Service Delivery Footprint Profile - Wigan · Leigh SDF Profile v1.1 3 Population •Leigh population is generally younger than other SDFs •It has the lowest proportion of people

Service Delivery Footprint Profile

LeighDecember 2018

v1.1webProduced by:

System Wide Outcomes Group

Leigh SDF Profile v1.1 1

Contents

- Key Findings 3- Population data / Deprivation 7- A&E Attendance map 11- School data 12- Secondary Care data 16- Fuel Poverty 25- Community Link Workers 26- Adult Social Care 28- Drugs & Alcohol 29- Disease Prevalence 30- SDF Huddle data 34- Crime & Incidents 35- Domestic Abuse 38- Appendix 39- Glossary of Terms 40


Key Findings


Population

• Leigh population is generally younger than other SDFs

• It has the lowest proportion of people aged 65+ though that cohort is growing at the same rate as the rest of the Borough

Start Well

• A quarter of Leigh pupils do not attend a Leigh school

• Almost a quarter of Leigh pupils claim Free School Meals – the highest rate in the Borough

• Leigh pupils have the second highest rate of both Special Educational Needs and Looked After Children

Key Findings


Hospital Activity

• Leigh has the lowest rate of A&E Attendances and the lowest rate of NEL Admissions. This is consistent across age groups though 17-64 year olds are more likely to be admitted

• However, Leigh has a high rate of High Intensity Users, particularly among the 0-16 cohort

• Around a third of people use an A&E other than WWL, Bolton accounting for 16.5% of Leigh attendances

• Leigh Walk-In Centre has a clear impact on A&E Attendances and possibly some impact on NEL Admissions

• Leigh has below average OP appointment rates.

Key Findings


Disease Prevalence

• Leigh SDF has the highest prevalence of Smoking in the Borough

• It is also above the Borough average for the following:

• Obesity

• Dementia

• Learning Disabilities

• Mental Health

• CVD-PP

• Asthma

• COPD

Key Findings


Live Well

• Fuel Poverty is above the Borough average in Leigh. One LSOA (Wigan Road West) is one of six areas significantly above the Borough average

• The rate of drug misuse clients in treatment is the highest in the Borough

• The rate of alcohol misuse clients in treatment is the highest in the Borough

Community Link Workers

• One GP Practice in Leigh SDF is the most active user of Community Link Workers in the Borough

• Use of Community Link Workers is mixed across both the SDF and the Borough.

Population

GP Registered Population is generally higher than ONS estimates.

The Leigh figure is further exaggerated as it includes the population from one GP Practice, located in the Hindley SDF, which hosts an additional surgery for Leigh patients.


LEIGH GP Practice ONS

0 to 4 3,261 2,944

5 to 11 4,825 4,121

12 to 16 3,093 2,612

0 to 16 11,179 9,677

17 to 64 35,586 30,236

65+ 9,871 8,177

Total 56,636 48,090

PopulationWigan Borough registered GP population up by 0.57% (n=1,853)

between April 2017 and April 2018.

Leigh SDF up by 0.65% (n=364)

Leigh has a younger population than average but did see an increase in people aged 65+


Population - Deprivation

Leigh has the highest concentration in Wigan of neighbourhoods within the most deprived 10% and 20% of areas in England.


Population


636

233

patients live outside the Borough

residents registered to a non-Wigan CCG GP

81% of GP patients live within the SDF

92% of residents registeredwith a Leigh GP

0.47%

1.12%

A&E Attendances


4.5%

Salford

SDF Rank for % to each provider

1st

2nd

3rd

4th

5th

6th

7th

Key:

(Type 1 Attendances)

Pupil Population


5,816

6,901

Pupils at Leigh Schools

Pupils resident in Leigh SDF

12% of Leigh pupils attend a TABA school

74% of Leigh pupils attend a Leigh school

14.6%

12.3%

9% of Leigh pupils attend a L&G school

of pupil population

of pupil population

38 pupils from out of area

Pupil Population


Almost a quarter of Leigh pupils are in receipt of Free School Meals. That is the highest rate in the Borough.

The rate is higher for secondary school pupils.

Pupil Population


Leigh has the second highest rate of pupils recorded with Special Educational Needs.

The rate is consistent between primary school and secondary school.

Pupil Population


Leigh has the second highest rate of Children Looked After.

The rate is higher among secondary school pupils.

Start Well - A&E Attendances


Leigh SDF has lowest rate of A&E

attendances in the Borough and the

lowest rate for 0-16 year olds.

All GP Practice populations are below the Borough average.

GP Practice Populations above the Borough Average:

None

Leigh Walk-In Centre has a clear and marked impact on the A&E attendances from this SDF.

GP1 GP2 GP3 GP4 GP5 GP6 GP7 GP8 GP9 GP10 GP11 GP12 GP13


Live Well - A&E Attendances





2 GP Practice populations are above the

Borough average.GP1 GP2 GP3 GP4 GP5 GP6 GP7 GP8 GP9 GP10 GP11 GP12 GP13


Age Well - A&E Attendances




lowest rate for 65+ year olds.

2 GP Practice populations are above the

Borough average.GP1 GP2 GP3 GP4 GP5 GP6 GP7 GP8 GP9 GP10 GP11 GP12 GP13


Start Well – NEL Admissions


Leigh SDF has lowest rate of NEL

Admissions in the Borough and the 2nd


3 of 13 GP Practice populations are above the Borough average for this age group.



Live Well – NEL Admissions



Admissions in the Borough though is only

just below the Borough average for 17-64

year olds.

4 of 13 GP Practice populations are above

the Borough average.



Age Well – NEL Admissions



Admissions in the Borough and the 2nd

lowest rate for 65+ year olds.

2 of 13 GP Practice populations are above

the Borough average.GP1 GP2 GP3 GP4 GP5 GP6 GP7 GP8 GP9 GP10 GP11 GP12 GP13


Start Well – OP Appointments


Leigh SDF has a below average rate of

outpatient appointments and the rate for 0-

16 year olds follows the same pattern.




Live Well – OP Appointments



outpatient appointments though the rate

for 17-64 year olds is just above average.




Age Well – OP Appointments



outpatient appointments and the rate for

those aged 65+ follows the same pattern.

3 of 13 GP Practice populations are above the Borough average for this age group .



Fuel Poverty


12.2% of Wigan households are fuel poor

13.6% of Leigh SDF households are fuel poor

Wigan Road West = 20.4% (4th) (E01006323)

Hilton Park = 19.4% (9th) (E01006334)

Railway Road / Twist Lane = 19.3% (10th) (E01006328)

Areas of note:



Rate of referral in the SDF is higher than the Borough average.

3 of 13 GP Practices with notable referral rates.




The SDF has a notably high

rate of Mental Health referrals.

It mirrors the Borough average for most other

referral reasons with Social Isolation and Support for Carers prominent.

Adult Social Care


SDFHome Care Nursing Care

Rate

Residential

Care

Care Home %

user split across

borough

Supported

Accommodation

Community

Day Support

Rate per

Direct

Payments

Total ASC

Long Term

Service

Wigan Central 5.4 2.4 7.6 0.24 5.1 3.6 4.1 30.4

Lowton & Golborne 5.4 1.8 5.3 0.14 5.3 4.2 4.4 29.2

Ince, Hindley, Abram, Platt Bridge 5.9 2.8 6.3 0.22 4.1 3.2 4.7 28.5

Leigh 5.8 4.1 6.0 0.22 4.3 3.4 2.7 27.7

South Wigan & Ashton North 4.0 2.3 2.5 0.07 3.2 3.2 3.6 22.1

Tyldesley & Atherton 5.5 0.2 2.4 0.05 3.2 3.1 3.2 19.0

Wigan North 4.6 0.3 4.3 0.06 1.3 2.5 4.4 18.7

**Rate per 1000 resident 18+ (ONS)

Substantial difference between service users across SDF’s 30.4 per 1000 residents in Wigan Central to 18.7 in Wigan North

There is a definite correlation between the level of adult social care support required and the level of fuel poverty in an SDF, the higher the ASC need, the higher the rate of fuel poverty

Leigh Lowest rate of direct payments being received across all SDF’s.Second highest SDF for fuel poverty

More than double the rate of residents receiving nursing care than in any other SDF (rate of 4 per 1000 residents, as a comparison TABA is 0.23) – due to location of nursing homes?

Long Term Services - personal care budget and non personal budget care combined


Drugs & Alcohol

Leigh treatment rates for alcohol misuse are the highest in the Borough.

Hospital recorded co-morbidity for alcohol is around the Borough average.


Disease Prevalence by SDF







Huddle Headlines


Information Collated on a borough level from place based huddles - Providing an example of need and demand being placed on resources

• Differences in reasons cases brought to place based huddles and issues highlighted to CLW’s. however mental health in top 3 reasons for referral in both settings.

• Housing, mental health and crime issues most prominent in place based huddles.

• Mental Health, Social Isolation and Support for Carers most prominent within CLW referrals.

Top 10 Needs

(reason for presenting to the huddle)

Top 10 Source of Referrals

(organisation bringing referal to the

huddle)

Count

Top 10 Lead Agency

(organisation leading on support

following huddle)

Count Top 10 Outcomes

Housing Issues Police 108 Start Well 44 Reduced Need (Adults)

Mental Health Issues Housing 35 Housing 37 Engaged in Community

Crime Start Well 31 Adult Social Care 29 Improved Opinon of Services

Physical Health Issues Community Link Worker 29 Complex Dependency 25 Reduced Threshold of Need (Children's)

Parenting Concerns Adult Social Care 23 Police 24 Increased Self-Esteem

ASB NHS 20 Community Link Worker 24 Improved Personal and Family Relationships

Addiction Anti-Social Behaviour Team 13 Children's Social Care 22 Improved Mental Health

Social Isolation North West Boroughs 11 To Be Confirmed 15 Re-Housed

Domestic Abuse Bridgewater 9 Primary School 10 Increased Confidence in Public Services

Neighbour Disputes Primary School 9 NHS 9 Reduction in Criminal Activity

Crime


Crime Context


Incident DataBorough Context• Overall incidents showing a decline in demand across all SDF’s from 2015/16 to 2017/18

• The incident rate for 2017/18 per 1000 of resident population varies across the SDF’s between 18/1000 and 41/1000

• The borough average rate for all incidents is 27/1000

• Rowdy and inconsiderate behaviour causing greatest demand across all SDF’s, followed by Vehicle Nuisance and then issues with Neighbours


Leigh• Highest incident rate per 1000 resident population at 41

• Highest rate of rowdy and inconsiderate behaviour, neighbour disputes, hoax calls to emergency services and abandoned vehicles per resident population

• Second highest rate of vehicle nuisance

Domestic Abuse

• 2017/18 incident volume 13,094• 4258 domestic abuse incidents – 33% of the total

Anti Social Behaviour Incidents• Alcohol is biggest factor linked to DA incidents• Where a secondary factor is linked to a DA incident,

65% of the time this is Alcohol.

• Leigh SDF –11% of DA incidents have another factor identified

• 35% of these = alcohol


Appendix 1Leigh Walk-In Centre Impact by SDF


Glossary


• Deprivation – data is drawn from the Indices of Multiple Deprivation (IMD) 2015. The IMD is comprised of seven domains: Income, Employment, Education Skills & Training, Health Deprivation & Disability, Crime, Barriers to Housing & Services and Living Environment.

• Disease Prevalence – sourced from Public Health England Disease & risk factor prevalence 2015/16. Definitions for individual prevalence measures can be found here: https://fingertips.phe.org.uk/profile/prevalence/data#page/0/gid/1938133099/pat/153/par/E38000205/ati/7/are/P92015

• Fuel Poverty – measured using the Low Income High Costs indicator under which a household is considered to be fuel poor if they have required fuel costs above the national median level and, if they were to spend that amount, would be left with a residual income below the official poverty line (i.e. at 60% of the median UK household income).

• High Intensity Users (HIU) – High Intensity Users of secondary care services are identified using the Risk Stratification Tool.

• Lower Super Output Area (LSOA) – Geographic boundary built from groups of contiguous Census Output Areas containing around 1,500 people on average. There are exactly 200 LSOAs in Wigan.

• Place based huddle – weekly meetings involving staff from local partner agencies

https://fingertips.phe.org.uk/profile/prevalence/data#page/0/gid/1938133099/pat/153/par/E38000205/ati/7/are/P92015

Glossary


• Planned Secondary Care – Outpatients – a referral to hospital where the patient is seen by a specialist but does not require a stay in a hospital bed. Analysis is focused on 1st Appointments only.

• Registered GP Population – number of patients registered with each GP Practice (April 2018)

• Registered GP Population by Lower Super Output Area – data sourced from https://data.gov.uk/dataset/numbers-of-patients-registered-at-a-gp-practice-lsoa-level

• Resident Population – number of people resident in each Lower Super Output Area (LSOA) aggregated up to SDF level (mid-2015 estimates)

• SDF – Service Delivery Footprint

• Statistically Significant – describes data that is outside of the expected range and that this is caused by something other than chance. The use of the word ‘significant’ will only be used under those circumstances within this document.

• Unplanned Secondary Care – Admissions – patient attendances at hospital that were not planned that result in a stay in a hospital bed.

• Unplanned Secondary Care – Attendances – patient attendances at hospital that were not planned, e.g. emergency attendances at A&E.

https://data.gov.uk/dataset/numbers-of-patients-registered-at-a-gp-practice-lsoa-level

Documents

Service Delivery Footprint Profile - Wigan · Leigh SDF Profile v1.1 3 Population •Leigh population is generally younger than other SDFs •It has the lowest proportion of people