StillbirthsInfantDeathsandSociaDeprivation

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Stillbirths, Infant Deaths and Social Deprivation West Midlands 1997-2007/8 (Chapter 13)

Andre Francis – Statistician Abdel Elsheikh – Data Analyst Professor Jason Gardosi - Director West Midlands Perinatal Institute Tel: 0121 687 3500 Email: jason.gardosi@pi.nhs.uk

West Midlands Key Health Data 2008/9 UNIVERSITYof BIRMINGHAM Public Health, Epidemiology and Biostatistics Unit School of Health and Population Sciences

In collaboration with: Health Protection Agency NHS West Midlands Sandwell Primary Care Trust West Midlands Cancer Intelligence Unit West Midlands Perinatal Institute West Midlands Public Health Observatory

September 2009 Report Number 64


West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

STILLBIRTHS, INFANT DEATHS AND SOCIAL DEPRIVATION WEST MIDLANDS 1997– 2007/8 13.1 Introduction The Perinatal Institute provides analyses of stillbirth and perinatal / infant mortality rates for each PCT and Acute Trusts in the West Midlands (WM), as well as neonatal activity and mortality reports to neonatal networks and units. Here, we present an update and overview of mortality trends for the region and compare them with national data where available. We also present mortality within the context of the high rates of social deprivation in the West Midlands. To ensure that this report is as up to date as possible, we include the latest available provisional data, up to 2008 for stillbirths and 2007 for infant deaths. More detailed analysis of underlying causes will be possible in 2010 with baseline data on all maternities collected from 2009 as part of WM NHS Investing for Health initiative. DEFINITIONS Stillbirth: A child born from 24 weeks of pregnancy which did not, at any time after being completely expelled from its mother, breathe or show any other signs of life. Neonatal death: Death within 28 days following live birth; Early neonatal = first week i.e. day 0 to day 6 incl. Late neonatal = from day 7 to 28. Perinatal death: Fetal death from 24 weeks gestation and neonatal death before day 7 Infant death: Death in the first year following live birth (includes early, late and post-neonatal period). Corrected rates (also referred to as ‘adjusted’ rates) - obtained after exclusion of congenital anomalies and births <22 weeks gestation and/or <500g weight

13.2 Births Table 13.1: Births in West Midlands and England & Wales (E&W), 1997-2007/8 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

West Midlands

67,062

65,380

63,852

61,827

61,153

61,417

64,079

66,285

66,351

68,063

70,457

73,454

England & Wales

645,532

639,318

624,862

607,304

597,506

599,279

624,816

643,026

649,094

672,966

693,356

NA*

*Not Available

Figure 13.1: Births in West Midlands and England & Wales, 1997-2007/8 Births 1997-2008 England & Wales and West Midlands

E&W (x1000)

WM (x1000)

800

80

700

70

600

60

500

50

400

40

300

30

200

20 England & Wales West Midlands

100

10

0

0 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

There has been a year-on-year increase since 2002 in birth rates in England & Wales. This is mirrored closely in the West Midlands, where the rise has continued in 2008.

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

13.3 Stillbirths Table 13.2 and Figure 13.2 show the stillbirth rates for the West Midlands (WM) and England & Wales (E&W), overall as well as ‘corrected’ after exclusion of congenital anomalies and stillbirths <500g weight. (National corrected/‘adjusted’ rates are based on recent CEMACH reports 1 Table 13.2: Stillbirth rates (per 1000) in West Midlands (WM) and England and Wales (E&W), 1997-2008 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

WM WM corrected

5.5

5.6

6.4

5.7

5.6

6.4

6.2

5.8

6.1

5.7

5.6

5.4

4.2

4.2

4.7

4.5

4.2

4.6

4.4

4.2

4.7

3.9

4.0

3.6

E&W England corrected

5.3

5.3

5.3

5.2

5.3

5.6

5.7

5.5

5.4

5.3

5.2

NA*

NA

NA

NA

NA

NA

NA

NA

NA

4.1

4.1

3.9

NA*

*Not Available

Figure 13.2: Stillbirth rates in West Midlands and England & Wales, 1997-2008 Stillbirth rates 1997-2008

Rate/1000 7.0

6.0

5.0

4.0

3.0 West Mids 2.0

West Mids - Corr England & Wales

1.0

England - Corr

0.0 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

There appears to be a drop in overall stillbirth rates in the West Midlands and England and Wales in recent years. However they are similar to the rates recorded in 1997. While the overall West Midlands stillbirth rate continues to be higher than in England & Wales, the corrected rate appears to be similar to those available for England and Wales (2005-7), with the 2008 WM data suggesting a further drop.

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

13.4 Neonatal Deaths In addition to Infant Deaths (Section, 13.5), we also include here the trend in neonatal deaths (birth to day 28) as CEMACH reports do not include infant mortality rates 1. The following table and figure compare regional and national data, including corrected/adjusted rates (i.e. after exclusion of congenital anomalies and births <22 weeks gestation and/or <500g weight).

Table 13.3: Neonatal death (rates/1000), West Midlands and England & Wales, 1997-2008 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

WM

5.0

4.8

4.8

5.0

4.4

4.8

5.2

4.8

4.9

4.7

4.5

4.1

WM corrected

2.8

2.7

2.6

3.0

2.4

2.6

2.7

2.5

2.6

2.4

2.4

2.0

E&W

3.9

3.8

3.9

3.8

3.6

3.6

3.6

3.5

3.4

3.5

3.3

NA*

2.1

2.3

2.0

NA*

England corrected

*Not Available

Figure 13.3: Neonatal deaths (rates/1000) West Midlands and England and Wales, 1997-2008 Neonatal death rates 1997-2008

Rate/1000 6.0

5.0

4.0

3.0

West Mids

2.0

West Mids - Corr England & Wales 1.0

England - Corr

0.0 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

Neonatal mortality rates in the West Midlands are substantially higher than those reported for England and Wales. There is a consistent downward trend in the national rate that appears to be mirrored in the West Midlands since 2005. For corrected rates, the gap is much smaller between the national and regional figures

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

13.5 Infant Deaths Table 13.4 and Figure 13.4 show infant rates for the West Midlands and England & Wales. Corrected rates (after exclusion of congenital anomalies and births <22 weeks gestation and/or <500g weight) are also shown for the West Midlands. (No national data on corrected infant deaths are available for comparison).

Table 13.4: Infant mortality (rates /1000) in West Midlands (WM) and England and Wales (E&W), 1997-2007 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

WM

7.1

6.6

7.0

6.8

6.4

6.7

7.5

6.4

6.4

6.0

5.7

WM corrected

4.0

3.7

4.1

4.2

3.6

3.9

4.3

3.6

3.5

2.9

2.9

E& W

6.0

5.7

5.8

5.6

5.4

5.3

5.3

5.1

5.0

5.0

4.8

Figure 13.4: Infant mortality (rates/1000) West Midlands (WM) and England and Wales (E&W), 1997-2007 Infant death rates 1997-2007

Rate/1000

8.0 7.0 6.0 5.0 4.0 3.0 West Mids

2.0

West Mids - Corr 1.0

England & Wales

0.0 1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

There is a continuing drop in overall infant mortality rates in England and Wales, which is reflected in the West Midlands. While the West Midlands infant mortality continues to be higher than the national rate, about 50% are due to congenital anomalies and pre-viable births, with the corrected rate currently running below 3/1000.

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

13.6 Classification of Deaths Stillbirths The figures below show the main categories of stillbirths according to ReCoDe classification 2, for all stillbirths and after correction by excluding congenital anomalies and stillbirths <500g.

Figure 13.5: Stillbirths classified by ReCoDe, West Midlands 2003-2008 West Midlands stillbirths 2003-2008 RECODE classification Congenital Anomalies 16.7%

Unclassified 16.9%

Infection 2.6%

Misc. 6.6% Intrapartum Asphyxia 2.3% Mother 2.4% Placenta 7.9%

Fetal Grow th Restriction 41.2%

Umbilical cord 3.3%

Figure 13.6: Corrected’ stillbirths, West Midlands 2003-2008 West Midlands stillbirths 2003-2008 (corrected) Infection 3.4% Unclassified 22.1%

Misc. 7.3%

Fetal Grow th Restriction 45.6%

Intrapartum Asphyxia 3.1% Mother 3.1% Placenta 10.7% Umbilical cord 4.7%

The main categories of stillbirths are shown. Fetal growth restriction (defined as birthweight <10th customised centile) remains the single largest category (41%). This proportion increases to 46% after exclusion of congenital anomalies and stillbirths <500g, highlighting the importance of ongoing efforts to improve antenatal detection of fetal growth restriction. Further analysis of stillbirths with congenital anomalies is presented in chapter 14.

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

Infant Deaths The figures below show the main categories of infant deaths according to the Fetal and Neonatal Classification 3 for all deaths as well as ‘corrected’, i.e. by excluding congenital anomalies and births <22 weeks and/or <500g. Figure 13.7: Infant Deaths by Fetal and Neonatal Classification, West Midlands 2003-2007 West Midlands infant deaths 2003-2007

Injury 0.9%

Other 8.3%

Unclassified 3.4% Congenital Anomalies 26.8%

SUDI 5.6% Neurological 5.5% Infection 6.6% Gastro-Intestinal 3.7%

Extreme Prematurity 14.2%

Respiratory 24.9%

Figure 13.8: ‘Corrected’ Infant Deaths, West Midlands 2003-2007 West Midlands infant deaths 2003-2007 (corrected)

Extreme Prematurity 3.7%

Other 17.0% Injury 0.4%

SUDI 10.4%

Respiratory 38.8%

Neurological 11.2%

Infection 12.0%

Gastro-intestinal 6.7%

The main categories of infant deaths are congenital anomalies, respiratory and extreme prematurity related deaths. Of the ‘corrected’ deaths, the (prematurity associated) respiratory conditions make the largest contribution (39%). The Institute is currently working on a new infant death classification system, which can also take the antecedent factors into consideration. Further analysis of infant deaths with congenital anomalies is presented in chapter 14.

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

13.7 Post-mortems The Perinatal Institute collects information about post-mortems for stillbirths and infant deaths, and whether they were offered and accepted or declined. Post-mortems are an important means of establishing cause of death. Rates have been falling over the past decade and we know from previous analyses that uptake varies around ethnic groups 4. In the Figures below, we present the overall proportions of post-mortems offered (top line), declined or performed, for the overall population as well as for the three main ethnic groups in the West Midlands. To avoid variation due to small numbers within subgroups, the data are presented as 3-year moving averages. Figure 13.9: Stillbirths with post-mortem 1997-2008 West Midla nds stillbirth post mortems All ethnicities, 1997-2008

Per ce ntage

West Midla nds stillbirth post mortems Africa n-Caribbean, 1997-2008

Per ce ntage

PM dec lined

100

PM dec lined

100

PM performed

PM per formed 90

90

80

80

70

70

60

60

50

50

40

40

30

30

20

20

10

10 0 97-99

0 97-99

98-00

99-01

00-02

01-03

02-04

03-05

04-06

05-07

06-08

West Midla nds stillbirth post mortems European, 1997-2008

Per ce ntage

98-00

PM dec lined

00-02

01-03

02-04

03-05

04-06

PM performed

90

90

80

80

70

70

60

60

50

50

40

40

30

30

20

20

10

10

98-00

99-01

00-02

01-03

02-04

03-05

04-06

05-07

06- 08

PM dec lined

100

PM performed

0 97-99

05-07

West Midla nds stillbirth post mortems South Asian 1997-2008

Per ce ntage

100

99-01

0 97-99

06- 08

98-00

99-01

00-02

01-03

02-04

03-05

04-06

05-07

The overall rate of post-mortems for stillbirths for 2006-8 is 40%, which has dropped from 55% in 1997-9. The overall number of ‘offers’/consents sought for post-mortems has decreased since 2004. South Asians have the lowest post-mortem rate. There has also been a recent sharp drop in the rate of offers of post-mortems in this group.

159

06- 08


West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

Figure 13.10: Infant deaths with post-mortem, 1997-2007 West Midlands infa nt death post mortems All ethnici ties, 1997-2007

Per ce ntage

PM dec lined

100

West Midlands infant death post mortems African-Caribbe an, 1997-2007

Per ce ntage

PM dec lined

100

PM performed

PM performed

90

90

80

80

70

70

60

60

50

50

40

40

30

30

20

20

10

10

0 97-99

98-00

99-01

00-02

01-03

02-04

03-05

04-06

West Midlands infant death post mortems European, 1997-2007

Per ce ntage

0 97-99

05- 07

99-01

00-02

01-03

02-04

03-05

PM performed

90

90

80

80

70

70

60

60

50

50

40

40

30

30

20

20

10

10

98-00

99-01

00-02

01-03

02-04

03-05

04-06

05-07

PM dec lined

100

PM performed

0 97-99

04-06

West Midlands infant death post mortems South Asian, 1997-2007

Per ce ntage PM dec lined

100

98-00

0 97-99

05-07

98-00

99-01

00-02

01-03

02-04

03-05

04-06

05-07

The rate of post-mortems for infant deaths is lower than those carried out for stillbirths. In part, this appears to be associated with a low ‘offer’ rate, which has dropped to less than 60% in all subgroups. The rate of post-mortems for infant deaths was 24% for 2005-7, which has dropped from 37% in 1997-9. There is a higher decline rate, but there also appears to be a drop in the rate of consent sought in recent years, overall and within each subgroup. As for stillbirths, the lowest post-mortem uptake for infant deaths is in the South Asian group, This is in part due to a high ‘decline’ rate. Together, these trends highlight the need for the service to ensure that the appropriate, trained members of staff make every effort to offer and explain to the bereaved parents the value of a post-mortem in the case of a stillbirth or infant death.

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

13.8 Social Deprivation The following tables show 3 year moving averages for mortality rates by deprivation, using an area-based score (Index of Multiple Deprivation, IMD 2007). Comparisons are made between the most deprived quintile (Q5) and the other quintiles (Q1-4) in the West Midlands, as well as the available national mortality rates.

Table 13.5: Stillbirth by IMD Quintile: 3-year moving average

West Midlands IMD Q5 IMD 1-4 England & Wales

97-99 5.8 6.9 5.2 5.3

98-00 5.9 6.9 5.3 5.3

99-01 5.9 7.0 5.3 5.2

00-02 5.9 7.0 5.2 5.4

01-03 6.0 7.6 5.1 5.5

02-04 6.1 7.9 4.9 5.6

03-05 6.0 7.8 4.8 5.5

04-06 5.9 7.3 4.9 5.4

05-07 5.8 7.2 4.9 5.3

06-08 5.6 7.0 4.6 NA

Table 13.6: Perinatal Mortality by IMD Quintile: 3-year moving average

West Midlands IMD Q5 IMD Q1-4 England & Wales

97-99 9.8 11.6

98-00 9.8 11.6

99-01 9.7 11.9

00-02 9.7 12.2

01-03 9.9 13.0

02-04 10.0 13.4

03-05 10.0 13.4

04-06 9.7 12.4

05-07 9.6 12.1

06-08 9.1 11.5

8.7 8.3

8.7 8.2

8.4 8.1

8.1 8.1

7.9 8.2

7.8 8.3

7.9 8.2

8.0 8.0

8.0 7.9

7.6 NA

Table 13.7: Infant Mortality by IMD Quintile: 3-year moving average

West Midlands

97-99 6.9

98-00 6.8

99-01 6.8

00-02 6.6

01-03 6.9

02-04 6.8

03-05 6.7

04-06 6.3

05-07 6.0

IMD Q5

8.9

8.9

9.1

9.4

9.8

9.6

9.2

8.2

7.7

5.7 5.8

5.6 5.7

5.3 5.6

4.9 5.4

5.0 5.3

5.1 5.2

5.1 5.1

5.0 5.0

4.9 4.9

IMD Q1-4 England & Wales

In each category, mortality rates are consistently higher in WM than in England and Wales. This is mainly due to the elevated mortality rates in Q5, while rates in Q1-4 are similar or below the overall national average (NB: similar breakdown of national data is not available for comparison). Q5 mortality rates are consistently higher in each mortality category, with no evidence of reduction in the gap since 1997-9. For the last triennium, the ratio of Q5 to Q1-4 was Stillbirths: Infant deaths:

OR 1.5 (CI 1.4-1.7) OR 1.6 (CI 1.4-1.8)

In the following Figures 13.11 and 13.12, average stillbirth and infant mortality rates are plotted against the IMD (2007) scores for the 17 West Midlands PCTs.

161


West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

Figure 13.11: Deprivation and stillbirth in West Midlands PCTs, 2003-2008 Deprivation and s tillbirt h (r=0.82) We s t Midlands PCTs , 2003-2008 9.0 8.0

Stillbirt h rate rate ( /000)

7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 0

10

20

30

40

50

60

70

60

70

IMD 2007 deprivation s core

Figure 13.12: Deprivation and infant deaths in West Midlands PCTs, 2003-2007 De privat ion and infant m ortalit y (r=0.89) in We st Midlands PCTs, 2003- 2007 12.0

Perinatal mortality rat e (/000)

10.0

8.0

6.0

4.0

2.0

0.0 0

10

20

30

40

50

IMD 2007 de privation s core

The graphs show a strong correlation between PCTs’ IMD scores and their respective stillbirth and infant mortality rates. For stillbirths, the correlation was R = 0.82, p < 0.01 and for infant deaths R = 0.89, p< 0.01. This association highlights the importance of the public health role in efforts to reduce perinatal and infant mortality. More in depth assessment will be possible after the availability of baseline maternity information from the regional data collection commenced in 2009. The Perinatal Institute provides mortality reports to each WM PCT which include stillbirth and perinatal / infant mortality analyses, put in the context of the background level of deprivation.

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West Midlands Key Health Data - Chapter 13: Stillbirths, Infant Deaths and Social Deprivation, WM 1997-2007/8

References 1. Confidential Enquiry into Maternal and Child Health (CEMACH) Perinatal Mortality 2007: UK. CEMACH, London 2009 2. Gardosi et al. Classification of stillbirths by relevant conditions at death BMJ 2005 331:1113-7. 3. Hey et al. Classifying perinatal death: fetal and neonatal factors. BJOG 1986;93:1213-23. 4. Perinatal Update 2006: Perinatal Institute, www.pi.nhs.uk/pnm/Update2006.pdf

Data Sources • • • • •

WM Perinatal Death Notification; ONS VS Tables; CEMACH 2005-7 Reports; ADBE; IMD 2007 (DPM); Births: Annual Birth Extract (ONS) & WM unit data for 2008.

163


13.9 Reference Table The table lists data for each Primary Care Trust (PCT), Local Authority (LA) and Ward in the West Midlands. It shows the average score of the 2007 Index of Multiple Deprivation (IMD, weighted according to number of births and households, proportion of births in most deprived areas (Quintile 5), average annual births between 1997-2007, and births in 2007. Number of stillbirths and infant deaths are given for each PCT, LA and Ward from 2003. Rates (per thousand) for perinatal deaths, stillbirths and infant deaths are presented for LAs and PCTs but not for Wards because of small numbers.NB stillbirth rates for 2008 and infant death rates for 2007 are provisional. BIRTHS

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

97- 02

Rates 03- 07

2008

IMD Score

STILLBIRTH 97- 02

Rates 03- 07

2008

2003

2004

INFANT DEATH Numbers 2005 2006

2007

2008

97- 02

Rates 03- 07

2007

2003

Numbers 2004 2005 2006

2007

WEST MIDLANDS

29.9

39

65,084

70,457

9.8

9.8

8.7

5.9

5.9

5.4

395

383

405

391

397

395

6.8

6.4

5.7

476

419

422

406

400

Birmingham LA (BEN, HoB, South)

44.7

70

15,378

17,092

11.9

13.1

10.6

7.0

7.8

6.7

140

133

115

113

129

120

8.8

8.6

7.4

174

124

132

135

125

Birmingham East and North PCT Acocks Green Bordesley Green Erdington Hodge Hill Kingstanding Shard End Sheldon South Yardley Stechford and Yardley North Stockland Green Sutton Four Oaks Sutton New Hall Sutton Trinity Sutton Vesey Tyburn Washwood Heath

45.1 40.5 54.6 41.4 46.2 55.9 51.9 34.7 46.5 45.4 42.6 10.5 13.0 19.5 13.5 46.2 65.1

73 71 100 56 69 96 96 44 81 82 85 0 0 11 0 79 100

6,022 399 791 303 392 347 381 249 470 355 303 197 213 238 209 311 864

6,781 488 856 330 460 399 414 237 557 440 365 240 223 262 231 397 882

11.7

13.6

12.2

6.8

8.3

7.2

64 3 14 2 4 4 1 4 5 5 2 2 3 1 0 4 10

51 3 12 0 4 2 4 0 9 1 2 0 1 2 1 2 8

45 7 9 1 2 1 2 2 3 0 0 0 1 1 0 2 14

53 1 9 4 7 1 1 2 9 2 2 0 1 2 2 1 9

52 3 12 1 1 2 5 0 7 4 2 1 2 2 0 1 9

51 6 6 2 2 2 4 1 4 5 1 0 1 1 1 4 11

9.0

8.4

7.9

68 3 13 2 5 4 6 3 4 2 6 2 0 0 1 3 14

46 5 10 3 1 4 2 3 2 1 2 0 1 2 1 1 8

47 3 8 2 3 0 6 2 3 0 2 2 1 1 2 4 8

52 3 6 1 6 3 2 3 3 4 4 0 3 2 0 4 8

53 4 10 2 3 2 4 2 5 4 2 1 0 1 0 4 9

Heart of Birmingham Teaching PCT Aston Handsworth Wood Ladywood Lozells and East Handsworth Nechells Oscott Perry Barr Soho Sparkbrook Springfield

52.8 57.6 35.8 53.5 59.2 62.7 29.0 30.5 56.4 60.9 47.6

86 100 56 84 100 94 30 23 97 100 91

5,241 709 353 244 697 656 296 306 560 805 615

5,710 769 401 296 733 724 343 324 607 830 683

13.3

14.4

9.4

7.8

8.5

5.9

51 5 2 3 6 8 3 2 8 10 4

55 7 2 3 5 12 1 3 7 8 7

49 7 0 4 9 6 2 5 7 7 2

34 1 3 1 7 2 1 0 4 6 9

46 7 3 4 3 10 1 3 6 6 3

35 4 1 4 3 2 0 4 6 5 6

10.0

10.1

8.7

69 8 7 5 8 9 2 4 7 9 10

53 7 3 1 8 7 0 3 7 9 8

53 9 5 3 7 10 1 2 3 9 4

52 6 6 1 8 8 3 0 3 10 7

49 6 4 2 7 8 2 1 6 7 6

South Birmingham PCT Bartley Green Billesley Bournville Brandwood Edgbaston Hall Green Harborne Kings Norton Longbridge Moseley and Kings Heath Northfield Quinton Selly Oak Weoley

34.1 40.3 38.4 27.7 37.0 30.0 21.6 24.7 43.3 38.0 35.3 32.0 35.3 21.1 40.8

45 65 74 25 47 32 9 14 57 61 44 33 49 4 72

4,115 358 318 305 297 190 303 242 331 351 333 306 304 170 308

4,601 359 371 330 340 223 380 279 362 382 358 314 361 172 370

10.7

10.8

9.8

6.3

6.1

7.1

25 4 3 2 1 1 0 3 3 1 1 1 0 2 3

27 1 4 2 1 1 4 1 2 1 5 3 1 1 0

21 0 0 0 1 1 3 3 4 1 4 1 0 1 2

26 2 3 0 2 0 2 1 4 2 2 2 2 2 2

31 7 4 0 4 0 1 2 1 2 5 1 1 1 2

34 0 3 3 0 1 5 1 3 4 5 2 3 2 2

6.9

6.9

5.0

37 1 2 3 2 3 1 4 3 4 6 0 3 0 5

25 0 3 3 1 1 1 0 3 3 1 3 2 3 1

32 6 2 4 2 1 2 2 0 4 3 0 1 0 5

31 1 3 2 4 1 2 0 1 2 5 2 6 1 1

23 3 3 0 2 2 2 2 1 2 0 2 2 0 2

Coventry Teaching PCT/LA Bablake Binley and Willenhall Cheylesmore Earlsdon Foleshill Henley Holbrook Longford Lower Stoke Radford Sherbourne St Michael's Upper Stoke Wainbody Westwood Whoberley Woodlands Wyken

32.6 17.1 45.7 20.7 10.3 50.4 44.1 28.8 37.2 34.9 33.8 45.9 20.7 34.5 8.6 25.9 17.1 22.3 20.6

42 0 60 0 0 100 51 32 49 28 47 89 21 50 0 21 0 26 11

3,879 145 241 164 124 410 291 222 254 246 241 287 191 245 92 194 165 168 200

4,388 146 275 178 106 463 322 220 285 280 347 405 214 301 94 205 155 183 209

11.0

7.6

9.0

6.2

4.4

5.5

18 0 1 1 1 3 2 2 0 1 1 3 0 0 1 1 0 1 0

17 0 0 1 0 3 1 2 0 0 0 3 1 4 0 0 1 1 0

16 0 0 0 0 2 2 2 2 0 0 1 1 1 1 0 1 2 1

21 0 2 0 1 3 1 1 2 3 0 4 1 0 1 0 0 2 0

17 0 2 0 0 1 2 0 1 4 0 3 0 2 1 0 0 0 1

25 0 0 0 0 7 1 1 1 3 3 3 1 2 0 2 0 1 0

8.0

5.5

4.6

25 1 1 0 0 6 3 2 1 1 0 1 2 4 0 1 0 1 1

34 1 2 0 0 8 4 1 2 4 0 3 3 2 0 2 1 1 0

19 0 1 1 0 2 2 0 0 1 2 3 0 1 0 3 0 1 2

14 0 0 1 0 1 1 0 0 0 2 2 0 2 0 1 2 0 2

20 2 1 0 1 4 2 1 2 0 0 2 2 1 0 0 0 2 0

164


BIRTHS

IMD

PERINATAL DEATH

STILLBIRTH

INFANT DEATH

% in Q5

avg / yr 97-07

2007

97- 02

Rates 03- 07

2008

97- 02

Rates 03- 07

2008

2003

2004

27.2 15.3 26.7 34.7 35.5 40.4 28.8 28.8 24.1 22.7 12.1 18.9 9.6 13.5 29.7 38.4 11.7 17.7 29.6 32.5 43.5 18.6 27.0 19.7 14.3

31 9 22 61 48 65 16 18 27 18 1 17 0 0 27 61 0 22 29 58 72 0 17 12 0

3,525 156 154 203 171 216 153 183 129 139 85 98 103 97 181 195 95 100 156 175 247 95 134 127 134

3,608 169 166 197 145 219 155 188 119 149 95 118 94 95 183 211 104 112 174 179 262 90 141 122 121

8.8

8.5

8.8

6.1

5.9

6.6

21 1 0 2 2 0 1 2 0 0 0 0 0 1 1 1 1 0 0 1 7 0 0 0 1

18 0 1 2 1 1 1 1 0 1 0 0 0 0 0 1 0 0 1 3 1 0 2 0 2

28 1 2 2 0 3 2 2 1 0 0 0 1 0 3 2 0 0 1 2 4 0 1 0 1

Herefordshire PCT/LA Aylestone Backbury Belmont Bircher Bringsty Bromyard Burghill; Holmer and Lyde Castle Central Credenhill Frome Golden Cross with Weobley Golden Valley North Golden Valley South Hagley Hampton Court Hollington Hope End Kerne Bridge Kington Town Ledbury Leominster North Leominster South Llangarron Mortimer Old Gore Pembridge and Lyonshall with Titley Penyard Pontrilas Ross-on-Wye East Ross-on-Wye West St Martins and Hinton St Nicholas Stoney Street Sutton Walls Three Elms Tupsley Upton Valletts Wormsley Ridge

19.2 20.0 15.8 29.9 13.6 16.2 20.3 11.8 17.8 26.6 16.1 19.3 18.7 19.5 17.2 12.2 17.8 18.3 13.1 14.4 18.6 11.8 25.8 24.5 16.2 19.8 17.1 17.6 16.2 17.0 13.0 18.0 24.3 15.1 17.0 12.2 18.4 12.0 17.4 19.9 16.5

9 0 0 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0

1,708 52 25 169 17 21 57 23 21 29 34 34 25 21 24 35 20 16 37 27 30 95 70 55 26 29 24 26 26 25 35 61 146 67 23 27 116 68 22 28 20

1,825 76 29 175 13 15 59 30 24 43 29 30 27 14 22 33 31 19 32 27 39 98 61 68 29 25 17 22 28 22 40 69 187 79 26 28 126 68 19 30 16

7.1

6.9

3.7

4.9

4.8

1.1

5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0

5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1

North Staffordshire PCT Newcastle-under-Lyme LA Audley and Bignall End Bradwell Butt Lane Chesterton Clayton Cross Heath Halmerend

20.1 21.6 17.0 22.0 27.4 27.0 16.3 37.8 15.8

15 20 0 0 25 49 0 59 0

2,020 1,220 55 66 59 109 31 76 30

2,059 1,238 57 67 65 86 36 79 36

7.6 7.6

8.2 8.6

14.5 19.3

4.2 4.8

4.9 4.7

7.9 9.3

9 6 0 0 0 1 0 0 0

9 5 0 1 0 0 0 1 0

Score Dudley PCT/LA Amblecote Belle Vale Brierley Hill Brockmoor and Pensnett Castle and Priory Coseley East Cradley and Foxcote Gornal Halesowen North Halesowen South Hayley Green and Cradley South Kingswinford North and Wall Heath Kingswinford South Lye and Wollescote Netherton; Woodside and St Andrews Norton Pedmore and Stourbridge East Quarry Bank and Dudley Wood St James's St Thomas's Sedgley Upper Gornal and Woodsetton Wollaston and Stourbridge Town Wordsley

165

Numbers 2005 2006

2007

2008

97- 02

Rates 03- 07

2007

2003

Numbers 2004 2005 2006

19 1 0 1 0 1 0 4 0 0 0 1 2 0 1 1 1 0 0 1 3 0 1 0 1

18 0 0 1 0 0 0 0 2 1 0 2 0 0 1 0 1 0 2 2 1 1 2 1 1

25 1 1 0 1 6 1 0 2 0 2 0 0 0 0 3 1 0 1 1 2 0 1 1 1

5.6

5.0

3.9

15 0 0 0 1 0 1 1 2 0 0 0 0 3 1 1 1 1 0 0 0 0 0 1 2

12 0 0 0 0 2 1 0 0 1 0 0 0 0 0 2 1 1 1 1 2 0 0 0 0

21 1 1 0 1 1 3 2 1 1 0 2 1 0 0 1 0 0 2 1 1 0 1 0 1

25 3 0 2 3 3 1 0 0 3 0 0 0 0 2 0 0 0 3 0 4 0 1 0 0

14 0 1 2 0 0 1 1 0 0 0 1 0 0 2 1 0 0 1 1 3 0 0 0 0

7 0 0 1 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 0

12 0 0 1 0 0 1 0 0 1 0 2 0 0 0 0 0 0 0 0 1 0 0 2 0 2 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0

12 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 1 1 0 1 0 1 0 0

2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0

3.8

4.2

1.7

5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 0 0 0

8 0 0 1 1 0 0 0 0 0 1 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0

13 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 1 1 0 0 0 0 1 0 1 0 0 0 2 1 0 0 0

7 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 2 0 0 0 0

3 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0

14 7 0 0 0 1 1 0 0

12 6 2 0 0 1 0 0 0

6 5 0 0 0 2 0 1 0

17 12 0 1 2 1 0 0 0

5.2 5.0

4.9 5.9

8.3 11.4

11 7 0 1 1 1 0 0 0

9 6 0 0 0 1 0 0 0

7 6 0 0 0 4 0 0 0

5 3 0 0 1 0 0 0 0

17 14 2 0 1 1 1 0 1

2007


BIRTHS

IMD

Holditch Keele Kidsgrove Knutton and Silverdale Loggerheads and Whitmore Madeley May Bank Newchapel Porthill Ravenscliffe Seabridge Silverdale and Parksite Talke Thistleberry Town Westlands Wolstanton Staffordshire Moorlands LA Alton Biddulph East Biddulph Moor Biddulph North Biddulph South Biddulph West Cellarhead Cheadle North East Cheadle South East Cheadle West Checkley Cheddleton Churnet Dane Forsbrook Hamps Valley Horton Ipstones Leek East Leek North Leek South Leek West Manifold Werrington Sandwell PCT/LA Abbey Blackheath Bristnall Charlemont with Grove Vale Cradley Heath and Old Hill Friar Park Great Barr with Yew Tree Great Bridge Greets Green and Lyng Hateley Heath Langley Newton Old Warley Oldbury Princes End Rowley St Pauls Smethwick Soho and Victoria Tipton Green Tividale Wednesbury North Wednesbury South West Bromwich Central Shropshire PCT Bridgnorth LA Albrighton South Alveley Bridgnorth Castle Bridgnorth East Bridgnorth Morfe Bridgnorth West

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

33.2 5.0 19.7 38.3 11.3 11.9 11.4 15.6 15.1 15.8 13.1 28.8 23.1 20.9 29.0 8.1 18.7 17.4 11.2 29.3 9.1 9.0 15.2 18.0 9.8 24.4 18.0 15.1 10.6 13.3 18.1 22.8 12.8 12.5 13.8 16.0 19.4 29.3 21.6 12.6 19.9 8.1

71 0 22 72 0 0 0 0 0 0 0 52 0 0 33 0 0 6 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0

56 9 82 54 51 40 61 36 46 41 50 40 32 46 43 43 65 847 9 78 13 38 9 50 28 39 36 45 49 44 30 14 35 16 13 12 49 58 54 42 14 24

64 11 77 70 51 36 54 44 46 49 39 44 30 47 46 43 61 872 10 86 11 38 11 62 29 37 23 47 57 52 31 11 35 15 10 5 46 67 76 31 5 26

39.5 21.4 34.0 33.1 31.0 37.8 46.6 24.2 37.8 48.9 42.9 37.7 26.6 25.8 36.6 48.6 34.9 46.8 42.4 55.2 39.2 37.0 39.4 40.3 47.0

65 0 70 46 34 61 81 0 61 100 86 68 22 36 62 86 59 99 73 100 60 66 75 49 81

4,005 146 148 136 129 162 140 145 167 183 161 159 130 115 195 214 146 260 177 279 182 171 140 143 181

17.2 13.7 15.6 12.4 7.4 11.6 14.6 15.4

3 0 0 0 0 0 0 0

2,829 464 28 24 24 29 29 26

Score

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

INFANT DEATH Numbers 2005 2006

2003

2004

0 0 0 3 0 0 1 0 0 0 0 0 0 0 1 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0

0 0 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0

0 0 0 1 1 0 1 1 0 0 0 0 1 0 0 0 0 7 0 0 0 0 0 1 1 0 1 0 0 0 1 0 0 0 0 0 0 2 0 1 0 0

2007

2008

0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 6 0 2 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0

1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

2 0 2 0 1 0 0 0 0 0 1 0 0 0 1 0 1 5 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0

7.6

7.1

6.6

3.1

5.0

5.5

4,433 176 157 141 136 194 179 150 209 185 174 177 126 119 199 216 158 307 204 322 206 200 168 141 189

11.1

10.8

11.0

7.0

6.1

6.9

24 1 0 2 1 1 0 0 1 1 1 0 0 0 2 0 0 1 1 4 2 0 1 2 3

24 0 3 2 1 2 2 0 0 2 0 0 0 0 1 2 0 0 0 1 4 2 0 1 1

28 0 0 2 2 2 0 1 1 1 2 0 0 0 1 0 0 5 0 3 1 0 1 1 5

26 0 0 0 0 1 1 0 0 0 1 0 1 2 4 0 2 2 1 2 1 4 1 1 2

26 0 0 4 0 0 0 0 1 2 2 0 0 2 1 2 1 1 2 2 0 3 0 1 2

2,878 443 24 25 26 30 35 23

6.8 6.6

6.6 4.5

7.0 4.3

4.3 4.8

4.5 3.2

5.7 4.3

17 1 0 0 0 0 1 0

12 4 0 0 0 0 0 0

7 1 0 0 0 1 0 0

12 0 0 0 0 0 0 0

15 1 0 0 0 0 0 0

166

97- 02

Rates 03- 07

2007

2003

Numbers 2004 2005 2006

2007

1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1

0 0 3 0 0 0 0 0 1 0 0 0 0 1 0 0 0 3 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0

1 0 0 1 1 0 1 0 0 0 1 0 0 1 1 0 1 3 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

5.7

3.1

3.4

32 1 0 0 1 1 1 1 4 4 3 1 0 1 1 2 1 1 1 1 2 1 0 2 2

7.7

7.3

6.1

31 1 1 1 1 2 0 1 1 1 0 0 2 0 1 2 1 5 1 4 0 0 4 0 2

28 0 2 0 0 1 1 1 3 1 1 2 0 1 2 3 2 3 1 1 1 1 0 1 0

29 0 0 0 0 2 0 2 1 1 2 0 1 0 0 3 3 4 1 3 1 1 1 1 2

36 4 0 3 2 0 0 7 0 0 3 0 0 0 4 2 1 0 2 3 1 2 0 0 2

27 0 0 1 0 1 1 1 1 3 1 2 0 1 0 0 3 2 2 1 2 0 0 2 3

17 2 0 1 0 0 0 0

4.7 4.2

4.4 2.3

3.8 0.0

18 2 0 0 0 0 0 0

7 3 2 0 0 0 0 0

11 0 0 0 0 0 0 0

15 0 0 0 0 0 0 0

11 0 0 0 0 0 0 0


BIRTHS

IMD Score Broseley East Broseley West Claverley Ditton Priors Donington and Albrighton North Glazeley Harrington Highley Morville Much Wenlock Shifnal Idsall Shifnal Manor Shifnal Rural Stottesdon Worfield North Shropshire LA Baschurch Clive and Myddle Cockshutt Dudleston Heath Ellesmere and Welshampton Hinstock Hodnet Hordley;Tetchill and Lyneal Market Drayton East Market Drayton North Market Drayton South Prees Shavington Shawbury Sutton Wem East Wem Rural Wem West Whitchurch North Whitchurch Rural Whitchurch South Whitchurch West Whixhall Woore Oswestry LA Cabin Lane Carreg Llwyd Castle Gatacre Gobowen Kinnerley Llanyblodwel and Pant Maserfield Ruyton and West Felton St. Martin's Sweeney and Trefonen Weston Rhyn Whittington Shrewsbury and Atcham LA Bagley Battlefield and Heathgates Bayston Hill Belle Vue Bowbrook Castlefields and Quarry Column Condover Copthorne Hanwood and Longden Harlescott Haughmond and Attingham Lawley Meole Brace Monkmoor Montford Pimhill Porthill Rea Valley Rowton Severn Valley Sundorne

15.9 15.3 11.0 18.7 7.5 16.8 16.7 17.8 13.5 12.8 15.8 7.3 13.0 19.2 16.2 18.0 10.5 13.2 13.7 20.6 17.4 17.7 18.9 18.2 25.8 14.3 19.4 20.1 21.6 10.6 16.3 16.6 19.4 15.4 23.5 19.2 20.6 20.9 19.4 13.0 18.2 10.9 21.4 21.9 24.8 24.0 16.2 16.7 8.8 13.5 16.6 15.7 19.2 18.2 17.9 15.0 21.4 8.1 15.7 13.5 24.1 13.1 13.3 7.3 16.8 29.8 21.1 15.9 18.9 24.9 13.5 14.5 11.6 12.4 18.4 20.4 22.7

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 48 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 43 0 0 37 31 0 0 0 0 0 0 0

24 25 12 15 36 15 12 36 14 26 24 20 17 13 12 591 12 23 11 13 37 27 28 10 41 54 32 25 10 31 38 24 13 19 33 11 33 40 11 13 354 36 37 25 35 32 12 16 18 29 27 34 26 26 1,027 70 71 41 45 71 55 28 20 40 18 76 24 22 50 65 22 17 42 46 31 15 64

17 34 9 15 23 19 16 32 12 26 19 19 21 6 12 585 17 28 10 16 33 23 25 6 45 74 33 23 14 24 32 22 10 15 35 10 34 40 5 11 397 33 42 30 35 29 20 20 26 22 36 53 30 21 1,083 66 81 46 52 54 71 36 21 45 15 78 25 19 42 68 21 18 52 47 35 22 61

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

5.4

6.4

8.2

2.5

4.1

6.6

7.4

8.1

2.4

3.4

5.9

2.4

8.1

8.0

7.1

6.2

5.2

5.3

167

2003

2004

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 4 0 1 0 1 1 1 0 0 0 0 0 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0

1 0 0 0 2 0 0 1 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 0 3 0 0 0 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0

INFANT DEATH Numbers 2005 2006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 1 0 0 0 0 0 0 3 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 8 2 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0

2007

2008

0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 1 8 1 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0

0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 6 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1

97- 02

Rates 03- 07

2007

4.5

5.4

5.1

7.4

4.3

0.0

4.6

5.1

5.6

2003 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 1 3 0 0 0 1 0 0 0 1 0 0 0 0 0 3 0 1 0 0 2 0 0 0 0 0 0 0 0 6 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0

Numbers 2004 2005 2006 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 1 0 0 0 0 0 3 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 3 0 0 0 1 0 0 0 0 1 0 0 1 0 8 0 2 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1

2007 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 2 0 0 0


BIRTHS

IMD

Sutton and Reabrook Underdale South Shropshire LA Apedale Bishop's Castle with Onny Valley Bitterley with Stoke St Milborough Bucknell Burford Caynham with Ashford Chirbury Church Stretton North Church Stretton South Clee Cleobury Mortimer Clun Clun Forest Corve Valley Kemp Valley Ludlow Henley Ludlow St Laurence's Ludlow St Peter's Ludlow Sheet with Ludford Stokesay Upper Corvedale Wistanstow with Hopesay Worthen Cambrian Solihull PCT/LA Bickenhill Blythe Castle Bromwich Chelmsley Wood Dorridge and Hockley Heath Elmdon Kingshurst and Fordbridge Knowle Lyndon Meriden Olton St Alphege Shirley East Shirley South Shirley West Silhill Smith's Wood South Staffordshire PCT Cannock Chase LA Brereton and Ravenhill Cannock East Cannock North Cannock South Cannock West Etching Hill and The Heath Hagley Hawks Green Heath Hayes East and Wimblebury Hednesford Green Heath Hednesford North Hednesford South Norton Canes Rawnsley Western Springs East Staffordshire LA Abbey Anglesey Bagots Branston Brizlincote Burton Churnet Crown Eton Park Heath Horninglow Needwood

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

15.5 18.3 17.1 18.0 18.1 22.4 17.1 13.8 13.4 17.6 7.5 8.8 19.0 11.3 19.4 19.4 18.6 20.5 26.4 19.4 16.2 12.6 19.9 19.3 16.6 17.6 21.8

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

37 60 372 9 20 12 9 15 9 9 10 16 21 29 8 7 6 10 32 14 28 38 31 10 12 18 21

45 63 354 7 16 14 6 9 4 4 6 15 21 28 7 7 11 12 33 16 21 40 42 11 9 15 16

20.0 22.7 5.4 16.9 43.8 4.2 13.3 42.5 5.6 16.1 8.1 10.3 4.5 9.0 9.5 12.3 9.5 41.9

24 19 0 0 87 0 0 80 0 0 0 0 0 0 0 0 0 77

2,072 132 132 75 203 94 117 196 72 138 102 106 100 109 94 123 89 192

17.5 21.5 23.9 30.1 35.7 30.4 16.4 21.5 24.0 8.0 14.1 13.4 27.1 12.5 22.2 18.2 17.3 21.3 12.5 33.4 8.9 9.2 6.7 37.5 15.9 12.9 36.1 17.5 25.6 8.3

12 16 32 50 45 25 0 30 0 0 0 0 20 0 0 0 0 25 0 52 0 0 0 100 0 0 55 0 46 0

6,425 1,109 77 86 91 89 57 73 53 101 76 56 93 55 80 54 69 1,253 24 123 19 92 55 41 28 22 98 66 87 41

Score

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

INFANT DEATH Numbers 2005 2006

2003

2004

0

0

0

2007

2008

1

1

1

97- 02

Rates 03- 07

2007

2003

Numbers 2004 2005 2006

2007

1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0

0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0

5.6

4.5

13.6

2.6

3.4

10.9

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0

2 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0

4 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0

3.9

3.9

5.7

2,160 128 158 67 235 103 108 211 56 154 98 114 81 114 89 127 94 223

9.3

6.9

10.2

6.0

4.3

5.3

13 1 1 0 0 0 0 4 0 0 1 0 1 3 1 1 0 0

6 1 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 1

12 1 0 0 1 0 2 2 0 2 0 0 0 2 0 0 0 2

11 0 0 1 0 0 0 0 0 2 2 0 0 0 2 2 0 2

3 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0

12 0 0 1 0 0 1 1 0 2 0 0 0 1 0 3 0 3

4.7

4.4

4.6

6 0 0 0 0 0 0 2 0 1 0 0 0 1 0 0 1 1

9 0 0 0 2 0 0 2 0 1 0 1 0 1 0 1 0 1

10 0 0 0 1 1 0 0 0 2 0 4 0 1 0 1 0 0

10 2 1 2 0 1 0 0 1 2 0 0 0 0 1 0 0 0

10 0 0 0 2 1 0 2 0 0 0 0 0 0 0 3 0 2

6,914 1,126 76 88 85 91 71 60 63 92 94 61 91 51 88 43 72 1,405 28 162 17 91 45 57 28 19 114 70 107 34

9.2 8.9

8.9 8.6

6.9 0.9

5.8 5.9

4.9 4.3

4.2 0.0

5.1

5.1

8.9

37 5 1 0 0 0 0 0 0 0 0 0 2 1 0 0 1 8 0 2 0 0 0 1 0 0 1 0 0 1

33 7 0 1 0 0 1 0 0 0 2 0 2 1 0 0 0 8 1 1 0 1 0 1 0 1 1 0 0 0

30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 1 0 0 0 1 0 0 1 1 2 0

6.0 7.1

12.3

36 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 0 2 0 0 0 0 0 0 0 1 0 0

6.1 5.9

10.2

27 6 1 1 0 1 0 1 0 0 0 0 1 1 0 0 0 4 0 0 0 1 0 0 0 1 1 0 0 0

5.7 4.6

7.7

26 5 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 8 0 0 0 0 0 1 0 0 2 0 2 0

4.8

7.9

6.4

47 6 0 1 1 0 0 2 0 0 0 0 0 0 1 0 1 9 0 1 0 0 0 0 0 0 2 2 1 0

33 6 0 0 1 1 0 2 0 1 0 0 0 0 0 0 1 11 0 1 0 1 0 0 0 0 2 0 0 0

38 8 0 0 1 1 4 0 0 0 0 0 1 1 0 0 0 9 1 3 0 0 0 0 0 0 0 1 0 0

40 5 1 0 0 0 0 0 0 0 0 0 0 0 3 0 1 13 0 3 0 1 0 1 0 1 1 0 1 0

41 8 0 2 0 0 0 0 1 0 1 1 0 1 0 2 0 9 0 1 0 2 0 0 0 0 0 0 0 0

168


BIRTHS

IMD Score Rolleston on Dove Shobnall Stapenhill Stretton Town Tutbury and Outwoods Weaver Winshill Yoxall Lichfield LA All Saints Alrewas and Fradley Armitage with Handsacre Boley Park Boney Hay Bourne Vale Burntwood Central Chadsmead Chase Terrace Chasetown Colton and Mavesyn Ridware Curborough Fazeley Hammerwich Highfield King's Bromley Leomansley Little Aston Longdon Mease and Tame St John's Shenstone Stonnall Stowe Summerfield Whittington South Staffordshire LA Bilbrook Brewood and Coven Cheslyn Hay North and Saredon Cheslyn Hay South Codsall North Codsall South Essington Featherstone and Shareshill Great Wyrley Landywood Great Wyrley Town Himley and Swindon Huntington and Hatherton Kinver Pattingham and Patshull Penkridge North East and Acton Trus Penkridge South East Penkridge West Perton Dippons Perton East Perton Lakeside Trysull and Seisdon Wheaton Aston; Bishopswood and La Wombourne North and Lower Penn Wombourne South East Wombourne South West Stafford LA Barlaston and Oulton Baswich Chartley Church Eaton Common Coton Eccleshall Forebridge Fulford Gnosall and Woodseaves Haywood and Hixon Highfields and Western Downs Holmcroft Littleworth

6.5 36.6 32.1 9.3 11.0 11.2 13.5 23.2 7.6 13.0 8.6 8.1 12.3 5.2 17.9 15.9 9.6 26.9 9.2 24.4 12.8 21.9 19.1 11.0 6.5 9.3 9.4 5.3 8.9 10.8 7.7 10.6 7.9 14.8 17.9 7.5 12.5 14.2 10.7 13.4 9.3 10.2 5.7 18.8 17.6 15.7 15.6 14.6 23.2 9.6 6.8 10.4 8.8 11.9 8.0 2.5 9.4 10.8 12.1 7.8 7.0 16.9 14.2 15.4 3.2 8.7 10.6 17.1 15.6 11.7 19.6 12.7 9.5 7.3 25.1 18.5 13.9

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

0 60 40 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 30 0 0

29 99 86 79 79 53 20 95 19 943 31 59 63 46 32 17 28 51 57 37 14 54 49 22 34 13 56 20 10 32 40 27 14 43 56 40 940 40 47 39 43 34 26 44 60 49 47 11 62 46 16 22 49 19 18 23 73 14 31 48 25 55 1,223 26 31 12 17 55 71 51 47 37 59 54 90 74 63

51 119 115 73 74 57 15 107 22 1,016 26 78 55 37 28 11 18 51 54 43 16 48 60 24 53 14 106 20 9 31 67 21 9 44 57 36 925 57 49 36 36 41 31 43 48 42 44 11 66 47 12 23 49 15 13 29 58 16 32 53 27 47 1,426 35 28 9 20 74 98 55 60 50 65 50 93 96 74

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

8.2

7.8

9.4

4.0

4.9

4.7

10.1

8.1

1.0

6.8

4.8

1.0

9.5

10.2

6.7

5.2

5.8

4.0

169

2003

2004

0 1 1 0 0 0 0 0 1 2 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 5 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 5 0 0 0 0 0 1 0 0 1 0 0 1 0 1

0 0 0 0 0 1 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 2 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 2 6 0 0 0 1 0 0 0 0 0 0 0 1 1 0

INFANT DEATH Numbers 2005 2006 0 1 0 0 0 0 0 1 0 9 1 2 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 0 0 4 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 10 0 0 0 0 2 0 0 1 0 0 0 0 0 1

0 1 1 1 0 0 0 0 0 4 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 7 1 1 0 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 6 1 0 0 0 0 1 0 2 0 0 0 0 1 0

2007

2008

1 1 0 0 0 0 0 0 0 5 0 0 0 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 1 1 1 1 0 1 0 0 0 1 1 0 0 0

0 5 0 0 0 1 0 1 0 5 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 6 1 0 0 0 1 1 0 0 0 0 0 1 0 1

97- 02

Rates 03- 07

2007

6.8

6.0

3.0

5.8

4.6

5.4

6.4

6.0

6.4

2003 0 0 0 3 0 0 0 0 0 11 0 0 1 1 0 0 0 1 1 0 0 2 0 1 0 0 2 0 0 0 1 1 0 0 0 0 5 0 0 0 0 0 0 1 0 2 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 8 0 0 0 0 0 1 2 1 0 1 0 1 1 0

Numbers 2004 2005 2006 1 3 0 0 1 2 0 0 0 5 0 1 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 1 0 0 0 1 0 0 1 0 0

0 2 0 1 0 0 0 1 0 7 0 0 0 0 0 0 0 0 0 1 1 2 1 0 0 0 0 0 0 1 1 0 0 0 0 0 6 1 0 0 0 0 0 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 6 0 0 0 0 0 0 1 0 0 0 2 0 1 0

0 2 0 1 1 0 0 1 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 10 1 0 0 0 1 0 0 0 0 2 1 1 0 1

2007 1 2 0 1 1 0 0 0 1 3 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 5 0 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 9 0 0 0 0 0 1 0 0 0 0 0 2 0 0


BIRTHS

IMD

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

21.2 7.2 15.4 26.1 8.1 8.1 9.7 12.1 10.2 20.0 12.5 3.0 21.1 20.0 26.1 21.3 18.5 33.0 19.0 16.9 22.8 9.2 15.6

0 0 0 55 0 0 0 0 0 0 0 0 23 27 45 0 12 73 0 0 30 0 0

64 31 14 55 45 67 21 53 33 53 48 52 957 111 101 82 100 127 66 58 128 79 105

82 44 19 83 48 65 18 59 35 64 50 52 1,016 109 107 98 94 124 71 59 125 96 133

Stoke on Trent Teaching PCT Staffordshire Moorlands LA Bagnall and Stanley Brown Edge and Endon Caverswall Stoke-on-Trent LA Abbey Green Bentilee and Townsend Berryhill and Hanley East Blurton Burslem North Burslem South Chell and Packmoor East Valley Fenton Hanley West and Shelton Hartshill and Penkhull Longton North Longton South Meir Park and Sandon Northwood and Birches Head Norton and Bradeley Stoke and Trent Vale Trentham and Hanford Tunstall Weston and Meir North

39.1 17.4 10.6 10.7 18.5 39.5 42.8 57.2 38.6 43.4 42.2 52.5 41.1 29.8 42.3 48.5 23.5 29.8 37.8 35.4 33.6 36.0 35.7 13.6 43.0 43.3

62 6 0 0 0 63 72 85 60 85 71 81 56 46 85 73 12 31 72 46 45 58 77 0 89 65

3,144 847 10 35 10 3,089 131 166 111 153 158 223 158 125 172 149 131 179 190 164 142 115 158 102 226 135

3,682 872 16 38 7 3,621 127 188 136 175 202 279 171 178 216 181 119 186 221 175 170 129 209 124 306 129

Telford and Wrekin PCT/LA Apley Castle Arleston Brookside Church Aston and Lilleshall College Cuckoo Oak Dawley Magna Donnington Dothill Edgmond Ercall Ercall Magna Hadley and Leegomery Haygate Horsehay and Lightmoor Ironbridge Gorge Ketley and Oakengates Lawley and Overdale Madeley Malinslee Muxton Newport East Newport North Newport South Newport West

25.6 6.2 32.3 34.0 9.0 40.5 36.8 26.0 35.9 18.7 7.1 14.3 16.8 29.2 29.6 9.4 15.5 25.0 20.0 25.5 46.4 16.3 13.8 9.6 11.0 11.7

29 0 57 54 0 79 62 38 61 0 0 0 0 32 0 0 0 0 0 31 82 0 0 0 0 0

2,024 30 43 117 25 46 86 130 76 30 18 26 21 153 36 42 23 112 88 48 103 95 25 26 21 21

2,245 36 59 115 23 51 91 144 91 30 19 30 23 197 39 54 30 141 94 45 106 110 32 25 24 22

Score Manor Milford Milwich Penkside Rowley St. Michael's Seighford Stonefield and Christchurch Swynnerton Tillington Walton Weeping Cross Tamworth LA Amington Belgrave Bolehall Castle Glascote Mercian Spital Stonydelph Trinity Wilnecote

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

10.9

7.8

9.4

7.8

4.0

4.7

10.8 7.6

11.5 7.1

7.6 6.6

6.1 3.1

6.9 5.0

4.7 5.5

10.9

11.7

7.7

6.3

7.0

4.8

10.5

8.7

10.3

6.7

6.6

6.0

170

INFANT DEATH Numbers 2005 2006

2003

2004

2007

2008

0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0

0 1 0 0 0 1 0 0 0 0 0 1 2 0 0 0 0 0 0 0 1 1 0

0 0 0 0 0 1 0 2 2 0 1 0 7 1 1 3 0 2 0 0 0 0 0

0 0 0 0 0 0 0 0 0 1 0 0 7 1 0 0 0 0 1 1 3 1 0

1 0 0 0 0 1 0 0 0 0 1 0 2 0 0 1 0 0 0 0 0 1 0

0 0 0 1 0 0 0 0 0 0 0 0 5 1 0 0 2 1 1 0 0 0 0

24 3 0 0 0 24 0 2 0 2 2 4 1 1 1 2 1 0 1 0 0 2 2 0 2 1

21 4 0 0 0 21 1 1 1 0 2 5 0 0 0 0 0 2 1 1 0 0 2 1 4 0

27 7 0 0 0 27 0 2 0 0 3 1 2 2 2 1 1 1 2 1 2 2 0 0 2 3

21 6 0 0 0 21 1 0 1 2 0 5 1 0 0 2 0 1 1 1 1 0 2 2 1 0

23 1 0 0 0 23 0 0 0 2 0 3 0 1 2 3 1 1 2 1 3 1 0 0 3 0

18 5 0 0 0 18 1 0 1 1 2 0 0 2 2 1 1 1 0 0 2 0 0 1 1 2

10 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0

20 0 0 1 0 0 0 2 1 1 0 0 0 0 0 0 0 2 0 3 4 0 1 0 0 1

12 0 0 2 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0

11 0 0 1 0 1 0 0 0 1 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0

16 0 0 0 0 2 0 0 0 0 0 0 0 1 0 1 0 2 2 0 1 0 0 0 0 0

14 0 0 1 0 3 0 1 2 0 0 0 0 1 2 1 0 1 0 0 0 0 0 0 0 0

97- 02

Rates 03- 07

2007

6.3

5.7

6.9

8.8 5.7

7.4 3.1

4.9 3.4

8.8

7.5

5.0

7.1

4.2

2.7

2003

Numbers 2004 2005 2006

2007

0 0 0 1 0 0 0 0 0 0 0 0 8 0 1 1 1 1 1 0 1 0 2

0 0 0 0 0 0 0 0 0 1 1 0 4 0 0 0 0 3 0 1 0 0 0

1 1 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 1 0 0

0 1 0 0 0 0 0 1 0 0 1 0 6 0 0 0 1 1 0 0 0 1 3

0 0 0 1 1 2 0 0 0 0 2 0 7 0 1 0 0 2 0 0 2 2 0

28 4 0 0 0 28 0 0 3 6 0 1 0 1 1 1 1 1 2 1 1 1 3 0 3 2

26 3 0 0 0 26 0 1 0 2 2 2 2 2 0 1 1 3 3 1 1 0 2 0 1 2

28 1 0 0 0 28 1 1 1 0 0 3 2 3 0 2 1 2 0 2 1 2 1 0 4 2

24 2 0 0 0 24 1 1 3 0 0 7 0 1 0 2 1 1 1 1 3 0 0 0 1 1

18 3 0 0 0 18 1 1 0 1 1 1 0 2 0 2 1 0 2 0 2 1 0 2 0 1

7 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0

12 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 1 1 0 0 0 0

11 0 0 1 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 2 1 0 0 0 0

8 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 2 0 0 0 0 2

6 0 1 1 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0


BIRTHS

IMD Score

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

INFANT DEATH Numbers 2005 2006

2003

2004

0 0 1 0 2 0 0 0

0 0 2 0 1 0 1 0

0 1 0 0 2 0 1 1

2007

2008

0 0 2 0 1 0 0 0

0 0 0 0 4 0 0 3

0 0 0 0 0 1 0 1

97- 02

Rates 03- 07

Park Priorslee St Georges Shawbirch The Nedge Woodside Wrockwardine Wrockwardine Wood and Trench

14.1 7.0 22.0 8.3 25.7 45.8 10.6 21.0

0 0 30 0 17 100 0 0

18 70 69 39 127 132 53 74

22 75 85 25 140 124 38 105

Walsall Teaching PCT/LA Aldridge Central and South Aldridge North and Walsall Wood Bentley and Darlaston North Birchills Leamore Blakenall Bloxwich East Bloxwich West Brownhills Darlaston South Paddock Palfrey Pelsall Pheasey Park Farm Pleck Rushall-Shelfield St Matthew's Short Heath Streetly Willenhall North Willenhall South

35.3 19.0 19.4 37.9 50.2 54.4 39.7 33.3 25.1 40.6 18.8 44.7 18.2 13.2 46.0 26.2 45.8 25.2 6.5 26.1 35.4

56 19 0 76 90 100 57 58 12 92 26 74 16 0 92 13 81 17 0 44 44

3,414 116 142 199 253 249 152 155 162 188 120 293 106 92 261 127 216 111 95 156 219

3,541 100 133 210 237 241 136 150 152 197 139 328 101 86 307 137 226 109 123 164 265

8.8

9.9

10.0

4.9

5.2

6.0

22 2 1 1 2 1 1 0 1 2 0 2 1 0 4 0 2 0 0 1 1

18 3 0 1 0 1 2 2 1 0 1 0 0 0 1 2 1 0 2 0 1

15 0 0 0 2 0 1 1 1 0 0 1 0 0 4 0 1 1 0 2 1

14 0 1 1 1 0 0 0 1 3 0 0 1 0 0 0 2 1 0 2 1

21 0 0 3 2 4 1 1 0 2 1 2 0 1 1 0 1 1 0 0 1

22 1 2 0 5 0 0 1 1 1 0 2 1 0 2 1 4 0 0 0 1

7.4

8.3

Warwickshire PCT North Warwickshire LA Arley and Whitacre Atherstone Central Atherstone North Atherstone South and Mancetter Baddesley and Grendon Coleshill North Coleshill South Curdworth Dordon Fillongley Hartshill Hurley and Wood End Kingsbury Newton Regis and Warton Polesworth East Polesworth West Water Orton Nuneaton and Bedworth LA Abbey Arbury Attleborough Bar Pool Bede Bulkington Camp Hill Exhall Galley Common Heath Kingswood Poplar St Nicolas Slough Weddington Wem Brook Whitestone Rugby LA Admirals Avon and Swift Benn Bilton Brownsover North Brownsover South Caldecott Dunchurch and Knightlow

16.2 16.9 22.5 29.4 15.9 22.4 17.0 8.9 13.7 13.3 20.0 16.3 15.5 18.3 9.7 13.1 16.3 11.5 10.4 25.0 36.1 17.2 19.2 31.3 31.8 14.5 40.6 26.0 15.0 25.2 30.8 25.5 8.9 17.3 10.4 39.0 5.1 14.7 9.3 12.7 18.3 5.6 7.3 26.9 13.0 7.4

7 4 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 43 0 0 28 27 0 72 0 0 0 28 19 0 0 0 76 0 3 0 0 0 0 0 49 0 0

5,621 649 70 52 34 35 39 37 25 25 39 26 44 43 39 34 37 37 31 1,435 113 68 104 103 65 46 123 87 116 84 89 104 53 83 50 91 58 1,034 78 22 100 34 76 73 50 41

5,993 627 81 44 32 35 40 38 27 24 41 35 45 40 32 24 29 33 27 1,519 125 78 99 100 72 51 148 88 130 91 86 135 49 80 44 98 45 1,130 99 19 107 40 97 86 59 34

7.1 7.0

7.1 6.7

5.1 6.1

4.3 4.5

4.6 3.5

2.2 4.6

9.5

6.3

5.4

6.5

1.3

6.1

6.2

5.1

3.2

4.1

2.5

26 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 9 2 0 0 0 0 0 2 0 0 0 1 1 2 0 0 1 0 7 1 0 0 0 1 0 0 0

30 3 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 13 2 0 2 2 0 0 0 1 1 1 0 0 0 1 1 0 2 6 0 0 0 0 1 0 1 0

31 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 12 2 2 0 1 0 1 0 1 1 0 1 0 1 1 0 1 0 2 0 0 1 0 0 0 0 0

24 3 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 2 1 0 0 0 1 1 0 1 0 4 1 0 1 0 0 0 0 0

14 3 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0

4.8 3.3

8.4

21 2 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 8 4 0 0 0 1 0 0 1 0 1 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0

171

2007

2003

Numbers 2004 2005 2006

2007

0 0 0 0 0 0 0 1

0 0 2 1 1 0 0 0

0 0 0 0 3 0 0 1

0 0 0 0 0 0 0 1

0 0 0 0 0 0 0 0

10.2

24 2 1 1 4 4 0 1 0 0 4 1 0 0 2 0 2 0 0 1 1

25 0 0 3 2 1 0 0 1 4 2 4 1 0 1 0 3 0 0 1 2

35 3 3 1 2 2 1 0 1 4 4 2 0 0 3 1 6 0 0 1 1

24 2 0 0 3 0 1 1 1 5 1 3 0 0 1 0 3 0 1 1 1

36 3 1 2 1 3 1 1 1 4 1 4 0 0 2 0 3 0 3 1 5

4.3 4.8

4.0 3.2

5.2

5.3

6.6

4.8

3.9

0.9

28 6 0 1 0 0 0 0 1 0 0 0 0 0 0 2 1 1 0 6 2 0 0 0 1 0 2 0 0 0 1 0 0 0 0 0 0 5 0 0 2 1 0 0 0 0

31 3 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 12 1 1 5 0 0 0 2 2 0 0 1 0 0 0 0 0 0 5 1 1 0 0 0 0 0 0

21 3 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 6 0 0 0 0 1 0 2 0 1 1 0 1 0 0 0 0 0 6 0 0 0 0 1 0 0 0

19 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 5 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 2 0 4 0 0 1 0 0 2 0 0

24 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 0 2 1 0 0 4 0 1 0 0 0 0 2 0 0 0 1 0 0 0 0 1 0 0 0


BIRTHS

IMD

Earl Craven and Wolston Eastlands Fosse Hillmorton Lawford and King's Newnham Leam Valley New Bilton Newbold Overslade Paddox Ryton-on-Dunsmore Wolvey Stratford-on-Avon LA Alcester Aston Cantlow Bardon Bidford and Salford Brailes Burton Dassett Claverdon Ettington Fenny Compton Harbury Henley Kineton Kinwarton Long Compton Long Itchington Quinton Sambourne Shipston Snitterfield Southam Stockton and Napton Stratford Alveston Stratford Avenue and New Town Stratford Guild and Hathaway Stratford Mount Pleasant Studley Tanworth Tredington Vale of the Red Horse Welford Wellesbourne Warwick LA Abbey Bishop's Tachbrook Brunswick Budbrooke Clarendon Crown Cubbington Lapworth Leek Wootton Manor Milverton Park Hill Radford Semele St John's Stoneleigh Warwick North Warwick South Warwick West Whitnash Willes Wolverhampton PCT/LA Bilston East Bilston North Blakenhall Bushbury North Bushbury South and Low Hill East Park Ettingshall Fallings Park Graiseley Heath Town

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

9.6 6.1 12.5 13.3 13.9 10.6 20.7 26.3 24.4 8.4 9.2 8.5 9.8 13.6 12.3 10.1 11.3 9.9 12.2 7.8 9.9 8.3 6.1 9.9 11.0 7.8 13.7 8.3 11.9 12.1 7.4 8.4 7.5 7.6 6.1 12.6 7.6 12.1 11.8 9.8 8.6 9.0 11.7 9.5 12.9 7.4 9.4 24.5 8.8 16.3 24.6 8.1 13.1 11.2 8.7 10.8 5.5 8.7 6.5 11.9 13.5 9.3 17.4 10.3 15.5

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0

52 54 32 49 41 17 80 83 59 37 21 35 1,131 62 22 16 70 17 29 23 24 30 52 40 51 17 20 24 30 19 45 22 78 31 52 57 55 45 57 28 21 18 16 62 1,371 74 31 108 63 56 74 53 29 17 74 86 79 24 60 13 95 105 120 97 111

62 51 37 49 32 12 105 96 59 33 22 31 1,217 73 22 19 71 14 32 24 28 26 41 39 41 16 29 40 33 19 46 18 64 35 91 80 69 45 62 26 27 12 16 59 1,500 86 32 123 68 50 75 48 39 23 84 83 80 28 48 12 106 134 163 106 112

36.7 51.2 37.5 36.7 29.8 53.3 46.5 45.9 38.4 36.7 45.4

59 96 57 60 38 86 88 81 44 59 91

3,089 181 140 151 130 256 174 217 157 168 185

3,386 209 170 164 141 285 204 249 172 189 224

Score

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

6.5

6.4

6.3

3.7

4.2

3.1

6.9

6.0

2.6

4.5

3.7

1.3

10.1

10.8

10.8

5.2

6.2

5.9

172

INFANT DEATH Numbers 2005 2006

2003

2004

1 0 1 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 1

1 0 0 0 1 0 1 1 1 0 0 0 4 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 2

1 0 0 0 0 0 0 0 2 0 1 0 4 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 4 2 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0

18 3 1 0 3 1 1 1 0 2 1

20 0 1 2 0 1 3 1 2 4 0

15 1 3 0 1 0 0 2 1 1 0

2007

2008

0 0 0 0 0 0 0 0 0 1 0 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 10 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 2 1 2

0 0 1 0 0 0 0 1 0 0 0 0 8 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 1 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1

0 0 0 0 0 0 1 1 1 0 0 0 4 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

22 0 1 0 2 3 0 4 1 2 3

23 0 1 0 1 4 0 1 1 3 2

21 2 1 0 0 2 2 1 0 2 2

97- 02

Rates 03- 07

2007

5.0

3.9

3.3

4.8

3.6

4.7

8.0

6.7

5.4

2003

Numbers 2004 2005 2006

2007

0 0 0 1 0 0 0 1 0 0 0 0 5 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 6 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 1

0 0 0 0 0 0 0 0 2 1 0 0 6 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 3 0 0 0 0 0 0 0 5 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0

1 2 0 0 0 0 1 0 0 0 1 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 0

0 0 0 0 0 0 0 1 0 0 0 0 5 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 0 0 0 0 1 0 0 0 0 1 0 0 2 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 7 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 2 0 0

25 1 2 1 0 4 0 2 4 1 0

27 2 0 0 3 3 1 2 3 2 4

15 0 0 0 0 2 1 3 0 0 2

20 1 2 1 1 1 2 0 2 0 2

18 2 1 0 1 0 0 3 1 1 1


BIRTHS

IMD

Merry Hill Oxley Park Penn St Peter's Spring Vale Tettenhall Regis Tettenhall Wightwick Wednesfield North Wednesfield South Worcestershire PCT Bromsgrove LA Alvechurch Beacon Catshill Charford Drakes Cross and Walkers Heath Furlongs Hagley Hillside Hollywood and Majors Green Linthurst Marlbrook Norton St Johns Sidemoor Slideslow Stoke Heath Stoke Prior Tardebigge Uffdown Waseley Whitford Woodvale Wythall South Malvern Hills LA Alfrick and Leigh Baldwin Broadheath Chase Dyson Perrins Hallow Kempsey Lindridge Link Longdon Martley Pickersleigh Powick Priory Ripple Teme Valley Tenbury Upton and Hanley Wells West Woodbury Redditch LA Abbey Astwood Bank and Feckenham Batchley Central Church Hill Crabbs Cross Greenlands Headless Cross and Oakenshaw Lodge Park Matchborough West Winyates Worcester LA Arboretum Battenhall Bedwardine Cathedral Claines

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

20.3 32.8 30.1 13.0 43.3 34.4 14.8 15.1 28.7 29.8

17 45 33 0 93 63 0 0 44 52

128 177 123 128 193 132 114 79 111 147

128 162 141 129 244 133 98 92 114 138

17.8 10.9 9.9 11.4 14.5 23.0 11.0 7.0 3.7 5.0 7.4 4.2 10.7 5.9 16.3 18.5 3.5 4.3 12.2 10.4 13.7 13.7 10.9 6.8 8.3 15.3 12.1 14.3 8.8 14.7 11.6 9.5 11.5 16.7 15.4 13.3 14.7 31.6 11.6 10.2 12.6 14.8 14.5 13.0 7.5 11.9 8.8 24.0 29.7 10.6 28.4 28.7 28.9 10.1 31.1 16.9 28.0 23.5 8.0 25.4 19.9 18.7 12.0 10.6 26.5 9.3

13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 27 67 0 63 0 38 0 41 0 48 0 0 28 22 0 0 0 24 0

5,940 869 58 11 43 88 48 30 31 39 33 20 38 67 38 51 60 26 13 25 16 39 57 17 19 608 25 13 29 48 27 14 31 17 54 16 12 91 32 26 12 16 32 35 21 45 15 1,039 70 55 120 85 118 67 115 91 67 72 54 124 1,249 76 51 75 120 82

6,253 932 67 10 41 115 45 29 41 37 43 20 40 71 36 59 84 16 7 27 14 40 36 22 32 589 26 15 26 44 23 16 39 18 63 19 15 95 22 15 12 9 36 29 15 38 14 1,134 59 68 161 100 122 61 135 101 79 87 48 113 1,309 81 56 76 151 84

Score

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

9.1 12.0

8.3 8.7

4.9 1.0

5.5 7.3

5.2 5.8

4.0 1.0

8.9

6.0

4.9

4.9

5.7

4.9

9.2

9.3

5.9

5.1

4.7

5.9

9.6

7.3

8.1

5.7

4.4

5.9

173

INFANT DEATH Numbers 2005 2006

2003

2004

0 0 1 3 0 1 0 0 0 0

0 1 1 0 3 0 1 0 0 0

0 1 1 0 0 1 0 0 1 2

27 8 0 0 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 1 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 5 0 0 1 0 0 0 0 1 0 2 0 1 3 0 0 0 1 0

27 3 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 5 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 6 1 0 0 1 1 0 0 0 2 0 0 1 6 0 0 0 1 0

43 6 1 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 9 0 0 1 0 2 0 0 0 1 2 1 2 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 0 0 0 0 0 7 0 1 0 1 0

2007

2008

0 0 2 0 1 1 0 0 0 2

0 1 0 0 6 1 0 1 0 1

2 2 1 1 0 1 0 1 0 1

29 6 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 2 1 1 0 1 0 1 0 0 4 2 0 0 0 0

31 3 2 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 1 1 1 1 0 0 2 8 0 0 0 2 0

26 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 7 0 0 2 2 2 0 0 1 0 0 0 0 8 1 1 0 2 0

97- 02

Rates 03- 07

2007

5.2 5.5

5.1 5.4

4.8 3.2

6.0

2.0

0.0

5.6

7.9

10.6

6.6

5.2

5.4

2003

Numbers 2004 2005 2006

2007

0 0 1 2 3 1 1 0 1 1

1 1 1 1 3 0 0 0 0 0

0 0 0 0 2 1 1 0 0 3

0 2 1 1 2 0 1 0 0 1

2 0 0 0 4 2 0 0 0 0

32 4 0 0 0 0 0 0 0 0 1 0 0 0 0 2 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 9 3 0 0 1 1 0 0 1 0 1 0 2 7 1 0 0 2 1

34 5 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 0 0 1 0 2 0 0 0 0 0 9 0 0 0 1 0

32 5 0 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 3 0 0 0 1 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 10 0 1 1 0 1 2 3 0 0 2 0 0 4 0 0 0 1 0

24 7 0 0 0 2 1 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 7 0 1 0 1 0 2 1 0 1 0 0 1 6 1 0 0 1 0

30 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 1 1 2 2 2 0 2 0 1 0 0 1 7 0 0 0 0 0


BIRTHS

IMD Score Gorse Hill Nunnery Rainbow Hill St Clement St John St Peter's Parish St Stephen Warndon Warndon Parish North Warndon Parish South Wychavon LA Badsey Bengeworth Bowbrook Bredon Bretforton and Offenham Broadway and Wickhamford Dodderhill Drakes Broughton Droitwich Central Droitwich East Droitwich South East Droitwich South West Droitwich West Eckington Elmley Castle and Somerville Evesham North Evesham South Fladbury Great Hampton Hartlebury Harvington and Norton Honeybourne and Pebworth Inkberrow Little Hampton Lovett and North Claines Norton and Whittington Ombersley Pershore Pinvin South Bredon Hill The Littletons Upton Snodsbury Wyre Forest LA Aggborough and Spennells Areley Kings Bewdley and Arley Blakedown and Chaddesley Broadwaters Cookley Franche Greenhill Habberley and Blakebrook Lickhill Mitton Morton Offmore and Comberton Oldington and Foley Park Rock Sutton Park Wolverley Wribbenhall

39.8 22.4 32.6 9.3 25.2 6.3 14.1 44.9 7.2 6.8 12.7 10.0 15.8 7.6 4.7 7.9 10.5 14.7 12.5 20.4 13.0 4.1 12.4 26.0 11.9 9.5 19.2 12.7 9.7 16.7 15.4 19.4 14.3 8.1 8.3 8.6 7.0 13.4 13.5 11.5 8.4 14.4 10.6 22.3 15.7 27.2 12.7 11.9 32.2 17.4 13.4 21.9 19.3 16.1 18.3 13.6 24.2 47.2 14.5 22.0 19.4 14.7

PERINATAL DEATH

% in Q5

avg / yr 97-07

2007

83 25 50 0 31 0 0 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 45 0 0 34 0 0 23 32 0 0 0 31 74 0 0 0 0

80 102 90 40 93 75 53 96 116 101 1,145 24 60 24 20 21 29 24 21 26 49 61 49 79 21 20 61 60 17 19 26 25 28 37 81 50 44 19 59 27 16 28 21 1,014 80 58 51 30 116 25 63 91 58 72 78 15 58 76 19 85 14 41

82 111 86 33 103 88 54 112 105 87 1,164 24 74 33 25 20 34 25 17 22 46 57 54 103 20 11 58 56 12 22 28 31 23 34 76 54 45 16 66 23 11 25 19 1,109 65 66 52 26 138 20 68 111 58 84 97 16 54 87 17 110 11 45

97- 02

Rates 03- 07

2008

STILLBIRTH 97- 02

Rates 03- 07

2008

8.6

6.0

3.3

5.6

3.9

0.8

6.6

12.1

5.2

4.5

7.4

5.2

174

2003

2004

0 0 1 0 1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 1 1 0 2 0 0 0 0 0 1 0 1 1 0 0 0 0

0 2 0 0 1 1 0 1 0 0 4 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0

INFANT DEATH Numbers 2005 2006 0 1 0 0 2 0 1 0 0 1 7 0 1 0 0 0 0 1 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 12 0 4 0 0 1 0 0 4 1 0 0 0 0 0 0 1 0 1

0 1 0 0 0 0 0 0 0 1 4 0 0 0 0 0 0 1 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 1 0 1 0 2 1 0 1 1 0 1 0 0 0 0 1 0 0

2007

2008

1 0 0 0 3 0 0 2 0 0 6 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 1 1 0 2 1 0 1 0 0 1 0 0

0 0 0 0 0 2 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 1 0 1 0 0 0 0 4 0 0 0 0 0 0 0 0

97- 02

Rates 03- 07

2007

4.9

2.7

1.7

2.7

6.1

5.4

2003 1 1 0 0 0 1 0 0 0 0 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 7 0 0 0 0 1 1 1 3 0 0 0 0 0 1 0 0 0 0

Numbers 2004 2005 2006 2 1 1 0 1 0 0 0 2 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 3 0 0 0 0 0 1 0 0 0 0 0 0 0 9 0 3 0 0 0 0 0 0 2 0 1 0 3 0 0 0 0 0

0 1 0 1 0 0 0 1 0 0 3 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 7 0 2 0 0 1 0 0 3 1 0 0 0 0 0 0 0 0 0

1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0

2007 1 3 0 0 0 0 1 1 1 0 2 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 1 0 0 0 2 0 0 0 0 0 0 0 0 1 0 1 0 1


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