nhs wakefield district - information team health inequalities gap analysis nhs wakefield district...
TRANSCRIPT
NHS Wakefield District - Information Team
Health InequalitiesGap Analysis
NHS Wakefield DistrictInformation Team
NHS Wakefield District - Information Team
Smoking in Pregnancy• Analysis based on Mid-Yorkshire Data by
Postcode for Wakefield Residents.• Figures will vary slightly from Performance
Data Submissions which are on a Commissioner-basis including other Providers.
NHS Wakefield District - Information Team
Least Deprived
Most Deprived
Wakefield Rate
Gap
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2007-2008 2008-2009 2009-2010
The gap between the most and least deprived quintiles is reducing.(Percentage of mothers smoking at time of delivery, Wakefield District, 07/08 - 09/10, Source: MYHT)
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
0%
5%
10%
15%
20%
25%
30%
35%
40%
2007-2008 2008-2009 2009-2010
The gap between the most and least deprived quintiles is reducing.(Difference between the Most and the Least Deprived Quintile for smoking at time of delivery, Wakefield District,
07/08 - 09/10, Source: MYHT)
NHS Wakefield District - Information Team
Fiscal Year Deprivation Quintile Smoking in Pregnancy Rate
Smoking in Pregnancy Year Rate Gap
2007-2008
High 38.51%
22.80% 30.33%
Median-High 23.25%
Median 21.35%
Low-Median 13.55%
Low 8.18%
2008-2009
High 37.34%
24.45% 25.59%
Median-High 25.37%
Median 21.27%
Low-Median 17.76%
Low 11.75%
2009-2010
High 35.04%
24.68% 22.51%
Median-High 26.64%
Median 22.55%
Low-Median 17.25%
Low 12.53%
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Priority Neighbourhood
All Others
Wakefield Rate
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2007-2008 2008-2009 2009-2010
The gap between the Priority Neighbourhoods and All Other Areas is decreasing.
(Percentage of mothers smoking at time of delivery, Wakefield District, 07/08 - 09/10, Source: MYHT)
NHS Wakefield District - Information Team
Year Priority Neighbourhood All Others
2007-2008 41.20% 18.92%
2008-2009 40.76% 20.66%
2009-2010 36.38% 21.80%
Smoking in Pregnancy – Comparison amongst Priority Neighbourhoods and All other Areas
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Conclusions for Smoking in Pregnancy
• The rate for the Most Deprived and the Priority Neighbourhoods is decreasing.
• However, the rate for the Least Deprived areas is increasing.
• The overall District average is increasing.
NHS Wakefield District - Information Team
Childhood Obesity - Reception• Analysis based on cleaned National Child
Measurement Programme (NCMP) data for the years 2007-2008 and 2008-2009.
NHS Wakefield District - Information Team
Most Deprived
Wakefield RateMedian-High Deprivation
Median Deprivation
Low-Median Deprivation
Low Deprivation
0%
2%
4%
6%
8%
10%
12%
14%
2007/2008 2008/2009
The level of obesity is fluctuating across the district.(Percentage of Reception children measured as obese, Wakefield District, 07/08 - 08/09, Source: NCMP)
NHS Wakefield District - Information Team
Gap
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
2007/2008 2008/2009
The gap between the highest level of obesity and the lowest is decreasing.(Difference between the highest level of obesity and the lowest for the percentage of Reception children measured as obese,
Wakefield District, 07/08 - 08/09, Source: NCMP)
NHS Wakefield District - Information Team
Fiscal Year Deprivation Quintile % Obese% Obese
District RateGap
High 11.0%Median-High* 13.0%Median 11.8%Low-Median 8.8%Low* 6.9%High* 12.2%Median-High 10.6%Median 7.7%Low-Median 9.5%Low* 6.7%
2008/2009 9.5% 5.5%
2007/2008 10.5% 6.1%
* = Indicates the Quintiles used to calculate the Gap.
NHS Wakefield District - Information Team
Priority Neighbourhood
All OthersWakefield Rate
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
2007-2008 2008-2009
The gap between the overall level of obesity in the Priority Neighbourhoods compared to All Others Areas is increasing.
(Percentage of Reception children measured as obese, Wakefield District, 07/08 - 08/09, Source: NCMP)
NHS Wakefield District - Information Team
Year Priority Neighbourhood All Others2007-2008 11.0% 10.4%2008-2009 12.2% 9.0%
Obesity in Reception – Comparison between the Overall Percentage of Obesity in the Priority Neighbourhoods and All
Other Areas
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Childhood Obesity – Year 6• Analysis based on cleaned National Child
Measurement Programme (NCMP) data for the years 2007-2008 and 2008-2009.
NHS Wakefield District - Information Team
Wakefield RateHigh Deprivation
Median-High Deprivation
Median Deprivation
Low-Median DeprivationLow Deprivation
0%
5%
10%
15%
20%
25%
30%
2007/2008 2008/2009
Each quintile of deprivation is showing a reduction in the level of obesity.(Percentage of Year 6 children measured as obese, Wakefield District, 07/08 - 08/09, Source: NCMP)
NHS Wakefield District - Information Team
Gap
0%
1%
2%
3%
4%
5%
6%
7%
8%
2007/2008 2008/2009
The gap between the highest level of obesity and the lowest is increasing.(Difference between the highest level of obesity and the lowest, for percentage of Year 6 children measured as obese,
Wakefield District, 07/08 - 08/09, Source: NCMP)
NHS Wakefield District - Information Team
Fiscal Year Deprivation Quintile % Obese% Obese
District RateGap
High 20.7%Median-High* 24.1%Median 22.4%Low-Median 16.5%Low* 18.1%High 18.8%Median-High* 21.7%Median 20.2%Low-Median 14.8%Low* 14.8%
2008/2009
2007/2008 20.4%
18.0%
6.0%
6.9%
NHS Wakefield District - Information Team
Priority Neighbourhood
All Others
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
22.0%
2007-2008 2008-2009
In 2008/2009 the overall level of obesity in the Priority Neighbourhoods was lower than in All Other Areas.
(Percentage of Year 6 children measured as obese, Wakefield District, 07/08 - 08/09, Source: NCMP)
NHS Wakefield District - Information Team
Obesity in Year 6 – Comparison between the Overall Percentage of Obesity in the Priority Neighbourhoods and All Other Areas
Year Priority Neighbourhood All Others2007-2008 21.0% 20.3%2008-2009 17.6% 18.1%
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Conclusions for Childhood Obesity• Childhood obesity does not always share a direct
correlation with deprivation.• The overall rate of obesity is falling in both Reception
and Year 6.• Reception: The level of obesity in the Priority
Neighbourhoods is increasing, compared to a regional downward trend.
• Year 6: The level of obesity in the Priority Neighbourhoods is falling quicker than across the rest of the district.
NHS Wakefield District - Information Team
Breastfeeding Initiation• Analysis based on Mid-Yorkshire Data by
Postcode for Wakefield Residents.• Figures will vary slightly from Performance
Data Submissions which are on a Commissioner-basis including other Providers.
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Fiscal Year Deprivation Quintile Breast feeding rate Wakefield Rate GapHigh 42.1%Median-High 53.7%Median 58.3%Low-Median 66.7%Low 75.7%High 47.7%Median-High 55.8%Median 57.3%Low-Median 66.6%Low 74.1%High 46.8%Median-High 54.8%Median 59.7%Low-Median 65.5%Low 77.8%
33.1%
26.4%
30.8%
2007/2008
2008/2009
2009/2010
57.1%
58.4%
58.4%
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Breastfeeding Initiation – Comparison amongst Priority Neighbourhoods and All other Areas
Year Priority Neighbourhood All Others2007/2008 39.5% 60.8%2008/2009 46.7% 60.9%2009/2010 45.2% 61.4%
NHS Wakefield District - Information Team
Priority Neighbourhood 2007/2008 2008/2009 2009/2010
Airedale 29% 34% 42%
Cutsyke 38% 68% 36%
Eastmoor 46% 56% 57%
Featherstone, Priory 21% 57% 48%
Kinsley with Hemsworth, West End & Ashfield 38% 44% 40%
Knottingley, Warwick 36% 47% 34%
Lupset 36% 55% 46%
Portobello 64% 43% 31%
South Elmsall, Moorthorpe, Westfield & Broad Lane 47% 48% 53%
South Kirkby, Holmsley 38% 38% 37%
Wakefield City Centre 73% 65% 71%
Wakefield, Belle Vue 52% 53% 58%
Yearly Total 39% 47% 45%
Initiation Rate
NHS Wakefield District - Information Team
Full District
Most Deprived
Least Deprived
Breastfeeding Initiation
Wakefield District, 2009-10MSOA level data plotted at Postcode level
Contains Ordnance Survey data © Crown copyright and database right 2010
Contains Royal Mail data © Royal Mail copyright and database right 2010.
Sources:
MYHT
NHS Wakefield District - Information Team
Conclusions for Breastfeeding Initiation
• There is a definite correlation between deprivation and Breastfeeding Initiation.
• The gap between the most and least deprived quintile is around 30%
• There has been a slight improvement in the initiation rate across the priority neighbourhood during the 3 year period from 39% to 45%.
• The Wakefield City Centre priority neighbourhood has an unusually high initiation rate, around 70% each year.
NHS Wakefield District - Information Team
A&E Attendances• Analysis based on Secondary Uses Service
(SUS) extract for 2007-08 to 2009-10• Data extracted on a resident basis i.e. details
relate to all patients who live within Wakefield District regardless of where they are registered.
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Fiscal YearDeprivation
QuintileAttendance Rate (per
1,000)Wakefield
RateGap
High 454.8
Median-High 395.7
Median 346.0
Low-Median 307.2
Low 262.1
High 449.1
Median-High 394.1
Median 353.2
Low-Median 303.5
Low 259.2
High 449.5
Median-High 396.7
Median 351.4
Low-Median 320.1
Low 265.2
352.9 192.8
351.6 189.9
2007 - 08
2008 - 09
2009 - 10 356.5 184.3
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Year Priority Neighbourhood All Others
2007/2008 462.9 336.3
2008/2009 455.7 336.0
2009/2010 456.1 341.5
A&E Attendance Rate – Comparison amongst Priority Neighbourhoods and All other Areas
NHS Wakefield District - Information Team
Priority Neighbourhood 2007 - 08 2008 - 09 2009 - 10
Airedale 480 524 508
Cutsyke 469 446 456
Eastmoor 594 547 557
Featherstone, Priory 475 476 427
Kinsley with Hemsworth, West End & Ashfield 366 377 388
Knottingley, Warwick 493 529 522
Lupset 450 425 445
Portobello 493 449 497
South Elmsall, Moorthorpe, Westfield & Broad Lane 337 315 319
South Kirkby, Holmsley 312 333 386
Wakefield City Centre 805 553 475
Wakefield, Belle Vue 451 492 486
Attendance rate per 1,000 population
NHS Wakefield District - Information Team
Full District
Most Deprived
Least Deprived
A&E Attendance Rate
Per 1,000 population
Wakefield District, 2009-10LSOA level data plotted at postcode level
Contains Ordnance Survey data © Crown copyright and database right 2010
Contains Royal Mail data © Royal Mail copyright and database right 2010.
Sources:
ONS Mid 2009 population estimates
SUS
NHS Wakefield District - Information Team
Conclusions for A&E Attendances• There is a definite correlation between
deprivation and A&E attendance rate.• The rate of attendances in the most deprived
quintile is far greater than in the least deprived quintile
• The priority neighbourhoods also have a rate that is much higher than both the District rate and the rate for all other areas in the district.
NHS Wakefield District - Information Team
Emergency Admissions• Analysis based on Secondary Uses Service
(SUS) extract for 2007-08 to 2009-10• Data extracted on a resident basis i.e. details
relate to all patients who live within Wakefield District regardless of where they are registered.
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Fiscal YearDeprivation
QuintileAdmission Rate (per
1,000)Wakefield
RateGap
High 142.3
Median-High 120.6
Median 103.0
Low-Median 94.6
Low 77.0
High 144.5
Median-High 121.4
Median 112.4
Low-Median 96.3
Low 81.5
High 145.8
Median-High 121.6
Median 110.7
Low-Median 102.2
Low 80.9
2007-08
2008-09
2009-10
65.2
63.0
64.9
107.4
111.1
112.2
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Emergency Admission Rate – Comparison amongst Priority Neighbourhoods and All other Areas
Year Priority Neighbourhood All Others
2007/2008 143.4 102.0
2008/2009 147.5 105.7
2009/2010 145.9 107.2
NHS Wakefield District - Information Team
Priority Neighbourhood 2007 - 08 2008 - 09 2009 - 10
Airedale 157 151 157
Cutsyke 199 161 158
Eastmoor 187 203 192
Featherstone, Priory 149 162 145
Kinsley with Hemsworth, West End & Ashfield 120 125 135
Knottingley, Warwick 123 137 133
Lupset 135 138 144
Portobello 139 148 142
South Elmsall, Moorthorpe, Westfield & Broad Lane 121 123 113
South Kirkby, Holmsley 123 127 137
Wakefield City Centre 166 183 147
Wakefield, Belle Vue 124 165 147
Admission rate per 1,000 population
NHS Wakefield District - Information Team
Full District
Most Deprived
Least Deprived
Emergency Admission Rate
Per 1,000 population
Wakefield District, 2009-10LSOA level data plotted at postcode level
Contains Ordnance Survey data © Crown copyright and database right 2010
Contains Royal Mail data © Royal Mail copyright and database right 2010.
Sources:
ONS Mid 2009 population estimates
SUS
NHS Wakefield District - Information Team
Conclusions for Emergency Admissions
• There is a definite correlation between deprivation and Emergency Admission rate.
• The rate of emergency admissions has been steadily increasing across the district
• Within the priority neighbourhoods Eastmoor stands out as having a particularly high rate of emergency admissions.
NHS Wakefield District - Information Team
Emergency Re-admissions within 30 days
• Analysis based on Secondary Uses Service (SUS) extract for 2007-08 to 2009-10
• Data extracted on a resident basis i.e. details relate to all patients who live within Wakefield District regardless of where they are registered.
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Fiscal YearDeprivation
QuintileReadmit Rate (per 1,000 population)
Wakefield Rate
Gap
High 22.1
Median-High 16.7
Median 14.7
Low-Median 11.8
Low 9.5
High 21.9
Median-High 17.4
Median 16.3
Low-Median 13.6
Low 10.4
High 22.9
Median-High 17.4
Median 17.5
Low-Median 14.7
Low 10.4
2009-10 16.6 12.5
2007-08 14.9 12.6
2008-09 15.9 11.5
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Emergency Re-admission Rate – Comparison amongst Priority Neighbourhoods and All other Areas
Year Priority Neighbourhood All Others
2007/2008 22.2 13.9
2008/2009 22.3 14.9
2009/2010 22.3 15.7
NHS Wakefield District - Information Team
Priority Neighbourhood 2007 - 08 2008 - 09 2009 - 10
Airedale 28 21 26
Cutsyke 34 22 31
Eastmoor 32 38 35
Featherstone, Priory 25 25 23
Kinsley with Hemsworth, West End & Ashfield 18 21 19
Knottingley, Warwick 15 17 15
Lupset 19 20 22
Portobello 19 21 19
South Elmsall, Moorthorpe, Westfield & Broad Lane 15 14 12
South Kirkby, Holmsley 18 18 26
Wakefield City Centre 25 45 21
Wakefield, Belle Vue 18 22 21
Re-admission rate per 1,000 population
NHS Wakefield District - Information Team
Full District
Most Deprived
Least Deprived
Emergency Re-admission Rate (30 days)
Per 1,000 population
Wakefield District, 2009-10LSOA level data plotted at postcode level
Contains Ordnance Survey data © Crown copyright and database right 2010
Contains Royal Mail data © Royal Mail copyright and database right 2010.
Sources:
ONS Mid 2009 population estimates
SUS
NHS Wakefield District - Information Team
Conclusions for Emergency Re-admissions within 30 days
• There is a definite correlation between deprivation and Emergency Re-admission rate.
• The rate of emergency re-admissions has been steadily increasing across the district
• Within the priority neighbourhoods Eastmoor and Cutskye stand out as having a particularly high rate of emergency admissions.
NHS Wakefield District - Information Team
CVD Mortality – All ages• Analysis based on ONS Deaths files 2007 -
2009• Data is based on Wakefield residents i.e
anybody who lives within the Wakefield District boundary.
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
NHS Wakefield District - Information Team
Full District
Most Deprived
Least Deprived
CVD Mortality
DSR per 100,000
Wakefield District, 2007-2009MSOA level data plotted at postcode level
Contains Ordnance Survey data © Crown copyright and database right 2010
Contains Royal Mail data © Royal Mail copyright and database right 2010.
Sources:
ONS Mid year population estimates
SUS
NHS Wakefield District - Information Team
Conclusions for CVD Mortality – all ages
• There is a definite correlation between deprivation and CVD Mortality.
• The priority neighbourhoods have a DSR that is much higher than the Wakefield average.