health and wellbeing outcomes report 7th november … · health and wellbeing outcomes report 7th...

HEALTH AND WELLBEING OUTCOMES REPORT7TH NOVEMBER 2013

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

Type Trend Dev/SW/Eng

Chall

Chall

Watch

Watch

Improve - -Improve - -

Chall -

Chall

Chall

Watch

Watch

ImproveImprove

Chall

Chall

Chall

Watch

Watch

WatchImprove

Chall

Chall

Chall

Watch -

Watch

Watch -

ImproveImprove

Priority Area Summaries

1. A Focus on Children and Families - An increase in children living in poverty was seen across all areas of

Devon. Recorded levels of emotional development improved in 2011-12 and are now above average. Rates of

smoking at delivery are falling over time and are amongst the lowest in the South West. Conception rates have

fallen over time, although there was a slight increase in the latest available quarter.

2. Healthy Lifestyle Choices - Levels of regular physical activity are above the national average in Devon.

Levels of excess weight in children has not improved in recent years. Devon is significantly below South West

and national rates for alcohol-related admissions. Adult smoking rates are similar to the national average and

have not improved over recent years. Premature mortality rates are falling and are below the national average.

3. Good Health and Wellbeing in Older Age - Clostridium Difficile incidence is above South West and

national rates. Devon is below the South West and national rates for the detection of dementia. Devon is below

the South West and England rates for fall injuries. A higher proportion feel supported to manage their long-term

condition in Devon. Re-ablement 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. Self-

reported wellbeing in Devon tends to be better than the national average. Lower levels of people in Devon report

having as much social contact as they would like. Quality of life for carers in Devon was broadly in line with the

national average. Levels of stable and appropriate accommodation were above the South West average and

below the England average for persons with learning disabilities and above the South West rate for those with

mental health issues.

IndicatorPriority

1. A Focus on

Children and

Families

2. Healthy Lifestyle

Choices

Self-Reported Wellbeing (low happiness score %)

Social Contentedness

Carer Reported Quality of Life

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

3. Good Health and

Wellbeing in Older

Age

4. Strong and

Supportive

Communities

Incidence of Clostridium Difficile

Children in Poverty

Early Years Foundation Score

Smoking at Time of Delivery

Teenage Conception Rate

Child and Adolescent Mental Health Measure 1

Child and Adolescent Mental Health Measure 2

Proportion of Physically Active Adults

Excess Weight in Four / Five Year Olds

Excess Weight in 10 / 11 Year Olds

Alcohol-Related Admissions

Adult Smoking Prevalence

Under 75 Mortality Rate - All Cancers

Under 75 Mortality Rate - All Circulatory Diseases


Priority 1: A Focus on Children and Families Challenge

Indicator: Children in Poverty Watching Brief

Period: 2010 Improvement

South West Benchmarking Local Authority District

Local Authority Comparator Group CCG and Locality Comparison

Trend and Future Trajectory Inequalities (Deprivation)

Indicator Type

Overview

17,680 children (14.4%) in Devon live in households dependent on benefits or tax

credits, compared with 16.6% in the South West and 21.1% nationally. Child poverty

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

West average over time. Rates increased from 2009, highlighting the impact of the

economic downturn. Rates at a district level range from 11.2% in East Devon to

17.7% in Exeter. 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.

26.1%

24.0%

22.6%

20.8%

18.5%

17.8%

17.5%

15.4%

15.2%

14.9%

14.4%

13.7%

13.5%

12.2%

12.1%

0% 10% 20% 30%

BristolTorbay

PlymouthBournemouth

CornwallSwindon

PooleGlos

North SomSomerset

DevonDorset

BANESSouth Glos

Wiltshire

Percentage

England South West Devon LA

13.5%

16.9%

14.9%

13.0%

15.2%

12.9%

17.7%

11.2%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage

England South West Devon District

0%

5%

10%

15%

20%

25%

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

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

Percentage

Most Deprived Above Average

Average Below Average

Least Deprived

18.7%

18.6%

17.4%

17.3%

15.8%

15.5%

15.4%

14.9%

14.6%

14.4%

13.8%

13.7%

13.4%

12.8%

12.2%

12.1%

0% 10% 20% 30%

East SussexNorfolkEssex

LincolnshireWorcestershire

CumbriaGloucestershire

SomersetWarwickshire

DevonWest Sussex

DorsetCambridgeshire

HampshireLeicestershire

North Yorks

Percentage

England Comp Group Devon LA

25.7%

21.8%

15.9%

15.0%

17.9%

19.9%

11.9%

22.6%

20.1%

15.9%

12.3%

11.0%

13.0%

16.1%

13.7%

16.7%

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

England South West CCG/Locality


INDICATOR SPECIFICATION

Priority 1: A Focus on Children and Families

Indicator: Children in Poverty

Period: 2010

Update

FrequencyAnnually, around 20 months in arrears (2011 due Autumn 2013)

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.

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

Statistics)

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.

Error bar is 95% confidence interval.

Chart Notes

Trend

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

'no change' projection from the 2009 baseline.

Chart Notes

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.




Indicator: Early Years Foundation Score Watching Brief

Period: 2011-12 Improvement



Trend and Future Trajectory Inequalities

Indicator Type

Overview

In 2011-12 5,072 children (68%) in Devon achieved the expected level in the Early

Years Foundation Stage, compared with 65% in the South West and 64% nationally.

Within Devon this varied from 63% in Torridge to 72% in North Devon. The

percentage achieved in Devon has been steadily increasing since 2006-07.

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

75%

71%

70%

68%

68%

66%

64%

64%

63%

63%

63%

62%

61%

61%

56%

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

DorsetNorth SomSouth Glos

PooleDevon

BournemouthGlos

WiltshireCornwall

SomersetSwindonBANES

BristolPlymouth

Torbay

Percentage


64%

63%

67%

69%

72%

67%

65%

70%

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%

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


75%

70%

68%

67%

64%

64%

64%

64%

63%

63%

62%

62%

61%

60%

57%

57%

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

DorsetLincolnshire

DevonWarwickshire

CambridgeshireGloucestershire

HampshireWorcestershireLeicestershire

SomersetNorth Yorks

West SussexCumbria

EssexEast Sussex

Norfolk

Percentage


56%

57%

64%

69%

66%

67%

66%

61%

66%

69%

62%

75%

67%

67%

68%

68%

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


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


60%

62%

67%

72%

73%

0% 20% 40% 60% 80%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator: Early Years Foundation Score

Period: 2011-12

Chart Notes

South West



Chart Notes

Local Authority



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

level of social and emotional development at school entry.

Source

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

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

Locality Comparison)

Chart Notes

Inequalities



Update

FrequencyAnnually

Outcomes

FrameworkNot Applicable

Detailed

Specification

Achievement of at least 78 points across the Early Years Foundation Stage with at

least 6 in each of the scales in Personal, Social and Emotional Development and

Communication, Language and Literacy

Chart Notes

Comparator




Chart Notes

CCG/Locality





Chart Notes

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



Indicator: Smoking at Time of Delivery Watching Brief





Indicator Type

Overview

In the year 2012-13, 718 mothers were smoking at time of delivery in Devon. This

represents 9.9% of all mothers in Devon, compared with 13.3% in the South West,

and 12.7% in England. Devon has on of the lowest smoking at time of delivery rate in

the South West and the local authority comparator group. 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.

17.5%

17.5%

16.7%

16.5%

13.8%

13.8%

13.5%

13.2%

13.0%

12.4%

11.4%

9.9%

9.6%

9.4%

0% 10% 20% 30%

TorbaySomersetPlymouth

DorsetWiltshireCornwall

GlosBourne/Poole

SwindonBristol

North SomDevon

South GlosBANES

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


0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

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


17.6%

17.5%

16.5%

15.6%

15.2%

13.8%

13.8%

13.7%

13.5%

13.4%

13.0%

11.8%

11.5%

11.3%

9.9%

9.7%

0% 10% 20%

WarwickshireSomerset

DorsetCumbria

East SussexWorcestershire

LincolnshireNorth YorkshireGloucestershire

NorfolkCambridgeshire

HampshireEssex

LeicestershireDevon

West Sussex

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: 2012-13

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.

Update

Frequency

Quarterly - typically three months in arrears (Q1 2013-14 data was due October 2013,

but delayed until late November 2013)

Outcomes


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



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

Source The Health and Social Care Information Centre, Lifestyle Statistics



Indicator: Teenage Conception Rate Watching Brief

Period: 2012 Q2 Improvement

South West Benchmarking Local Authority District (2009-11 three year pooled)



Overview

There were 356 conceptions in Devon between July 2011 and June 2012 for females

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

is 28.0 per 1,000 females compared with 26.4 for the South West and 29.3 for

England. Rates above the national average are seen in Exeter. Rates have generally

fallen over recent years, although greater reductions regionally and nationally mean

the gap has reduced over time. Figures for 2011 show a slight increase in rates.

Equalities

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

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

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

and there are only a small proportion under the age of 16 (around 60 to 70 per

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

Indicator Type

51.5

40.5

31.5

28.0

28.0

26.7

26.6

26.0

25.1

24.3

23.1

21.7

21.4

18.1

16.7

0 20 40 60

TorbayPlymouth

BristolDevon

CornwallSomerset

BournemouthPoole

SwindonWiltshire

DorsetGlos

North SomBANES

South Glos

Rate per 1,000 females aged 15-17


20.6

29.7

32.2

21.4

23.2

28.7

38.5

27.0

0 20 40 60

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


31.3

29.9

28.0

27.4

27.2

27.0

26.7

26.4

25.1

25.0

24.3

23.1

21.7

21.4

20.5

19.4

0 20 40


DevonNorfolk

East SussexWarwickshire

SomersetCumbria

West SussexEssex

LeicestershireDorset

GloucestershireHampshire

North YorkshireCambridgeshire



0 0.5 1 1.5

ToIPaiI

NIMoICoISDISHIPlyIWI

NoIWEB

WIMiIExIEaINEI



NOT CURRENTLY AVAILABLE AT CCG /

LOCALITY LEVEL

*UPDATED INDICATOR*

0

20

40

60

80

100

120

2007-09 2008-10 2009-11

DASR per 100,000

Devon Wards Ranked 21 to 30

Wards Ranked 11 to 20 Wards Ranked 1 to 10




Indicator: Teenage Conception Rate

Period: 2012 Q2 (rolling year)

Chart Notes

Comparator




Chart Notes


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.

Update

FrequencyQuarterly - 15 months in arrears (Q3 2012 due December 2013)

Outcomes


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



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

Source Office for National Statistics



Indicator: Child and Adolescent Mental Health Measure 1 Watching Brief





Indicator Type

Overview

Equalities

0 1 1

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

Percentage


0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


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


LeicestershireLincolnshire

NorfolkNorth Yorks

SomersetWarwickshireWest Sussex

Worcestershire

Percentage


0 1 1 2

ToIPaiI


NoIWEB

WIMiIExIEaINEI

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

Description In Development.

Source In Development.

Update

FrequencyIn Development.

Outcomes


Detailed

SpecificationIn Development.

Not yet available.

Chart Notes

TrendNot yet available.

Chart Notes

South WestNot yet available.

Chart Notes

Local AuthorityNot yet available.

Chart Notes

ComparatorNot yet available.

Chart Notes

CCG/Locality

Chart Notes

InequalitiesNot yet available.



Indicator: Child and Adolescent Mental Health Measure 2 Watching Brief





Indicator Type

Overview

Equalities

0 1 1

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

DASR per 100,000


0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

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

2013-1

4

2014-1

5

DASR per 100,000


0 1 1


DevonDorset

East SussexEssex


LeicestershireLincolnshire

NorfolkNorth Yorks

SomersetWarwickshireWest Sussex

Worcestershire

DASR per 100,000


0 1 1 2

ToIPaiI


NoIWEB

WIMiIExIEaINEI

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

INDICATOR STILL IN DEVELOPMENT




Indicator: Child and Adolescent Mental Health Measure 2

Period: 2012-13

Update

FrequencyIn Development.

Outcomes


Detailed

SpecificationIn Development.

Description In Development.

Source In Development.

Chart Notes


Chart Notes

South WestNot yet available.

Chart Notes


Chart Notes

ComparatorNot yet available.

Chart Notes

CCG/LocalityNot yet available.

Chart Notes

TrendNot yet available.


Priority 2: Healthy Lifestyle Choices Challenge

Indicator: Proportion of Physically Active Adults Watching Brief





Indicator Type

Overview

59.5% of adults in Devon were physically active for at least 150 minutes per week in

2012. This is significantly above the South West (57.2%) and national rate (56.0%),

but not significantly different to the local authority comparison group (58.1%) rate.

Rates were significantly higher in the South Hams (63.4%) and Exeter (62.6%),

although the differences at district level were not statistically significant. Due to a

change in the reporting methodology trend data cannot currently be calculated.

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.

64.1

61.3

59.8

59.5

59.2

58.9

57.9

57.6

56.5

56.3

55.4

53.9

52.9

52.4

51.9

0 20 40 60 80

BournemouthBANES

GlosDevon

PlymouthSouth Glos

SomersetWiltshire

North SomDorsetBristol

CornwallSwindon

TorbayPoole

Percentage


61.3

58.3

61.2

63.4

54.3

57.9

62.6

57.1

0 20 40 60 80

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0

0

0

1

1

1

1

2006-0

8

2007-0

9

2008-1

0

2009-1

1

2010-1

2

2011-1

3

2012-1

4

Percentage


00000111111

2006-0

8

2007-0

9

2008-1

0

2009-1

1

Percentage



Least Deprived

60.3

60.2

60.2

59.8

59.5

58.9

58.9

58.4

57.9

57.8

57.4

57.1

56.3

55.7

55.3

55.3

0 20 40 60 80

CambridgeshireLeicestershire

East SussexGloucestershire

DevonHampshire

West SussexWorcestershire

SomersetNorth Yorkshire

EssexNorfolkDorset

LincolnshireWarwickshire

Cumbria

Percentage


0 1 1 2

ToIPaiI


NoIWEB

WIMiIExIEaINEI

Percentage



LOCALITY LEVEL

Priority 3: HealthChoices Indicator:

Proportion of Physly Active Adults Period:

2009-11

NOT CURRENTLY AVAILABLE

AT A LOCAL LEVEL

NOT CURRENTLY AVAILABLE DUE TO

CHANGE IN INDICATOR METHODOLOGY



Priority 2: Healthy Lifestyle Choices

Indicator: Proportion of Physically Active Adults

Period: 2012

SourceSport England’s Active People Survey (APS)

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

Chart Notes

Comparator




Chart Notes

CCG/Locality

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

level.

Chart Notes

TrendNot available due to a change in the Active People Survey (APS) methodology.

Chart Notes

InequalitiesRates cannot currently be calculated at a local level.

Update

FrequencyAnnually, around eight months in arrears (2013 update expected August 2014)

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



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

accordance with UK CMO recommended guidelines on physical activity.



Indicator: Excess Weight in Four / Five Year Olds Watching Brief

Period: 2011-12 (School Year) Improvement




Indicator Type

Overview

This measure of 'excess weight' covers children classified as overweight or obese. In

reception year (aged four or five) 22.6% of pupils in Devon were recorded in the

excess weight category, in line with the South West (22.7%), local authority

comparator group (22.1%) and England (22.6%) rates. Within Devon, West Devon

(28.0%) was significantly above the national rate. Rates have been fairly static 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.

26.1%

24.0%

24.0%

23.5%

23.5%

23.4%

23.4%

22.9%

22.6%

22.6%

22.5%

22.3%

20.3%

19.2%

19.0%

0% 10% 20% 30%

BANESPlymouthSwindon

GlosCornwall

SomersetBristolPoole

DevonNorth Som

BournemouthDorset

WiltshireTorbay

South Glos

Percentage


28.0%

23.3%

23.2%

20.5%

21.3%

24.5%

20.6%

22.1%

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


0

0.2

0.4

0.6

0.8

1

1.2

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

Percentage

Male BLANK BLANK

BLANK Female

25.1%

24.2%

24.1%

23.6%

23.5%

23.4%

22.6%

22.4%

22.3%

21.8%

21.2%

20.6%

20.6%

20.5%

20.1%

19.8%

0% 10% 20% 30%


CumbriaNorfolk

GloucestershireSomerset

DevonCambridgeshire

DorsetEast Sussex


EssexWest SussexNorth Yorks

Warwickshire

Percentage


0 0.5 1 1.5

ToIPaiI


NoIWEB

WIMiIExIEaINEI

Percentage



LOCALITY LEVEL

NOT CURRENTLY AVAILABLE FOR

2011-12 AT A LOCAL LEVEL




Indicator: Excess Weight in Four to Five Year Olds

Period: 2011-12 (School Year)

Description

Update

FrequencyAnnually, four months after end of school year (2012-13 due December 2013).

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 4.06i

Detailed

Specification

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

the academic year as percentage of all children with height and weight recorded.

Children are classified as overweight (including obese) 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.

Chart Notes

Inequalities

Rates cannot currently be calculated for the year 2011-12 at a local level as the

Health and Social Care Information Centre have not released the validated local data.

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

SourceHealth and Social Care Information Centre and Devon Public Health Intelligence

Team

Chart Notes

CCG/Locality


level.

Chart Notes

Trend


based on 0.1% per annum fall.

Chart Notes

Local Authority



Chart Notes

Comparator

Chart Notes

South West








Indicator: Excess Weight in 10 / 11 Year Olds Watching Brief

Period: 2011-12 (School Year) Improvement




Indicator Type

Overview

This measure of 'excess weight' covers children classified as overweight or obese. In

year six (aged 10 or 11) 30.8% of pupils in Devon were recorded in the excess weight

category, which was significantly below the England rate (33.9%), but not significantly

different to the the South West (31.0%), and local authority comparator group (31.6%)

rates. The South Hams (26.5%) was significantly below the South West and national

rates. Rates have been fairly static 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.

35.9%

34.2%

32.7%

31.9%

31.6%

31.4%

30.8%

30.4%

30.0%

29.6%

29.6%

29.3%

29.2%

28.1%

26.8%

0% 20% 40%

SwindonPlymouth

BristolSomerset

GlosCornwall

DevonTorbayDorset

BournemouthWiltshire

North SomSouth Glos

PooleBANES

Percentage


34.2%

30.8%

31.4%

26.5%

31.6%

35.4%

30.2%

28.5%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

5%

10%

15%

20%

25%

30%

35%

40%

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

0.2

0.4

0.6

0.8

1

1.2

2006-0

7

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

Percentage

Male BLANK BLANK

BLANK Female

35.7%

35.0%

34.1%

33.7%

31.9%

31.9%

31.6%

31.6%

31.0%

30.8%

30.8%

30.6%

30.0%

29.8%

29.3%

0% 20% 40%

CumbriaLincolnshire

NorfolkWorcestershire

EssexSomerset

WarwickshireGloucestershire

LeicestershireEast Sussex

DevonCambridgeshire

DorsetWest SussexNorth Yorks

Percentage


0 0.5 1 1.5

ToIPaiI


NoIWEB

WIMiIExIEaI

Percentage



LOCALITY LEVEL

NOT CURRENTLY AVAILABLE FOR

2011-12 AT A LOCAL LEVEL




Indicator: Excess Weight in 10 / 11 Year Olds

Period: 2011-12 (School Year)

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

SourceHealth and Social Care Information Centre and Devon Public Health Intelligence

Team

Update

FrequencyAnnually, four months after end of school year (2012-13 due December 2013).

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 4.06ii

Detailed

Specification

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

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

Children are classified as overweight (including obese) 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.

Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

South West



Chart Notes

CCG/Locality


level.

Chart Notes

Trend


based on 0.1% per annum fall.

Chart Notes

Inequalities

Rates cannot currently be calculated for the year 2011-12 at a local level as the

Health and Social Care Information Centre have not released the validated local data.



Indicator: Alcohol-Related Admissions Watching Brief

Period: 2012-13 (provisional) Improvement




Overview

There were around 17,715 alcohol-related admissions to hospital for Devon residents

in 2012-13. The Direct Age Standardised Rate of Admissions (1,676.4 per 100,000)

is below the South West and national rate. Rates within Devon are highest in

Northern Devon. Admission rates are signficantly higher in more deprived areas.

Indicator Type

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.

2,524.6

2,387.3

2,234.8

2,225.8

1,979.3

1,900.4

1,844.6

1,790.0

1,765.3

1,754.1

1,699.1

1,676.4

1,634.7

1,634.7

1,564.6

0 500 1000 1500 2000 2500 3000

BournemouthBristol

PlymouthTorbayPoole

CornwallSomerset

North SomSwindonBANES

GlosDevonDorset

South GlosWiltshire

DASR per 100,000


1,580.6

2,100.4

1,683.8

1,643.9

2,231.8

1,292.6

1,759.7

1,324.1

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

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

DASR per 100,00


0

500

1000

1500

2000

2500

3000

2005-06

2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

DASR per 100,000



Least Deprived

2,185.6

1,866.5

1,844.6

1,823.8

1,762.4

1,732.9

1,699.1

1,676.4

1,675.0

1,672.5

1,671.6

1,634.7

1,614.6

1,518.4

1,497.4

1,452.9

0 500 1000 1500 2000 2500

CumbriaCambridgeshire

SomersetNorfolk

WarwickshireLincolnshire

GloucestershireDevon

North YorkshireWest Sussex

WorcestershireDorset

East SussexEssex


DASR per 100,000


2,129.1

1,827.1

1,471.4

1,508.3

1,589.9

1,746.3

1,646.1

2,175.4

2,040.0

2,017.0

1,310.1

1,248.5

1,169.1

1,508.3

1,317.7

1,721.1

0 500 1000 1500 2000 2500


Newton AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


*UPDATED INDICATOR*




Indicator: Alcohol-Related Admissions

Period: 2012-13 (provisional)

Description Direct age-standarised rate of alcohol-related admissions per 100,000 population.

Chart Notes

Inequalities



Chart Notes

Comparator




Chart Notes

CCG/Locality


their localities, and their sub-localities. This is based on the GP registered population

and rates tend to be lower than local authority totals due to higher admission rates in

the unregistered population. Error bar is 95% confidence interval.

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

Trend


based on JHWS ambition of growth below national rate (3% per annum).

Update

Frequency

Quarterly - six months in arrears. Annually - nine months in arrears (final 2012-13

due January 2014). Local data feeds two months in arrears.

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.18 (updated specification due soon)

Detailed

Specification

Admissions to hospital where the primary diagnosis or any of the secondary

diagnoses within the admission episode contain an alcohol-attributable condition for

the year 2011-12. 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

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)



Indicator: Adult Smoking Prevalence Watching Brief





Indicator Type

Overview

The latest figures from the Integrated Household Survey suggest that 20.2% of the

adult population in Devon smoke. This is slightly higher than the South West

(19.2%), local authority comparator group (19.0%) and England rate (20.0%). This is

also above the 2009-10 (18.5%) and 2010-11 (18.1%) 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 (34.4%). 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.

22.1%

21.4%

21.3%

21.2%

21.0%

20.2%

19.2%

19.0%

18.5%

18.3%

17.1%

17.1%

16.5%

16.4%

16.3%

0% 10% 20% 30%

PlymouthCornwall

TorbaySwindon

BristolDevon

SomersetBournemouth

GlosPoole

WiltshireDorset

South GlosBANES

North Som

Percentage


14.7%

20.1%

22.7%

20.8%

22.4%

21.1%

18.7%

19.1%

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%

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

2015-1

6

Percentage


0%

5%

10%

15%

20%

25%

30%

35%

40%

2009-1

0

2010-1

1

2011-1

2

Percentage

Routine and Manual All Persons

21.7%

21.0%

20.3%

20.2%

19.8%

19.5%

19.2%

19.1%

18.7%

18.5%

18.5%

18.4%

17.5%

17.1%

17.1%

16.7%

0% 10% 20% 30%

CumbriaLincolnshire

NorfolkDevon

East SussexCambridgeshire


EssexWest Sussex

GloucestershireWorcestershire

HampshireDorset

LeicestershireNorth Yorks

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: 2011-12

Description Percentage of adults aged 18 and over who smoke

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

published by LHO.

Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Chart Notes


Chart Notes

Inequalities

Compares smoking prevalence in routine and manual occupation groups with the

overall prevalence over time.

Update

FrequencyAnnual, next update due early 2014

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





Indicator: Under 75 Mortality Rate - All Cancers Watching Brief





Indicator Type

Overview

In 2011, there were 974 deaths due to cancer in under 75s, with an direct age

standardised rate of 93.5 per 100,000. The Devon rate in 2010 was below the South

West (100.0) and England (108.0) rates. Within the county, rates are highest in

Exeter (112.1). Mortality rates have fallen from 130.0 per 100,000 in 1993 to 93.5 in

2011. Mortality rates are higher in more deprived areas, although the health

inequality gap has decreased over the last 10 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.

124.1

117.7

108.2

107.3

104.8

103.5

103.1

102.2

100.7

100.2

98.6

95.6

91.1

90.1

0 50 100 150

BristolPlymouth

TorbaySwindon

GlosBourne/Poole

CornwallWiltshireBANESDevon

South GlosSomerset

North SomDorset

DASR per 100,000


108.2

97.4

99.8

85.4

105.6

105.1

112.1

97.6

0 50 100 150

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

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

DASR per 100,00


020406080

100120140160180200

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

DASR per 100,000



Least Deprived

111.4

109.5

104.8

103.7

103.5

101.7

101.6

100.8

100.4

100.2

100.0

99.4

98.7

95.9

95.6

90.1

0 50 100 150

CumbriaLincolnshire

GloucestershireEast Sussex

EssexNorfolk

WarwickshireLeicestershire

WorcestershireDevon

West SussexNorth YorksHampshire

CambridgeshireSomerset

Dorset

DASR per 100,000


0 0.5 1 1.5

ToIPaiI


NoIWEB

WIMiIExIEaINEI

DASR per 100,000



LOCALITY LEVEL




Indicator: Under 75 Mortality Rate - All Cancers

Period: 2011

Update

Frequency

Annually, typically nine months in arrears (2012 results delayed - local results

available December 2013, updated national results available early 2014)

Outcomes

Framework

Public Health Outcomes Framework Indicator 4.05i, NHS Outcomes Framework

Indicator 1.4

Chart Notes

CCG/Locality


level.

Chart Notes


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

than 75 years per 100,000 population

Source

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

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


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 (0-4, 5-9,I, 70-74). Population for

people aged under 75, aggregated into quinary age bands (0-4, 5-9,I, 70-74). 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.

Chart Notes

Inequalities





Indicator: Under 75 Mortality Rate - All Circulatory Diseases Watching Brief





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.

Indicator Type

Overview

In 2011, there were 487 deaths due to cancer in under 75s, with an direct age

standardised rate of 46.8 per 100,000. The Devon rate in 2010 was below the South

West (55.6) and England (67.3) rates. Within the county, rates are highest in Exeter,

North Devon and Teignbridge. Mortality rates have fallen from 128.4 per 100,000 in

1993 to 46.8 in 2011. Whilst rates have fallen more quickly in areas of above

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

80.1

72.9

65.8

65.7

60.6

56.7

53.5

52.7

52.3

52.0

47.7

47.6

47.0

46.2

0 50 100

PlymouthBristol

SwindonTorbay

CornwallBourne/Poole

GlosWiltshire

DevonSomerset

North SomBANES

South GlosDorset

DASR per 100,000


49.8

50.3

57.3

51.4

58.4

52.9

59.2

42.7

0 20 40 60 80

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

180

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

DASR per 100,00


0

20

40

60

80

100

120

140

160

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

DASR per 100,000



Least Deprived

72.3

67.8

61.4

60.8

57.5

57.3

55.9

54.5

54.4

53.8

53.5

52.3

52.3

52.0

49.2

46.2

0 50 100

CumbriaLincolnshire

WorcestershireNorth Yorks

WarwickshireNorfolkEssex


CambridgeshireGloucestershire

West SussexDevon

SomersetHampshire

Dorset

DASR per 100,000


0 0.5 1 1.5

ToIPaiI


NoIWEB

WIMiIExIEaINEI

DASR per 100,000



LOCALITY LEVEL




Indicator: Under 75 Mortality Rate - All Circulatory Diseases

Period: 2011

Update

FrequencyAnnually, nine months in arrears (2012 results due October 2013)

Outcomes

Framework

Public Health Outcomes Framework Indicator 4.04i, NHS Outcomes Framework

Indicator 1.1

Detailed

Specification

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






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 (0-4, 5-9,I, 70-74).

Population for people aged under 75, aggregated into quinary age bands (0-4, 5-9,I,

70-74). 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.

Chart Notes

CCG/Locality


level.

Chart Notes


Chart Notes

Inequalities


Priority 3: Good Health and Wellbeing in Older Age Challenge

Indicator: Incidence of Clostridium Difficile Watching Brief




Trend and Future Trajectory Inequalities (Age Group)

Indicator Type

Overview

There were 263 cases of Clostridium Difficile in 2012-13 in Devon. The incidence

rate per 100,000 in Devon (35.2) was above the South West (30.2), nearest

neighbour (28.6) and England (27.7) rates. Reporting processes for Clostridium

Difficile in 2012-13 were standardised allowing for more accurate comparison. This

explains the drop seen locally between 2011-12 and 2012-13, although it should be

noted that infection rates have reduced over time.

Equalities

Incidence of Clostridium Difficile increases significantly with age, with a rate 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 deprived areas.

37.6

37.4

35.9

35.2

35.1

32.7

32.0

30.4

30.0

26.3

26.2

23.0

21.9

18.7

0 20 40 60 80

BANESGlos

North SomDevonTorbay

WiltshireBristol

South GlosDorset

SomersetBourne/Poole

PlymouthSwindonCornwall

Rate per 100,000


34.2

19.1

48.4

28.0

28.3

38.1

33.3

45.1

0 20 40 60 80

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

20

40

60

80

100

120

140

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Rate per 100,000


44.0

37.9

37.4

37.3

35.2

35.2

30.6

30.0

27.7

26.4

26.3

26.2

25.9

21.9

20.4

20.2

0 20 40 60 80

CumbriaWorcestershire

GloucestershireWarwickshireWest Sussex

DevonLeicestershire

DorsetEast Sussex

North YorkshireSomerset

NorfolkLincolnshireHampshire

CambridgeshireEssex

Rate per 100,000


32.6

43.4

33.4

41.7

35.8

27.7

22.6

23.8

23.7

35.6

48.2

42.3

34.5

39.6

30.5

0 20 40 60 80

TorbayN Abbot

Moor to SeaCoastal

SD&T CCGSH&WD

PlymouthWestern LocalityNorthern Locality

WEBWakley

Mid DevonExeter


Rate per 100,000


3.1

5.1

9.7

49.4

282.0

0 50 100 150 200 250 300

Aged 00 to 19

Aged 20 to 39

Aged 40 to 59

Aged 60 to 79

Aged 80 and over

Rate per 100,000



Priority 3: Good Health and Wellbeing in Older Age

Indicator: Incidence of Clostridium Difficile

Period: 2012-13

Chart Notes

CCG/Locality





Chart Notes

Comparator




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

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

Source Public Health England HCAI (Health Care Associated Infection) Data Capture System

Update

Frequency

Available monthly around two months in arrears. Further updates temporarily delayed

due to changes to reporting system (local authority breakdowns not currently

available).

Outcomes

FrameworkNHS Outcomes Framework Indicator 5.2ii

Detailed

Specification

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


Chart Notes

Local Authority



Chart Notes


Chart Notes

InequalitiesCompares broad age groups in Devon.



Indicator: Injuries Due to Falls Watching Brief


South West Benchmarking (2011-12) Local Authority District

Local Authority Comparator Group (2011-12) CCG and Locality Comparison


Indicator Type

Overview

There were 3,260 admissions due to falls in 2012-13 in Devon for people aged 65 and

over. The age standardised rate per 100,000 was 1348.9 in Devon, which is below

the South West (1446.5), local authority comparator group (1419.1) and England

(1664.8) rates. The rate is Devon is the second lowest in the South West. Within

Devon rates were significantly lower in Mid Devon (1119.9). Whilst rates increased

between 2007-08 and 2010-11 they have stabilised in recent years.

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 (1703.2) was still 47% higher than the least deprived areas

(1161.2). Rates increase sharply with age with an age-specific rate of 477.1 for

persons aged 65 to 69, compared with 6165.7 for those aged 85 and over.

1,993.4

1,754.2

1,751.8

1,747.3

1,710.2

1,631.6

1,617.2

1,568.6

1,563.0

1,550.5

1,506.2

1,382.0

1,360.2

1,347.0

1,265.2

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

BristolPoole

BournemouthPlymouthSwindonBANES

CornwallSomerset

TorbayWiltshire

South GlosDorset

GlosDevon

North Som

DASR per 100,000


1,259.6

1,352.6

1,443.4

1,436.9

1,406.8

1,119.9

1,430.9

1,263.7

0 500 1,000 1,500 2,000

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2007-0

8

2008-0

9

2009-1

0

2010-1

1

2011-1

2

2012-1

3

2013-1

4

2014-1

5

DASR per 100,000


1,766.4

1,587.4

1,569.2

1,568.6

1,565.0

1,556.8

1,532.1

1,527.2

1,454.3

1,382.0

1,381.5

1,363.9

1,360.2

1,347.0

1,250.7

1,186.8

0 500 1,000 1,500 2,000

LincolnshireWest Sussex

CambridgeshireSomerset

HampshireEast Sussex

WarwickshireEssex

NorfolkDorset

WorcestershireCumbria

GloucestershireDevon

North YorksLeicestershire

DASR per 100,000


1,565.4

1,410.4

1,467.2

1,460.1

1,563.8

1,483.7

1,351.0

1,692.8

1,598.1

1,385.7

1,416.8

1,191.9

1,136.8

1,392.6

1,273.1

1,407.1

0 500 1,000 1,500 2,000


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


0200400600800

1,0001,2001,4001,6001,8002,000

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: 2012-13

Update

Frequency

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

available around six months after year end (2012-13 national comparators due

Autumn 2013).

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.

Chart Notes

South West



Chart Notes

Local Authority



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

age-sex standardised rate per 100,000.

Source

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

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

by Devon Public Health Intelligence Team

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).

Chart Notes

Comparator






Indicator: Dementia Diagnosis Rate Watching Brief





Indicator Type

Overview

In 2011-12, 4,848 people in Devon were on a GP register for dementia, compared

with an expected prevalence of 13,075, this is a diagnosis rate of 37.1%. This is the

third lowest ratio in the South West, and is below the South West (42.6%) and

England (45.0%) rates. Diagnosis rates have improved in recent years, increasing

from 28.0% in 2006-07, however national ratios have increased at the same rate.

The highest rates in Devon are seen in Teignbridge (42.8%) and Torridge (41.4%).

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.

54.0%

51.4%

48.9%

47.4%

47.1%

45.7%

45.3%

42.8%

42.7%

40.5%

37.2%

37.1%

36.0%

33.1%

0% 20% 40% 60%

Bourne/PooleTorbay

CornwallGlos

BristolPlymouthSwindon

North SomSomerset

BANESSouth Glos

DevonWiltshire

Dorset

Percentage


34.9%

43.1%

44.0%

34.5%

39.2%

34.1%

40.1%

35.4%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

10%

20%

30%

40%

50%

60%

70%

80%

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

2015-1

6

Percentage


0%

5%

10%

15%

20%

25%

30%

35%

40%

2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

Percentage



Least Deprived

52.7%

48.5%

47.4%

47.1%

44.7%

44.6%

43.4%

42.7%

42.4%

42.0%

40.7%

40.3%

37.1%

36.2%

33.9%

33.1%

0% 20% 40% 60%

CumbriaEssex


North YorksLincolnshire

WarwickshireSomerset

CambridgeshireEast SussexWest Sussex

WorcestershireDevon

LeicestershireNorfolkDorset

Percentage


54.8%

46.2%

51.9%

30.5%

45.0%

46.1%

39.3%

46.1%

44.3%

40.9%

38.0%

33.9%

32.7%

39.4%

35.7%

39.5%

0% 20% 40% 60% 80%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage





Indicator: Dementia Diagnosis Rate

Period: 2011-12

Chart Notes

Comparator

DescriptionNumber of persons recorded on a GP Dementia Disease Register as a % of those in

the area predicted to have dementia (using age and sex based estimates)

SourceNHS Dementia Prevalence Calculator, Devon Public Health Intelligence Team (Local

GP Practice Deprivation Quintiles)

Update

Frequency

Annually (financial year based), seven months in arrears (2012-13 due November

2013).

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.



Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

CCG/Locality




Chart Notes

Trend


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

Chart Notes

Inequalities






Indicator: Feel Supported to Manage Own Condition Watching Brief





Indicator Type

Overview

In Devon in 2012-13, 67.5% 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 the national (64.0%), South West (65.9%) and local authority comparator group

(64.7%). Rates in NEW Devon CCG (66.8%) and South Devon and Torbay CCG

(67.3%) were similar, and highest in the Exeter sub-locality (69.6%). Rates have also

increased slightly on 2011-12 levels.

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,

69.6%) feel better supported than younger age groups (18 to 24, 58.1%), males

(65.4%) feel better supported than females (62.6%), and minority ethnic groups feel

less well supported.

67.9%

67.5%

67.4%

67.3%

66.2%

66.0%

66.0%

65.5%

65.2%

64.9%

64.9%

64.4%

63.1%

62.4%

40% 60% 80%

CornwallDevonTorbayBANES

GlosSomerset

DorsetBourne/Poole

BristolPlymouth

South GlosNorth Som

WiltshireSwindon

Percentage


67.7%

66.4%

67.6%

67.6%

66.7%

67.2%

69.3%

66.5%

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%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


67.5%

67.3%

67.1%

67.0%

66.2%

66.0%

66.0%

65.8%

64.3%

64.3%

64.0%

63.5%

63.0%

62.9%

62.8%

62.4%

40% 60% 80%

DevonNorth Yorks

CumbriaCambridgeshireGloucestershire

SomersetDorset

WorcestershireNorfolk

HampshireLincolnshireEast SussexWest SussexWarwickshire

LeicestershireEssex

Percentage


69.9%

65.3%

68.5%

67.5%

65.1%

67.3%

68.7%

64.9%

65.8%

66.9%

64.0%

68.3%

66.0%

69.6%

67.5%

66.8%

40% 50% 60% 70% 80%

ToIPaiI


NoIWEB

WIMiIExIEaINEI

Percentage


67.5%

64.0%

68.3%

68.2%

68.8%

40% 50% 60% 70% 80%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator: Feel Supported to Manage Own Condition

Period: 2012-13

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




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

Source NHS GP Patient Survey

Update

FrequencyAnnually and Quarterly, around six months in arrears.

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.

Chart Notes

CCG/Locality




Chart Notes


Chart Notes

Inequalities





Indicator: Re-ablement Services (Effectiveness) Watching Brief





Indicator Type

Overview

In 2010 Devon implemented a countywide in-house social care re-ablement service

for older people. The service works with people who would normally receive long-

term personal care to get back on their feet as quickly as possible and help them to

stay independent for longer. In 2012-13, reablement services were effective for 87%

of older people who received the service in Devon, compared with 81% in the South

West and 81% nationally.

EqualitiesThere is no significant link between effectiveness of reablement services and

deprivation levels in Devon.

89.3%

87.9%

86.0%

85.7%

84.2%

84.2%

83.4%

83.3%

82.4%

80.6%

78.6%

77.8%

76.2%

74.1%

71.1%

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

PlymouthDevon

SomersetBANES

BristolSouth Glos

WiltshireCornwall

North SomTorbay

SwindonPoole

DorsetBournemouth

Glos

Percentage


87.5%

80.8%

84.1%

94.0%

91.3%

84.6%

82.6%

95.8%

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


89.9%

89.1%

88.4%

87.9%

86.0%

85.9%

83.8%

82.7%

82.2%

81.7%

81.5%

78.2%

77.5%

76.2%

72.8%

71.1%

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

West SussexEast Sussex

NorfolkDevon

SomersetNorth Yorks

CumbriaCambridgeshire

WarwickshireEssex


WorcestershireDorset

LincolnshireGloucestershire

Percentage


80.6%

80.6%

81.8%

96.7%

83.3%

83.1%

86.3%

89.3%

86.5%

87.5%

95.5%

96.0%

87.7%

82.7%

87.7%

87.5%

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


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


92.3%

86.6%

87.7%

84.5%

97.6%

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

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator: Re-ablement Services (Effectiveness)

Period: 2012-13

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)

Update

FrequencyAnnually around four months in arrears.

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

Chart Notes

Local AuthorityRates cannot currently be calculated at a local level.

Chart Notes

Comparator




Chart Notes


Chart Notes

TrendTrend data not currently available.

Chart Notes


Chart Notes

South West





Indicator: Re-ablement Services (Coverage) Watching Brief





Indicator Type

OverviewIn 2012-13 1.7% of older people discharged from hospital in Devon were offered

reablement services, compared with 3.1% in the South West and 3.3% nationally.

Equalities Not currently available at a local level.

10.8%

6.7%

6.3%

3.9%

3.8%

3.4%

3.3%

3.0%

1.8%

1.7%

1.6%

1.4%

1.4%

1.1%

0.4%

0% 5% 10% 15%

WiltshireBournemouth

PlymouthGlos

DorsetTorbayBANES

South GlosPoole

DevonSwindon

SomersetNorth Som

BristolCornwall

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%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


6.0%

4.1%

3.9%

3.8%

3.4%

3.3%

3.2%

2.9%

2.6%

2.4%

2.4%

2.4%

2.3%

1.7%

1.5%

1.4%

0% 5% 10%

WarwickshireLincolnshire

GloucestershireDorset

HampshireWorcestershire

East SussexLeicestershire

CambridgeshireNorth Yorks

NorfolkEssex

CumbriaDevon

West SussexSomerset

Percentage


3% 3% 3% 3%


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: 2012-13

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

discharge from hospital.

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)

Update

FrequencyAnnually around four months in arrears.

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 Authority



Chart Notes

Comparator




Chart Notes


Chart Notes


Chart Notes

Inequalities





Indicator: Readmissions to Hospital Within 30 Days Watching Brief





Indicator Type

Overview

In Devon in 2010-11, 10.2% of patients discharged after an emergency admission

were readmitted within 30 days. This is significantly below the South West (10.8%),

local authority comparator group (10.8%) and England (11.8%) rates. The rate in

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

comparator group. Exeter (11.7%) had a readmission rate above the South West and

Devon rate. Readmission rates have increased over time.

Equalities

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 13.1% in the most deprived

group to 10.6% in the least deprived group. Readmission rates are higher amongst

males (12.1%, compared with 11.4% for females).

12.0

11.9

11.8

11.4

11.2

11.1

10.8

10.7

10.7

10.5

10.5

10.3

10.2

9.0

0 5 10 15

Bourne/PooleBristol

SwindonTorbay

SomersetBANES

CornwallWiltshire

GlosPlymouth

DorsetSouth Glos

DevonNorth Som

Percentage


9.9

9.3

10.5

9.9

10.3

9.5

11.7

9.6

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


11.5

11.4

11.2

11.1

11.1

11.1

11.0

10.8

10.7

10.7

10.7

10.7

10.5

10.5

10.5

10.2

0 5 10 15


SomersetNorth Yorks


HampshireWarwickshire

EssexCambridgeshireGloucestershire

NorfolkDorset

CumbriaLincolnshire

Devon

Percentage


0 1 1 2

ToIPaiI


NoIWEB

WIMiIExIEaINEI

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: 2010-11

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

Frequency

Annually, around 18 months in arrears (2011-12 due October 2013), more timely local

performance reporting currently being developed by NEW Devon CCG Business

Intelligence Team

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)

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes


Chart Notes


Chart Notes

Inequalities

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

previous trend information available.


Priority 4: Strong and Supportive Communities Challenge

Indicator: Suicide Rate Watching Brief





Indicator Type

Overview

In 2011, 76 deaths were registered as suicide or injury undetermined (open verdict),

with an direct age standardised rate of 8.2 per 100,000. The Devon rate in 2010 was

above the national rate but below the South West rate. Within the county, rates are

similar between districts, with no significantly higher rates. Whilst year-on-year

variations are seen, mostly due to the relatively 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

(around 4 per 100,000) 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.

11.91

10.61

10.50

10.36

10.20

9.85

9.50

9.15

8.42

8.42

7.67

7.26

6.55

5.88

0 5 10 15 20

North SomBourne/Poole

PlymouthTorbay

GlosCornwall

DorsetBristolDevon

SomersetWiltshireSwindonBANES

South Glos

DASR per 100,000


9.61

8.24

10.83

8.18

6.63

7.85

7.75

7.95

0 5 10 15 20

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

2

4

6

8

10

12

14

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

DASR per 100,00


0

2

4

6

8

10

12

14

16

2001-0

3

2002-0

4

2003-0

5

2004-0

6

2005-0

7

2006-0

8

2007-0

9

2008-1

0

2009-1

1

DASR per 100,000

Female Male

10.20

9.73

9.50

9.44

9.05

8.67

8.56

8.42

8.42

8.14

7.98

7.55

7.34

7.09

6.55

5.51

0 5 10 15

GloucestershireLincolnshire

DorsetEast Sussex

CumbriaNorth Yorks

WorcestershireDevon


HampshireNorfolk

CambridgeshireEssex

West SussexLeicestershire

DASR per 100,000


0 0.5 1 1.5

ToIPaiI


NoIWEB

WIMiIExIEaINEI

DASR per 100,000



LOCALITY LEVEL



Priority 4: Strong and Supportive Communities

Indicator: Suicide Rate

Period: 2011

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 (0-4, 5-9,I, 80-84, 85+), 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.

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

undetermined intent per 100,000 population

Source




Update

FrequencyAnnually, nine months in arrears (2012 results due October 2013)

Outcomes


Detailed

Specification

Chart Notes

Inequalities



Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Chart Notes




Indicator: Male Life Expectancy Gap Watching Brief

Period: 2006 to 2010 Improvement



Trend and Future Trajectory Inequalities (Average Life Expectancy)

Indicator Type

Overview

The Slope Index of Inequality compares life expectancy in the most deprived 10% of

an area's population with the least deprived 10%, producing the gap in life expectancy

in years. For males in Devon the gap is 5.4 years which is significantly lower than the

gaps for the South West (7.6), the local authority comparator group (6.9), and

England (8.9). Gaps were significantly below the national average in East Devon, Mid

Devon, the South Hams and Torridge. The gap has increased slightly over time.

Equalities

As the slope index of inequality compare the most and least deprived 10% of a

defined area, 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

12.5 year gap in life expectancy at an electoral ward level. The life expectancy gap is

much larger for males than females.

10.7

10.3

9.5

9.4

8.9

8.8

8.1

7.0

6.6

6.4

6.2

5.9

5.7

5.4

5.4

0 10 20

North SomBournemouth

PlymouthBristol

SwindonTorbayPooleGlos

WiltshireDorset

South GlosCornwallBANESDevon

Somerset

Life Expectancy Gap (Years)


2.2

4.6

6.1

1.5

6.2

4.9

7.5

5.2

0 5 10 15

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



0123456789

10

2001-2

005

2002-2

006

2003-2

007

2004-2

008

2005-2

009

2006-2

010

2007-2

011

2008-2

012

2009-2

013

2010-2

014

Life Expectancy (Years)


70

72

74

76

78

80

82

84

2001-

2005

2002-

2006

2003-

2007

2004-

2008

2005-

2009

2006-

2010


Q1 - Most Dep Above Average


Q10 - Least Dep

8.7

8.3

8.2

7.8

7.3

7.3

7.2

7.2

7.0

6.4

6.3

6.2

6.0

5.8

5.4

5.4

0 5 10 15

CumbriaWarwickshireEast Sussex

WorcestershireEssex

LincolnshireCambridgeshire

West SussexGloucestershire

DorsetNorth Yorks

LeicestershireHampshire

NorfolkDevon

Somerset



0 1 1 2

ToIPaiI


NoIWEB

WIMiIExIEaINEI




LOCALITY LEVEL




Indicator: Male Life Expectancy Gap

Period: 2006 to 2010

Chart Notes

Comparator




Chart Notes

CCG/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.

Update

Frequency

Annually, typically around 12 months in arrears (2007 to 2011 results delayed to late

2013)

Outcomes

Framework

Public Health Outcomes Framework, Overarching Indicator - still in development,

source is likely to change from or update the existing slope index of inequality.

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 Authority



DescriptionEstimated gap in male life expectancy in years between the most deprived 10% of an

area with the least deprived

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

East Midlands Public Health Observatories (now Public Health England)



Indicator: Female Life Expectancy Gap Watching Brief

Period: 2006 to 2010 Improvement



Trend and Future Trajectory Inequalities (Average Life Expectancy)

Indicator Type

Overview

The Slope Index of Inequality compares life expectancy in the most deprived 10% of

an area's population with the least deprived 10%, producing the gap in life expectancy

in years. For females in Devon the gap is 2.8 years which is significantly lower than

the gaps for the South West (5.0), the local authority comparator group (4.9), and

England (5.9). The gap was also significantly below the national average in East

Devon. The gap has decreased slightly over time.

Equalities

As the slope index of inequality compare the most and least deprived 10% of a

defined area, 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

12.5 year gap in life expectancy at an electoral ward level. The life expectancy gap is

much larger for males than females.

7.5

6.7

6.5

5.8

5.5

5.4

5.2

5.0

4.8

4.8

4.5

4.0

3.8

2.8

2.7

0 5 10 15

North SomTorbay

SwindonBristolDorset

BournemouthCornwall

PooleGlos

South GlosBANES

PlymouthWiltshire

DevonSomerset



1.8

2.3

2.9

3.4

3.0

4.3

4.4

2.8

0 5 10

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



0

1

2

3

4

5

6

7

2001-2

005

2002-2

006

2003-2

007

2004-2

008

2005-2

009

2006-2

010

2007-2

011

2008-2

012

2009-2

013

2010-2

014



7677787980818283848586

2001-

2005

2002-

2006

2003-

2007

2004-

2008

2005-

2009

2006-

2010


Q1 - Most Dep Above Average


Q10 - Least Dep

7.6

6.8

6.2

5.7

5.5

5.4

5.3

5.3

4.9

4.9

4.8

4.6

4.1

2.8

2.7

1.9

0 5 10 15

WarwickshireCumbria


DorsetWorcestershire

CambridgeshireWest Sussex

EssexLincolnshire

GloucestershireNorth YorksHampshire

DevonSomerset

Norfolk



0 1 1 2

ToIPaiI


NoIWEB

WIMiIExIEaINEI




LOCALITY LEVEL


LOCALITY LEVEL




Indicator: Female Life Expectancy Gap

Period: 2006 to 2010

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 deprived 10% of

an area with the least deprived

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

East Midlands Public Health Observatories (now Public Health England)

Update

Frequency

Annually, typically around 12 months in arrears (2007 to 2011 results delayed to late

2013)

Outcomes

Framework

Public Health Outcomes Framework, Overarching Indicator - still in development,

source is likely to change from or update the existing slope index of inequality.

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 Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Chart Notes




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





Indicator Type

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, 26.7% of the population had a low happiness score on

the index compared with 27.7% for the South West, 27.3% in the local authority

comparator group and 28.7% in England overall.

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).

31.3%

30.2%

29.9%

28.4%

28.4%

28.3%

27.7%

27.7%

27.4%

27.2%

26.7%

26.7%

25.5%

25.3%

22.6%

0% 20% 40%

BristolGlos

North SomSomerset

BournemouthPoole

SwindonTorbay

South GlosWiltshire

DorsetDevon

CornwallPlymouth

BANES

Percentage


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%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


30.2%

29.4%

29.3%

28.4%

28.0%

27.9%

27.7%

27.7%

27.6%

26.7%

26.7%

26.6%

25.5%

25.2%

25.0%

24.8%

0% 20% 40%

GloucestershireCumbria

EssexSomerset

LeicestershireNorth YorkshireCambridgeshire

East SussexWorcestershire

DorsetDevon

West SussexWarwickshireLincolnshire

NorfolkHampshire

Percentage


27% 28% 28% 29% 29% 30%

ToIPaiI


NoIWEB

WIMiIExIEaINEI

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

*UPDATED INDICATOR*




Indicator: Self-Reported Wellbeing

Period: 2012-13

Update

FrequencyAnnually, six to eight months in arrears (2013/14 update due Autumn 2014)

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.23iii

Detailed

Specification

The percentage of respondents who answered 0-6 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.

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

SourceOffice for National Statistics Integrated Household Survey. Experimental Statistics

from 2011 onwards.

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


Chart Notes

Comparator




Chart Notes


Chart Notes


Chart Notes

South West





Indicator: Social Isolation Watching Brief





Indicator Type

Overview

41% of social care users surveyed in Devon in 2012-13 reported being satisfied with

their social situation, this is slightly below the south west and national response at

43% and 44% respectively. Within Devon whilst there is some variation in responses

at district level, smaller sample sizes mean the differences are not statistically

significant.

Equalities

Social care users living in the more deprived areas reported lower levels of social

isolation. 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.

50.1%

49.7%

47.8%

47.5%

47.2%

43.9%

43.2%

42.8%

42.3%

41.1%

40.7%

40.3%

40.1%

40.0%

39.7%

0% 20% 40% 60%

GlosSouth Glos

SomersetPlymouth

North SomBANESTorbayBristol

CornwallPoole

DevonSwindonWiltshire

BournemouthDorset

Percentage


44.0%

43.8%

42.0%

37.6%

46.4%

43.7%

41.2%

39.2%

0% 10% 20% 30% 40% 50% 60%

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


50.1%

48.8%

47.8%

47.6%

47.2%

46.9%

45.9%

45.9%

44.3%

44.2%

43.2%

43.0%

43.0%

40.7%

39.7%

37.4%

0% 20% 40% 60%

GloucestershireCumbria

SomersetNorfolk

LeicestershireNorth Yorks


WarwickshireHampshire

East SussexEssex

CambridgeshireDevonDorset

Lincolnshire

Percentage


43.2%

43.2%

41.0%

36.7%

47.3%

43.2%

44.1%

47.5%

44.9%

45.2%

42.2%

38.8%

40.6%

40.2%

40.3%

42.4%

0% 20% 40% 60% 80%

ToIPaiI


NoIWEB

WIMiIExIEaINEI

Percentage


52.2%

44.9%

43.4%

39.5%

41.8%

0% 10% 20% 30% 40% 50% 60%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator: Social Isolation

Period: 2012-13

Update

Frequency

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

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

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



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

contact as they would like.

Source

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



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes


Chart Notes


Chart Notes

Inequalities





Indicator: Carer Reported Quality of Life Watching Brief





Indicator Type

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


North YorksDevon

East SussexWarwickshire

NorfolkDorsetEssex

LeicestershireWest Sussex

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

Description Carer Reported Quality of Life

Source

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)

Update

FrequencyBi-annually, around four months in arrears after year end. 2014-15 due July 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


Chart Notes

Comparator



Error bar not calculable.

Chart Notes

CCG/LocalityNot yet available.

Chart Notes

TrendFirst year reported so not available.

Chart Notes




Indicator: Stable/Appropriate Accommodation (Learning Dis.) Watching Brief





Indicator Type

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 2012-13

69% of adults with a learning disability in Devon (known to the council) were living in

their own home or with their family, compared with 66% in the South West and 73%

nationally. This varied within Devon from 62% in Teignbridge to 84% in North Devon.

Equalities

There are no significant differences in Devon based on area deprivation. A 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.

79.6%

72.9%

72.0%

71.8%

71.7%

71.1%

71.0%

70.3%

69.1%

65.2%

64.8%

63.1%

61.7%

61.7%

42.9%

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

SomersetBournemouth

PooleTorbay

PlymouthDorset

GlosSouth Glos

DevonNorth Som

BANESSwindonWiltshire

BristolCornwall

Percentage


64.2%

69.8%

62.5%

74.6%

83.5%

79.0%

79.3%

74.8%

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%

2011-1

2

2012-1

3

2013-1

4

2014-1

5

Percentage


80.4%

79.8%

79.6%

75.5%

74.5%

72.9%

72.6%

72.4%

72.1%

72.0%

71.1%

71.0%

70.5%

69.1%

61.7%

60.3%

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

CumbriaNorth Yorks

SomersetCambridgeshire


WarwickshireEssex

NorfolkHampshire

DorsetGloucestershire

West SussexDevon


Percentage


71.8%

71.8%

70.4%

65.2%

52.0%

66.9%

74.5%

71.7%

71.4%

75.9%

65.0%

82.2%

76.9%

78.3%

76.5%

75.6%

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


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


69.6%

74.7%

70.9%

69.1%

70.6%

0% 20% 40% 60% 80%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator: Stable/Appropriate Accommodation (Learning Dis.)

Period: 2012-13

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

FrequencyAnnually, around four months in arrears.

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



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality





Chart Notes


Chart Notes

Inequalities





Indicator: Stable/Appropriate Accommodation (Mental Health) Watching Brief





Indicator Type

Overview

Stable and appropriate accommodation is closely linked to improving safety and

reducing the risk of social exclusion. In 2012-13 58% of adults in contact with a

secondary mental health service in Devon were in stable and suitable

accommodation. This is higher than both the South West (at 51%) and our Local

Authority comparator group (at 55%) and is in line with the national figure (59%).


78.4%

78.4%

76.1%

66.9%

66.4%

58.3%

57.4%

57.0%

53.1%

51.0%

34.5%

34.0%

22.8%

18.9%

12.3%

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

South GlosSwindonBANES

North SomWiltshire

DevonCornwall

BristolPlymouth

TorbayPooleGlos

BournemouthSomerset

Dorset

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


79.9%

79.8%

75.2%

65.7%

62.4%

58.5%

58.3%

44.9%

38.9%

34.5%

34.0%

32.7%

28.5%

18.9%

13.5%

12.3%

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

EssexWarwickshire

WorcestershireWest Sussex

CumbriaNorth Yorks

DevonLeicestershire

NorfolkEast Sussex

GloucestershireCambridgeshire

HampshireSomerset

LincolnshireDorset

Percentage


45% 50% 55% 60%

ToIPaiI


NoIWEB

WIMiIExIEaINEI

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: 2012-13

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)

Update

FrequencyAnnually, around four months in arrears.

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


Chart Notes

Comparator




Chart Notes


Chart Notes


Chart Notes


health and wellbeing outcomes report 7th november … · health and wellbeing outcomes report 7th...

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