Update from EMPHO and TCR

April 2007

Small Area Database(Dave)

• Small area data available on EMPHO website – www.empho.org.uk

• Data Sets available at Lower Layer Super Output Area Level: Standardised Mortality Ratios (SMR), 2001-05 for:

- All Age, All Cause Mortality- Under 75, All Cause Mortality- Under 75, All Cancer Mortality- Under 75, All Circulatory Disease Mortality

Low Birth Weight percentages, 2001-05

Small Area Database

• Data available at Ward level: Life Expectancy, 2001-05

- Males- Females

Synthetic Estimates of Healthy Lifestyle Behaviours, 2000-02

- Smoking Prevalence in adults- Obesity Prevalence in adults- Binge Drinking Prevalence in adults- Consumption of Fruit and Vegetables in adults and children

(Due to be updated with 2003-05 data at Middle Layer Super Output Area level in late May/June 2007 – All indicators except Fruit and Vegetable consumption in Children) Under 18 Conception rates, 2002-04

- Difference to national (England) rate

Inequalities Reports• Report for each County / UA in

East Midlands• Provide an overview of the

data• To be made available on the

EMPHO website shortly

Reports contain:• Map and information about All

Age, All Cause Mortality.• Other Key Findings from the

other data sets• Other useful sources of Small

Area information (on reverse)• Directions to access EMPHO’s

Small Area Data – www.empho.org.uk

Monitoring Trends in Health (Georgie)

• 2007 Update published in April

• Evaluates regional trends in relation to 2010 health improvement and health inequalities targets

• Trend data for 1995 – 2005

• Comparison of best and worst quintiles

• Key Message: Health is improving but the inequalities gap is not narrowing

Indicators:

Life expectancy at birth

Teenage pregnancy rate

<75 mortality rate from circulatory disease

<75 mortality rate from cancer

Mortality rate from accidents

Suicide rate

Smoking prevalence

Monitoring Trends in Health (Georgie)

Male Life Expectancy at Birth in the East Midlands, 1997 - 2005

70.0

71.0

72.0

73.0

74.0

75.0

76.0

77.0

78.0

79.0

80.0

1997-1999 1998-2000 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005

Year (pooled)

Lif

e E

xp

ec

tan

cy

(Y

ea

rs)

East Midlands

Worst quintile

Rushcliffe

Nottingham

1.7 year gap

1.9 year gap

Performance Management Reports (Howard)

• Request from SHA that EMPHO do something to enable monitoring of delivery of national health improvement objectives

• Put forward proposal to use the LHO model – quarterly reports for each PCT

• Data presented as traffic lights – most indicating progress towards a target

• Maps illustrating how PCTs compare• Charts presenting past performance and project

current trend

Method 1

Nottinghamshire County Teaching

PCTRed

Northamptonshire Teaching PCT

Red

Nottingham City PCT

Red

Leicestershire County and

Rutland PCTRed

Lincolnshire Teaching PCT

Red

Derbyshire County PCT

Red

Leicester City Teaching PCT

Red

Derby City PCT Red

Bassetlaw PCT Red

Cardiovascular DiseaseRecording of BMI (age 15-75)

Q3 2006/07

Within the 2005-08 Local Delivery Plan, the percentage of patients aged 15-75 with BMI recorded in the last 15 months should increase over time. During Q3 2006/07 in the East Midlands this percentage was 30.3%, ranging from 27.2% in Northants PCT to 35.4% in Nottinghamshire County.

During Q3 2006/07 in Nottinghamshire County, the percentage of patients with BMI recorded was 35.4% which is below the LDP target of 51.9%.

Percentage of patients with BMI recorded:Nottinghamshire County Teaching PCT

0%

20%

40%

60%

80%

Q1

04/0

5

Q2

04/0

5

Q3

04/0

5

Q4

04/0

5

Q1

05/0

6

Q2

05/0

6

Q3

05/0

6

Q4

05/0

6

Q1

06/0

7

Q2

06/0

7

Q3

06/0

7

Q4

06/0

7

Q1

07/0

8

Q2

07/0

8

Q3

07/0

8

Q4

07/0

8

% recorded LDP targets

Trent Cancer Registry (Jason Poole): Work in Progress

0

10

20

30

40

50

60

70

80

90

100

110

Least MostDeprivation quintile

Ra

te p

er

10

0,0

00

Age-standardised lung cancer incidence rates in the East Midlands by sex and deprivation, 2001-05

Cancer Inequalities in the East Midlands

Male lung cancer incidence between LAs, 2001-05

www.trentcancer.nhs.uk

Mortality From Breast Cancer - Females - All Ages East Midlands Local Authorities - 2003-2005 Pooled

0 5 10 15 20 25 30 35 40 45 50 55

Rutland UAErew ash CD

East Lindsey CDHigh Peak CD

Boston CDDaventry CD

Harborough CDBolsover CD

Charnw ood CDAmber Valley CD

Mansfield CDSouth Holland CD

Blaby CDDerby UA

Lincoln CDSouth Kesteven CD

North West Leicestershire CDGedling CD

Derbyshire Dales CDENGLANDCorby CD

EAST MIDLANDSAshfield CD

Bassetlaw CDEast Northamptonshire CD

Rushclif fe CDSouth Northamptonshire CDNew ark and Sherw ood CD

Melton CDNottingham UA

Hinckley and Bosw orth CDLeicester UA

Northampton CDWellingborough CD

Oadby and Wigston CDSouth Derbyshire CD

West Lindsey CDChesterf ield CD

Broxtow e CDNorth Kesteven CD

North East Derbyshire CDKettering CD

Lo

cal

Au

tho

rity

Directly Standardised Rates per 100,000

• LAAs (Shelley)• HP2 (Shelley)• LHO Health Inequalities Intervention Tool (Shelley)• Health Inequalities theme pages on EMPHO website

(Shelley / Georgie)• Prevalence modelling (Dave)• Updated lifestyle synthetic estimates (Dave) • Child Measurement Programme (Kath)• Physical Activity webpages (Kath)• EM PH GIS Network (John)• etc