Joint Strategic Needs Assessment
Data Summary: Snapshot of Health and Wellbeing in Birmingham Birmingham Public Health Information Team May, 2009 Version 2 VERSION CONTROL AND DOCUMENT GOVERNANCE Version Date Status File location (public) Filename and path to locate this document
2 20/05/2009 Final draft http://www.bhwp.nhs.uk/Apps/Content/html/viewContent.aspx?fid=39 Y:\Public Health\PHIT\Public Health Server\6. PHIT Reports & Bulletins\PHIT reports\Health Profile for Birmingham 09
Snapshot of Health and Wellbeing in Birmingham LA and PCTs Year
Measure
Birmingham
SBPCT
HOBtPCT
BENPCT
West Midlands
England
Total population
2007
N
1,010,200
337,126
271,741
401,380
5,381,800
51,092,000
Total population - females
2007
% population
50.9%
51.5%
49.8%
51.1%
50.8%
50.8%
Total population - males
2007
% population
49.1%
48.5%
50.2%
48.9%
49.2%
49.2%
Population aged under 15 - females
2007
% population
10.1%
8.5%
11.5%
10.5%
8.9%
8.6%
Population aged under 15 - males
2007
% population
10.5%
8.9%
11.9%
11.0%
9.3%
9.0%
Population aged 15-64 - females
2007
% population
33.1%
34.4%
32.8%
32.1%
32.6%
33.2%
Population aged 15-64 - males
2007
% population
32.8%
33.3%
33.9%
31.6%
32.7%
33.2%
Population aged 65 and over - females
2007
% population
7.7%
8.6%
5.5%
8.5%
9.3%
9.0%
Population aged 65 and over - females
2007
% population
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
Population aged 65 and over - males
2007
% population
5.8%
6.3%
4.4%
6.4%
7.2%
6.9%
Population aged 65 and over - males
2007
% population
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
Minority ethnic community population
2001
% population
29.6%
15.6%
70.9%
22.2%
11.3%
9.1%
Lone parent families with dependent children
2001
% households
9.6%
8.7%
12.1%
9.1%
6.7%
6.4%
Lone pensioner households
2001
% households
14.5%
15.1%
12.1%
15.5%
14.3%
14.4%
Live births rate
2007
CR, per 1,000 population
16.9
13.7
21.0
16.9
13.0
12.8
% pregnant women treated by the NHS % pregnant women treated by the NHS
18.3%
7.0%
15.1%
Not available
2008
% survey sample
66%
2007/08
% Year-six children
23.1%
Indicator
Data Source
Population
ONS 2007 Mid year population estimates
ONS, 2001 Census
PHIT calculation based on birth registration
Children, Young People and Maternity Smoking at end of pregnancy Breast feeding initiation Physically active children (three times a week) Obese children
2005, 2007 2005, 2007
61.9%
Page 2 of 7
17.0%
Perinatal Institute
77.0%
Perinatal Institute
Not available 68.0%
58.1%
Not available 22.9%
24.0%
22.2%
71% 19.6%
15.4%
Tellus Survey PHIT Calculation, PCTs' Childhood Obesity Teams
Snapshot of Health and Wellbeing in Birmingham LA and PCTs Indicator
Year
Measure
Birmingham
Children's healthy eating (eating five or more portions of fruit & veg
2003/05
% survey sample
17%
Schoolchildren smoking once a week or more
2008
% survey sample
4%
SBPCT
HOBtPCT
BENPCT
West Midlands
England
Data Source
23%
NHS Information Centre
5%
Tellus Survey
Not available Schoolchildren drinking in 4 weeks prior to reporting
2008
% survey sample
10%
16%
Tellus Survey
Schoolchildren misusing drugs (year 8 and 10 only)
2008
% survey sample
8%
11%
Tellus Survey
Children's tooth decay at 5 years
2005/2006
% tested sample
Not available
26.9%
33.3%
BASCD British
Teenage pregnancy (Under 18)
2004/6
45.7
41.2
Teenage Pregnancy Unit, BCC
8.7
7.7
Teenage Pregnancy Unit, BCC
Teenage pregnancy (Under 16)
2004/6
CR, per 1,000 females aged under 18 CR, per 1,000 females aged under 16
21.1%
33.1%
28.5%
53.2 Not available 9.0
Immunised by 2nd birthday (DTaP/IPV/Hib)
2007/2008
% 2-year-old babies
Not available
95%
95%
93%
96%
94%
NHS Information Centre
Immunised by 2nd birthday (MenC)
2007/2008
% 2-year-old babies
Not available
97%
96%
95%
96%
95%
NHS Information Centre
Immunised by 2nd birthday (MMR)
2007/2008
% 2-year-old babies
Not available
85%
93%
86%
88%
85%
NHS Information Centre
"Looked after" children (Numbers of Children)
2007/2008
CR, per 10,000 children under 18
68
74
73
60
Not available
51
2003/5
% population
24.9%
24.9%
24.9%
24.9%
24.0%
24.1%
NatCen
2007/08
% smokers receiving the NHS stop smoking services
48.5%
46.7%
47.3%
50.3%
Not available
52.0%
Birmingham PCTs
Binge drinking adults
2003/ 2005
% population
17.8%
17.8%
17.8%
17.8%
17.9%
18.0%
NatCen
Healthy eating adults
2003/ 2005
% population
25.1%
25.1%
25.1%
25.1%
25.1%
26.3%
NatCen
2007/8
% population
16.9%
19.1%
21.3%
Active people survey, Sports England
2003/ 2005
% population
23.4%
26.5%
23.6%
NatCen
BCC Social Care Department
Adults' Health and Lifestyle Adults who smoke Smoking cessation (4 - week quitters)
Physically active adults Obese adults
Page 3 of 7
Not available 23.4%
23.4%
23.4%
Snapshot of Health and Wellbeing in Birmingham LA and PCTs Indicator
SBPCT
HOBtPCT
BENPCT
West Midlands
Year
Measure
Birmingham
England
Data Source
Children self-assessed neither in "good" nor "very good" health
2008
% survey sample
13%
Self-reported limiting longstanding illness
2002
% population
19.7%
18.1%
19.7%
20.1%
18.9%
17.9%
ONS, 2001 Census
Cancer incidence (excluding nmsc)
2003/2005
SR, per 100,000
387.3
402.65
361.83
387
370.76
371.42
NCHOD
Cancer incidence (excluding nmsc) - females
2003/2005
SR, per 100,000
345.42
366.29
303.12
348.15
347.08
350.61
NCHOD
Cancer incidence (excluding nmsc) - males
2003/2005
SR, per 100,000
447.11
459.61
434.74
443.48
409.76
407.35
NCHOD
Cancer incidence: Lung - females
2003/2005
SR, per 100,000
38.83
41.32
32.01
40.15
31.29
34.75
NCHOD
Cancer incidence: Lung - males
2003/2005
SR, per 100,000
72.45
72.38
68.56
74.23
60.92
60.85
NCHOD
Cancer incidence: Breast - females
2003/2005
SR, per 100,000
114.54
123.83
94.45
116.13
124.05
123.37
NCHOD
Cancer incidence: Prostate - males
2003/2005
SR, per 100,000
120.43
122.97
117.44
119.26
103.62
97.99
NCHOD
Cancer incidence: Colorectal - females
2003/2005
SR, per 100,000
34.05
33.87
25.5
38.25
36.06
36.15
NCHOD
Cancer incidence: Colorectal - males
2003/2005
SR, per 100,000
58.81
62.05
55.53
58.05
60.84
56.25
NCHOD
Hospital admissions: Circulatory diseases
2007/2008
SR, per 100,000
1,358
1,204
1,769
1,282
1,411
HES, PHIT calculation
Hospital admissions: Respiratory diseases
2007/2008
SR, per 100,000
1,460
1,216
1,669
1,514
1,285
HES, PHIT calculation
Hospital admissions: Intentional self harm
2007/2008
SR, per 100,000
231
287
229
185
184
HES, PHIT calculation
Hospital admissions: Older people, hip fracture
2007/2008
609
655
585
577
553
HES, PHIT calculation
Emergency hospital admissions: Older people, hip fracture (per 1,000)
2007/2008
553
564
494
567
486
HES, PHIT calculation
2.52%
2.94%
2.40%
2.09%
Disease and poor health
Mental ill health - adult females (in patient)
2007/08
SR, per 100,000 population aged 65 and over SR, per 100,000 population aged 65 and over % females aged 18 and over
Not Available
11%
Not available
Not available Mental ill health - adult males (in patient)
2007/09
% males aged 18 and over
2.26%
Page 4 of 7
2.24%
2.12%
2.53%
Tell us survey
Birmingham and Solihull Mental Health Trust Birmingham and Solihull Mental Health Trust
Snapshot of Health and Wellbeing in Birmingham LA and PCTs Indicator Hospital admissions: alcohol related harm Drug misuse
Year
Measure
Birmingham
SBPCT
HOBtPCT
BENPCT
West Midlands
England
2006/07
SR, per 100,000
1768
1712
2469
1461
1451
1473
North West Public Health Observatory
2008
CR, per 100,000
618
384
372
Bham DAAT Team
343
316
Bham DAAT Team
Data Source
Not available Drug misuse treatment (in structured treatment)
2008
CR, per 100,000
547
People registered as Diabetic on QOF register
2007/08
% QOF population
4.4%
3.8%
4.9%
4.3%
4.2%
3.9%
QOF
2006
CR, per 100,000
56.17
40.14
97.44
40.71
41.53
33.67
HPA
2006
CR, per 100,000
145.96
132.04
217.31
108.05
186.84
209.74
HPA
2007
CR, per 1,000,000
1387
1091
2437
955
726
1217
HPA. SOPHID data
2007/08
% population aged 65 and over
Not available
72%
80%
72%
72%
74%
Birmingham PCTs
Incapacity benefits for mental illness as a percentage of total incapacity benefits claimants
2008
%
43.7%
40.4%
41.9%
New cases of tuberculosis
2008
CR, per 100,000
42.4
16.3
89.8
32.1
19.1
15.7
Life expectancy at birth - females
2005/07
Years
80.76
81.62
80.13
80.44
81.40
81.81
ONS
Life expectancy at birth - males
2005/07
Years
75.58
76.32
73.65
76.01
76.87
77.65
ONS
Life expectancy at age 65 - females
2005/07
Years
19.75
20.09
19.64
19.54
19.90
20.00
ONS
Life expectancy at age 65 - males
2005/07
Years
16.60
16.85
16.01
16.68
17.10
17.30
ONS
2001
Years
13.3
12.3
14.7
ONS, 2001 Census
14.3
12.7
ONS, 2001 Census
Sexually transmitted infections - Gonorrhoea incidence Sexually transmitted infections - Chlamydia incidence All diagnoses of HIV infected individuals aged 15 and over Flu vaccinations at ages 65 and over
Not available
Birmingham Economic Partnership HPA, provisional data for the PCTs
Life expectancy and causes of death
Healthy life expectancy at age 65 - females
Not available Healthy life expectancy at age 65 - males
2001
Years
11.1
Deaths: All causes - all ages
2005/07
SR, per 100,000
670.47
634.41
736.77
666.87
622.82
594.73
NCHOD
Deaths: All causes - aged under 15
2005/07
SR, per 100,000
78.38
58.99
90.07
82.89
61.24
50.19
NCHOD
Page 5 of 7
Snapshot of Health and Wellbeing in Birmingham LA and PCTs Year
Measure
Birmingham
SBPCT
HOBtPCT
BENPCT
West Midlands
England
2005/07
SR, per 100,000
278.1
253.73
346.65
266.28
239.38
224.37
Smoking attributable deaths
2007
SR, per 100,000 population aged 35 and over
267.1
249.8
282.9
273.6
Not available
217.2
Alcohol attributable deaths
2007
SR, per 100,000
16.4
14.8
19.9
16.0
Not available
11.9
Deaths: All circulatory diseases
2005/07
SR, per 100,000
216.82
202.81
247.12
214.46
200.19
193.25
NCHOD
Deaths: Coronary heart disease
2005/07
SR, per 100,000
113.13
104.07
132.08
111.63
96.95
95
NCHOD
Deaths: Stroke
2005/07
SR, per 100,000
55.84
54.49
59.04
55.51
54.41
50.02
NCHOD
Deaths: All cancers
2005/07
SR, per 100,000
187.07
183.98
189.45
188.3
179.01
175.55
NCHOD
Deaths: Lung cancer
2005/07
SR, per 100,000
46.44
41.24
46.38
50.89
38.16
38.49
NCHOD
Deaths: Breast cancer - females
2005/07
SR, per 100,000
24.97
26.24
23.3
24.6
27.68
27.45
NCHOD
Deaths: Prostate cancer - males
2005/07
SR, per 100,000
22.09
21.34
22.84
22.13
25.69
25.09
NCHOD
Deaths: Accidental injury
2005/07
SR, per 100,000
19.3
16.46
23.63
19.55
17.84
15.82
NCHOD
Deaths: Accidental injury - aged 75 and over
2005/07
SR, per 100,000
215.1
196.3
199.2
237.6
175.2
135.7
NCHOD
Deaths: Road accidents (All persons killed)
2005/07
SR, per 100,000
4.14
3.63
5.26
3.99
5.47
5.02
NCHOD
Infant deaths rate (i.e. death under 1 year)
2007
CR, per 1,000 live births
8.3
4.2
9.0
8.8
Indicator Deaths: All causes - aged 15 to 64
Perinatal deaths rate (i.e. death under 7 days and still births)
2007
CR, per 1,000 live and still births
5 Not available
12.0
Page 6 of 7
11.0
13.0
13.0
8
Data Source NCHOD PHIT calculation based on death registration PHIT calculation based on death registration
PHIT calculation based on birth registration PHIT calculation based on birth registration
Snapshot of Health and Wellbeing in Birmingham LA and PCTs Indicator
Year
Measure
Birmingham
Notes: SR: Age standardized rate CR: Crude rate Data sources abbreviations: BASCD: British Association for the Study of Community Dentistry BCC: Birmingham City Council BDAAT: Birmingham Drug and Alcohol Action Team HES: Hospital Episode Statistics HPA: Health Protection Agency NatCen: National Centre for Social Research NCHOD: National Centre for Health Outcomes Development ONS: Office of National Statistics PCT: Primary Care trust PHIT: Public Health Information Team QOF: Quality Outcome Framework
Page 7 of 7
SBPCT
HOBtPCT
BENPCT
West Midlands
England
Data Source