PUBLIC HEALTH DEVON OUTCOMES REPORT 9TH ......Public Health Devon Outcomes Report: Indicator List and Summary Domain RAG Indicator Type Trend Dev/SW/Eng G 0.01 Healthy Life Expectancy

PUBLIC HEALTH DEVON OUTCOMES REPORT 9TH SEPTEMBER 2014

DEVON COUNTY COUNCIL FULL VERSION

The public health outcomes framework sets the context and 'strategic direction' for the new public health system with the vision of 'improving and protecting the nation's health while improving the health of the poorest fastest'. There are two overarching indicators concerning healthy life expectancy and life expectancy, and four domains with 66 further indicators, and around 130 sub-indicators. The domains are improving the wider determinants of health, health improvment, health protection, and healthcare public health. A prioritisation exercise was completed in September 2013 which looked at performance, human impact, and financial costs for these indicators and the prioritisation grid which lists out all indicators is available at www.devonhealthandwellbeing.org.uk/jsna/performance/phof Three types of indicators were identified from this exercise: Core Indicators – these are indicators which have a large impact in terms of numbers affected and impact, or which are high spend areas for Public Health Devon. These indicators are covered by this report.

Improvement Indicators – these are indicators for areas where performance is poorer than expected or deteriorating and improvements to outcomes are required. These indicators are covered by this report. Monitoring Indicators – these cover areas where local outcomes are positive and the scale, human impact and cost are not high. These indicators can be monitored through the Public Health Outcomes Tool: www.phoutcomes.info and other sources. 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]

Public Health Devon Outcomes Report: Indicator List and Summary

Domain RAG Indicator Type Trend Dev/SW/Eng

G 0.01 Healthy Life Expectancy Male * Core

G 0.01 Healthy Life Expectancy Female * Core

G 0.02 Gap in Life Expectancy Male Core

G 0.02 Gap in Life Expectancy Female Core

A 1.01 Children in Poverty Core

G 1.10 Killed or Seriously Injured on Roads * Core

A 1.11 Domestic Violence * Core

A 1.17 Fuel Poverty * Improve

G 1.18 Social Contentedness * Improve

G 2.03 Smoking at Time of Delivery Core

A 2.04 Under 18 Conception Rate * Core

A 2.06 Excess Weight in Four / Five Year Olds Core

A 2.06 Excess Weight in 10 / 11 Year Olds Core

G 2.07 Hospital Admissions for Injury, 0 to 14 Core

R 2.08 Emotional difficulties in looked after children Improve

- 2.09 Smoking at Age 15 Core - -

R 2.10 Hospital Admissions Self-Harm, 10 to 24 Improve

- 2.11 Diet Core - -

G 2.12 Excess Weight Adults Core -

G 2.13 Proportion of Physically Active Adults * Core

A 2.14 Adult Smoking Prevalence Core

A 2.15 Drug Treatment Completion, Opiates Core

A 2.15 Drug Treatment Completion, Non-Opiates Core

A 2.18 Alcohol-Related Admissions * Core

G 2.19 Cancer Diagnosed at Stage 1 or 2 Core -

A 2.22 Percentage offered a NHS health check * Improve

A 2.22 Percentage receiving a NHS health check * Improve

G 2.23 Self-Reported Wellbeing (% low happiness) Core

G 2.24 Injuries Due to Falls Core

G 3.02 Chlamydia Diagnosis Rate * Core

A 3.03 Population Vaccination (MMR Aged 5) * Improve

G 4.03 Mortality Rate from Preventable Causes Core

G 4.04 Under 75 Mortality Rate Circulatory Disease Core

G 4.05 Under 75 Mortality Rate All Cancers Core

A 4.10 Suicide Rate Improve

A 4.12 Preventable Sight Loss (Registrations) * Improve

- 4.13 Health-Related Quality of Life Core - -

R 4.16 Dementia Diagnosis Rate Improve

RAG Ratings

Red R

Amber A

Green G

4. Healthcare

Public Health

3. Health

Protection

2. Health

Improvement

1. Wider

Determinants

of Health

Overarching

Indicators

Major cause for concern in Devon, benchmarking poor / off-target

Possible cause for concern in Devon, benchmarking average / target at risk

No major cause for concern in Devon, benchmarking good / on-target

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_0.01_Healthy_LE_Male.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_0.01_Healthy_LE_Female.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_0.02_SII_LE_Gap_Male.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_0.02_SII_LE_Gap_Female.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_1.01_Children_in_Poverty.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_1.10_KSI_Roads.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_1.11_Domestic_Violence.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_1.17_Fuel_Poverty.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_1.18_Social_Contentedness.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.03_Smoking_at_Time_of_Delivery.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.04_Under_18_Conception_Rate.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.06_Excess_Weight_Aged_4_or_5.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.06_Excess_Weight_Aged_10_or_11.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.07_Injury_Admissions_0_to_14.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.08_Emotional_Difficulties_Looked_After_Children.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.10_Self_Harm_Admissions_10_to_24.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.06_Excess_Weight_Adults.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.13_Physically_Active_Adults.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.14_Adult_Smoking.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.15_Drug_Treatment_Completion_Opiates.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.15_Drug_Treatment_Completion_Non_Opiates.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.18_Alcohol_Related_Admissions.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.19_Cancer_Diagnosed_at_Stage_1_or_2.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.22_Offered_NHS_Health_Check.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.22_Received_NHS_Health_Check.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.23_Wellbeing_Low_Happiness_Score.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_2.24_Injuries_Due_to_Falls.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_3.02_Chlamydia_Diagnosis_Rate.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_3.03_Vaccination_MMR_Aged_5.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_4.03_Preventable_Mortality_Rate.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_4.04_Circulatory_Mortality_u75.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_4.05_Cancer_Mortality_u75.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_4.10_Suicide_Rate.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_4.12_Preventable_Sight_Loss.pdf

http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2014/09/Devon_PHOF_Sep14_4.16_Dementia_Diagnosis_Rate.pdf

PUBLIC HEALTH DEVON OUTCOMES REPORT

Overarching Indicators G Green

Indicator 0.01: Healthy Life Expectancy Male Amber

Period: 2010-12 Red

South West Benchmarking Local Authority District

Local Authority Comparator Group CCG and Locality Comparison

Trend and Future Trajectory Inequalities (Deprivation)

RAG Rating

Overview

Males in Devon can expect to live for 65.8 years in good health, compared with 63.4

years in England, 65.2 years in the South West, and 65.2 years in the local authority

comparator group. Healthy Life expectancy for males ranged from 52.5 (Tower

Hamlets) to 70.0 (Richmond) nationally, ranged from 60.5 (Plymouth) to 67.7 (South

Glos) within the South West, and from 61.9 (Cumbria) to 67.0 (Hampshire) within the

local authority comparator group.

Equalities

No local breakdowns by equality characteristics are currently available. Males in

Devon spend one year less in good health than females, which is much smaller than

the gap in life expectancy (3.7 years). Nationally, more deprived areas have lower

healthy life expectancy.

67.7

67.3

67.0

65.9

65.8

65.6

65.4

65.0

64.9

64.1

64.0

63.7

63.7

62.6

60.5

55 65 75

South GlosWiltshire

DorsetSomerset

DevonNorth Som

PooleBANES

GlosTorbay

SwindonCornwall

BournemouthBristol

Plymouth

Healthy Life Expectancy (Years)

England South West Devon LA

0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon


England South West Devon District

5557596163656769717375

200

9-1

1

201

0-1

2

Healt

hy

Lif

e E

xp

ecta

ncy

(Y

ears

)

Devon South West England

0

0

0

1

1

1

1

200

1-

200

5

200

2-

200

6

200

3-

200

7

200

4-

200

8

200

5-

200

9

200

6-

201

0

Healt

hy

Lif

e E

xp

ecta

ncy

(Y

ears

)

Most Deprived Above AverageAverage Below AverageLeast Deprived

67.0

66.8

66.6

65.9

65.8

65.4

65.2

65.2

65.0

64.9

64.9

64.9

64.6

64.0

63.1

61.9

55 65 75

DorsetWest Sussex

HampshireSomerset

DevonWorcestershire

WarwickshireNorth Yorks

CambridgeshireLeicestershire

GloucestershireEssex

LincolnshireNorfolk

East SussexCumbria


England Comp Group Devon LA

0 1 1 2

TorquayPaignton/Brixham

N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth

Western LocalityNorthern Locality

WEBWakley

Mid DevonExeter

Eastern LocalityNEW Devon CCG


England South West CCG/Locality

NOT CURRENTLY AVAILABLE AT LOCAL AUTHORITY DISTRICT LEVEL

NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL

NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL

*UPDATED INDICATOR*


INDICATOR SPECIFICATION

Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Male

Period: 2010-12

Update

FrequencyAnnually, around 18 months in arrears

Outcomes

FrameworkPublic Health Outcomes Framework, Overarching Indicator 0.1

Chart Notes

Local AuthorityFigures are not currently available at a local authority district level.

Office for National Statistics (Annual Population Survey and Mid-Year Population

estimates)

Detailed

Specification

The prevalence of ‘Good’ general health among males and females resident in

private households by local authority used from Annual Population Survey. HLE

was then calculated using the Sullivan method which combines prevalence data with

mortality and mid-year population estimates (MYPE) over the same period and

geographical coverage to calculate estimates of LE and HLE at birth by sex. The

age band structure used for calculating HLE was the traditional age band structure of

<1, 1-4, 5-9, 10-14, 15-19……85+.

Chart Notes

South West

Compares Upper Tier / Unitary Local Authorities in the South West Region. Error

bar is 95% confidence interval.

Chart Notes

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

Chart Notes

InequalitiesFigures are not currently available for an inequalities analysis at a local level.

Description The average number of years males can expect to be in good general health

Source

Chart Notes

CCG/Locality

Figures are not currently available at a Clinical Commissioning Group and locality

level.

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.

Error bar is 95% confidence interval.



Indicator 0.01: Healthy Life Expectancy Female Amber

Period: 2010-12 Red




RAG Rating

Overview

Females in Devon can expect to live for 66.8 years in good health, compared with

64.1 years in England, 66.0 years in the South West, and 66.4 years in the local

authority comparator group. Healthy Life expectancy for females ranged from 55.5

(Manchester) to 71.0 (Wokingham) nationally, ranged from 60.5 (Plymouth) to 69.0

(BANES) within the South West, and from 64.5 (Norfolk) to 67.9 (Gloucestershire)

within the local authority comparator group.

Equalities

No local breakdowns by equality characteristics are currently available. Females in

Devon spend one year longer in good health than males, which is much smaller than

the gap in life expectancy (3.7 years). Nationally, more deprived areas have lower

healthy life expectancy.

69.0

67.9

67.9

67.9

67.7

66.8

66.7

66.2

64.9

64.8

64.2

64.0

63.0

62.1

60.5

55 65 75

BANESSouth Glos

WiltshireGlos

SomersetDevonPoole

DorsetTorbay

CornwallSwindon

North SomBournemouth

BristolPlymouth



0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



6363646465656666676768

200

9-1

1

201

0-1

2

Healt

hy

Lif

e E

xp

ecta

ncy

(Y

ears

)


0

0

0

1

1

1

1

200

1-

200

5

200

2-

200

6

200

3-

200

7

200

4-

200

8

200

5-

200

9

200

6-

201

0

Healt

hy

Lif

e E

xp

ecta

ncy

(Y

ears

)


67.9

67.7

67.4

67.3

67.2

66.8

66.8

66.7

66.3

66.3

66.2

65.9

65.4

65.2

64.6

64.5

55 65 75

GloucestershireSomerset

West SussexNorth YorksHampshire

DevonCambridgeshire

LeicestershireWarwickshire

EssexDorset

CumbriaWorcestershire

East SussexLincolnshire

Norfolk



0 1 1 2


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter







*UPDATED INDICATOR*



Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Female

Period: 2010-12

Description The average number of years females can expect to be in good general health

SourceOffice for National Statistics (Annual Population Survey and Mid-Year Population

estimates)

Outcomes

FrameworkPublic Health Outcomes Framework, Overarching Indicator 0.1

Detailed

Specification

The prevalence of ‘Good’ general health among males and females resident in

private households by local authority used from Annual Population Survey. HLE

was then calculated using the Sullivan method which combines prevalence data with

mortality and mid-year population estimates (MYPE) over the same period and

geographical coverage to calculate estimates of LE and HLE at birth by sex. The

age band structure used for calculating HLE was the traditional age band structure of

<1, 1-4, 5-9, 10-14, 15-19……85+.

Chart Notes

South West



Chart Notes


Update


Chart Notes

CCG/Locality


level.

Chart Notes


Chart Notes


Chart Notes

Comparator






Indicator 0.02: Male Life Expectancy Gap Amber

Period: 2010 to 2012 Red


Local Authority Comparator Group CCG and Locality Comparison (2007-11)

Trend and Future Trajectory Inequalities (Sex)

RAG Rating

Overview

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

least deprived communities within an area's population, revealing the gap in life

expectancy in years. For males in Devon the gap is 4.9 years which is significantly

lower than the gaps for the South West (7.1), the local authority comparator group

(7.1), and England (9.2). Gaps were significantly below the national average in all

Devon districts except North Devon. The gap has decreased slightly recently.

Equalities

As the slope index of inequality compare the most and least deprived communities

within an area's population, 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.

10.0

9.8

8.3

8.2

7.9

7.9

7.5

7.2

6.8

6.7

5.9

5.7

5.2

4.9

4.3

0 10 20

BournemouthNorth Som

TorbayBristol

PlymouthGlos

BANESSwindon

PooleDorset

SomersetWiltshire

South GlosDevon

Cornwall

Life Expectancy Gap (Years)


0.0

4.0

6.1

3.2

5.6

5.6

4.1

4.5

0 5 10 15

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



0

2

4

6

8

10

12

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

Lif

e E

xp

ecta

ncy

(Y

ears

)


0

1

2

3

4

5

6

7

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

Lif

e E

xp

ecta

ncy

(Y

ears

)

Female Male

9.6

8.2

8.0

8.0

7.9

7.8

7.4

7.1

7.0

6.7

6.7

6.7

6.4

6.1

5.9

4.9

0 5 10 15

CumbriaEast Sussex

West SussexWorcestershire

GloucestershireWarwickshire

EssexCambridgeshire

LincolnshireDorset

North YorksHampshire

NorfolkLeicestershire

SomersetDevon



10.4

9.9

6.7

1.7

11.0

8.1

3.3

9.1

9.0

5.3

6.5

5.3

4.8

6.6

5.9

7.5

0 10 20


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter






Overarching IndicatorsIndicator 0.02: Male Life Expectancy Gap

Period: 2010 to 2012

Estimated gap in male life expectancy in years between the most and least deprived

communities in a given area

Update

FrequencyAnnually, typically around 12 months in arrears

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

East Midlands Public Health Observatories (now Public Health England), CCG

figures derived by Devon Public Health Intelligence Team

Source

Description

Outcomes

Framework

Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to

cover three year period)

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

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


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.

Chart Notes

Local Authority

Compares Local Authority Districts in the Devon County Council area. Error bar is

95% confidence interval.

Chart Notes

Comparator






Indicator 0.02 Female Life Expectancy Gap Amber

Period: 2010 to 2012 Red


Local Authority Comparator Group CCG and Locality Comparison (2007-11)


Equalities

RAG Rating

Overview

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

least deprived communities within an area's population, revealing the gap in life

expectancy in years. For females in Devon the gap is 3.2 years which is lower than

the gaps for the South West (4.8), the local authority comparator group (5.1), and

England (6.8). The gap was also significantly below the national average in East

Devon, Torridge and West Devon. The gap has decreased slightly over time.

As the slope index of inequality compare the most and least deprived communities

within an area's population, 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.

6.6

6.3

6.1

5.8

5.8

5.7

4.7

4.7

4.4

4.2

3.9

3.7

3.7

3.2

2.4

0 5 10 15

North SomTorbayBristol

GlosPlymouth

PooleDorset

BANESBournemouth

South GlosCornwallSwindon

SomersetDevon

Wiltshire



0.4

1.8

2.9

4.2

2.8

5.3

4.1

4.0

0 5 10

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon



0

1

2

3

4

5

6

7

8

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

Lif

e E

xp

ecta

ncy

(Y

ears

)


0

1

2

3

4

5

6

7

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

Lif

e E

xp

ecta

ncy

(Y

ears

)

Female Male

7.4

6.7

6.4

6.0

5.8

5.4

5.4

5.3

5.2

5.0

4.8

4.8

4.7

3.7

3.2

2.2

0 5 10 15

WarwickshireWest Sussex

CumbriaEssex

GloucestershireEast SussexNorth Yorks

WorcestershireLeicestershire

CambridgeshireHampshire

LincolnshireDorset

SomersetDevon

Norfolk



9.0

6.0

5.2

2.1

4.6

5.9

2.8

4.8

5.1

3.1

8.1

1.3

2.3

3.4

2.9

4.1

0 5 10 15


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter






Overarching IndicatorsIndicator 0.02 Female Life Expectancy Gap

Period: 2010 to 2012

DescriptionEstimated gap in female life expectancy in years between the most and least

deprived communities in a given area

Update

Frequency

Source

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

East Midlands Public Health Observatories (now Public Health England), CCG

figures derived by Devon Public Health Intelligence Team

Annually, typically around 12 months in arrears

Outcomes

Framework

Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to

cover three year period)

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







interval.

Chart Notes

CCG/Locality

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.

Chart Notes

Local Authority



Chart Notes

Comparator





Domain 1. Improving the Wider Determinants of Health Green

Indicator 1.01 Children in Poverty A Amber

Period: 2011 Red



Trend and Future Trajectory Inequalities

Overview

16,760 children (13.6%) in Devon live in households dependent on benefits or tax

credits, compared with 16.2% in the South West and 20.6% nationally. Child

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

the South West average over time. Rates increased in 2009 and 2010 before falling

slightly in 2011. Rates at a district level range from 10.6% in East Devon to 16.8%

in Torridge. Rates in the most deprived areas are five times those in the least.

RAG Rating

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.

25.3%

23.8%

22.4%

19.7%

18.1%

17.3%

16.5%

14.9%

14.9%

14.7%

13.6%

13.2%

13.1%

11.9%

11.9%

0% 10% 20% 30%

BristolTorbay

PlymouthBournemouth

CornwallSwindon

PooleGlos

North SomSomerset

DevonDorset

BANESSouth Glos

Wiltshire

Percentage


12.8%

16.8%

14.1%

12.3%

14.5%

12.5%

16.2%

10.6%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

5%

10%

15%

20%

25%

199

9

200

0

200

1

200

2

200

3

200

4

200

5

200

6

200

7

200

8

200

9

201

0

201

1

201

2

201

3

201

4

Perc

en

tag

e


0%

5%

10%

15%

20%

25%

30%

35%

40%

199

9

200

0

200

1

200

2

200

3

200

4

200

5

200

6

200

7

200

8

200

9

201

0

201

1

Perc

en

tag

e


18.1%

18.1%

17.2%

16.8%

15.7%

15.4%

14.9%

14.7%

14.1%

13.6%

13.5%

13.2%

13.1%

12.4%

12.1%

11.9%

0% 10% 20% 30%

NorfolkEast SussexLincolnshire

EssexWorcestershire

CumbriaSomerset


DevonWest Sussex

DorsetCambridgeshire

HampshireLeicestershire

North Yorks

Percentage


25.7%

21.5%

14.7%

14.4%

16.5%

19.3%

11.3%

22.4%

19.8%

15.3%

11.4%

10.5%

12.8%

14.7%

12.9%

16.2%

0% 10% 20% 30%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage




Domain 1. Improving the Wider Determinants of Health

Indicator 1.01 Children in Poverty

Period: 2011

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

Statistics)

DescriptionPercentage of children (aged 0 to 15) living in households dependent on benefits or

tax credits.

Update

FrequencyAnnually, around 20 months in arrears (2012 due Autumn 2014)

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.01

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

CCG/Locality





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.

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.

Chart Notes

Comparator





Priority 1. Improving the Wider Determinants of Health G Green

Indicator 1.10 Killed and Seriously Injured (KSI) on roads Amber

Period: 2011-13 Red



Trend and Future Trajectory Inequalities (Rurality and Deprivation)

RAG Rating

Overview

852 people were killed or seriously injured on Devon's roads between 2011 and

2013, an average of 284 per year, with an average of just over five cases per week.

The KSI rate in Devon (37.7 per 100,000) was in line with the South West rate

(37.5), signficantly below the local authority comparator group (48.1), and below the

England rate (39.7). Within Devon rates were highest in West Devon (55.7) and

lowest in Exeter (26.5). By CCG Locality they are lowest in Coastal (Dawlish and

Equalities

Males are more likely to be killed or seriously injured than females. The likelihood is

also greater in younger adults (16 to 24), and reduces through adult life with the

lowest rates in over 65s. An analysis by rurality and deprivation reveals that more

deprived rural areas have higher KSI rates (69.7) than less deprived areas (57.8),

which the inverse is true in urban areas (more deprived 17.1, less deprived 23.3).

51.7

47.0

45.2

42.2

40.8

40.7

39.4

37.7

34.4

31.7

30.9

27.7

25.7

20.1

17.9

0 20 40 60

DorsetWiltshire

BournemouthPoole

SomersetCornwall

GlosDevon

SwindonBristol

TorbayNorth Som

PlymouthBANES

South Glos

Rate per 100,000


55.7

35.0

38.9

41.9

48.0

29.4

26.5

35.7

0 20 40 60 80

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

10

20

30

40

50

60

70

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

201

1-1

3

Rate

per

100,0

00


77.6

61.5

59.3

54.7

54.0

53.7

51.7

49.8

45.7

42.8

42.3

40.8

39.4

37.7

31.4

30.6

0 20 40 60 80

North YorksLincolnshireEast Sussex

WarwickshireHampshire

West SussexDorset

CambridgeshireCumbria

EssexNorfolk

SomersetGloucestershire

DevonLeicestershire

Worcestershire

Rate per 100,000


30.9

30.9

38.6

41.7

16.1

32.8

46.8

25.7

30.8

42.7

22.5

38.1

37.4

35.2

34.8

34.7

0 20 40 60 80


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Rate per 100,000


0

10

20

30

40

50

60

70

80

90

100

2008-10 2009-11 2010-12 2011-13

Rate

per

100,0

00

Urban Deprived Urban Less DeprivedDevon Rural Less DeprivedRural Deprived

*UPDATED INDICATOR*



Priority 1. Improving the Wider Determinants of Health

Indicator 1.10 Killed and Seriously Injured (KSI) on roads

Period: 2011-13

DescriptionNumber of people reported killed or seriously injured on the roads, all ages, per

100,000 resident population.

Source Department for Transport

Update

FrequencyAnnually, next update due summer 2015

Detailed

Specification

Outcomes


Chart Notes

South West





Chart Notes

Local Authority

Chart Notes


Chart Notes

Inequalities

Numerator was The number of people of all ages reported killed or seriously injured

on the roads in the three year period. Denominator was 2011 Census based mid-

year resident population estimate for the year 2012 multiplied by three. Crude rate

per 100,000 population. The number of events observed over the three year period

was divided by the mid-period population multiplied by 3, and the resulting rate

multiplied by 100,000.

Chart Notes

Comparator

Compares areas according 2010 Indices of Deprivation (Index of Multiple

Deprivation) and 2004 Urban Rural Classification groupings.




Chart Notes

CCG/Locality





interval.


Priority 1. Improving the Wider Determinants of Health Green

Indicator 1.11 Domestic Violence A Amber

Period: 2012-13 Red




Overview

RAG Rating

Domestic Violence incidents recorded by police are reported by Police Force through

the Public Health Outcomes Framework. However, Devon breakdowns are possible

through local sources and have been added. Devon has a rate of 12.26 per 1,000,

above the South West (14.25), comparator group (16.06) and England (18.77) rates.

Within Devon rates are highest in Exeter (17.94). Local trend infromation, including

provisional figures for 2013-14 highlight increases over time.

Equalities

Domestic violence is more common in females with 7.3% women and 5.0% of men

having been a victim of domestic abuse past year and 31.0% of women and 17.8%

of men have been victims at some point since the age of 16 (British Crime Survey).

Younger persons (18 to 29) are more likely to report domestic violence. Incident

rates also tend to be higher in more deprived areas.

19.35

19.35

19.35

13.49

13.49

13.49

12.26

12.01

12.01

12.01

12.01

12.01

11.87

9.63

0.0 10.0 20.0 30.0

PlymouthTorbay

CornwallBournemouth

PooleDorsetDevon

South GlosSomerset

BristolBANES

North SomGlos

Wiltshire

Rate per 1,000


9.86

12.59

12.50

7.90

14.18

11.45

17.94

9.65

0.0 5.0 10.0 15.0 20.0

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 1,000


0.02.04.06.08.0

10.012.014.016.018.020.0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Rate

per

1,0

00


22.30

19.83

17.77

17.35

17.10

16.68

16.23

15.92

14.82

14.76

13.74

13.74

13.49

12.26

12.01

0.0 10.0 20.0 30.0

LeicestershireEssex

CambridgeshireLincolnshire

WarwickshireHampshire

CumbriaWorcestershire

NorfolkNorth Yorks

West SussexEast Sussex

DorsetDevon

Somerset

Rate per 1,000


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% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage



*UPDATED INDICATOR*




Indicator 1.11 Domestic Violence

Period: 2012-13

Description Domestic abuse incidents recorded by the police, crude rate per 1,000 population

SourceCrime Statistics, Focus on: Violent Crime and Sexual Offences

(Office for National Statistics)

Update

FrequencyAnnually, timing to be determined

Outcomes

Framework

Chart Notes

South West


bar is 95% confidence interval. Figures relate to police force area (Devon &

Chart Notes


Detailed

Specification

Numerator is the number of incidents of domestic violence recorded by the police.

Denominator is the over 18 rounded mid-year population of the area. Rate is

numerator divided by denominator multiplied by 1,000.

Public Health Outcomes Framework Indicator 1.11

Compares Devon rate (Devon and Cornwall) with South West region and England

over time.

Chart Notes

CCG/Locality


level.

Chart Notes

Trend

Chart Notes


Chart Notes

Comparator



Error bar is 95% confidence interval. Figures relate to police force area.



Indicator 1.17 Fuel Poverty A Amber

Period: 2012 Red




Overview

Just over 1 in 10 households in Devon are in fuel poverty (10.26%), which is above

the South West (9.39%) and local authority comparator group (9.24%) rates but

below the England (10.41%) rates. Within Devon the highest levels of fuel poverty

were seen in West Devon (11.63%) and the lowest were seen in East Devon

(9.14%). Levels of fuel poverty increased between 2011 and 2012 in Devon but fell

in many other areas of the country.

RAG Rating

Equalities

Fuel poverty in more prevalent in groups with low household incomes, including

pensioners, persons on benefits, and working families with below average incomes.

The low wage economy, particularly in North and West Devon and higher living

costs contribute to levels of fuel poverty locally.

11.39%

11.06%

10.28%

10.26%

9.87%

9.84%

9.51%

9.19%

8.94%

8.10%

7.94%

7.63%

7.34%

7.27%

6.75%

0% 5% 10% 15%

CornwallBristol

PlymouthDevon

BournemouthTorbay

BANESSomerset

GlosDorset

WiltshireSwindon

PooleNorth SomSouth Glos

Percentage


11.63%

11.44%

9.29%

10.18%

11.01%

10.48%

10.69%

9.14%

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%

2011 2012

Perc

en

tag

e


12.51%

12.22%

12.03%

11.58%

11.33%

10.26%

9.99%

9.52%

9.19%

8.94%

8.42%

8.26%

8.10%

7.57%

7.06%

6.33%

0% 5% 10% 15%

WorcestershireLincolnshire

WarwickshireCumbria

LeicestershireDevon

North YorksNorfolk


East SussexCambridgeshire

DorsetEssex

West SussexHampshire

Percentage


10.73%

8.95%

8.42%

11.47%

9.24%

9.84%

9.75%

10.28%

10.15%

11.19%

8.90%

9.12%

10.98%

10.57%

10.15%

10.34%

0% 5% 10% 15%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


*UPDATED INDICATOR*

0%

2%

4%

6%

8%

10%

12%

14%

201

1

201

2

Perc

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Indicator 1.17 Fuel Poverty

Period: 2012

Source

DescriptionThe percentage of households that experience fuel poverty based on the "Low

income, high cost" methodology

Department of Energy and Climate Change (DECC)

https://www.gov.uk/government/publications/2012-sub-regional-fuel-poverty-data-low-

income-high-costs-indicator

Update


Outcomes


Under the "Low Income, High Cost" measure, houeholds are considered to be fuel

poor where:

1.They have required fuel costs that are above average (the national median level)

2.Were they to spend that amount, they would be left with a residual income below

the official fuel poverty line.

The key elements in determining whether a household is fuel poor or not are income,

fuel prices, fuel consumption (which is dependent on the dwelling characteristics and

the lifestyle of the household)

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

CCG/Locality





interval.

Chart Notes

Trend

Chart Notes

Inequalities



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

Detailed

Specification

Chart Notes

Comparator






Indicator 1.18 Social Contentedness A Amber

Period: 2013-14 Red




RAG Rating

Overview

47.5% of social care users surveyed in Devon in 2013-14 reported being satisfied

with their social situation. This was significantly above South West (44.3%), local

authority comparator group (45.2%) and England (44.2%) rates. Within Devon

whilst there is some variation in responses at district level, smaller sample sizes

mean the differences are not statistically significant. Rates increased significantly

on 2012-13 levels.

Equalities

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.

47.9%

47.5%

47.1%

45.6%

45.4%

44.5%

44.0%

43.9%

43.8%

43.0%

42.9%

40.1%

37.9%

37.6%

35.3%

0% 20% 40% 60%

WiltshireDevonTorbay

BANESPoole

CornwallSouth GlosNorth Som

PlymouthBournemouth

SomersetGlos

SwindonDorsetBristol

Percentage


63.9%

47.1%

40.9%

62.2%

42.0%

50.0%

45.5%

50.9%

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

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%

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


48.8%

47.9%

47.5%

45.8%

45.6%

45.5%

45.4%

45.3%

45.3%

44.9%

44.6%

44.4%

42.9%

42.3%

40.1%

37.6%

0% 20% 40% 60%

NorfolkCumbria

DevonCambridgeshire

HampshireWarwickshireWest SussexEast Sussex

WorcestershireLincolnshire

LeicestershireEssex

SomersetNorth Yorks

GloucestershireDorset

Percentage


47.1%

47.1%

45.5%

61.3%

31.0%

47.1%

60.5%

43.8%

44.1%

44.0%

62.5%

43.8%

56.5%

42.2%

49.4%

44.3%

0% 20% 40% 60%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


37.5%

49.1%

54.7%

39.3%

62.5%

0% 20% 40% 60% 80%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

*UPDATED INDICATOR*




Indicator 1.18 Social Contentedness

Period: 2013-14

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

Intelligence Service (SW Benchmarking, Trend and Comparator Group) DCC

Management Information Team (District, Inequalities and CCG / Locality

Source

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

contact as they would like.

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

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

Detailed

Specification

Chart Notes

South West



Chart Notes

Local Authority






Chart Notes

CCG/Locality





interval.

Chart Notes




Chart Notes

Inequalities

Chart Notes

Comparator


Domain 2. Health Improvement G Green

Indicator 2.03 Smoking at Time of Delivery Amber

Period: 2012-13 Red




RAG Rating

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%

17.4%

16.7%

16.7%

13.8%

13.5%

13.3%

13.2%

13.2%

13.0%

12.3%

11.3%

9.9%

9.7%

9.4%

0% 10% 20% 30%

TorbaySomersetPlymouth

DorsetCornwall

GlosWiltshire

BournemouthPoole

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%

200

4-0

5

200

5-0

6

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


17.6%

17.4%

16.7%

15.6%

15.2%

14.3%

13.8%

13.8%

13.7%

13.5%

13.0%

11.8%

11.5%

11.3%

9.9%

9.7%

0% 10% 20%

WarwickshireSomerset

DorsetCumbria

East SussexNorfolk

LincolnshireWorcestershire

North YorksGloucestershireCambridgeshire

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



Domain 2. Health Improvement

Indicator 2.03 Smoking at Time of Delivery

Period: 2012-13

Source The Health and Social Care Information Centre, Lifestyle Statistics

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

Update

FrequencyAnnually - Future timescales for local authority data to be determined

Public Health Outcomes Framework Indicator 2.03Outcomes

Framework

Chart Notes

South West

Compares Primary Care Trust areas in the South West Region. Error bar is 95%

confidence interval.

Chart Notes

Local Authority



Chart Notes

CCG/Locality





interval.

Compares rates in the wards with the highest teenage conception areas with the

Devon average.

Compares Devon rate with South West region and England over time.Chart Notes

Trend

Chart Notes

Inequalities

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

Comparator





Domain 2. Health Improvement Green

Indicator 2.04 Teenage Conception Rate A Amber

Period: 2013 Q2 (rolling year) Red

South West Benchmarking Local Authority District (2012)



RAG Rating

Overview

There were 303 conceptions in Devon between July 2012 and June 2013 for females

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

is 24.1 per 1,000 females compared with 22.5 for the South West, 22.2 for the local

authority comparator group and 25.7 for England. Higher rates are seen in Exeter,

Mid Devon and Teignbridge but the difference is not statistically signficant. Stronger

decreases in the national rate mean the gap has narrowed.

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.

34.3

34.0

27.7

27.3

24.6

24.3

24.1

21.7

20.1

19.7

19.4

19.0

17.5

17.5

16.0

0 20 40 60

TorbayPlymouthSwindon

BristolCornwall

BournemouthDevonPoole

SomersetWiltshire

GlosDorsetBANES

North SomSouth Glos

Rate per 1,000 females aged 15-17


28.2

20.2

35.4

26.2

25.4

33.5

32.7

18.0

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

199

8

199

9

200

0

200

1

200

2

200

3

200

4

200

5

200

6

200

7

200

8

200

9

201

0

201

1

201

2

201

3

Rate

per

1,0

00 f

em

ale

s a

ged

15

-

17


27.4

27.4

25.4

24.3

24.1

23.3

22.5

21.3

21.1

21.0

20.7

20.1

19.4

19.0

18.9

16.2

0 20 40

WorcestershireLincolnshireEast Sussex

EssexDevon

NorfolkWarwickshire

HampshireCumbria

LeicestershireWest Sussex


DorsetNorth Yorks

Cambridgeshire



0 0.5 1 1.5

To…Pai…

N…Mo…Co…SD…SH…Ply…W…

No…WEB

W…Mi…Ex…Ea…NE…




0

20

40

60

80

100

120

2007-09 2008-10 2009-11

Rate

per

1,0

00 f

em

ale

s a

ged

15

-

17

Devon Wards Ranked 21 to 30

Wards Ranked 11 to 20 Wards Ranked 1 to 10

*UPDATED INDICATOR*




Indicator 2.04 Teenage Conception Rate

Period: 2013 Q2 (rolling year)

Office for National StatisticsSource

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

Update

FrequencyQuarterly - 15 months in arrears (Q3 2013 due December 2014)

Outcomes


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



Chart Notes

CCG/Locality

Rates are not currently available at a Clinical Commissioning Group and locality

level.

Chart Notes

Inequalities

Chart Notes

Trend


based on 0.5 fall in rate per annum from 2009 baseline.

Compares rates in the wards with the highest teenage conception areas with the

Devon average over time.

Detailed

Specification

Chart Notes

Comparator






Indicator 2.06 Excess Weight in Four / Five Year Olds A Amber

Period: 2012-13 (School Year) Red




RAG Rating

Overview

This measure of 'excess weight' covers children classified as overweight or very

overweight. In reception year (aged four or five) 24.9% of pupils in Devon were

recorded in the excess weight category, which was significantly above the South

West (22.9%), local authority comparator group (21.8%) and England (22.2%) rates.

Within Devon, Torridge (27.4%), Teignbridge (27.1%), and Exeter (26.2%) were

significantly above the national rate. Rates have increased on 2011-12 levels.

Equalities

Local results by deprivation and other criteria have not yet been released. National

results for 2012-13 reveal 18.2% of pupils in the excess weight category in the least

deprived decile compared with 25.9% in the most deprived decile. Levels of excess

weight were higher in boys than girls. No significant differences were observed by

ethnic group in Devon.

28.0%

24.9%

24.8%

24.6%

24.3%

24.1%

23.3%

23.2%

23.2%

23.2%

21.9%

21.4%

21.3%

19.9%

16.7%

0% 20% 40%

TorbayDevon

PlymouthGlos

North SomCornwall

SomersetSwindonBANES

PooleBristol

BournemouthWiltshire

DorsetSouth Glos

Percentage


26.3%

27.4%

27.1%

21.9%

24.0%

24.9%

26.2%

22.2%

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%

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


25.6%

24.9%

24.6%

23.3%

23.0%

23.0%

22.9%

21.3%

21.0%

20.9%

20.7%

20.4%

20.2%

20.1%

20.0%

19.9%

0% 10% 20% 30%

LincolnshireDevon


WorcestershireNorfolk

CumbriaNorth Yorks

LeicestershireEast Sussex

West SussexEssex


WarwickshireDorset

Percentage


28.0%

28.0%

31.3%

25.5%

22.6%

27.6%

23.7%

24.8%

24.6%

24.7%

23.1%

22.7%

25.6%

24.7%

24.4%

24.5%

0% 10% 20% 30% 40%

To…Pai…


No…WEB


Percentage


28.8%

29.1%

23.7%

22.9%

23.1%

0% 10% 20% 30% 40%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator 2.06 Excess Weight in Four / Five Year Olds

Period: 2012-13 (School Year)

SourceHealth and Social Care Information Centre and Devon Public Health Intelligence

Team

Annually, four months after end of school year (2013-14 due December 2014).

DescriptionProportion of children aged 4-5 (reception year) classified as overweight or very

overweight.

Update

Frequency

Outcomes

FrameworkPublic Health Outcomes Framework Indicator 2.06i

Detailed

Specification

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

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

recorded. Children are classified as overweight (including very overweight) 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

South West

Chart Notes

Local Authority



Chart Notes

Comparator








interval.

Chart Notes

CCG/Locality

Chart Notes

Trend


based on 0.1% per annum fall.

Chart Notes

Inequalities





Indicator 2.06 Excess Weight in 10 / 11 Year Olds A Amber

Period: 2012-13 (School Year) Red




RAG Rating

Overview

This measure of 'excess weight' covers children classified as overweight or very

overweight. In year six (aged 10 or 11) 29.7% of pupils in Devon were recorded in

the excess weight category, which was below the South West (30.9%), local

authority comparator group (30.7%), and England (33.3%) rates. The rates in the

South Hams, West Devon, Teignbridge, and East Devon were significantly below the

South West and national rates. Rates decreased on 2011-12 levels.

Equalities

Local results by deprivation and other criteria have not yet been released. National

results for 2012-13 reveal 26.1% of pupils in the excess weight category in the least

deprived decile compared with 38.1% in the most deprived decile. Levels of excess

weight were higher in boys than girls. No significant differences were observed by

ethnic group in Devon.

38.5%

33.9%

32.9%

32.8%

32.1%

31.5%

31.2%

31.0%

30.3%

29.7%

29.4%

29.4%

29.2%

28.3%

26.4%

0% 20% 40% 60%

TorbayBristol

GlosSwindon

PlymouthBournemouth

North SomCornwall

South GlosDevon

WiltshireSomerset

DorsetPoole

BANES

Percentage


26.8%

33.5%

28.9%

26.8%

31.1%

29.5%

31.8%

29.3%

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%

40%

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


36.6%

34.8%

32.9%

32.1%

31.9%

31.3%

30.9%

30.8%

29.9%

29.7%

29.4%

29.2%

29.0%

28.4%

28.4%

0% 20% 40%

CumbriaLincolnshire

GloucestershireNorfolk

WorcestershireLeicestershireWarwickshire

EssexEast Sussex

DevonSomerset


North YorksWest Sussex

Percentage


38.5%

38.5%

31.2%

27.3%

26.7%

33.3%

26.2%

32.1%

30.8%

32.1%

31.6%

29.9%

29.9%

29.8%

30.1%

30.7%

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


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


32.4%

32.3%

29.2%

29.6%

25.8%

0% 10% 20% 30% 40%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage




Indicator 2.06 Excess Weight in 10 / 11 Year Olds

Period: 2012-13 (School Year)

SourceHealth and Social Care Information Centre and Devon Public Health Intelligence

Team

Update

FrequencyAnnually, four months after end of school year (2013-14 due December 2014).

DescriptionProportion of children aged 10-11 (year six) classified as overweight or very

overweight.

Public Health Outcomes Framework Indicator 2.06iiOutcomes

Framework

Detailed

Specification

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

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

recorded. Children are classified as overweight (including very overweight) 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

South West





Chart Notes

Local Authority

Chart Notes

Comparator




Chart Notes

CCG/Locality





interval.


based on 0.1% per annum fall.

Chart Notes

Trend

Chart Notes

Inequalities





Indicator 2.07 Hospital Admissions for injuries, aged 0 to 14 Amber

Period: 2012-13 Red




RAG Rating

Overview

1,193 persons aged 0 to 14 were admitted to hospital due to accidental and

deliberate injuries in 2012-13. The standardised rate per 10,000 in Devon was

103.8, which is broadly in line with the South West (103.9), local authority

comparator group (101.8), and England (103.8) rates. Within Devon the highest

admission rates were seen in North Devon (142.6) and the lowest in Mid Devon

(78.2). Admission rates have been stable over recent years, whilst South West and

Equalities

Admissions for injuries are significantly higher in males than females. Higher

admission levels are seen in very young children (0 to 5) and those aged 13 or 14.

Admission rates are also typically higher in more deprived areas.

153.3

131.3

120.0

116.6

116.3

114.2

105.5

104.2

103.8

96.8

94.0

91.8

81.2

80.6

80.4

0 100 200

PlymouthPoole

BANESBournemouth

DorsetSomersetCornwall

BristolDevon

SwindonWiltshire

South GlosTorbay

North SomGlos

Rate per 10,000


104.4

138.0

97.1

99.4

142.6

78.2

101.9

84.7

0 50 100 150 200

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 10,000


0

20

40

60

80

100

120

140

201

0-1

1

201

1-1

2

201

2-1

3

Rate

per

10,0

00


119.0

116.3

115.8

114.2

112.5

111.2

108.1

107.7

107.6

103.8

96.6

89.8

87.4

85.8

80.4

72.4

0 50 100 150

CumbriaDorset

East SussexSomerset

LincolnshireNorth Yorks

WarwickshireNorfolk

West SussexDevon

HampshireWorcestershire

CambridgeshireEssex

GloucestershireLeicestershire

Rate per 10,000


0 1 1 2


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


0

0

0

1

1

1

1

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

DA

SR

per

100,0

00



NOT CURRENTLY AVAILABLE FOR 2011-12 AT A LOCAL LEVEL




Indicator 2.07 Hospital Admissions for injuries, aged 0 to 14

Period: 2012-13

Update

FrequencyAnnual

Outcomes


Detailed

Specification

Chart Notes

CCG/Locality


level.

Chart Notes


Chart Notes

InequalitiesRates are not currently available by inequality characteristics within Devon.

Chart Notes

Local Authority



Description

Crude rate of hospital emergency admissions caused by unintentional and deliberate

injuries in children and young people aged 0-14 years, per 10,000 resident

population

Source Public Health England Knowledge and Information Team (South West)

Numerator is the number of finished emergency admissions (episode number = 1,

admission method = 21 to 28), with one or more codes for injuries and other adverse

effects of external causes (ICD 10: S00-T79 and/or V01-Y36) in any diagnostic field

position, in children (aged 0-14 years). Admissions that only include T80-98 or Y40-

98, quality of care issues, in any field are excluded. Denominator is mid-year

population estimate for the relevant year for children aged 0-14 years, unrounded

populations. The numerator is divided by the denominator; the resulting value is then

multiplied by 10,000 to a give a crude rate per 10,000 population.

Chart Notes

South West



Chart Notes

Comparator






Indicator 2.08 Emotional Wellbeing of Looked After Children Amber

Period: 2012-13 R Red




RAG Rating

Overview

The difficulties score is collected through a strengths and difficulties questionnaire,

with higher scores (on a scale of 0 to 40) highlighting greater difficulties. The

average difficulty score in Devon was 15.9 compared which is higher than the South

West (15.2), local authority comparator group (14.4) and England (14.0) averages.

Devon was the highest in the comparator group, and fourth highest in the South

West, and the average score has decreased on the 2011-12 level (16.7).

Detailed local breakdowns by equalities characteristics are not currently available.

Nationally the difficulties score tends to increase with age with teenagers having

higher difficulties scores. The older age profile of children in care in Devon may well

influence the higher average scores observed.

Equalities

17.1

17.0

16.0

15.9

15.6

15.6

15.1

15.0

14.8

14.8

14.6

14.0

13.7

13.5

12.8

0 10 20

BANESPlymouthWiltshire

DevonSomerset

BristolTorbay

North SomCornwall

South GlosDorset

GlosSwindon

BournemouthPoole

Difficulties Score


0 1 1

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Difficulties Score


0

2

4

6

8

10

12

14

16

18

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Dif

ficu

ltie

s S

co

re


15.9

15.6

14.8

14.6

14.6

14.5

14.5

14.4

14.3

14.2

14.1

14.0

13.8

13.3

0 10 20

DevonSomerset

WorcestershireCumbria


NorfolkLincolnshireEast SussexNorth Yorks

EssexGloucestershire

HampshireWarwickshire

Difficulties Score


0 1 1 2

To…Pai…


No…WEB


Difficulties Score


0 0 0 1 1 1 1

Most Deprived

Above Average

Average

Below Average

Least Deprived

Difficulties Score







Indicator 2.08 Emotional Wellbeing of Looked After Children

Period: 2012-13

AnnualUpdate

Frequency

Outcomes


Data is collected by local authorities through the SDQ. A single summary figure for

each child (the total difficulties score), ranging from 0 to 40, is submitted to the

Department for Education through the SSDA903 data return. A higher score

indicates greater difficulties.The mean of total difficulties score for all looked after

children aged between 4 and 16 (inclusive) at the date of their latest assessment,

who have been in care for at least 12 months on 31st March is calculated. Average

scores have been rounded to one decimal place and have been derived from

unrounded numerator and denominator values.

Compares Upper Tier / Unitary Local Authorities in the South West Region. 95%

confidence interval are not calculable.

Chart Notes

South West

Detailed

Specification

Chart Notes

Local AuthorityRates are not currently available at a local authority district level.



95% confidence interval are not calculable.

Chart Notes

Comparator

Chart Notes

CCG/Locality


level.

Chart Notes


Chart Notes

InequalitiesRates are not currently available by inequality characteristics within Devon.

Description

Average of total difficulties score for all looked after children aged between four and

16 (inclusive) at the date of their latest assessment, who have been in care for at

least 12 months on 31 March.

Source Department for Education (Strengths and Difficulties Questionnaire - SDQ)



Indicator 2.09 Smoking at Age 15 Amber

Period: TBC Red




RAG Rating

Overview Not yet available.

Equalities Not yet available.

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

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

Percentage


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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

20%

40%

60%

80%

100%

120%

200

4-0

5

200

5-0

6

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


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


DevonDorset

East SussexEssex

GloucestershireHampshire

LeicestershireLincolnshire

NorfolkNorth Yorks

SomersetWarwickshireWest Sussex

Worcestershire

Percentage


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% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

INDICATOR STILL IN DEVELOPMENT




Indicator 2.09 Smoking at Age 15

Period: TBC

Description Indicator still in development.

Source Indicator still in development.

Update

FrequencyIndicator still in development.

Outcomes


Detailed

SpecificationIndicator still in development.

Chart Notes

South WestIndicator still in development.

Chart Notes

Local AuthorityIndicator still in development.

Chart Notes

ComparatorIndicator still in development.

Chart Notes

CCG/LocalityIndicator still in development.

Chart Notes

TrendIndicator still in development.

Chart Notes

InequalitiesIndicator still in development.



Indicator 2.10 Hospital Admissions for Self-Harm (10 to 24) Amber





RAG Rating

Overview

There were 548 hospital admissions for self-harm in persons aged 10 to 24 in Devon

in 2012-13. The rate per 100,000 in Devon was 419.5, which is below the South

West rate (442.5), but above the local authority comparator group (388.8) and

England (346.3) rates. Admission rates increased from 376.6 in 2007-08 to 419.5 in

2012-13. Within Devon rates were highest in North Devon, and lowest in the South

Hams and Torridge.

Equalities

Rates of hospital admission for self-harm are three times higher in females than

males and the gap has widened in recent years. Within the 10 to 24 age group

admission rates were highest in those aged 15 to 19 (625.4). Admission rates also

are higher in more deprived areas, with a rate of 1034.0 in the most deprived areas

compared with 308.6 in the least deprived areas in 2012-13.

638.9

567.4

555.9

522.8

521.8

497.7

456.1

439.5

430.2

425.5

422.1

419.5

407.0

294.1

239.2

0 200 400 600 800

PooleSwindon

BournemouthTorbay

WiltshireSomerset

BANESGlos

BristolPlymouthCornwall

DevonDorset

South GlosNorth Som

Rate per 100,000


471.8

282.4

460.3

325.5

518.1

426.4

472.7

421.5

0 200 400 600 800

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

50

100

150

200

250

300

350

400

450

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

Rate

per

100,0

00


497.7

479.8

458.7

439.5

420.5

419.5

416.3

407.0

396.2

395.5

368.1

356.7

322.9

287.3

222.4

203.2

0 200 400 600

SomersetWest Sussex

CumbriaGloucestershire

WarwickshireDevon

WorcestershireDorset


NorfolkLincolnshire

North YorkshireEast Sussex

EssexLeicestershire

Rate per 100,000


420.5

641.3

462.0

217.0

603.6

467.9

398.4

425.5

422.2

424.5

478.7

377.5

436.6

470.5

440.2

427.6

0 200 400 600 800 1,000


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Rate per 100,000


0

100

200

300

400

500

600

700

200

7-

08

200

8-

09

200

9-

10

201

0-

11

201

1-

12

201

2-

13

DA

SR

per

100,0

00

Female Male




Indicator 2.10 Hospital Admissions for Self-Harm (10 to 24)

Period: 2012-13

Compares rates within Devon by sex.

DescriptionDirect Age Standardised Rate of finished admission episodes for self-harm per

100,000 population aged 10 to 24 years

Update

FrequencyAnnual, 2013-14 due late 2014

SourceSource: CHIMAT Child Health Profiles http://www.chimat.org.uk/profiles

Uses Hospital Episode Statistics from Health and Social Care Information Centre

Outcomes

Framework

Local Proxy Indicator based on 2014 Child Health Profiles. Full Indicator will appear

as: Public Health Outcomes Framework Indicator 2.10 when finalised.

Detailed

Specification

Numerator is number of finished admission episodes in children aged between 10

and 24 years where the main recorded cause is between ‘X60’ and ‘X84’ (Intentional

self-harm). Population for people aged 10 to 24, aggregated into quinary age bands.

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. The 2013 revision to the European

Standard Population has been used.

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality





interval.

Chart Notes

Trend

Compares Devon rate over time. South West region and England rates not

available as historical information has been been published for the indicator.

Chart Notes

Inequalities



Indicator 2.11 Diet Amber

Period: TBC Red




RAG Rating



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

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

Percentage


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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

20%

40%

60%

80%

100%

120%

200

4-0

5

200

5-0

6

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


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


DevonDorset

East SussexEssex



NorfolkNorth Yorks


Worcestershire

Percentage


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% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage





Indicator 2.11 Diet

Period: TBC



Update


Outcomes


Detailed


Chart Notes

South West

Chart Notes


Chart Notes


Chart Notes


Chart Notes


Indicator still in development.Chart Notes

Inequalities

Indicator still in development.



Indicator 2.12 Excess Weight in Adults Amber

Period: 2012 Red




RAG Rating

Overview

In Devon in 2012, 60.6% of the population had a BMI in excess of 25 (overweight or

obese). This was significantly below the South West (63.8%), local authority

comparator group (65.3%) and England (63.8%) rates, with Devon ranked lowest in

the local authority comparator group. Within Devon the lowest rates of excess

weight were seen in Exeter (52.8%) which also reflects the younger age profile in the

city.

Equalities

Rates vary by age, with the lowest rates in younger age groups, and the highest

rates for 45 to 64 year olds in males, and 65 to 74 year olds in females. Levels of

excess weight are higher in males than females (66.5% vs 57.8% nationally),

although levels of obesity are slightly higher in females (24.7% vs 25.7% nationally).

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

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

Percentage


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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

20%

40%

60%

80%

100%

120%

200

4-0

5

200

5-0

6

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


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


DevonDorset

East SussexEssex



NorfolkNorth Yorks


Worcestershire

Percentage


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% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

70.4%

69.8%

66.8%

65.5%

63.8%

62.4%

61.9%

61.6%

60.6%

60.0%

59.2%

59.1%

58.7%

57.6%

55.7%

0% 20% 40% 60% 80%

SwindonCornwall

TorbaySomerset

GlosDorset

North SomWiltshire

DevonPlymouth

South GlosBristol

BournemouthPoole

BANES

Percentage


63.5%

63.4%

59.5%

60.9%

64.1%

64.1%

52.8%

61.3%

0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

20%

40%

60%

80%

100%

120%

200

4-0

5

200

5-0

6

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


68.3%

68.2%

67.9%

67.3%

65.7%

65.5%

65.5%

65.4%

65.1%

65.0%

65.0%

64.8%

64.4%

63.8%

62.4%

60.6%

0% 20% 40% 60% 80%

CumbriaLincolnshire

North YorkshireEssex

NorfolkWorcestershire

SomersetLeicestershire

HampshireEast Sussex

CambridgeshireWarwickshireWest Sussex

GloucestershireDorsetDevon

Percentage


0% 20% 40% 60% 80% 100% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage

Priority 3: HealthChoices Indicator: Proportion of Physly Active Adults Period:

2009-11 NOT CURRENTLY AVAILABLE

AT A LOCAL LEVEL

NOT CURRENTLY AVAILABLE (ONLY 2012 DATA IS AVAILABLE)





Indicator 2.12 Excess Weight in Adults

Period: 2012

Chart Notes

Comparator




Chart Notes

CCG/Locality

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

level.

Chart Notes

TrendFigures only available for 2009-11 so trend analysis not possible.

Source Active People Survey, Sport England

Update

FrequencyAnnually, timings to be decided

Outcomes


Detailed

Specification

Number of adults with a BMI classified as overweight (including obese), calculated

from the adjusted height and weight variables. Data are from APS6 quarters 2-4 and

APS7 quarter 1 (mid-Jan 2012 to mid-Jan 2013). Adults are defined as overweight

(including obese) if their body mass index (BMI) is greater than or equal to 25kg/m2.

Denominator is number of adults with valid height and weight recorded. Data are

from APS6 quarters 2-4 and APS7 quarter 1 (mid-Jan 2012 to mid-Jan 2013).

Height and weight is self-reported but is adjusted by age and sex using Health

Survey for England data to adjust for differences between self-reports and actual

Description Percentage of adults classified as overweight or obese.

Chart Notes

South West





Chart Notes

Local Authority

Chart Notes

InequalitiesRates cannot currently be calculated at a local level.



Indicator 2.13 Proportion of Physically Active Adults Amber

Period: 2013 Red




RAG Rating

Overview

60.9% of adults in Devon were physically active for at least 150 minutes per week in

2013. This is significantly above the South West (57.7%), comparator group

(57.9%) and national (55.6%) rates. Rates in Devon were the highest in the local

authority comparator group. Rates were significantly higher in West Devon (68.3%),

although the differences between the districts themselves were not statistically

significant. Levels of physical activity increased from 59.5% in 2012 to 60.9% in

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

61.6%

61.4%

60.9%

60.6%

59.5%

58.6%

58.1%

57.6%

57.1%

57.0%

56.5%

55.8%

51.4%

50.1%

49.5%

0.0% 20.0% 40.0% 60.0% 80.0%

PooleBANESDevon

CornwallSomerset

South GlosWiltshire


GlosDorsetBristol

TorbaySwindon

Plymouth

Percentage


68.3%

60.5%

61.4%

63.5%

59.5%

60.2%

56.1%

61.0%

0.0% 20.0% 40.0% 60.0% 80.0%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

2012 2013

Perc

en

tag

e


0

0

0

0

0

1

1

1

1

1

1

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

Perc

en

tag

e


60.9%

59.9%

59.5%

59.3%

58.0%

58.0%

57.7%

57.6%

57.5%

57.4%

57.1%

57.0%

56.9%

56.5%

56.5%

56.3%

0.0% 20.0% 40.0% 60.0% 80.0%

DevonCambridgeshire

SomersetNorth Yorks


NorfolkHampshire

EssexWarwickshire

LeicestershireGloucestershire

LincolnshireDorset

East SussexCumbria

Percentage


0 1 1 2

To…Pai…


No…WEB


Percentage



Priority 3: HealthChoices Indicator: Proportion of Physly Active Adults Period:

2009-11 NOT CURRENTLY AVAILABLE

AT A LOCAL LEVEL

*UPDATED INDICATOR*




Indicator 2.13 Proportion of Physically Active Adults

Period: 2013

SourceSport England’s Active People Survey (APS)

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

Update

Frequency

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

accordance with UK CMO recommended guidelines on physical activity.

Annually, around eight months in arrears (2014 update expected August 2015)

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.

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. This

includes physical activity as a mode of transportation to work, as well as direct

leisure activities.

Detailed

Specification

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator

Chart Notes

CCG/Locality





level.

Rates cannot currently be calculated at a local level.Chart Notes

Inequalities

Chart Notes




Indicator 2.14 Adult Smoking Prevalence A Amber

Period: 2012 Red




RAG Rating

Overview

The latest figures from the Integrated Household Survey suggest that 16.8% of the

adult population in Devon smoke. This is below the South West (18.5%), local

authority comparator group (18.2%) and England rate (19.5%). This is also below

the 2010 (17.7%) and 2011 (19.5%) 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 (27.4%). 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.

24.0%

21.5%

21.3%

21.1%

20.3%

19.5%

19.5%

17.5%

17.5%

17.5%

17.2%

16.8%

16.7%

16.5%

14.8%

0% 10% 20% 30%

PlymouthSwindon

BristolTorbay

CornwallPoole

BournemouthSouth Glos

GlosSomersetWiltshire

DevonBANESDorset

North Som

Percentage


15.1%

18.8%

18.0%

20.3%

17.6%

23.6%

12.4%

13.0%

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%

201

0

201

1

201

2

201

3

201

4

201

5

Perc

en

tag

e


0%

5%

10%

15%

20%

25%

30%

35%

40%

201

1

201

2

Perc

en

tag

e

Routine and Manual All Persons

20.9%

20.9%

19.1%

19.1%

18.9%

18.8%

18.3%

17.9%

17.9%

17.7%

17.7%

17.5%

17.5%

16.8%

16.5%

16.4%

0% 10% 20% 30%

CumbriaLincolnshire

NorfolkWest Sussex

North YorksLeicestershire

EssexWarwickshire

CambridgeshireWorcestershire

East SussexGloucestershire

SomersetDevonDorset

Hampshire

Percentage


0% 20% 40% 60% 80% 100%120%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage






Indicator 2.14 Adult Smoking Prevalence

Period: 2011-12


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

published by LHO.

Annually, next update due late 2014/early 2015Update

Frequency

Description Percentage of adults aged 18 and over who smoke

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




level.

Chart Notes

CCG/Locality

Chart Notes

Comparator




Chart Notes

Trend

Chart Notes

Inequalities

Compares smoking prevalence in routine and manual occupation groups with the

overall prevalence over time.



Indicator 2.15 Successful Drug Treatment Comp Opiate A Amber

Period: 2012 Red




RAG Rating

Overview

7.6% of opiate users who left drug treatment successfully in Devon did not re-

present to treatment within six months. This is below the South West (9.8%), local

authority comparator group (8.4%) and England (8.2%) rates, but not significantly so.

Rates increased between 2010 and 2011 but stayed stable between 2011 and 2012.

Equalities

The peak ages for drug treatment are for people in the 40s, with higher levels of

males than females. People living in more deprived areas are more likely to be in

drug treatment.

13.9%

12.9%

12.4%

12.2%

12.1%

11.7%

11.5%

10.6%

10.2%

9.1%

8.0%

7.8%

7.8%

7.6%

6.7%

0% 10% 20%

South GlosPoole

WiltshireSomerset

DorsetCornwall

North SomGlos

TorbayBristol

SwindonBournemouth

BANESDevon

Plymouth

Percentage


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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

2%

4%

6%

8%

10%

12%

201

0

201

1

201

2

Perc

en

tag

e


12.2%

12.1%

10.6%

10.3%

9.9%

9.5%

8.8%

8.5%

7.8%

7.6%

7.6%

7.5%

6.9%

6.7%

6.4%

5.2%

0% 10% 20%

SomersetDorset

GloucestershireWest Sussex

HampshireEast Sussex

LeicestershireEssex

NorfolkNorth Yorks

DevonCambridgeshire


WarwickshireCumbria

Percentage


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%

120%

200

8

200

9

201

0

201

1

201

2

Perc

en

tag

e








Indicator 2.15 Successful Drug Treatment Comp Opiate

Period: 2012

Chart Notes

South West



Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Chart Notes


Chart Notes


Chart Notes


DescriptionPercentage of opiate drug users that left drug treatment successfully who do not re-

present to treatment within six months

Source National Drug Treatment Monitoring System

Update

FrequencyAnnual, 2013 due summer 2014

Outcomes


Detailed

Specification

Numerator is the number of adults that successfully complete treatment for opiates

in a year and who do not re-present to treatment within six months. Denominator is

the total number of adults in treatment for opiate use in a year. Age group is 18 to

75.



Indicator 2.15 Successful Drug Treatment Comp Non-Opiate A Amber

Period: 2012 Red




RAG Rating

Overview

41.1% of non-opiate users who left drug treatment successfully in Devon did not re-

present to treatment within six months. This is broadly in line with the South West

(39.5%), local authority comparator group (41.5%) and England (40.2%) rates.

Rates have decreased between 2010 and 2012.

Equalities

The peak ages for drug treatment are for people in the 40s, with higher levels of

males than females. People living in more deprived areas are more likely to be in

drug treatment.

54.8%

45.4%

45.3%

41.6%

41.1%

39.3%

39.2%

39.1%

39.0%

38.7%

36.2%

36.0%

35.0%

33.5%

33.5%

0% 20% 40% 60% 80%

PooleTorbayDorset

BournemouthDevon

South GlosSwindon

North SomCornwall

BristolSomersetPlymouthWiltshire

GloucestershireBANES

Percentage


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%

201

0

201

1

201

2

Perc

en

tag

e


68.4%

49.3%

45.8%

45.8%

45.5%

45.3%

41.1%

40.8%

40.1%

36.2%

33.5%

32.9%

29.9%

27.9%

27.2%

23.6%

0% 20% 40% 60% 80%

East SussexNorth YorksLincolnshire

EssexHampshire

DorsetDevon

NorfolkWest Sussex



CumbriaCambridgeshireWorcestershire

Percentage


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%

120%

200

8

200

9

201

0

201

1

201

2

Perc

en

tag

e








Indicator 2.15 Successful Drug Treatment Comp Non-Opiate

Period: 2012

Detailed

Specification

Numerator is the number of adults that successfully complete treatment for non-

opiates in a year and who do not re-present to treatment within six months.

Denominator is the total number of adults in treatment for non-opiate use in a year.

Age group is 18 to 75.

Chart Notes

South West



DescriptionPercentage of non-opiate drug users that left drug treatment successfully who do not

re-present to treatment within six months

Source National Drug Treatment Monitoring System

Update

FrequencyAnnual, 2013 due summer 2014

Outcomes


Chart Notes

Local Authority




Chart Notes

Comparator

Chart Notes

CCG/Locality


level.

Chart Notes


Figures are not currently available at a local authority district level.

Chart Notes




Indicator: Alcohol-Related Admissions (narrow definition) A Amber

Period: 2013-14 Red



Trend and Future Trajectory Inequalities (Deprivation - England)

Overview

Using the new narrow definition, there were around 4,957 alcohol-related admissions

to hospital for Devon residents in 2013-14. The Direct Age Standardised Rate of

Admissions (633.8 per 100,000) is broadly in line with the South West and national

rates but significantly above the local authority comparator group rate. Rates within

Devon are highest in Exeter and Northern Devon. Admission rates are signficantly

higher in more deprived areas.

RAG Rating

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.

851.1

765.9

670.9

665.6

657.2

649.6

633.8

619.7

619.3

596.1

582.9

534.6

532.9

513.9

498.1

0 500 1000

TorbayBristol

CornwallBournemouth

PlymouthGlos

DevonNorth SomSomersetSwindonBANES

PooleWiltshire

South GlosDorset

DASR per 100,000


570.9

685.2

612.6

581.9

690.9

613.2

722.4

599.1

0 500 1000

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

100

200

300

400

500

600

700

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

DA

SR

per

100,0

0


0

500

1000

2009-10 2010-11 2011-12 2012-13 2013-14

DA

SR

per

100,0

00


733.4

685.5

649.6

633.8

619.8

619.3

613.9

589.8

589.7

588.7

574.1

565.7

538.3

498.1

480.9

424.2

0 500 1000

CumbriaNorfolk

GloucestershireDevon

LincolnshireSomerset

CambridgeshireNorth Yorks

LeicestershireWorcestershire

East SussexEssex

West SussexDorset

HampshireWarwickshire

DASR per 100,000


500 1000


Newton AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


*UPDATED INDICATOR*





Indicator: Alcohol-Related Admissions (narrow definition)

Period: 2013-14

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)

Source

Update

Frequency

Quarterly - typically six months in arrears, Annually - typically nine months in

arrears. Local data feeds typically two months in arrears.

DescriptionDirect age-standarised rate of hospital admissions involving an alcohol-related

primary diagnosis or an alcohol-related external cause per 100,000 population.

Outcomes


Admissions to hospital involving an alcohol-related primary diagnosis or an alcohol-

related external cause. 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

Detailed

Specification

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator

Chart Notes

CCG/Locality


level.




Chart Notes


Compares areas within England based on area deprivation. National deprivation


Chart Notes

Inequalities



Indicator 2.19 Cancer Diagnosed at Stage One and Two Amber

Period: 2012 Red




Breakdowns by equality characteristics are not yet available for this indicator.

RAG Rating

Overview

In 2012, 50.8% of diagnoses for selected cancers were diagnosed at an early stage

(one or two). This is above the South West (47.8%), local authority comparator

group (49.2%) and England (41.6%) rates. Within Devon the highest rates were

seen in North Devon (58.0%) and Teignbridge (56.5%). These are experimental

statistics, with poor data quality in some areas meaning data are not available.

Differences between areas may relate to better coding as well as earlier diagnosis.

Equalities

57.1%

50.8%

50.7%

50.0%

48.9%

48.3%

47.9%

46.8%

46.3%

45.6%

45.3%

44.6%

43.8%

41.3%

0% 20% 40% 60% 80%

BANESDevon

North SomWiltshire

DorsetSomerset

PooleGlos

BristolCornwallSwindon

TorbaySouth Glos

PlymouthBournemouth

Percentage


Not currently available

41.3%

51.5%

56.5%

46.8%

58.0%

48.5%

45.4%

50.2%

0% 20% 40% 60% 80%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

20%

40%

60%

80%

100%

120%

200

4-0

5

200

5-0

6

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


57.5%

55.4%

53.5%

50.8%

48.9%

48.3%

46.8%

46.1%

45.3%

43.7%

37.6%

0% 20% 40% 60% 80%

CambridgeshireNorfolkEssexDevonDorset


HampshireWorcestershire

CumbriaEast SussexLincolnshire


LeicestershireNorth Yorks

Percentage


Not currently available

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% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage



NOT CURRENTLY AVAILABLE (ONLY 2012 DATA IS AVAILABLE)




Indicator 2.19 Cancer Diagnosed at Stage One and Two

Period: 2012

Chart Notes

South West

Description

The proportion of invasive malignancies of breast, prostate, colorectal, lung,

bladder, kidney, ovary and uterus, non-Hodgkin lymphomas, and melanomas of

skin, diagnosed at stage 1 or 2.

Source National Cancer Registry, Public Health England



Update

FrequencyAnnual, exact timings to be determined

Outcomes


Detailed

Specification

New cases of cancer diagnosed at stage 1 and 2 as a proportion of all new cases of

cancer diagnosed (specific cancer sites, morphologies and behaviour: invasive

malignancies of breast, prostate, colorectal, lung, bladder, kidney, ovary , uterus,

non-Hodgkin lymphomas, and invasive melanomas of skin). This indicator is

labelled as experimental statistics because of the variation in data quality: the

indicator values primarily represent variation in completeness of staging information.

Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality

Chart Notes

TrendTrend data not currently available.


level.

Chart Notes




Indicator 2.22 Percentage Offered an NHS Health Check A Amber

Period: 2014-15 Q1 cumulative Red




RAG Rating

Overview

45,148 people in Devon have been offered a health check since April 2013. This

represents 18.43% of the eligible population (244,934), which is below the South

West (20.66%), comparator group (23.61%) and England (23.35%) rates. Within

Devon rates are highest in Torridge, Teignbridge, Exeter, and the Newton Abbot

area. Within local CCGs, rates are highest in the South Devon and Torbay

localities. The percentage offered continued to rise in Q1 narrowing the gap to other

Equalities

Whilst practices covering areas with below average deprivation have the lowest

offered rates, the pattern by deprivation is not clear at present, with high rates in

practices with above average levels of deprivation highlighting that the programme

is more established in Torridge, Teignbridge, Exeter and the Exmouth area and also

in the least deprived practices.

34.80%

29.50%

27.93%

26.93%

25.49%

25.37%

22.21%

21.50%

19.97%

19.70%

18.61%

18.43%

13.82%

13.47%

10.08%

0% 20% 40%

BANESWiltshire

PooleGlos

SwindonBournemouth

South GlosTorbay

SomersetNorth Som

BristolDevon

PlymouthCornwall

Dorset

Percentage


20.88%

24.29%

22.24%

13.68%

18.19%

8.96%

21.30%

17.55%

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%

Q1 2

013

-1

4

Q2 2

013

-1

4

Q3 2

013

-1

4

Q4 2

013

-1

4

Q1 2

014

-1

5

Perc

en

tag

e

Devon South WestEngland Future

31.02%

30.33%

29.57%

28.09%

26.93%

26.17%

25.44%

24.84%

24.42%

23.06%

21.91%

19.97%

18.43%

18.08%

17.73%

10.08%

0% 20% 40%

LeicestershireCumbria

CambridgeshireWorcestershire


LincolnshireHampshire

EssexEast Sussex

NorfolkSomerset

DevonWest Sussex

North YorksDorset

Percentage


21.50%

21.50%

23.98%

21.35%

19.62%

21.67%

11.98%

13.82%

13.31%

20.67%

18.85%

16.71%

13.18%

21.68%

17.48%

16.59%

0% 10% 20% 30%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


21.76%

11.55%

16.60%

27.89%

15.49%

0% 5% 10% 15% 20% 25% 30%

Least Deprived

Below Average

Average

Above Average

Most Deprived

Percentage

*UPDATED INDICATOR*




Indicator 2.22 Percentage Offered an NHS Health Check

Period: 2014-15 Q1 cumulative



Description Percentage of eligible population aged 40-74 offered an NHS Health Check

Source Public Health England: NHS Health Check website

Update

FrequencyQuarterly, Q2 2014-15 data update due late November 2014

Outcomes


Detailed

Specification

Numerator is number of people aged 40-74 eligible for an NHS Health Check who

were offered an NHS Health Check in the financial year. Denominator is number of

people aged 40-74 eligible for an NHS Health Check in the financial year.

Percentage of eligible population aged 40-74 offered an NHS Health Check: the

number of eligible people aged 40-74 who were offered an NHS Health Check is

divided by the number of eligible people aged 40-74 and multiplied by 100.

Chart Notes

South West

Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality


their localities, and their sub-localities. This is based on GP practice attributions.


Chart Notes


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).



Indicator 2.22 Percentage Receiving an NHS Health Check A Amber

Period: 2014-15 Q1 cumulative Red




RAG Rating

Overview

Equalities

The pattern by deprivation is not clear at present, with high rates in areas with above

average levels of deprivation highlighting that the programme is more established in

Torridge. Rates were also higher in the least deprived practices, whereas rates in

the other three practice deprivation quintiles were broadly similar.

20,635 people in Devon received a health check in the first three quarters of 2013-

14. This represents 8.42% of the eligible population (244,934), which is below the

South West (9.18%), comparator group (10.54%) and England (11.21%) rates.

Within Devon rates are highest in Torridge and Teignbridge. Within local CCGs,

rates are highest in the South Devon and Torbay localities. The percentage

receiving a health check continued to rise in Q1, narrowing the gap to other areas.

15.22%

14.45%

13.57%

12.20%

10.83%

10.63%

10.52%

10.48%

10.26%

9.81%

8.42%

6.77%

6.63%

5.57%

4.96%

0% 10% 20%

BANESPoole

South GlosWiltshire

TorbaySwindon


GlosSomerset

DevonPlymouth

BristolCornwall

Dorset

Percentage


6.64%

12.41%

10.98%

8.93%

8.41%

4.78%

5.98%

8.83%

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%

Q1 2

013

-1

4

Q2 2

013

-1

4

Q3 2

013

-1

4

Q4 2

013

-1

4

Q1 2

014

-1

5

Perc

en

tag

e

Devon South West

England Future

14.87%

13.96%

13.63%

13.38%

13.09%

12.58%

12.12%

10.88%

10.26%

9.81%

8.42%

8.17%

8.11%

8.00%

6.46%

4.96%

0% 10% 20%


EssexCumbria

WorcestershireEast Sussex

CambridgeshireNorfolk


DevonNorth Yorks

West SussexWarwickshire

HampshireDorset

Percentage


10.83%

10.83%

7.85%

13.40%

12.04%

10.98%

5.95%

6.77%

6.54%

10.10%

8.60%

8.98%

6.22%

6.19%

7.11%

7.50%

0% 5% 10% 15%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


10.17%

6.35%

7.38%

11.24%

7.68%

0% 2% 4% 6% 8% 10% 12%

Least Deprived

Below Average

Average

Above Average

Most Deprived

Percentage

*UPDATED INDICATOR*




Indicator 2.22 Percentage Receiving an NHS Health Check

Period: 2014-15 Q1 cumulative


Detailed

Specification

Numerator is number of people aged 40-74 eligible for an NHS Health Check who

received an NHS Health Check in the financial year. Denominator is number of

people aged 40-74 eligible for an NHS Health Check in the financial year.

Percentage of eligible population aged 40-74 receiving an NHS Health Check: the

number of eligible people aged 40-74 who received an NHS Health Check is divided

by the number of eligible people aged 40-74 and multiplied by 100.

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

CCG/Locality

Chart Notes

Trend

DescriptionPercentage of eligible population aged 40-74 receiving an NHS Health Check who

received an NHS Health Check

Source Public Health England: NHS Health Check website

Update

FrequencyQuarterly, Q2 2014-15 data update due late November 2014

Outcomes





Chart Notes

Inequalities





Indicator 2.23 Self-Reported Wellbeing (low happiness score) Amber

Period: 2012-13 Red




RAG Rating

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, 9.2% of the population had a low happiness

score (ranked 0-4 on a scale of 10) on the index compared with 10.4% for the South

West, 9.4% in the local authority comparator group and 10.4% 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).

12.1%

11.8%

11.5%

11.0%

10.4%

10.4%

10.4%

10.1%

10.0%

9.9%

9.8%

9.6%

9.2%

8.5%

6.9%

0% 10% 20%

GlosBristol

SomersetTorbay

PooleCornwall

PlymouthBournemouth

South GlosSwindon

North SomWiltshire

DevonDorset

BANES

Percentage


0% 10% 20% 30% 40%

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

2%

4%

6%

8%

10%

12%

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


12.1%

11.5%

10.3%

10.2%

10.2%

9.8%

9.7%

9.5%

9.3%

9.2%

8.9%

8.5%

8.5%

8.5%

8.4%

7.8%

0% 10% 20%


East SussexWest SussexLincolnshire


EssexNorth Yorks

DevonLeicestershire

NorfolkDorset

WorcestershireHampshire

Warwickshire

Percentage


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% 120%

Most Deprived

Above Average

Average

Below Average

Least Deprived

Percentage







Indicator 2.23 Self-Reported Wellbeing (low happiness score)

Period: 2012-13

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

SourceOffice for National Statistics Integrated Household Survey. Experimental Statistics

from 2011 onwards.

Update

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

Public Health Outcomes Framework Indicator 2.23iiiOutcomes

Framework

Detailed

Specification

The percentage of respondents who answered 0-4 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.

Chart Notes

Local Authority

Chart Notes

South West



Rates cannot currently be calculated at a local level.

Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Trend data not currently available.Chart Notes

Trend

Chart Notes

Inequalities

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

previous trend information available.



Indicator 2.24 Injuries Due to Falls Amber

Period: 2012-13 Red




There were 3,259 admissions due to falls in 2012-13 in Devon for people aged 65

and over. The age standardised rate per 100,000 was 1672.8 in Devon, which is

below the South West (1875.6), local authority comparator group (1809.9) and

England (2011.0) rates. The rate is Devon is the second lowest in the South West.

Within Devon rates were significantly lower in Mid Devon (1363.2). Rates have

fallen on 2010-11 levels (1737.6).

RAG Rating

Overview

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 (2233.1) was still 47% higher than the least deprived areas

(1523.9). Rates increase sharply with age with an age-specific rate of 484.2 for

persons aged 65 to 69, compared with 6146.8 for those aged 85 and over.

2,421.9

2,105.9

2,100.5

2,093.3

2,047.3

2,032.3

1,941.0

1,936.1

1,864.1

1,830.6

1,794.6

1,706.8

1,678.9

1,672.8

1,616.0

0 1,000 2,000 3,000

BristolBANES

PooleBournemouth

SomersetPlymouthCornwallWiltshireSwindon

TorbaySouth Glos

GlosDorsetDevon

North Som

DASR per 100,000


1,556.6

1,710.7

1,834.9

1,747.9

1,724.7

1,363.2

1,804.7

1,563.2

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

500

1,000

1,500

2,000

2,500

201

0-1

1

201

1-1

2

201

2-1

3

DA

SR

per

100,0

00


2,085.8

2,047.3

2,028.1

2,020.1

1,907.4

1,904.0

1,899.1

1,747.2

1,706.8

1,697.4

1,695.9

1,683.7

1,680.1

1,678.9

1,672.8

1,504.1

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

West SussexSomerset

LincolnshireCambridgeshire

HampshireEssex

WarwickshireEast Sussex

GlosNorfolk

North YorksWorcestershire

CumbriaDorsetDevon

Leicestershire

DASR per 100,000


1,891.0

1,770.2

1,950.6

1,906.3

2,036.9

1,931.6

1,697.2

2,032.3

2,008.5

1,765.9

1,785.5

1,567.8

1,441.2

1,808.4

1,641.8

1,791.8

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


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000


0

500

1,000

1,500

2,000

2,500

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

DA

SR

per

100,0

00





Indicator 2.24 Injuries Due to Falls

Period: 2012-13

Emergency 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

Description

Update

Frequency

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

data available around six months after year end (2013-14 national comparators due

Autumn 2014).

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.

Calculated using the 2013 European Standard Population.

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

Trend

Chart Notes

CCG/Locality





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

Chart Notes

Inequalities




Domain 3. Health Protection G Green

Indicator 3.02 Chlamydia Diagnosis Rate (Aged 15 to 24) Amber

Period: 2013 Red




RAG Rating

Overview

There is a national aim to increase the detection and diagnosis of Chlamydia with a

target level of 2,400 diagnoses per 100,000 population in the 15 to 24 age group.

Devon has a diagnosis rate of 2059.8 which is above the South West (1906.9),

comparator group (1692.2) and England (2015.6) rates and the highest in the local

authority comparator group. Within Devon, diagnosis rates are much higher in

Exeter (3502.9) and are lowest in the South Hams (1326.7).

Equalities

Females are more likely to present for Chlamydia screening than males, although

the gap narrowed between 2012 and 2013. Access to services is an important

factor, with people living in urban areas such as Exeter and Torbay more likely to

access services, with lower levels of usage in rural areas, which also influences

higher rates in more deprived areas.

2,598.1

2,323.7

2,312.3

2,302.5

2,091.6

2,081.8

2,059.8

1,942.9

1,847.8

1,837.2

1,731.0

1,728.5

1,724.9

1,607.4

0 500 1,0001,5002,0002,5003,000

TorbayNorth Som

BournemouthSwindon

BristolPoole

DevonPlymouthCornwallWiltshire

DorsetGloucestershire

South GlosBANES

Rate per 100,000


1,525.6

1,388.9

1,912.6

1,326.7

1,347.4

1,369.2

3,502.9

1,590.8

0 1,000 2,000 3,000 4,000

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

500

1,000

1,500

2,000

2,500

2012 2013

Rate

per

100,0

00


2,059.8

1,983.4

1,808.5

1,761.1

1,739.7

1,731.0

1,728.5

1,710.3

1,701.8

1,687.4

1,556.0

1,535.4

1,525.8

1,519.9

1,387.0

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

DevonLincolnshire

West SussexEast Sussex

EssexDorset

GloucestershireWorcestershireLeicestershire

North YorksHampshire

WarwickshireCumbria

CambridgeshireNorfolk

Rate per 100,000


0 1 1 2

To…Pai…


No…WEB


Rate per 100,000



*UPDATED INDICATOR*

0

500

1000

1500

2000

2500

3000

2012 2013

Rate

per

100,0

00

Female Male



Domain 3. Health Protection

Indicator 3.02 Chlamydia Diagnosis Rate (Aged 15 to 24)

Period: 2013



Public Health England, using Chlamydia Testing Activity Database (CTAD) data

Chart Notes

CCG/Locality


level.

Chart Notes


DescriptionCrude rate of chlamydia diagnoses per 100,000 young adults aged 15-24 using

CTAD data

Source

Update

FrequencyAnnually, around eight months in arrears

Outcomes


Chart Notes

Local Authority



Chart Notes

Comparator




Chart Notes

InequalitiesCompares diagnosis rates by sex over time.

Detailed

Specification

Numerator is the number of people aged 15-24 diagnosed with chlamydia.

Denominator is the resident population aged 15-24. Crude rate per 100,000

population. The number of diagnoses made divided by the population aged 15-24

and multiplied by 100,000.

Chart Notes

South West


Domain 3. Health Protection Green

Indicator 3.03 Population Vaccination (MMR Aged 5) A Amber

Period: 2013-14 (provisional) Red




RAG Rating

Of the 7,726 reaching the age of five in Devon in 2013-14, 6,959 were fully MMR

immunised, meaning 767 were not. The uptake rate of 90.1% in Devon was

comparable to the South West (90.2%) and local authority comparator group

(90.1%), and slightly above the England rate (88.4%). The highest uptake rates

were in Torridge and the lowest in the South Hams. Whilst uptake has improved

locally, the increase has been slower than England as a whole.

There is no clear relationship between area deprivation, age of parent(s), martial

status of parent(s), other socio-economic factors and MMR uptake in Devon.

However differences exist between communities based on local factors. The lowest

uptake levels are seen in the Totnes area (74.3%), although rates have improved

over recent years and the gap between Totnes and other areas has reduced.

Equalities

Overview

92.7%

92.7%

92.5%

91.7%

91.6%

91.4%

91.0%

90.4%

90.1%

89.4%

89.3%

89.0%

87.1%

87.1%

86.8%

50% 60% 70% 80% 90% 100%

SwindonSouth GlosNorth Som

DorsetBANES

CornwallSomersetWiltshire

DevonPlymouth

GlosTorbay

BournemouthPooleBristol

Percentage


85.4%

93.6%

89.8%

81.7%

91.9%

92.6%

91.2%

92.6%

50% 60% 70% 80% 90% 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%

200

4-0

5

200

5-0

6

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

201

4-1

5

Perc

en

tag

e


96.3%

94.5%

93.9%

91.7%

91.3%

91.1%

91.0%

90.6%

90.1%

89.3%

89.3%

89.0%

87.2%

86.9%

86.5%

86.4%

50% 60% 70% 80% 90% 100%

WarwickshireLeicestershire

CumbriaDorset

WorcestershireEssex

SomersetHampshire

DevonNorth Yorks

GloucestershireNorfolk

East SussexCambridgeshire

West SussexLincolnshire

Percentage


85.6%

90.8%

90.9%

80.5%

91.5%

87.6%

83.1%

87.9%

86.9%

92.7%

92.8%

92.4%

92.1%

91.4%

91.9%

90.0%

50% 60% 70% 80% 90% 100%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

201

3-1

4

Perc

en

tag

e

Totnes Devon

*UPDATED INDICATOR*



Domain 3. Health Protection

Indicator 3.03 Population Vaccination (MMR Aged 5)

Period: 2013-14 (provisional)

DescriptionPercentage of eligible children who have received two doses of MMR vaccine on or

after their 1st birthday and at any time up to their 5th birthday

SourceCover of Vaccination Evaluated Rapidly (COVER) data collected by Public Health

England (PHE). Available from The Health and Social Care Information Centre (IC).

Update

Frequency

Quarterly, three months in arrears (Q4 2013-14 due end June 2014), final annual

figures due September 2014

Outcomes



Chart Notes

Comparator




Chart Notes

CCG/Locality




Chart Notes

Trend

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

InequalitiesCompares Devon rate with town with lowest uptake rate (Totnes) over time.

Detailed

Specification

Numerator is the total number of children who received two doses of MMR on or

after their first birthday and at any time up to their fifth birthday. Denominator is the

total number of children whose fifth birthday falls within the time period. Crude

percentage: numerator is divided by denominator and then multiplied by 100.


Domain 4. Healthcare Public Health G Green

Indicator 4.03 Mortality Rate from preventable causes Amber

Period: 2010-2012 Red




RAG Rating

Overview

The mortality rate from causes considered preventable in Devon is 157.6 per

100,000, which is significantly below the South West (167.7), local authority

comparator group (165.6) and England (187.8) rates. Within Devon rates were

highest in Exeter (182.1) and lowest in East Devon (144.3). The rate has fallen over

time from 204.5 in 2001-03 to 157.6 in 2010-12.

EqualitiesMortality rates from preventable causes tend to be higher in males than females.

Preventable mortality rates are higher in more deprived areas across all age groups.

217.2

208.4

200.9

191.8

175.4

174.9

173.1

167.0

160.0

157.6

157.3

155.6

151.5

146.6

140.4

0 100 200 300

PlymouthBristol

BournemouthTorbay

SwindonGlos

CornwallNorth Som

PooleDevon

SomersetWiltshireBANESDorset

South Glos

DASR per 100,000


148.4

171.7

154.9

145.7

172.7

151.7

182.1

144.3

0 100 200 300

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

50

100

150

200

250

300

200

1-0

3

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

DA

SR

per

100,0

0


0

50

100

150

200

250

300

350

400

200

1-0

3

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

201

1-1

3

DA

SR

per

100,0

00


196.9

181.8

174.9

173.5

168.4

168.0

167.0

166.9

166.8

165.2

160.0

157.6

157.3

149.4

148.8

146.6

0 100 200 300

CumbriaLincolnshire

GloucestershireEast SussexNorth Yorks

NorfolkEssex


WorcestershireWest Sussex

DevonSomerset


Dorset

DASR per 100,000


204.5

174.8

145.0

163.4

166.0

172.6

145.2

216.7

194.8

171.6

149.6

142.5

147.7

172.4

154.3

172.5

0 100 200 300


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000




Domain 4. Healthcare Public Health

Indicator 4.03 Mortality Rate from preventable causes

Period: 2010-2012

Chart Notes

Local AuthorityRates cannot currently be calculated at a local authority district level.

Chart Notes

Comparator




Chart Notes

CCG/Locality





interval.

Chart Notes


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

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

Health Intelligence Team (Inequalities and CCG / Locality Comparison)

Update

FrequencyAnnual, exact timings to be confirmed

Outcomes


Detailed

Specification

Numerator is number of deaths that are considered preventable (classified by

underlying cause of death recorded as ICD codes A15-A19, B17.1, B18.2, B20-B24,

B90, C00-C16, C18-C22, C33-C34, C43, C45, C50, C53, E10-E14, F10-F16, F18-

F19, G31.2, G62.1, I20-I26, I42.6, I71, I80.1-I80.3, I80.9, I82.9, J09-J11, J40-J44,

K29.2, K70, K73-K74 (excl. K74.3-K74.5), K86.0, U50.9, V01-Y34, Y60-Y69, Y83-

Y84) registered in the respective calendar years, aggregated into quinary age bands

(0-4, 5-9,…, 80-84, 85+). The 2013 revision to the European Standard Population

has been used for this measure.

Chart Notes

South West



Chart Notes

Inequalities



DescriptionAge-standardised mortality rate from causes considered preventable per 100,000

population

Source



Indicator 4.04 Under 75 Mortality Rate - Circulatory Diseases Amber




Trend and Future Trajectory (annual) Inequalities (Deprivation)

RAG Rating

Overview

In 2012, there were 455 circulatory deaths in under 75s, with an direct age

standardised rate of 62.7 per 100,000 for 2010-12. The Devon rate in 2010-12 was

below the South West (67.9), local authority comparator group (69.0) and England

(81.1) rates. Within the county, rates are highest in North Devon. Mortality rates fell

from 107.7 in 2001-03. Whilst rates have fallen more quickly in areas of above

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

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

86.3

86.1

82.4

81.7

77.7

72.4

71.8

68.2

68.0

62.7

62.7

60.6

59.6

57.6

55.7

0 50 100

PlymouthBristol

BournemouthTorbay

SwindonNorth Som

CornwallGlos

WiltshireDevon

BANESSomerset

PooleSouth Glos

Dorset

DASR per 100,000


65.0

69.1

64.9

58.1

70.7

64.3

65.9

52.4

0 50 100

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

200

3

200

4

200

5

200

6

200

7

200

8

200

9

201

0

201

1

201

2

DA

SR

per

100,0

0


0

50

100

150

200

250

200

1-0

3

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

201

1-1

3

DA

SR

per

100,0

00


83.4

82.3

74.9

73.8

73.5

71.5

71.2

70.4

68.2

67.7

65.7

62.7

62.7

60.6

59.4

55.7

0 50 100

CumbriaLincolnshireNorth Yorks

WorcestershireNorfolk


EssexGloucestershire

East SussexWest Sussex

CambridgeshireDevon

SomersetHampshire

Dorset

DASR per 100,000


94.5

70.7

63.5

63.2

78.8

74.0

62.0

87.7

80.2

71.0

59.0

49.6

63.9

64.5

59.6

69.4

0 50 100 150


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000





Indicator 4.04 Under 75 Mortality Rate - Circulatory Diseases

Period: 2010-2012




Source

Update

FrequencyAnnually, nine months in arrears (2013 results due October 2014)

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.

Outcomes

Framework

Public Health Outcomes Framework Indicator 4.04i, NHS Outcomes Framework

Indicator 1.1

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. Population for people

aged under 75, aggregated into quinary age bands. 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. The 2013 revision to the European Standard Population

Detailed

Specification

Chart Notes

South West



Chart Notes

Local Authority



Chart Notes

CCG/Locality





interval.




Chart Notes

Comparator

Chart Notes




Chart Notes

Inequalities



Indicator 4.05 Under 75 Mortality Rate - All Cancers Amber





Overview

In 2012, there were 1,058 deaths due to cancer in under 75s, with an direct age

standardised rate of 132.9 per 100,000 for 2010-12. The Devon rate in 2010-12 was

below the South West (136.8), local authority comparator group (135.2), and

England (146.5) rates. Within the county, rates are highest in Exeter (150.4).

Mortality rates by year have fallen from 157.2 in 2001-03. Mortality rates are higher

in more deprived areas, although the health inequality gap has decreased over the

RAG Rating

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.

166.1

157.7

147.4

146.2

143.6

140.3

135.9

135.7

132.9

132.5

131.7

130.5

130.0

128.2

124.2

0 100 200

PlymouthBristol

TorbaySwindon

BournemouthCornwallWiltshire

SomersetDevonPooleGlos

North SomBANES

South GlosDorset

DASR per 100,000


137.7

132.6

133.6

113.3

146.7

132.3

150.4

124.6

0 50 100 150 200

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

180.00

199

31

99

41

99

51

99

61

99

71

99

81

99

92

00

02

00

12

00

22

00

32

00

42

00

52

00

62

00

72

00

82

00

92

01

02

01

12

01

22

01

32

01

4

DA

SR

per

100,0

0


0

50

100

150

200

250

300

200

1-0

3

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

201

0-1

2

201

1-1

3

DA

SR

per

100,0

00


147.9

144.7

142.0

141.2

135.8

135.7

135.1

134.8

134.4

132.9

132.8

131.7

130.8

130.6

128.5

124.2

0 100 200

CumbriaLincolnshireEast Sussex

EssexLeicestershire

SomersetWorcestershire

West SussexNorth Yorks

DevonNorfolk



Dorset

DASR per 100,000


141.4

149.2

122.2

141.4

124.4

138.0

115.5

166.1

150.9

140.6

129.7

118.8

134.5

150.2

134.9

141.9

0 100 200


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000





Indicator 4.05 Under 75 Mortality Rate - All Cancers

Period: 2010-2012

Source




Update

FrequencyAnnually, nine months in arrears (2013 results due October 2014)

Description

Public Health Outcomes Framework Indicator 4.05i, NHS Outcomes Framework

Indicator 1.4

Outcomes

Framework

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. Population for people aged under 75,

aggregated into quinary age bands. 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.

The 2013 revision to the European Standard Population has been used for this

Chart Notes

South West





Chart Notes

Local Authority

Chart Notes

CCG/Locality





interval.

Chart Notes

Comparator





Chart Notes

Inequalities



Chart Notes

Trend

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

than 75 years per 100,000 population


Domain 4. Healthcare Public Health Green

Indicator 4.10 Suicide Rate A Amber





RAG Rating

Around 75 deaths per annum are registered as suicide or injury undetermined (open

verdict), with an direct age standardised rate of 10.1 per 100,000. This was above

the South West (9.8), local authority comparator group (9.2) and England (8.5) rates.

Within the county, rates are similar between districts, with no significantly higher

rates. Whilst year-on-year variations are seen due to the small numbers involved,

rates in Devon have typically remained around or slightly above the national rate.

Overview

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

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.

12.6

11.9

11.0

10.8

10.1

10.0

10.0

9.6

9.3

9.2

8.8

8.8

8.7

7.1

7.0

0 5 10 15 20

North SomGlos

CornwallPlymouth

DevonBristolPoole

DorsetBournemouth

TorbaySwindon

SomersetBANES

WiltshireSouth Glos

DASR per 100,000


14.5

12.0

10.1

9.9

9.3

8.5

0 10 20 30

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

2

4

6

8

10

12

200

3

200

4

200

5

200

6

200

7

200

8

200

9

201

0

201

1

201

2

DA

SR

per

100,0

0


02468

101214161820

200

1-0

3

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

DA

SR

per

100,0

00

Female Male

11.9

11.2

10.3

10.1

9.6

9.6

9.6

9.4

9.4

9.1

8.8

8.1

8.0

7.8

7.4

7.0

0 5 10 15

GloucestershireEast Sussex

CumbriaDevon

WarwickshireDorset

North YorksEssex


SomersetHampshire

NorfolkWest Sussex

LeicestershireCambridgeshire

DASR per 100,000


13.4

5.7

11.2

7.8

8.6

9.4

7.9

8.8

8.5

6.8

9.4

6.4

8.6

8.3

8.3

8.1

0 10 20


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


DASR per 100,000




Priority 4: Social Capital and Building Communities

Indicator: Suicide Rate

Period: 2010-2012

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

undetermined intent per 100,000 populationDescription

Source

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




Update

Frequency

Public Health Outcomes Framework Indicator 4.10Outcomes

Framework

Detailed

Specification

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, 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. New 2013 European Standard population used.





Chart Notes

South West

Chart Notes

Local Authority

Chart Notes

Comparator





level.

Chart Notes

CCG/Locality

Compares Devon rate with South West region and England over time.Chart Notes

Trend

Chart Notes

InequalitiesCompares rates within Devon by sex.



Indicator 4.12 Preventable Sight Loss (Registrations) A Amber

Period: 2012-13 Red




RAG Rating

Overview

There were 487 sight loss registrations in Devon in 2012-13. The rate per 100,000

population was 64.7 which is above the South West (45.1), local authority

comparator group (45.2) and England (42.3) rates. The registration rate increased

from 54.7 in 2011-12 and remains above South West and England levels. The

measure is influenced by the age structure of the population and detection rates as

well as underlying rates of sight loss.

EqualitiesSight loss registrations increase significantly with age and are highest in those aged

85 and older.

64.7

55.2

51.2

49.4

44.8

44.4

43.8

42.3

41.1

39.4

39.0

37.7

31.9

27.4

25.5

0 50 100

DevonDorset

SomersetTorbay

CornwallBournemouth

PlymouthGlos

BANESWiltshire

PooleNorth Som

BristolSwindon

South Glos

Rate per 100,000


0 0.5 1 1.5

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Rate per 100,000


0

10

20

30

40

50

60

70

2010-11 2011-12 2012-13

Rate

per

100,0

0


0

0.2

0.4

0.6

0.8

1

1.2

200

1-0

3

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

Rate

per

100,0

00


79.8

64.7

56.7

55.2

51.2

51.2

48.5

45.4

44.2

42.3

40.8

40.1

35.5

34.6

24.6

23.9

0 50 100

East SussexDevon

CumbriaDorset

SomersetHampshire

NorfolkLincolnshire

LeicestershireGloucestershire

North YorksWorcestershire

CambridgeshireEssex


Rate per 100,000


0 0.5 1 1.5

To…Pai…


No…WEB


Rate per 100,000





*UPDATED INDICATOR*




Indicator 4.12 Preventable Sight Loss (Registrations)

Period: 2012-13

Chart Notes

Local AuthorityRates cannot currently be calculated at a local authority district level.

Chart Notes

Comparator




Chart Notes

CCG/Locality


level.

Description Crude rate of sight loss certifications per 100,000 population

Source

Calculated by Public Health England Knowledge and Intelligence Team (West

Midlands) from data provided by Moorfields Eye Hospital and Office for National

Statistics

Update

FrequencyAnnual, around 16 months in arrears

Outcomes


Detailed

Specification

New Certifications of Visual Impairment (CVI), rate per 100,000 population. The

indicator relates completions of CVI (all causes - preventable and non-preventable)

by a consultant ophthalmologist, this initiates the process of registration with a local

authority and leads to access to services. Taken from The Database for

Epidemiological data on Visual Impairment Certificates (DEVICE), the Certifications

Office, the Royal College of Ophthalmologists, at Moorfields Eye Hospital NHS

Foundation Trust, supported by a grant from RNIB. Denominator are ONS Mid-Year

Population Estimates.

Chart Notes

South West



Chart Notes


Chart Notes

InequalitiesRates cannot currently be calculated by inequality characteristics at a local level.



Indicator 4.13 Health-Related Quality of Life Amber

Period: TBC Red




RAG Rating



0 0.5 1

BANESBournemouth

BristolCornwall

DevonDorset

GlosNorth Som

PlymouthPoole

SomersetSouth Glos

SwindonTorbay

Wiltshire

DASR per 100,000


0 0.5 1 1.5

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

DASR per 100,000


0

0.2

0.4

0.6

0.8

1

1.2

199

31

99

41

99

51

99

61

99

71

99

81

99

92

00

02

00

12

00

22

00

32

00

42

00

52

00

62

00

72

00

82

00

92

01

02

01

12

01

22

01

32

01

4

DA

SR

per

100,0

0


0

0.2

0.4

0.6

0.8

1

1.2

200

1-0

3

200

2-0

4

200

3-0

5

200

4-0

6

200

5-0

7

200

6-0

8

200

7-0

9

200

8-1

0

200

9-1

1

DA

SR

per

100,0

00


0 0.5 1


DevonDorset

East SussexEssex



NorfolkNorth Yorks


Worcestershire

DASR per 100,000


0 0.5 1 1.5

To…Pai…


No…WEB


DASR per 100,000






Indicator 4.13 Health-Related Quality of Life

Period: TBC

Update


Outcomes




Chart Notes


Chart Notes


Chart Notes


Chart Notes

InequalitiesIndicator still in development.

Detailed


Chart Notes

South WestIndicator still in development.

Chart Notes




Indicator 4.16 Dementia Diagnosis Rate Amber





Overview

In 2012-13, 5,483 people in Devon were on a GP register for dementia, compared

with an expected prevalence of 13,093, this is a diagnosis rate of 41.9%. This is the

third lowest ratio in the South West, and is below the South West (46.5%) and

England (48.1%) rates. Diagnosis rates have improved in recent years, increasing

from 28.0% in 2006-07, however national ratios have increased at similar rates. The

highest rates in Devon are seen in Teignbridge (47.2%) and Torridge (47.9%).

RAG Rating

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

58.2%

51.5%

51.2%

50.3%

49.6%

49.3%

48.6%

47.8%

46.9%

46.3%

44.3%

42.6%

41.9%

41.1%

37.5%

0% 20% 40% 60% 80%

BournemouthCornwall

GlosBristolPoole

SomersetPlymouth

South GlosSwindon

TorbayNorth Som

BANESDevonDorset

Wiltshire

Percentage


40.6%

47.9%

47.2%

34.8%

44.1%

38.9%

39.5%

40.2%

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

West Devon

Torridge

Teignbridge

South Hams

North Devon

Mid Devon

Exeter

East Devon

Percentage


0%

10%

20%

30%

40%

50%

60%

200

6-0

7

200

7-0

8

200

8-0

9

200

9-1

0

201

0-1

1

201

1-1

2

201

2-1

3

Perc

en

tag

e


0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

2012-13

Perc

en

tag

e


55.3%

51.2%

49.3%

47.2%

46.5%

45.9%

45.6%

45.5%

45.2%

45.1%

44.8%

43.8%

42.0%

41.9%

41.1%

41.0%

0% 20% 40% 60%

CumbriaGloucestershire

SomersetNorth Yorks



LincolnshireEast Sussex


EssexDevonDorsetNorfolk

Percentage


48.3%

44.5%

50.2%

33.6%

49.3%

45.3%

41.2%

48.6%

46.4%

45.6%

39.6%

40.6%

38.3%

39.4%

39.5%

43.0%

0% 20% 40% 60%


N AbbotMoor to Sea

CoastalSD&T CCG

SH&WDPlymouth


WEBWakley

Mid DevonExeter


Percentage




Priority 3: Independence in Older Age

Indicator: Dementia Diagnosis Rate

Period: 2012-13

NHS Dementia Prevalence Calculator, Devon Public Health Intelligence Team

(Local GP Practice Deprivation Quintiles)Source

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)

Annually (financial year based), typically seven months in arrears (2012-13 delayed

until early April 2014 due to revisions to reporting processes).

Update

Frequency

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.

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.

Detailed

Specification

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

confidence interval.

Chart Notes

South West

Chart Notes

Local Authority










Chart Notes

Comparator

Chart Notes

Trend

Chart Notes

CCG/Locality



Chart Notes

Inequalities

Documents

PUBLIC HEALTH DEVON OUTCOMES REPORT 9TH ......Public Health Devon Outcomes Report: Indicator List and Summary Domain RAG Indicator Type Trend Dev/SW/Eng G 0.01 Healthy Life Expectancy