narrow Definition) *

Excess Weight in 10 / 11 Year Olds

Excess Weight in Four / Five Year Olds

Proportion of Physically Active Adults *

Hospital Admissions for Self-Harm, Aged 10-24 *

Child/Adolescent Mental Health Access Measure

Teenage Conception Rate *

Smoking at Time of Delivery

Early Years Foundation Score

Children in Poverty

Devon compared with the Local Authority Comparator Group (LACG) for Health and Wellbeing outcomes

Sort Devon LACG England LACG England Rank D N

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

30 Days ReadmissionDevon 30 Day Readmissions to Hospital (%) 10.3 11.0 11.8 Better Better 1 / 16 Y 1 #

Early YearsDevon Early Years Good Development (%) 67.0% 60.0% 58.0% Better Better 1 / 16 Y 1 #

Manage Own ConditionDevon Feel Supported to Manage own Condition (%) 68.9% 64.2% 63.3% Better Better 1 / 16 Y 1 #

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

Physical ActivityDevon Physical Activity (%) 60.3% 58.9% 57.0% Similar Better 3 / 16 Y 3 #

91 Days EffectivenessDevon Reablement Services Effectiveness (%) 89.8% 82.6% 81.9% Better Better 3 / 16 Y 3 #

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

MH Stable AccomDevon Stable Accommodation - MH (%) 54.5% 45.2% 60.9% Better Worse 5 / 16 Y 5 #

Cancer u75Devon Cancer Deaths, under 75 130.9 134.3 144.4 Similar Better 5 / 16 Y 5 #

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

Carer QOLDevon Carer Reported Quality of Life 8.173 8.043 8.068 Better Better 6 / 16 Y 6 #

CVD u75Devon Circulatory Disease Deaths, under 75 63.8 66.7 78.2 Similar Better 6 / 16 Y 6 #

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

Teen ConceptionsDevon Teen Conception Rate per 1,000 18.5 19.5 23.4 Similar Better 6 / 16 Y 6 #

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

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

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

LD Stable AccomDevon Stable Accommodation - LD (%) 74.0% 72.1% 74.8% Better Similar 8 / 16 Y 8 #

Alcohol BroadDevon Alcohol Admission Rate (Broad Definition) 1830.3 1861.1 2137.7 Better Better 9 / 16 Y 9 #

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

Self-Reported WellbeingDevon Low Happiness Score (%) 8.5% 8.6% 9.7% Similar Similar 9 / 16 Y 9 #

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

C-DiffDevon Incidence of Clostridium Difficile 30.8 27.4 26.3 Worse Worse 12 / 16 Y # #

Self-Harm ChildrenDevon Hospital Admission Rate for Self-Harm 501.8 463.1 412.1 Worse Worse 12 / 16 Y # #

AlcoholDevon Alcohol Admission Rate (Narrow Definition) 636.5 598.2 638.1 Worse Similar 12 / 16 Y # #

SuicideDevon Suicide Rate 10.4 9.5 8.8 Similar Worse 13 / 16 Y # #

91 Days CoverageDevon Reablement Services Coverage (%) 2.0% 3.4% 3.3% Worse Worse 15 / 16 Y # #

Measure

Rates Significance LACG Rank / Position

Position


Priority 1: A Focus on Children and Families Green

Indicator: Children in Poverty A Amber

Period: 2012 Red

South West Benchmarking Local Authority District

Local Authority Comparator Group (LACG) CCG and Locality Comparison

Trend and Future Trajectory Inequalities (Deprivation)

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.

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.

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

Devon LA South West England

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

District Devon South West England

0%

5%

10%

15%

20%

25%

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

Percentage

Devon South West England

0%

5%

10%

15%

20%

25%

30%

35%

40%

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

Percentage

Most Deprived Above Average

Average Below Average

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

Devon LA LACG England

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%

TorquayPaignton/Brixham

N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth

Western LocalityNorthern Locality

WEBWakley

Mid DevonExeter

Eastern LocalityNEW Devon CCG

Percentage

CCG/Locality South West England


INDICATOR SPECIFICATION

Priority 1: A Focus on Children and Families

Indicator: Children in Poverty

Period: 2012

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

Statistics)

Chart Notes

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

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

South West

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

is 95% confidence interval.

Chart Notes

Local Authority

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

95% confidence interval.

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.

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.


Update

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

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.01

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.

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

tax credits.


Priority 1: A Focus on Children and Families G Green

Indicator: Early Years Foundation Score Amber

Period: 2013-14 (School Year) Red

South West Benchmarking Local Authority District (2012-13)

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

Trend and Future Trajectory Inequalities (2012-13)

RAG Rating

Overview

In 2013-14 67% in Devon achieved the expected level in the Early Years Foundation

Stage, which was signficantly above the South West (61%), local authority

comparator group (60%) and England (58%) rates. Within Devon this varied from

58.7% in Mid Devon to 70.8% in the South Hams. Rates increased from 64% in 2012-

13.

Equalities The percentage achieved is lower in the more deprived areas in Devon.

70.0%

68.0%

67.0%

67.0%

67.0%

60.0%

60.0%

59.0%

58.0%

57.0%

57.0%

57.0%

57.0%

55.0%

55.0%

0% 20% 40% 60% 80%

South GlosNorth Somerset

BournemouthDevonDorset

BANESSomerset

PooleSwindonCornwallPlymouth

TorbayWiltshire

BristolGlos

Percentage


60.0%

60.1%

64.0%

70.8%

65.0%

58.7%

63.1%

65.9%

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%

80%

2012-13 2013-14

Percentage


67.0%

67.0%

66.0%

66.0%

64.0%

60.0%

59.0%

59.0%

59.0%

57.0%

57.0%

57.0%

57.0%

56.0%

55.0%

55.0%

0% 20% 40% 60% 80%

DevonDorset

LincolnshireHampshire

East SussexSomerset

CambridgeshireNorth Yorks

EssexLeicestershire

WorcestershireWest SussexWarwickshire

CumbriaGloucestershire

Norfolk

Percentage


51.0%

51.0%

61.7%

69.3%

65.3%

58.0%

66.9%

57.0%

59.0%

63.1%

66.1%

65.1%

58.5%

63.5%

62.6%

61.2%

0% 50% 100%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


56.2%

59.5%

63.2%

67.3%

70.7%

0% 20% 40% 60% 80%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator: Early Years Foundation Score

Period: 2013-14 (School Year)





Chart Notes


Chart Notes

Inequalities



Chart Notes

Comparator




Chart Notes

CCG/Locality

Detailed

Specification

From 2013, children will be defined as having reached a ‘Good Level of Development’

at the end of the Early Years Foundation Stage if they achieve at least the expected

level in:

- The early learning goals in the prime areas of learning (personal, social and

emotional development: physical development; and communication and language)

and;

- The early learning goals in the specific areas of mathematics and literacy

Chart Notes

South West



Chart Notes

Local Authority



Source

Department for Education (South West Benchmarking, Trend and Local Authority

Comparator Group). Babcock LDP (Local Authority District, Inequalities and CCG /

Locality Comparison)

Update

FrequencyAnnually, 2014-15 school year data due November 2015.

Outcomes

FrameworkNot Applicable

DescriptionPercentage of Children achieving a Early Years Foundation Score indicating a good

level of development at school entry.



Indicator: Smoking at Time of Delivery Amber

Period: 2013-14 Red

South West Benchmarking Local Authority District (2012-13)


Trend and Future Trajectory Inequalities (2012-13)

RAG Rating

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.

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.

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

WorcestershireCumbria

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




Indicator: Smoking at Time of Delivery

Period: 2013-14

Chart Notes

Comparator




Chart Notes

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

Chart Notes


Chart Notes

Inequalities

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

Devon average.

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

South West

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

confidence interval.

Chart Notes

Local Authority



The Health and Social Care Information Centre, Lifestyle StatisticsSource

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

Update

FrequencyAnnually - typically eight months in arrears

Outcomes




Indicator: Teenage Conception Rate Amber

Period: 2014 Q2 Rolling Year Red

South West Benchmarking Local Authority District (2013)


Trend and Future Trajectory Inequalities

Overview

There were 229 conceptions in Devon between July 2013 and June 2014 for females

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

is 18.5 per 1,000 females compared with 19.6 for the South West, 19.5 for the local

authority comparator group and 23.4 for England. Higher rates are seen in Exeter,

Mid Devon and Teignbridge but the differences are not statistically signficant.

Equalities

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

higher rates in the most deprived areas both locally and nationally, although rates

have fallen more rapidly in the most deprived wards in recent years. 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), with less than 10 under 16 births per annum.

RAG Rating

29.8

28.2

26.1

22.9

22.1

21.0

19.7

19.1

19.0

18.5

18.3

17.3

16.7

14.6

14.3

0 20 40 60

PlymouthTorbayPooleBristol

BournemouthSomersetSwindon

North SomDorsetDevon

CornwallWiltshire

GlosSouth Glos

BANES

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


25.4

25.2

22.2

21.0

20.8

20.2

20.1

19.7

19.0

18.7

18.5

17.6

17.1

16.7

16.5

16.3

0 10 20 30

LincolnshireWarwickshire

NorfolkSomersetCumbria

EssexWorcestershireLeicestershire

DorsetEast Sussex

DevonNorth YorksHampshire

GloucestershireCambridgeshire

West Sussex



0 0.5 1 1.5

ToGPaiG

NGMoGCoGSDGSHGPlyGWG

NoGWEB

WGMiGExGEaGNEG


England South West CCG/Locality

NOT CURRENTLY AVAILABLE AT CCG /

LOCALITY LEVEL

0

20

40

60

80

100

120

2007-09 2008-10 2009-11 2010-12 2011-13

DASR per 100,000

Devon Wards Ranked 21 to 30

Wards Ranked 11 to 20 Wards Ranked 1 to 10

*UPDATED INDICATOR*




Indicator: Teenage Conception Rate

Period: 2014 Q2 Rolling Year

Chart Notes

CCG/Locality

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

Inequalities

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

Devon average over time.

Chart Notes

Comparator




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

Detailed

Specification

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.

Chart Notes

South West



Chart Notes

Local Authority



Office for National StatisticsSource

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

Update

FrequencyQuarterly - 15 months in arrears (Q3 2014 due December 2015)

Outcomes




Indicator: Child/Adolescent Mental Health Access Measure Amber

Period: 2012-13 Red




Overview

Equalities

RAG Rating

0 1 1

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

Percentage

England South West Devon LA

0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage

England South West Devon District

0

0

0

1

1

1

1

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


0 1 1

CambridgeshireCumbria

DevonDorset

East SussexEssex

GloucestershireHampshire

LeicestershireLincolnshire

NorfolkNorth Yorks

SomersetWarwickshireWest Sussex

Worcestershire

Percentage

England Comp Group Devon LA

0 1 1 2

ToGPaiG


NoGWEB

WGMiGExGEaGNEG

Percentage


0

0

0

1

1

1

1

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

Percentage



Least Deprived

INDICATOR STILL IN DEVELOPMENT




Indicator: Child and Adolescent Mental Health Measure 1

Period: 2012-13

Chart Notes

InequalitiesNot yet available.

Not yet available.

Chart Notes

TrendNot yet available.

Chart Notes

South WestNot yet available.

Chart Notes

Local AuthorityNot yet available.

Update

FrequencyIn Development.

Outcomes

FrameworkNot Applicable

Detailed

SpecificationIn Development.

In Development.Source

Description

Chart Notes

ComparatorNot yet available.

Chart Notes

CCG/Locality

In Development.



Indicator: Hospital Admissions for Self-Harm, Aged 10 to 24 Amber

Period: 2013-14 R Red



Trend and Future Trajectory Inequalities (Sex)

Overview

RAG Rating

There were 653 hospital admissions for self-harm in persons aged 10 to 24 in Devon

in 2013-14. The rate per 100,000 in Devon was 501.8, which is below the South

West rate (520.8), but above the local authority comparator group (463.1) and

England (412.1) rates. Admission rates increased from 376.6 in 2007-08 to 501.8 in

2013-14. Within Devon rates were highest in Exeter, and lowest in the South Hams.

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 (775.8). Admission rates also

are higher in more deprived areas, with a rate of 1031.1 in the most deprived areas

compared with 427.8 in the least deprived areas in 2013-14.

715.3

624.4

616.8

607.0

590.3

564.4

549.1

523.2

518.7

508.3

501.8

465.1

456.7

389.8

363.8

0 200 400 600 800 1,000

SwindonSomerset

North SomBournemouth

GlosTorbayPoole

WiltshireBristol

BANESDevonDorset

CornwallSouth Glos

Plymouth

DASR per 100,000


454.7

462.3

414.9

368.7

553.8

496.0

651.8

502.8

0 200 400 600 800

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

100

200

300

400

500

600

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

DASR per 100,000


624.4

590.3

581.6

524.4

501.8

490.4

469.5

467.9

467.8

465.1

461.8

438.9

398.9

380.9

307.2

239.2

0 200 400 600 800

SomersetGloucestershire

West SussexCambridgeshire

DevonWarwickshire


CumbriaDorset

East SussexNorfolk

WorcestershireNorth Yorks

EssexLeicestershire

DASR per 100,000


620.3

535.2

354.9

398.5

449.8

485.0

400.6

363.8

378.6

517.1

522.3

492.3

461.7

646.3

553.0

474.2

0 200 400 600 800 1,000


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


0

100

200

300

400

500

600

700

800

900

2007-08

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

DASR per 100,000

Female Male

*UPDATED INDICATOR*




Indicator: Hospital Admissions for Self-Harm, Aged 10 to 24

Period: 2013-14

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality





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

InequalitiesCompares rates within Devon by sex.

Update

FrequencyAnnual, 2014-15 due June 2016

Outcomes

Framework

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

when Public Health Outcomes Framework Indicator 2.10 when finalised.

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.

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

Uses Hospital Episode Statistics from Health and Social Care Information Centre

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

100,000 population aged 10 to 24 yearsDescription


Priority 2: Healthy Lifestyle Choices G Green

Indicator: Proportion of Physically Active Adults Amber

Period: 2014 Red




RAG Rating

Overview

60.3% of adults in Devon were physically active for at least 150 minutes per week in

2014. This is broadly in line with South West (59.4%), and comparator group (58.9%)

and significantly above the national (57.0%) rates. The differences between the

districts in Devon were not statistically significant. Levels of physical activity

decreased slightly from 60.9% in 2013 to 60.3% in 2014.

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.

64.0%

64.0%

61.8%

61.7%

61.3%

60.5%

60.3%

59.6%

59.0%

58.6%

58.4%

55.9%

55.0%

52.4%

50.9%

0.0% 20.0% 40.0% 60.0% 80.0%

BANESWiltshire

North SomersetPooleBristolDorsetDevon

GloucestershireSouth Gloucestershire

CornwallSomersetSwindon

BournemouthTorbay

Plymouth

Percentage


57.8%

61.5%

60.7%

54.4%

59.3%

62.4%

64.0%

60.2%

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 2014

Percentage


00000111111

2006-0

8

2007-0

9

2008-1

0

2009-1

1

Percentage



Least Deprived

64.5%

60.5%

60.3%

59.9%

59.9%

59.6%

59.4%

59.1%

58.4%

58.3%

58.2%

57.9%

57.2%

57.1%

56.9%

55.1%

0.0% 20.0% 40.0% 60.0% 80.0%

CambridgeshireDorsetDevon

WorcestershireLeicestershire

GloucestershireEast SussexNorth Yorks

SomersetHampshire

WarwickshireEssex

West SussexNorfolk

LincolnshireCumbria

Percentage


0 1 1 2

ToGPaiG


NoGWEB

WGMiGExGEaGNEG

Percentage



LOCALITY LEVEL

Priority 3: HealthChoices Indicator:

Proportion of Physly Active Adults Period:

2009-11

NOT CURRENTLY AVAILABLE

AT A LOCAL LEVEL

*UPDATED INDICATOR*



Priority 2: Healthy Lifestyle Choices

Indicator: Proportion of Physically Active Adults

Period: 2014

Chart Notes

Comparator




Chart Notes

CCG/Locality

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

level.

Chart Notes


Chart Notes

InequalitiesRates cannot currently be calculated at a local level.

Update

FrequencyAnnually, around eight months in arrears (2015 update expected August 2016)

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.

Detailed

Specification

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.

Chart Notes

South West



Chart Notes

Local Authority



SourceSport England’s Active People Survey (APS)

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

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

accordance with UK CMO recommended guidelines on physical activity.Description


Priority 2: Healthy Lifestyle Choices Green

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




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

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.

Equalities

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

results for Devon that whilst obesity rates were significantly higher in more deprived

areas, the difference for the combined excess weight were not statistically signficant.

Levels of excess weight were higher in boys than girls. No significant differences were

observed by ethnic group in Devon.

RAG Rating

Overview

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


28.8%

29.1%

23.7%

22.9%

23.1%

0% 10% 20% 30% 40%

Most Deprived

Above Average

Average

Below Average

Least Deprived

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% 10% 20% 30% 40%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage





Indicator: Excess Weight in Four to Five Year Olds


Chart Notes

South West






Chart Notes

Inequalities



Chart Notes

Local Authority



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

Chart Notes

CCG/Locality





Chart Notes

Trend


based on 0.1% per annum fall.

Chart Notes

Comparator

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 4.06i

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.

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

Frequency

Description



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




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

RAG Rating

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.

Equalities

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

results for Devon that whilst obesity rates were significantly higher in more deprived

areas, the difference for the combined excess weight were not statistically signficant.

Levels of excess weight were higher in boys than girls. No significant differences were

observed by ethnic group in Devon.

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




Indicator: Excess Weight in 10 / 11 Year Olds


Chart Notes

Inequalities



Chart Notes

South West



Chart Notes

CCG/Locality





Chart Notes

Trend


based on 0.1% per annum fall.




Chart Notes

Comparator

Chart Notes

Local Authority



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 4.06ii

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

Frequency

Health and Social Care Information Centre and Devon Public Health Intelligence

TeamSource

Proportion of children aged 10-11 (year) classified as overweight or very overweight.Description



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

Period: 2014-15 Provisional Red



Trend and Future Trajectory Inequalities (Deprivation - England)

Overview

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

around 5,000 alcohol-related admissions to hospital for Devon residents in 2014-15.

The Direct Age Standardised Rate of admissions (636.5 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, North Devon and

Torridge. Rates are higher in more deprived areas.

RAG Rating

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.

797.4

772.2

751.5

719.9

679.5

670.3

666.2

656.5

636.5

622.4

617.3

588.0

533.2

511.6

511.3

0 200 400 600 800 1000

TorbayBristol

BournemouthCornwallSwindon

PlymouthGlos

North SomDevon

South GlosSomerset

PooleBANES

WiltshireDorset

DASR per 100,000


604.8

691.5

645.8

543.0

698.3

626.5

722.7

585.7

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

717.3

678.2

666.2

640.9

636.5

617.3

614.8

612.7

600.3

588.5

574.8

564.7

556.5

520.5

511.3

470.5

0 200 400 600 800

CumbriaNorfolk

GloucestershireWorcestershire

DevonSomerset

CambridgeshireNorth Yorks

LeicestershireLincolnshire

WarwickshireEssex

West SussexEast Sussex

DorsetHampshire

DASR per 100,000


0 500

ToGPaiGNeGMoGCoGSDGSHGPlyGWG

NoGWEB

WGMiGExGEaGNEG

DASR per 100,000



LOCALITY LEVEL.

*UPDATED INDICATOR*




Indicator: Alcohol-Related Admissions (narrow definition)

Period: 2014-15 Provisional

North West Public Health Observatory (nationally published data) and Devon Public

Health Intelligence Team (local breakdowns)

Outcomes


Detailed

Specification

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

Source

Chart Notes

Inequalities

Compares areas within England based on area deprivation. National deprivation


Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Chart Notes

South West

Compares Primary Care Trusts in the South West Region. Will be changed to upper

tier / unitary local authority analysis in 2013-14. Error bar is 95% confidence interval.

Chart Notes

Local Authority



Chart Notes


Update

FrequencyQuarterly - typically three months in arrears.

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

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



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

Period: 2014-15 Provisional Red


Local Authority Comparator Group CCG and Locality Comparison

Trend and Future Trajectory Inequalities (Deprivation - England)

RAG Rating

Overview

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

around 15,000 alcohol-related admissions to hospital for Devon residents in 2014-15.

The Direct Age Standardised Rate of admissions (1830.3 per 100,000) was below the

South West (1985.3), local authority comparator group (1861.1), and England

(2137.7) rates. Rates within Devon are highest in Exeter, North Devon and Torridge.

Rates are higher in more deprived areas.

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.

2,642.2

2,606.6

2,378.2

2,367.2

2,197.6

2,115.5

2,047.3

2,010.4

1,968.8

1,925.4

1,830.3

1,818.4

1,752.6

1,752.4

1,731.9

0 500 1000 1500 2000 2500 3000

BristolBournemouth

TorbayPlymouth

North SomSwindonCornwall

South GlosPoole

SomersetDevon

BANESGlos

WiltshireDorset

DASR per 100,000


1,787.1

2,078.1

1,832.7

1,649.3

2,134.0

1,625.5

2,085.7

1,574.6

0 500 1000 1500 2000 2500

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

500

1000

1500

2000

2500

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

DASR per 100,00


0

500

1000

1500

2000

2500

3000

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

DASR per 100,000



Least Deprived

2,487.5

2,085.4

2,013.1

2,007.2

1,925.4

1,887.1

1,861.0

1,830.3

1,790.0

1,763.8

1,752.6

1,746.1

1,731.9

1,701.9

1,608.4

1,585.5

0 500 1000 1500 2000 2500 3000

CumbriaCambridgeshire

North YorksNorfolk

SomersetWarwickshire

WorcestershireDevonEssex

LincolnshireGloucestershire

LeicestershireDorset

West SussexHampshire

East Sussex

DASR per 100,000


0 500

ToGPaiGNeGMoGCoGSDGSHGPlyGWG

NoGWEB

WGMiGExGEaGNEG

DASR per 100,000



LOCALITY LEVEL

*UPDATED INDICATOR*




Indicator: Alcohol-Related Admissions (broad definition)

Period: 2014-15 Provisional

Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes


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

primary or secondary diagnosis per 100,000 population.

Source

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)

Update

FrequencyQuarterly - typically three months in arrears.

Outcomes


Detailed

Specification

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

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

Chart Notes

South West

Chart Notes


Chart Notes

Inequalities

Compares areas within England based on area deprivation. National deprivation






Indicator: Adult Smoking Prevalence Amber

Period: 2013 Red




RAG Rating

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.

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.

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




Indicator: Adult Smoking Prevalence

Period: 2013

Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Chart Notes


Update

FrequencyAnnually, next update due late 2015

Outcomes


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.

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Inequalities

Compares smoking prevalence in routine and manual occupation groups with the

overall prevalence over time.

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

published by LHO.Source

Percentage of adults aged 18 and over who smokeDescription



Indicator: Under 75 Mortality Rate - All Cancers Amber

Period: 2011-13 Red




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 2011-13. 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.

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.

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


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





Indicator: Under 75 Mortality Rate - All Cancers

Period: 2011-13

Chart Notes

Inequalities

Chart Notes

CCG/Locality





Chart Notes


Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




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



Update

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

Outcomes

Framework

Public Health Outcomes Framework Indicator 4.05i, NHS Outcomes Framework

Indicator 1.4

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

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


Source

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

than 75 years per 100,000 populationDescription



Indicator: Under 75 Mortality Rate - All Circulatory Diseases Amber

Period: 2011-13 Red




RAG Rating

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.

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.

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

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

WorcestershireWarwickshire

North YorksNorfolk

LeicestershireGloucestershire

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





Indicator: Under 75 Mortality Rate - All Circulatory Diseases

Period: 2011-13

Chart Notes

Inequalities

Chart Notes

CCG/Locality





Chart Notes


Detailed

Specification



Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




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

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


Outcomes

Framework

Public Health Outcomes Framework Indicator 4.04i, NHS Outcomes Framework

Indicator 1.1


Priority 3: Good Health and Wellbeing in Older Age Green

Indicator: Incidence of Clostridium Difficile A Amber

Period: 2014-15 Red

South West Benchmarking (CCG) Local Authority District



RAG Rating

Overview

There were 354 cases of Clostridium Difficile in 2014-15 in Devon, Plymouth and

Torbay. The incidence rate per 100,000 in Devon (30.8) was not significantly different

from the South West (28.5), local authority comparator group (27.4) and England

(26.3) rates. Infection rates increased slightly on 2013-14 levels. Within Devon

infection highs were higher in the South Devon and Torbay CCG (48.7) and lower in

Northern Eastern and Western Devon CCG (25.2).

Equalities

Incidence of Clostridium Difficile increases significantly with age, with a rate in 2012-

13 of 9.7 per 100,000 in those aged 40 to 59 compared to 282.0 per 100,000 for

those aged 80 and over. This is a consequence of higher hospital admissions in

these age groups, a greater likelihood of living in a communal establishment (care

homes) and poorer general health. Rates are also higher in females and in more

48.7

42.7

39.0

33.9

30.8

28.4

28.3

27.2

27.0

25.3

25.2

22.1

20.5

0 20 40 60

South Devon & TorbayNorth SomSouth Glos

BANESDevon

SomersetKernowDorsetBristol

GlosNEW Devon

WiltshireSwindon

Rate per 100,000


0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

10

20

30

40

50

60

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Rate per 100,000


45.4

36.8

32.0

31.1

30.8

29.4

28.4

27.2

26.6

25.3

25.3

24.1

23.4

22.1

21.1

20.0

0 20 40 60

CumbriaNorfolk

West SussexWarwickshire

DevonEast Sussex

SomersetDorset

North YorksLeicestershire



WorcestershireEssex

Rate per 100,000


0 20 40 60 80

TorbayN Abbot

Moor to SeaCoastal

SD&T CCGSH&WD

PlymouthWestern LocalityNorthern Locality

WEBWakley

Mid DevonExeter


Rate per 100,000


0 0.2 0.4 0.6 0.8 1 1.2

Aged 00 to 19

Aged 20 to 39

Aged 40 to 59

Aged 60 to 79

Aged 80 and over

Rate per 100,000


LOCALITY LEVEL


AT A LOCAL LEVEL

NOT CURRENTLY AVAILABLE AT A

LOCAL LEVEL

*UPDATED INDICATOR*



Priority 3: Good Health and Wellbeing in Older Age

Indicator: Incidence of Clostridium Difficile

Period: 2014-15

Chart Notes

InequalitiesNo longer available.

Chart Notes


Chart Notes

Comparator




Chart Notes

CCG/LocalityNo longer available for Clinical Commissioning Group localities or sub-localities.

Outcomes

FrameworkNHS Outcomes Framework Indicator 5.2ii

Detailed

Specification

IMPORTANT NOTE: Due to changes to reporting, data are no longer produced

on a local authority basis. These measures represent CCG numbers and rates

attributed by 'best fit' to local authority areas. Where 'Devon' figures are shown

these are the aggregate of the two local CCGs. Overall number of cases of C.

difficile Indicator construction: Based on mandatory surveillance of C. difficile as

reported to the Health Protection Agency Data Capture System. Denominator from

ONS Mid Year Population Estimates (persons aged 2 and over). In line with national

reporting processes, the rate is a crude rate and is not standardised by age group.

Chart Notes

South West

Compares Devon and Clinical Commissioning Groups in the South West Region.


Chart Notes

Local AuthorityNo longer available at local authority level.

Annually around four months in arrears, 2015-16 expected in July 2016.Update

Frequency

Public Health England HCAI (Health Care Associated Infection) Data Capture SystemSource

Total number of Clostridium Difficile (acute trust and community attributable) detected

in the period per 100,000 people aged 2 and over.Description


Priority 3: Good Health and Wellbeing in Older Age G Green

Indicator: Injuries Due to Falls Amber

Period: 2013-14 Red




RAG Rating

Overview

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.

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.

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

2010-1

1

2011-1

2

2012-1

3

2013-1

4

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




Indicator: Injuries Due to Falls

Period: 2013-14

Chart Notes

Comparator




Chart Notes

CCG/Locality


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


Chart Notes

Trend


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

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).

Outcomes


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.

Chart Notes

South West



Chart Notes

Local Authority



Annually, local update available two months after year end, national comparator data

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

Autumn 2015).

Update

Frequency

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

Source

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

age-sex standardised rate per 100,000.Description



Indicator: Dementia Diagnosis Rate A Amber

Period: 2014-15 Red




RAG Rating

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%).

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

LincolnshireLeicestershire

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





Indicator: Dementia Diagnosis Rate

Period: 2014-15




Chart Notes

Comparator



Chart Notes

South West

Compares Former Primary Care Trusts in the South West Region. Error bar is 95%


Chart Notes

Local Authority



Chart Notes

CCG/Locality




Chart Notes


Chart Notes

Inequalities

Update

Frequency

Quarterly, typically three to four weeks in arrears (2015-16 quarterly figures delayed

until Autumn 2015).

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.

Detailed

Specification

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.

NHS Dementia Prevalence Calculator Primary Care Data Tool, Devon Public Health

Intelligence Team (Local GP Practice Deprivation Quintiles)Source

Number 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)Description



Indicator: Feel Supported to Manage Own Condition Amber

Period: 2014-15 Q3-Q4 Red




Equalities

There was no clear relationship between feeling supported to manage their own

condition and deprivation. National results reveal the older age groups (85 and over,

69.2%) feel better supported than younger age groups (18 to 24, 58.2%), males

(65.3%) feel better supported than females (62.0%), and minority ethnic groups feel

less well supported.

RAG Rating

Overview

In Devon during late 2014-15, 68.9% of people with a long-term condition in the GP

survey, felt they had enough support to manage their own condition. This is

significantly higher than national (63.3%), South West (65.6%) and local authority

comparator group (64.2%) rates. Rates in NEW Devon CCG (67.8%) and South

Devon and Torbay CCG (67.0%) were broadly similar, and highest in the Mid Devon

locality (72.3%). Rates have also increased over recent years.

68.9%

67.1%

66.8%

66.7%

66.6%

66.0%

65.8%

64.8%

64.5%

64.4%

63.5%

63.3%

63.2%

62.9%

40% 60% 80%

DevonBANES

SomersetCornwall

BournemouthTorbayDorset

GlosWiltshire

PlymouthBristol

South GlosNorth Som

Swindon

Percentage


69.0%

67.7%

67.4%

70.8%

69.7%

73.1%

70.6%

64.6%

40% 50% 60% 70% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


40%

45%

50%

55%

60%

65%

70%

75%

2011-12 2012-13 2013-14 2014-15

Percentage


68.9%

67.2%

66.8%

66.0%

65.8%

65.2%

64.8%

64.6%

64.6%

63.9%

63.8%

62.8%

62.6%

62.0%

61.4%

61.4%

40% 60% 80%

DevonWorcestershire

SomersetNorth Yorks

DorsetCumbria

GloucestershireNorfolk

CambridgeshireWarwickshire

LincolnshireWest Sussex

HampshireEast Sussex

EssexLeicestershire

Percentage


65.4%

66.4%

67.9%

67.9%

68.2%

67.0%

70.3%

64.4%

66.0%

68.7%

64.0%

65.0%

72.3%

70.3%

69.0%

67.8%

40% 50% 60% 70% 80%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


70.0%

67.3%

70.8%

68.5%

67.8%

40% 50% 60% 70% 80%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

*UPDATED INDICATOR*




Indicator: Feel Supported to Manage Own Condition

Period: 2014-15 Q3-Q4

Chart Notes

CCG/Locality




Chart Notes


Chart Notes

Inequalities



Outcomes

FrameworkNHS Outcomes Framework Indicator 2.1

Detailed

Specification

Numerator: For people who answer yes to the Question 30 “Do you have a long-

standing health condition”, the numerator is the total number of ‘Yes, definitely’ or

‘Yes, to some extent’ answers to GPPS Question 32: In the last 6 months, have you

had enough support from local services or organisations to help you manage your

long-term condition(s)? Please think about all services and organisations, not just

health services • Yes, definitely • Yes, to some extent • No • I have not needed such

support • Don’t know/can’t say. Responses weighted according to the following 0-100

scale: “No” = 0 “Yes, to some extent” = 50 “Yes, definitely” = 100.

Description Weighted percentage of people feeling supported to manage their condition.

Source NHS GP Patient Survey

Update

FrequencyTwo times a year, next update due January 2016.

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator






Indicator: Re-ablement Services (Effectiveness) Amber

Period: 2013-14 Red




RAG Rating

Overview

In 2013-14, reablement services were effective for 89.8% of older people who

received the service in Devon, which was significantly higher than the South West

(79.4%), local authority comparator group (82.6%) and England (81.9%). The rate

increased from 87.9% in 2012-13. Within Devon the highest rates were seen in

Exeter (96.9%).

EqualitiesThere is no significant link between the effectiveness of reablement services and

deprivation levels in Devon.

94.0%

89.9%

89.8%

89.0%

86.6%

86.3%

84.1%

83.5%

81.5%

80.8%

80.2%

80.2%

73.1%

70.4%

68.9%

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

SwindonDorsetDevon

South GlosPoole

BANESNorth Som

CornwallTorbay

PlymouthBournemouth

SomersetBristol

GlosWiltshire

Percentage


82.4%

84.7%

91.5%

90.5%

89.5%

91.5%

96.9%

89.4%

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%70%80%90%

100%

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


91.4%

89.9%

89.8%

89.7%

87.9%

87.0%

85.5%

83.7%

81.7%

80.6%

80.2%

78.6%

76.6%

74.6%

74.4%

70.4%

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

East SussexDorsetDevon

CumbriaWarwickshire

NorfolkNorth Yorks

CambridgeshireEssex

HampshireSomerset

LeicestershireWorcestershire

LincolnshireWest Sussex

Gloucestershire

Percentage


81.5%

81.5%

90.6%

91.2%

90.9%

85.2%

85.7%

80.8%

81.6%

87.7%

82.9%

92.6%

90.6%

97.2%

92.0%

85.7%

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


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


90.3%

93.1%

90.0%

88.4%

89.2%

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

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator: Re-ablement Services (Effectiveness)

Period: 2013-14

Chart Notes

Comparator




Chart Notes


Chart Notes


Chart Notes

Inequalities



Chart Notes

South West



Chart Notes

Local Authority



Update

FrequencyAnnually around seven months in arrears, 2014-15 due in October 2015.

Outcomes

FrameworkAdult Social Care Outcomes Framework Indicator 2B Part 1

Detailed

Specification

The proportion of older people aged 65 and over discharged from hospital to their

own home or to a residential or nursing care home or extra care housing for

rehabilitation, with a clear intention that they will move on/back to their own home

(including a place in extra care housing or an adult placement scheme setting), who

are at home or in extra care housing or an adult placement scheme setting 91 days

after the date of their discharge from hospital

DescriptionProportion of older people (65 and over) who were still at home 91 days after

discharge from hospital into reablement/rehabilitation services.

Source

Adult Social Care Combined Activity Return. National Adult Social Care Intelligence

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

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



Indicator: Re-ablement Services (Coverage) A Amber

Period: 2013-14 Red




RAG Rating

Overview

In 2013-14 2.0% of older people discharged from hospital in Devon were offered

reablement services which was significantly lower than the South West (3.7%), local

authority comparator group (3.4%) and England (3.3%) rates. Rates increased from

1.7% in 2013-14.

Equalities Not currently available at a local level.

11.1%

6.9%

6.1%

5.7%

4.0%

3.6%

3.5%

2.9%

2.4%

2.0%

1.9%

1.5%

1.3%

1.3%

0.7%

0% 5% 10% 15%

WiltshireBournemouth

PlymouthSomerset

DorsetGlos

BANESTorbay

South GlosDevonBristol

SwindonNorth Som

PooleCornwall

Percentage


0% 1% 2% 3% 4%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

4.0%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


6.0%

5.7%

5.3%

4.0%

3.7%

3.6%

3.6%

3.5%

3.4%

3.4%

3.0%

3.0%

2.7%

2.6%

2.0%

1.2%

0% 5% 10%

WarwickshireSomerset

LincolnshireDorset

East SussexGloucestershireWorcestershire

EssexCambridgeshire

NorfolkLeicestershire

North YorksCumbria

HampshireDevon

West Sussex

Percentage


3% 4% 4%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


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

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage


LOCALITY LEVEL


AT A LOCAL LEVEL

NOT CURRENTLY AVAILABLE AT A

LOCAL LEVEL




Indicator: Re-ablement Services (Coverage)

Period: 2013-14


Chart Notes


Chart Notes


Chart Notes

CCG/Locality

Update


Outcomes

FrameworkAdult Social Care Outcomes Framework Indicator 2B Part 2

Detailed

Specification

The number of older people (65 and over) offered reablement services as a

proportion of the total number of older people discharged from hospitals based on

Hospital Episode Statitstics (HES)

Chart Notes

South West



Chart Notes

Local AuthorityRates cannot currently be calculated at a local level.

Chart Notes

Comparator




Source

Adult Social Care Combined Activity Return and Hospital Episode Statistics. National

Adult Social Care Intelligence Service (South West Benchmarking, Trend and Local

Authority Comparator Group)

DescriptionProportion of older people (65 and over) offered reablement services following

discharge from hospital.



Indicator: Readmissions to Hospital Within 30 Days A Amber

Period: 2011-12 Red




RAG Rating

In Devon in 2011-12, 10.29% of patients discharged after an emergency admission

were readmitted within 30 days. This is significantly below the South West (10.93%),

local authority comparator group (10.95%) and England (11.78%) rates. The rate in

Devon was the third lowest in the South West and the lowest in the local authority

comparator group. Exeter (11.72%) had a readmission rate above the South West

and Devon rate. Readmission rates have increased over time, but slowed recently.

There is no local data currently available on the pattern by deprivation, age, sex and

other factors, although reports are in development. National data highlights higher

readmission rates in more deprived areas, ranging from 13.05% in the most deprived

group to 10.53% in the least deprived group. Readmission rates are higher amongst

males (12.13%, compared with 11.46% for females).

Overview

Equalities

12.50

11.97

11.49

11.25

11.04

10.97

10.90

10.89

10.84

10.80

10.74

10.29

10.10

8.92

0 5 10 15

Bourne/PooleSwindon

BristolBANES

SomersetGlos

WiltshireSouth Glos

PlymouthCornwall

DorsetDevonTorbay

North Som

Percentage


9.90

9.30

10.54

9.85

10.31

9.47

11.72

9.61

0 5 10 15

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0

2

4

6

8

10

12

14

2001-0

2

2002-0

3

2003-0

4

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


11.83

11.40

11.21

11.11

11.08

11.04

10.97

10.95

10.89

10.83

10.83

10.76

10.74

10.71

10.57

10.29

0 5 10 15

West SussexLeicestershireWarwickshire

CambridgeshireHampshireSomerset

GloucestershireEast SussexNorth Yorks

EssexWorcestershire

LincolnshireDorset

CumbriaNorfolkDevon

Percentage


0 1 1 2

ToGPaiG


NoGWEB

WGMiGExGEaGNEG

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


AT A LOCAL LEVEL


LOCALITY LEVEL




Indicator: Readmissions to Hospital Within 30 Days

Period: 2011-12

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

CCG/Locality

Chart Notes

Local Authority

Chart Notes

Comparator

Chart Notes

Trend

Chart Notes

South West



DescriptionPercentage of emergency admissions occurring within 30 days of the last, previous

discharge after admission

SourceHealth and Social Care Information Centre (Hospital Episode Statistics (HES) and the

Compendium of population health indicators)

Update

FrequencyAnnually, around 22 months in arrears

Outcomes

Framework

NHS Outcomes Framework Indicator 3b, Public Health Outcomes Framework

Indicator 4.11

Detailed

Specification

Percentage of emergency admissions occurring within 30 days of the last, previous

discharge after admission, Indirectly standardised rate (excludes cancer and

obstetrics)







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


Priority 4: Strong and Supportive Communities Green

Indicator: Suicide Rate A Amber

Period: 2011-13 Red




RAG Rating

Overview

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.

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.

11.66

11.65

11.52

11.31

10.42

10.22

10.19

10.04

9.78

9.62

9.58

9.28

8.29

7.99

7.58

0.0 5.0 10.0 15.0 20.0

CornwallTorbay

GloucestersGPlymouth

DevonDorset

BANESBristol

SomersetNorth Som

BournemouthSwindon

PooleWiltshire

South Glos

DASR per 100,000


15.11

10.91

10.94

11.78

9.55

9.87

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

11.52

11.00

10.90

10.42

10.22

9.78

9.65

9.50

9.43

9.33

9.11

8.93

8.76

8.32

8.00

7.79

0.0 5.0 10.0 15.0

GloucestershireEast Sussex

CumbriaDevonDorset

SomersetNorth YorksLincolnshire

EssexWarwickshire

WorcestershireNorfolk

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: Strong and Supportive Communities

Indicator: Suicide Rate

Period: 2011-13

Chart Notes

Inequalities



Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality





Chart Notes


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.

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

undetermined intent per 100,000 population

Source




Update


Outcomes


Detailed

Specification


Priority 4: Strong and Supportive Communities G Green

Indicator: Male Life Expectancy Gap Amber

Period: 2011 to 2013 Red




RAG Rating

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).

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.

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



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

WorcestershireWarwickshire

GloucestershireWest Sussex

EssexHampshireSomerset

North YorksCambridgeshire

LincolnshireDorsetNorfolk

LeicestershireDevon



0 1 1


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter





AT A LOCAL LEVEL


AT A LOCAL LEVEL




Indicator: Male Life Expectancy Gap

Period: 2011 to 2013

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.

Outcomes

Framework

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

cover three year period)

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.

Chart Notes

South West



Chart Notes

Local AuthorityNo longer available at local authority district level.

Chart Notes

Comparator




Chart Notes

CCG/LocalityNot available at CCG or locality level.

Chart Notes


Annually, typically around 12 months in arrearsUpdate

Frequency

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

Source

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

communities in a given areaDescription



Indicator: Female Life Expectancy Gap Amber

Period: 2011 to 2013 Red




RAG Rating

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

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.

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




Indicator: Female Life Expectancy Gap

Period: 2011 to 2013

Chart Notes

CCG/LocalityNot available at CCG or locality level.

Chart Notes


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.

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

communities in a given area

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

Update

FrequencyAnnually, typically around 12 months in arrears

Outcomes

Framework

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

cover three year period)

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.

Chart Notes

South West



Chart Notes

Local AuthorityNo longer available at local authority district level.

Chart Notes

Comparator






Indicator: Self-Reported Wellbeing (low happiness score %) Amber

Period: 2013-14 Red




RAG Rating

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.

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).

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




Indicator: Self-Reported Wellbeing

Period: 2013-14

Rates cannot currently be calculated at a local level.

Chart Notes

Comparator




Chart Notes


Chart Notes

TrendTrend data not currently available.

Chart Notes

South West



Chart Notes

Local Authority

Update

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

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.23iii

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.

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

previous trend information available.

Chart Notes

Inequalities

Office for National Statistics Integrated Household Survey. Experimental Statistics

from 2011 onwards.Source

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



Indicator: Social Contentedness Amber

Period: 2013-14 Red




RAG Rating

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.

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.

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

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%

0.0 0.2 0.4 0.6

WiltshireDevonTorbayBANES

PooleCornwall

South GlosNorth Som

PlymouthBournemouth

SomersetGlos

SwindonDorsetBristol

Score





Indicator: Social Contentedness

Period: 2013-14

Chart Notes

CCG/Locality





Chart Notes


Chart Notes

Inequalities



Chart Notes

Local Authority



Chart Notes

Comparator




Update


Outcomes

Framework

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

Framework Indicator 1.18

Detailed

Specification

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

Chart Notes

South West



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



Source

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

contact as they would like.Description



Indicator: Carer Reported Quality of Life Amber

Period: 2012-13 Red




RAG Rating

Overview

This measure gives an overarching view of the quality of life of carers based on

outcomes identified through research by the Personal Social Services Research Unit.

This is the only current measure related to quality of life for carers available, and

supports a number of the most important outcomes identified by carers themselves to

which adult social care contributes. The carer reported quality of life in Devon is in

line with both the South West and national average.


8.58

8.55

8.49

8.37

8.35

8.23

8.22

8.17

8.13

8.09

8.09

7.95

7.71

7.69

7.64

0.0 5.0 10.0

North SomPoole

BANESBristol

SomersetSouth Glos

TorbayDevon

SwindonDorset

CornwallPlymouth

BournemouthGlos

Wiltshire

Score


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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


60%

62%

64%

66%

68%

70%

72%

74%

76%

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


8.39

8.35

8.32

8.21

8.20

8.17

8.15

8.12

8.10

8.09

7.99

7.98

7.76

7.69

7.64

7.14

0.0 5.0 10.0

WorcestershireSomerset

CambridgeshireCumbria

North YorksDevon

East SussexWarwickshire

NorfolkDorsetEssex


GloucestershireLincolnshireHampshire

Score


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%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage








Indicator: Carer Reported Quality of Life

Period: 2012-13

Chart Notes

CCG/LocalityNot yet available.

Chart Notes

TrendFirst year reported so not available.

Chart Notes

InequalitiesNot yet available.

Update

Frequency

Bi-annually, around seven months in arrears after year end. 2014-15 due October

2015.

Outcomes

FrameworkAdult Social Care Outcomes Framework Indicator 1D

Detailed

Specification

This is a composite measure which combines individual responses to six questions

measuring different outcomes related to overall quality of life. These outcomes are

mapped to six domains (occupation, control, personal care, safety, social participation

and encouragement and support). Responses to the questions indicate whether the

carer has unmet needs in any of the six areas. The measure gives an overall score

based on repondents' self-reported quality of life across the six questions. All six

questions are given equal weight.

Chart Notes

South West


not calculable.

Chart Notes

Local AuthorityNot yet available.

Chart Notes

Comparator



Error bar not calculable.

Carers Survey. National Adult Social Care Intelligence Service (SW Benchmarking,

Trend and Comparator Group) DCC Management Information Team (Local Authority

District, Inequalities and CCG / Locality Comparison)

Source

Carer Reported Quality of LifeDescription


Priority 4: Strong and Supportive Communities Green

Indicator: Stable/Appropriate Accommodation (Learning Dis.) A Amber

Period: 2013-14 Red




RAG Rating

Overview

The nature of accommodation for people with learning disabilities has a strong impact

on their safety and overall quality of life and the risk of social exclusion. In 2013-14

74.0% of adults with a learning disability in Devon (known to the council) were living in

their own home or with their family, compared with 72.7% in the South West, 72.1% in

the local authority comparator group and 74.8% nationally. Rates increased on 2012-

13 levels (69.1%).

EqualitiesA higher proportion of younger adults (18-30) with a learning disability are in stable

and suitable accommodation in Devon, compared to 31-64 year olds.

83.2%

77.5%

77.3%

76.7%

75.7%

74.0%

73.8%

72.6%

71.4%

71.0%

70.5%

68.4%

66.0%

64.4%

61.8%

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

PooleDorset

SomersetBournemouth

GlosDevon

PlymouthWiltshire

North SomSouth Glos

CornwallTorbay

SwindonBANES

Bristol

Percentage


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%

80%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


82.7%

77.5%

77.3%

76.0%

75.7%

75.7%

75.4%

74.0%

73.4%

73.3%

72.4%

71.4%

67.4%

63.3%

61.1%

53.1%

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

CumbriaDorset

SomersetCambridgeshireGloucestershire

North YorksLincolnshire

DevonNorfolk

WorcestershireEssex

HampshireWarwickshireEast Sussex


Percentage


70% 71% 72% 73% 74% 75% 76%

ToGPaiG


NoGWEB

WGMiGExGEaGNEG

Percentage


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

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage


AT A LOCAL LEVEL


LOCALITY LEVEL


AT A LOCAL LEVEL




Indicator: Stable/Appropriate Accommodation (Learning Dis.)

Period: 2013-14

Chart Notes


Chart Notes

Comparator




Chart Notes


Chart Notes


Chart Notes


DescriptionProportion of adults with a learning disability who live in their own home or with their

family.

Source

Adult Social Care Combined Activity Return. National Adult Social Care Intelligence



Update


Outcomes

Framework

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


Detailed

Specification

The proportion of all adults with a learning disability who are known to the council,

who are recorded as living in their own home or with their family. The definition of

individuals 'known to the council' is currently restricted to those adults with a learning

disability (with a primary client group of LD) who have been assessed or reviewed by

the council during the year (irrespective of whether or not they receive a service) or

who should have been reviewed but were not.

Chart Notes

South West





Indicator: Stable/Appropriate Accommodation (Mental Health) Amber

Period: 2013-14 Red




RAG Rating

Overview

Stable and appropriate accommodation is closely linked to improving safety and

reducing the risk of social exclusion. In 2013-14 54.5% of adults in contact with a

secondary mental health service in Devon were in stable and suitable

accommodation. This is higher than the South West (50.3%) and local authority

comparator group (45.2%), but below the England rate (60.9%). Rates have

decreased in Devon over recent years.


80.0%

69.1%

68.9%

62.0%

61.0%

60.1%

57.4%

55.4%

54.5%

53.9%

51.1%

33.5%

24.2%

21.0%

20.3%

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

South GlosSwindon

North SomWiltshire

TorbayBANES

CornwallBristolDevon

PlymouthGlos

PooleBournemouth

DorsetSomerset

Percentage


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%

80%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


81.0%

80.9%

74.7%

55.6%

54.5%

52.0%

51.1%

47.1%

46.0%

42.2%

29.1%

28.9%

26.0%

21.0%

20.3%

12.6%

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

WarwickshireWorcestershire

EssexWest Sussex

DevonNorth Yorks

GloucestershireCumbria

NorfolkLeicestershire

CambridgeshireEast Sussex

HampshireDorset

SomersetLincolnshire

Percentage


45% 50% 55% 60%

ToGPaiG


NoGWEB

WGMiGExGEaGNEG

Percentage


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

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage


AT A LOCAL LEVEL


LOCALITY LEVEL


AT A LOCAL LEVEL




Indicator: Stable/Appropriate Accommodation (Mental Health)

Period: 2013-14

Chart Notes

Comparator




Chart Notes


Chart Notes

TrendTrend data not currently available.

Chart Notes


Update


Outcomes

Framework

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


Detailed

Specification

The percentage of adults receiving secondary mental health services living

independently at the time of their most recent assessment, formal review or other

multi-disciplinary care planning meeting

Chart Notes

South West



Chart Notes


DescriptionProportion of adults in contact with secondary mental health services living

independently, with or without support.

SourceMental Health Minimum Data Set v4. National Adult Social Care Intelligence Service

(South West Benchmarking, Trend and Local Authority Comparator Group)

health and wellbeing outcomes report …...2. healthy lifestyle choices - higher levels of physical...

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