Scottish Borders CHCP

Health and Wellbeing Profiles 2010

This is one of a set of 38 Health and Wellbeing Profiles for Scottish Community Health Partnerships (CHPs)*, published by the Scottish Public Health Observatory (ScotPHO) collaboration and updating profiles previously published in 2008. Additional profiles focusing on the health and wellbeing of children and young people in Scotland are also available. All profiles are available on the ScotPHO website at www.scotpho.org.uk/profiles .

Our aim is to support health improvement in Scotland by providing clear and relevant information that will help service providers, planning teams, policy makers and the public make informed decisions to improve health.

This profile contains: • A map of the area and demography table • ‘At a glance’ commentary on the findings for the area • A spine chart detailing 59 indicators across 10 domains • Time trend and rank charts for eight key indicators • A table of definitions and sources for all indicators • Details of other Profiles 2010 products.

While there may be additional sources of information in some local areas, these indicators have the strength of being available in a consistent form for all of Scotland, allowing valid comparisons to be made. They should be interpreted in the light of local knowledge.

*CHP is used as a global term to refer to all Community Health Partnerships (CHPs) / Community Health & Care Partnerships (CHCPs) / Community Health & Social Care Partnerships (CHSCPs or CHaSCPs) in Scotland. However, instead of including five CHPs for Glasgow City we have presented the results for three areas, covering Glasgow North East, Glasgow North West and Glasgow South. This gives a total of 38 comparator areas for the 2010 Profiles. These 38 areas nest within 32 councils (local authorities) in Scotland. In most cases, the CHP and council area are coterminous, but Glasgow, Fife and Highland Council areas contain a number of CHPs. Where indicators are unavailable at CHP level, data for the relevant council area are presented instead.

CHP Population: 112,680 9

EYEMOUTH g

y b

Number Measure Scot. Av. m

1 n

19,947 17.7 17.6 c

Population 0–15 years n

C c

DUNS i

1 h Government2010 (draft). y

70,221 62.3 65.7 v Population 16–64 years v

LAUDER S s

e r

1 c

a 12,371 11.0 9.0 h

Population 65–74 years n

PEEBLES O 1 A

Population 75+ years 10,141 9.0 7.7 f

GALASHIELS

MELROSE KELSO e

s 1 n

i Population 16+ years 92,733 82.3 l

82.4

SELKIRK t

1 g

Population 85+ years 2,554 2.3 2.0 p

p JEDBURGH a

l 550 0.8 1.3 HAWICK c National insurance n

i © CommunityHealth Partnership boundaries Scottis–

registrations for o

2,3 s

migrant workers T 1,138 10.1 11.6 Live births 4 1. Measure shown as percentage of the total population 2. Measure shown as percentage of working age population 3. Data reported for relevant council (local authority) area 4. Measure shown as a crude rate per 1,000 population 02 4 8 Miles

ScotPHO is part of the UK & Ireland Association of Public Health Observatories. Scottish Borders CHCP at a Glance

Population Profile Scottish Borders Community Health and Care Partnership (CHCP) has an estimated total population of 112,680. The population is relatively ‘elderly’ compared to the Scotland population, with 9.0% aged 75 and over (Scotland 7.7%). The live birth rate is significantly lower than average. 0.8% of the population aged 16-64 years are overseas nationals registered for a National Insurance number (Scotland 1.3%). Life Expectancy & Mortality Both male and female life expectancies at birth are better than the Scotland average, and have been increasing over time. Mortality rates for all causes (all ages), and coronary heart disease, cancer and cerebrovascular disease (under-75s), are also all significantly better (lower) than average.

Behaviours An estimated 22.0% of adults smoke, compared to 25.0% in Scotland as a whole. There have been 216 deaths from alcohol conditions in the last five years, giving a death rate significantly better than the Scotland average. The proportions of the population hospitalised with alcohol conditions and with drug related conditions are also significantly better than average. While reported levels of sporting participation are significantly better (higher) than average, active travel to work is not significantly different to Scotland overall.

Ill Health & Injury and Mental Health In Scottish Borders CHCP, hospital patient rates for chronic obstructive pulmonary disease (COPD), cerebrovascular disease, and asthma, are all significantly better (lower) than the Scotland average, as is diabetes prevalence. However, there are worse than average rates for emergency admission patients, road traffic accident casualties, and the 877 older patients hospitalised after a fall in the home in the last three years. While the estimated percentage of patients prescribed drugs for anxiety, depression or psychosis is significantly better than average, psychiatric hospital patient rates are significantly worse than average.

Social Care & Housing In the Scottish Borders, only 4.1% of adults claim incapacity benefit or severe disability allowance (Scotland 5.6%). Only 4.9% of older people receive free personal care at home (Scotland 5.3%). Rates of looked after children and percentages of single adult dwellings are both significantly lower than in Scotland as a whole. An estimated 9.6% of households are experiencing extreme fuel poverty (Scotland 7.5%).

Education & Economy The CHCP is better than average for the education indicators, in some cases significantly so. The area fares significantly better than Scotland as a whole for all the economy indicators, including income and employment deprivation, and benefit-related measures.

Crime and Environment Both the crime rate and prisoner population rate are significantly better than the Scotland average, but the rate for patients hospitalised after an assault is worse than average. This is a partly rural area, with 30.9% of people living in the 15% ‘most access deprived’ areas in Scotland (Scotland 14.2%). A significantly high percentage of adults rate their neighbourhood as a very good place to live. Women's & Children's Health The percentage of women smoking during pregnancy is significantly worse than average (24.7%, compared to 22.6% Scotland-wide). However, breast screening uptake is significantly better than the Scotland average. The under-18 teenage pregnancy rate is lower than average, and the percentage of babies exclusively breastfed at 6-8 weeks is better than average (31.3% compared to 26.4% Scotland-wide). Child dental health in primary 1 ranks third best of all CHP areas in Scotland. ScotPHO - Health and Wellbeing Profiles 2010 Page 2 of 12 Scottish Borders CHCP Health Summary This chart compares the local value for each indicator to the Scottish average and range for all profile areas. Statistically significantly 'worse' than Scottish average Statistically not significantly different from Scottish average 'Worse' Area Scotland Average 'Better' Area Statistically significantly 'better' than Scottish average 5th Percentile 25th Percentile 75th Percentile 95th Percentile Statistically significant difference compared to Scottish average No significance can be calculated Scot. Domain Indicator Number Measure Type 'Worst' Scotland Average 'Best' Average 1 Life expectancy - males 1 n/a 76.6 yrs 74.5 2 Life expectancy - females 1 n/a 80.7 yrs 79.5 3 Deaths all ages 2 3,684 606.5 sr 707.8 4 Early deaths from coronary heart disease (< 75s) 2 207 46.4 sr 57.2 & Mortality & 2 Life Expectancy Life 5 Early deaths from cancer (< 75s) 488 111.0 sr 134.7 6 Early deaths from cerebrovascular disease (< 75s) 2 65 14.5 sr 18.7 7 Smoking attributable deaths 2 700 19.0 % 24.1 8 Smoking prevalence 3 n/a 22.0 % 25.0 9 Patients hospitalised with alcohol conditions 2 3,704 962 sr 1,088 10 Deaths from alcohol conditions 1 216 28.8 sr 46.4 2 Behaviours 11 Patients hospitalised with drug related conditions 149 60.0 sr 85.1 12 Active travel to work 3 n/a 17.0 % 14.0 13 Sporting participation 3 n/a 78.0 % 73.0 14 Patients registered with cancer 1 3,270 402.8 sr 412.6 15 Patients hospitalised with COPD 2 661 116.3 sr 158.6 16 Patients hospitalised with coronary heart disease 2 1,827 353.7 sr 347.0 17 Patients hospitalised with cerebrovascular disease 2 911 160.4 sr 173.8 18 Patients hospitalised with asthma 2 1,149 309.5 sr 472.9 19 Patients hospitalised as an emergency 2 26,836 6,948.8 sr 6,378.9 20 2 3,259 4,535.1 sr 4,607.6

Ill Health & Injury & Ill Health Patients (65+) with multiple hospitalisations 21 Road traffic accident casualties 2 350 109.0 sr 79.4 22 Patients hospitalised after a fall in the home (65+) 2 877 1,060.5 sr 710.4 23 Prevalence of diabetes 5,125 3.1 sr2 3.5 24 Patients prescribed drugs for anxiety/depression/psychosis 10,955 9.4 % 9.7 25 Patients with a psychiatric hospitalisation 2 1,299 356.7 sr 303.0 Health Mental 26 Deaths from suicide 1 76 14.6 sr 15.1 27 People (65+) receiving free personal care at home 3 1,111 4.9 % 5.3 28 Adults claiming incapacity benefit/severe disability allowance 3,765 4.1 % 5.6 29 People (65+) with intensive care needs cared for at home 3 306 28.9 % 31.7 30 Households assessed as homeless 3 790 1.5 % 1.8 3 & Housing &

Social Care Social 31 Children looked after by local authority 193 8 cr2 14 32 Single adult dwellings 19,620 35.2 % 37.8 33 Households in extreme fuel poverty 3 n/a 9.6 % 7.5 34 Average tariff score of all pupils on the S4 roll n/a 183.1 mean 179.7 35 Primary school attendance n/a 96.2 % 95.2 36 Secondary school attendance n/a 92.5 % 91.1 Education 37 Working age adults with low or no educational qualifications 3 n/a 11.9 % 14.8 38 Population income deprived 12,710 11.4 % 15.1 39 Working age population employment deprived 5,535 8.4 % 11.6 40 Working age population claiming Jobseeker's Allowance 2,135 3.2 % 4.4

Economy 41 Dependence on out of work benefits or child tax credit 11,440 45.0 % 46.6 42 People claiming pension credits (aged 60+) 2,790 9.0 % 11.0 43 Crime rate 3,255 29.2 cr2 49.5 44 Prisoner population 78 131.6 sr 205.5

Crime 45 Referrals to Children's Reporter for violence-related offences 63 6.1 cr2 8.4 46 Patients hospitalised after an assault 2 298 114.2 sr 95.2 47 Population within 500 metres of derelict site 49,913 44.3 % 30.0 48 People living in 15% most 'access deprived' areas 34,458 30.9 % 14.2 49 3 n/a 62.0 % 52.0 Environment Adults rating neighbourhood as a very good place to live 50 Breast screening uptake 2 12,241 80.8 % 75.3 51 Mothers smoking during pregnancy 2 751 24.7 % 22.6 52 Teenage pregnancies 2 182 29.3 cr2 41.4 53 Low weight live births 2 77 2.6 % 2.3 54 Babies exclusively breastfed at 6-8 weeks 2 956 31.3 % 26.4 55 Immunisation uptake at 24 months - MMR 2 3,090 92.4 % 92.1 56 Immunisation uptake at 24 months - all excluding MMR 2 3,256 97.4 % 97.5 57 Child dental health in primary 1 731 73.3 % 61.8 Women's & Children's Health Children's & Women's 58 Child obesity in primary 1 n/a 7.7 % 8.0 59 Patients hospitalised by unintentional injuries at home (<15) 2 185 356.9 sr 377.5 Notes: 1. Five-year combined number, and 5-year average annual measure. 2. Three-year combined number, and 3-year average annual measure. 3. Data available down to local authority level only. Key: n/a= data not available, or cannot be calculated; cr = crude rate per 100,000 population; cr2 = crude rate per 1,000 population; sr = age-sex standardised rate per 100,000 population; sr2 = age-sex standardised rate per 100 population yrs = years; % = percent; mean = average. See the detailed Definitions and Sources table for indicator information and Technical Report (on the web) for further guidance on interpreting the spine. ScotPHO - Health and Wellbeing Profiles 2010 Page 3 of 12 Patients hospitalised with alcohol conditions alcohol with hospitalised Patients Expectancy Life Female Expectancy Life Male by Projections, Population Age and Population, Grou Borders (KeyCHCP Trends Scottish Indicators) Population Age-sex standardised rate per 100,000 Life expectancy in Life expectancy in pop'n years years 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 66.0 68.0 70.0 72.0 74.0 76.0 78.0 80.0 82.0 84.0 66.0 68.0 70.0 72.0 74.0 76.0 78.0 80.0 82.0 84.0 1 , 0 0 0 1 , 2 0 0 1 , 4 0 0 1 , 6 0 0 0 200 400 600 800 0 9619 0020 0420 0821 032033 2023 2013 2008 2006 2004 2002 2000 1998 1996 79 80 90 00 10 20 30 40 50 60 0 06-08 05-07 04-06 03-05 02-04 01-03 00-02 99-01 98-00 97-99 9419 9620 9920 0120 2003-2007 2001-2005 1999-2003 2003-2007 1996-2000 2001-2005 1994-1998 1999-2003 1996-2000 1994-1998 Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends Scotland 0-15 years ScotPHO - Health and Wellbeing Profiles 2010 Profiles Wellbeing and Health - ScotPHO Figure 1aFigure Figure 4a Figure 3a Figure 2a 16 - 64 years p Year Year Year Year Scottish Borders CHCP Borders Scottish raphies are on the ScotPHO ScotPHO website the on are raphies Note: No Note:Scotland figuresNo shown 65 years+ Interval Confidence 95% Page 4 of 124 of Page 7-09 Patients hospitalised with alcohol conditions alcohol with hospitalised Patients Expectancy Life Female Expectancy Life Male Age ofWorking Population (16-64) Borders CHCP RanksScottish (Key Indicators) Age-sex standardised rate per Life expectancy in years Life expectancy in years Percentage 100,000 pop'n 66 68 70 72 74 76 78 80 82 84 66 68 70 72 74 76 78 80 82 84 1 , 000 1 , 200 1 , 400 1 , 600 1 , 800 10 20 30 40 50 60 70 80 0 200 400 600 800 0 North East North East Western Isles CHP East Glasgow Glasgow Dunbartonshire North West Dumfries & South Glasgow Glasgow Galloway CHP Angus CHP North West North Highland South Glasgow Glasgow CHP Stirling CHP West West Angus CHP Dunbartonshire Dunbartonshire Falkirk CHP North Lanarkshire East Renfrewshire Inverclyde CHP East Renfrewshire CHP CHP CHP North Lanarkshire Scottish Borders East Ayrshire CHP Clackmannanshire CHP CHP

Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends CHP South Ayrshire Inverclyde CHP Western Isles CHP Glenrothes & CHP North East Fife Renfrewshire CHP Renfrewshire CHP Argyll & Bute CHP East Lothian CHP

South Lanarkshire West Lothian CHP Dundee CHP East Lothian CHP CHP North Ayrshire North Ayrshire Orkney CHP Scotland Edinburgh CHP CHP CHP Clackmannanshire Kirkcaldy & Dundee CHP Perth & Kinross CHP Levenmouth CHP CHP Kirkcaldy & East ScotPHO - Health and Wellbeing Profiles 2010 Profiles Wellbeing and Health - ScotPHO Falkirk CHP Aberdeenshire Levenmouth CHP Dunbartonshire CHP South Lanarkshire Perth & Kinross East Ayrshire CHP Dundee CHP CHP CHP North Highland South Lanarkshire North Ayrshire Midlothian CHP CHP CHP CHP Clackmannanshire Scottish Borders Falkirk CHP Mid Highland CHP CHP CHP Dunfermline & Dunfermline & West Lothian CHP Moray CHP West Fife CHP West Fife CHP Aberdeen City Midlothian CHP Shetland CHP Figure 1b Renfrewshire CHP Figure 4b Figure 3b CHP Figure 2b Kirkcaldy & South East North Lanarkshire Midlothian CHP Levenmouth CHP Highland CHP CHP South East Angus CHP Shetland CHP West Lothian CHP Highland CHP South Ayrshire Moray CHP Inverclyde CHP Argyll & Bute CHP CHP

raphies are on the ScotPHO ScotPHO website the on are raphies Aberdeen City Dunfermline & Kirkcaldy & Stirling CHP CHP West Fife CHP Levenmouth CHP North Highland Aberdeenshire North West Western Isles CHP CHP CHP Glasgow Dumfries & Midlothian CHP East Ayrshire CHP Shetland CHP Galloway CHP South Lanarkshire West Argyll & Bute CHP Orkney CHP CHP Dunbartonshire South Ayrshire Dunfermline & Dumfries & Moray CHP CHP West Fife CHP Galloway CHP South East

Argyll & Bute CHP Falkirk CHP Interval Confidence 95% Moray CHP Highland CHP

Western Isles CHP East Lothian CHP Edinburgh CHP Renfrewshire CHP Scottish Borders North Lanarkshire Angus CHP Mid Highland CHP CHP CHP

Aberdeen City Stirling CHP East Lothian CHP Dundee CHP CHP Clackmannanshire South East Edinburgh CHP Mid Highland CHP Highland CHP CHP South Ayrshire Perth & Kinross Dumfries & Glenrothes & CHP CHP Galloway CHP North East Fife Glenrothes & West Stirling CHP Inverclyde CHP North East Fife Dunbartonshire North Highland Aberdeenshire Scottish Borders West Lothian CHP CHP CHP CHP Perth & Kinross North East East Ayrshire CHP Orkney CHP CHP Glasgow North Ayrshire Glenrothes & Shetland CHP South Glasgow

Page 5 of 125 of Page CHP North East Fife East Renfrewshire Aberdeen City Orkney CHP Mid Highland CHP CHP CHP East Renfrewshire Aberdeenshire South Glasgow Edinburgh CHP CHP CHP North East East East North West Glasgow Dunbartonshire Dunbartonshire Glasgow Average tariff score of all pupils on the S4 roll S4 the on Averagepupils ofall score tariff Allowanc Age Jobseekers Working Claiming Population deaths attributable Smoking coronary disease heart with hospitalised Patients Borders (KeyCHCP Trends Scottish Indicators)

Mean tariff % of working age Age-sex standardised rate per 100,000 % smoking attributable deaths score population pop’n 1 ,0 0 0 10.0 15.0 20.0 25.0 30.0 35.0 1 3 0 .0 1 5 0 .0 1 7 0 .0 1 9 0 .0 2 1 0 .0 2 3 0 .0 2 5 0 .0 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 5.0 100 200 300 400 500 600 700 800 900 0 0020 0220 0420 0620 0820 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 69 79 80 90 00 10 20 30 40 50 0 05-07 04-06 03-05 02-04 01-03 00-02 99-01 98-00 97-99 96-98 030 040 050 060 070 2008/09 2007/08 2006/07 2005/06 2004/05 2003/04 Scotland Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends 0 0 -0 4 ScotPHO - Health and Wellbeing Profiles 2010 Profiles Wellbeing and Health - ScotPHO Figure 5aFigure Figure 8a Figure 7a Figure 6a School YearSchool Year Year Year e Scottish Borders CHCP Borders Scottish raphies are on the ScotPHO ScotPHO website the on are raphies 0 7 -0 9 Interval Confidence 95% -807-09 6-08 Page 6 of 126 of Page Average tariff score of all pupils on the S4 roll S4 the on Averagepupils ofall score tariff Allowanc Age Jobseekers Working Claiming Population deaths attributable Smoking coronary disease heart with hospitalised Patients Borders CHCP RanksScottish (Key Indicators) Age-sex standardised rate per Mean tariff score % of working age population Percentage 100,000 pop’n 130 150 170 190 210 230 250 0 1 2 3 4 5 6 7 10 15 20 25 30 35 40 100 150 200 250 300 350 400 450 500 0 5 50 0

Orkney CHP North East Shetland CHP Shetland CHP Glasgow Aberdeenshire CHP Orkney CHP Dundee CHP Stirling CHP Western Isles North West Shetland CHP East CHaSCP Glasgow Dunbartonshire Aberdeen City Aberdeenshire CHP East Renfrewshire South Glasgow CHP CHP Perth & Kinross Kirkcaldy & CHP Moray CHSCP Perth & Kinross Levenmouth CHP CHP East Renfrewshire Aberdeen City Angus CHP CHP Edinburgh CHP CHP

Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends South East Scottish Borders Dunfermline & Highland CHP Dumfries & West Fife CHP CHCP Galloway CHP North Ayrshire Moray CHP Perth & Kinross Argyll & Bute CHP CHP CHP Mid Highland CHP Glenrothes & East Ayrshire CHP Stirling CHP North East Fife East

West Scotland Dunbartonshire Mid Highland CHP East Lothian CHP Dunbartonshire Scottish Borders North Lanarkshire Dumfries & CHP Falkirk CHP CHP Galloway CHP East

ScotPHO - Health and Wellbeing Profiles 2010 Profiles Wellbeing and Health - ScotPHO East Lothian CHP Aberdeenshire Angus CHP Dunbartonshire CHP Glenrothes & South Lanarkshire Clackmannanshire North East Fife East Lothian CHP CHP CHP Glenrothes & Edinburgh CHP North Highland Angus CHP North East Fife CHP South Ayrshire Argyll & Bute CHP Argyll & Bute CHP South Ayrshire CHP CHP Angus CHP South East Kirkcaldy & Inverclyde CHP Highland CHP Levenmouth CHP Stirling CHP East Renfrewshire Falkirk CHP Western Isles CHP Figure 5b

Figure 8b Figure 7b CHCP Figure 6b Dumfries & South Ayrshire Edinburgh CHP Galloway CHP CHP Midlothian CHP North Highland Perth & Kinross North Ayrshire Dunfermline & CHP CHP CHP West Fife CHP North Highland Western Isles CHP Aberdeen City Orkney CHP CHP CHP e

raphies are on the ScotPHO ScotPHO website the on are raphies Midlothian CHP North Ayrshire Renfrewshire CHP Edinburgh CHP CHP Falkirk CHP Clackmannanshire Argyll & Bute CHP CHP Renfrewshire CHP Scottish Borders South Lanarkshire West Lothian CHP East Ayrshire CHP CHCP CHP South Ayrshire Glenrothes & Scottish Borders Stirling CHP CHP North East Fife CHP South Lanarkshire Midlothian CHP CHP Falkirk CHP West Lothian CHP

South East Dunfermline & Dunfermline &

Mid Highland CHP Interval Confidence 95% Highland CHP West Fife CHP West Fife CHP South Lanarkshire Orkney CHP Renfrewshire CHP Inverclyde CHP CHP Clackmannanshire Kirkcaldy & Inverclyde CHP South Glasgow CHP Levenmouth CHP Aberdeenshire Clackmannanshire North Lanarkshire Moray CHP CHP CHP CHP North West East Lothian CHP Dundee CHP Dundee CHP Glasgow North West Aberdeen City Mid Highland CHP East Ayrshire CHP Glasgow CHP Dumfries & North Lanarkshire West Midlothian CHP Galloway CHP CHP Dunbartonshire West Lothian South Glasgow Renfrewshire CHP Inverclyde CHP CHCP West West Lothian Shetland CHP Dundee CHP Dunbartonshire CHCP West North Highland Western Isles CHP East Ayrshire CHP

Page 7 of 127 of Page Dunbartonshire CHP Kirkcaldy & South East Moray CHSCP South Glasgow Levenmouth CHP Highland CHP East North East North West North Lanarkshire Dunbartonshire Glasgow Glasgow CHP East Renfrewshire North Ayrshire North East North East CHCP CHP Glasgow Glasgow Definitions and Sources

NB: more details on methodology and definitions are available in our technical report , available on the ScotPHO website at www.scotpho.org.uk/profiles . Indicator Description Definition Time Period Source 1 No. (On front Population Number and percentage of total estimated 2009 GROS cover) population in each age band (0–15 years; 16- 64; 65-74; 75+; 16+; 85+). The time trend graph shows population 1996–2033 estimates for 1996-2009, and projected (Figure 1a) numbers (for council area only) to 2033 (using GROS 2008-based population projections). (On front National Number and percentage of adult overseas 2008/09 DWP cover) insurance nationals registering for a National Insurance registrations for number. Denominator is all working age adults migrant workers (16-64 years (male), 16-59 (female)). (On front Live births Annual live births expressed as a number and 2009 GROS cover) crude rate per 1,000 population. 1 – 2 Life expectancy Estimated average male and female life 1994-98 to GROS expectancy at birth in years (using Chiang (II) 2003-07 method). * 3 - 6 Deaths Deaths from all causes (all ages), coronary 2007-09 GROS heart disease, cancer and cerebrovascular disease (under 75s); 3-year total number and 3-year average directly age-sex standardised rate per 100,000 population per year. * 7 Smoking Deaths from smoking related and attributable 2007-09 GROS attributable causes: 3-year total number and 3-year deaths average percentage (denominator is all deaths). * 8 Smoking Random adult respondents to the Scottish 2007/08 SHoS (question prevalence Household Survey, answering yes to the RG19YN) question "Do you smoke cigarettes nowadays?". The denominator is the total number of random adults answering this question (from the relevant council area). 9 Patients Patients discharged from hospital (annually) 1997-99 to ISD Scotland hospitalised with alcohol related and attributable conditions: 2007-09 (SMR1/01, with alcohol 3-year total number and 3-year average directly Linked conditions age-sex standardised rate per 100,000 Database) population per year. * 10 Deaths from Deaths from alcohol related and attributable 2005-09 GROS alcohol conditions: 5-year total number and 5-year conditions average directly age-sex standardised rate per 100,000 population per year. * 11 Patients Patients discharged from hospital (annually) 2007-09 ISD Scotland hospitalised with drug related conditions: 3-year total (SMR1/01, with drug number and 3-year average directly age-sex Linked related standardised rate per 100,000 population per Database) conditions year. * 12 Active travel to Number and percentage of adults travelling to 2007/08 SHoS (question work work by either cycling or walking. The RD3) denominator is all adults travelling to work. * 13 Sporting Number and percentage of adults participating 2007/08 SHoS (question participation in sporting activity. * SPRT3a) 14 Patients Patients newly diagnosed with cancer: 5-year 2003-07 ISD Scotland, registered with total number and 5-year average directly age- Scottish Cancer cancer sex standardised rate per 100,000 population Registry per year. (SMR06) 15 – 20 Hospitalised Patients discharged from hospital (annually) 1997-99 to ISD Scotland patients with specific conditions (COPD, coronary heart 2007-09 (SMR1/01, disease, cerebrovascular disease, asthma) or in Linked particular circumstances (emergency Database) admissions, multiple admissions in 65+ age group), expressed as 3-year total number and 3-year average directly age-sex standardised rate per 100,000 population per year. *see technical report (at www.scotpho.org.uk/profiles ) for more detail 1 In some cases this indicates the source of original raw datasets, with that data then manipulated by ISD to calculate required measures (e.g. life expectancy at birth, age-sex standardized mortality rates).

ScotPHO - Health and Wellbeing Profiles 2010 Page 8 of 12 Definitions and Sources

Indicator Description Definition Time Period Source 1 No. 21 Road traffic Patients discharged from hospital or died as a 2007-09 ISD Scotland accident result of a road traffic accident: 3-year total (SMR1/01, casualties number and 3-year average directly age-sex Linked standardised rate per 100,000 population per Database) or year. GROS 22 Patients Patients aged 65+ years discharged from 2007-09 ISD Scotland hospitalised hospital (annually) after an emergency (SMR1/01, after a fall in admission resulting from a fall in the home: 3- Linked the home (65+) year total number and 3-year average directly Database) age-sex standardised rate per 100,000 population per year. 23 Prevalence of Patients registered with diabetes mellitus (all 2010 SCI-DC diabetes types), expressed as directly age-sex (snapshot as standardised rate per 100 population. at 16 th March) 24 Patients Estimated number and percentage of population 2009 ISD Scotland prescribed being prescribed drugs for anxiety, depression (Prescribing drugs for or psychosis. Information anxiety/ System), CHI depression/ extract psychosis 25 Patients with a Patients discharged from psychiatric hospitals 2006-08 ISD Scotland psychiatric (annually): 3-year total number and 3-year (SMR04) hospitalisation directly age-sex standardised rate per 100,000 population per year. 26 Deaths from Deaths from suicide and undetermined intent: 2005-09 GROS suicide 5-year total number and 5-year average directly age-sex standardised rate per 100,000 population per year. 27 People (65+) Number and percentage of people aged 65+ 2009/10 SG- Community receiving free who receive free personal care services at (year ending Care Statistics personal care at home. In the spine chart this indicator is 31 st March) home assigned to 'worse' if proportion is below the Scottish average. 28 Adults claiming Number and percentage of all adults aged 16+ 2010 DWP incapacity claiming incapacity benefit/severe disability (Quarter benefit/severe allowance (SDA). ending disability February) allowance 29 People (65+) Number and percentage of people aged 65+ 2008/09 SG- Community with intensive with intensive care needs who receive 10+ (year ending Care Statistics care needs hours of home care per week. 31 st March) cared for at home ‘People aged 65+ with intensive care needs’ is defined as those: Receiving 10+ hours of home care (purchased or provided by a local authority) per week/Resident in a Care Home/Resident long-term in an NHS hospital.

In the spine chart this indicator is assigned to 'worse' if percentage is below the Scottish average. 30 Households Households categorised as homeless (based on 2008/09 SG – Housing assessed as applications to local authorities under the (year ending Statistics homeless Homeless Persons Legislation) - number and 31 st March) percentage of all households.

31 Children looked Number of children looked after by local 2009 SG after by local authority (0-18 years): Number and crude rate authority per 1,000 population 0-18 years. 32 Single adult Number and percentage of dwellings subject to 2009 GROS dwellings a Council Tax discount of 25 per cent. This may include, for example, dwellings with a single adult, dwellings with one adult living with one or more children, or with one or more adults who are 'disregarded' for Council Tax purposes. *see technical report (at www.scotpho.org.uk/profiles ) for more detail 1 In some cases this indicates the source of original raw datasets, with that data then manipulated by ISD to calculate required measures (e.g. life expectancy at birth, age-sex standardized mortality rates).

ScotPHO - Health and Wellbeing Profiles 2010 Page 9 of 12 Definitions and Sources

Indicator Description Definition Time Period Source 1 No. 33 Households in Percentage of all households that suffer 2005-08 SHCS extreme fuel ‘extreme fuel poverty’: defined as having to poverty spend over 20% of household income on fuel (4-year average). 34 Average tariff Average tariff score (pupil attainment) of all 2003/04 to SNS/SG score of all pupils enrolled in fourth year of secondary 2008/09 pupils on the S4 school (S4) of publicly funded secondary (school year) roll schools. * 35 – 36 School Primary and Secondary school attendance rate – 2008/09 SG (via SNS) attendance number attending and percentage of all pupils (school year) (based on pupil’s area of residence). 37 Working age Number and percentage of all working age 2008 APS (via SNS) adults with low adults (16-64 years(male), 16-59 (female)) who or no have with no qualifications or qualifications at educational SCQF level 4 or lower. qualifications 38 Population Adults defined as ‘income deprived’ expressed 2008 SIMD 2009, SG income deprived as a number and percentage of the total population. 39 Working age Adults defined as ‘employment deprived’ 2008 SIMD 2009, SG population expressed as a number and percentage of the employment working age population (16-64 years(male), 16- deprived 59 (female)). 40 Working age Population of working age in receipt of JSA: 2000 to DWP population number and percentage of total working age 2010 claiming population (16-64 years(male), 16-59 (Quarter Jobseeker’s (female)). ending allowance February) 41 Dependence on Number and percentage of children living in 2008 HMRC out of work households that are dependent on out of work (snapshot as benefits or child benefit OR where child tax credit is more than at 31 st tax credit the family element. August) 42 People claiming Number and percentage of population aged 60+ 2010 DWP pension credits claiming guaranteed and savings element (Quarter (aged 60+) pension credit. ending February) 43 Crime rate Number of crimes (based on SIMD crimes of 2007/08 SIMD 2009, SG violence; drug offences; domestic house (year ending breaking; minor assault; and vandalism) and 31 st March) rate per 1,000 population per year. 44 Prisoner Prisoner population (16+ years) on 30 th June 30 th June SPS population based on prisoners home address: total number 2008 imprisoned and directly age standardised rate snapshot per 100,000 population. 45 Referrals to Number of children referred to the Scottish 2009/10 SCRA Children’s Children’s Reporter Administration for violence (year ending Reporter for related offences (8-15 years): Number and 31 st March) violence-related crude rate per 1,000 population 8-15 years. * offences 46 Patients Number of patients discharged from hospital 2007-09 ISD Scotland hospitalised (annually) following an admission for assault: 3- (SMR1/01, after an assault year total number and 3-year average directly Linked age-sex standardised rate per 100,000 Database) population per year. * 47 Population Number and percentage of total population 2009 SVDLS/SNS within 500 living within 500 metres of a derelict site. metres of a derelict site *see technical report (at www.scotpho.org.uk/profiles ) for more detail 1 In some cases this indicates the source of original raw datasets, with that data then manipulated by ISD to calculate required measures (e.g. life expectancy at birth, age-sex standardized mortality rates).

ScotPHO - Health and Wellbeing Profiles 2010 Page 10 of 12 Definitions and Sources

Indicator Description Definition Time Period Source 1 No. 48 People living in Number and percentage of total population 2008 SIMD 2009, SG 15% most living in 15% most ‘access deprived’ areas (data 'access zones) in Scotland. deprived' areas 49 Adults rating Percentage of all adults surveyed who rated 2007/08 SHoS (question neighborhood as their neighbourhood ‘a very good place to live’. RB1) ‘very good place to live’ 50 Breast Breast screening uptake for all eligible women 2006-08 ATOS (SBSP) screening aged 50–70 (routine appointments): uptake 3-year total number and 3-year average percentage. 51 Mothers Women recorded as a ‘current smoker’ at 2006-08 ISD Scotland smoking during antenatal booking appointment: 3-year total (SMR02) pregnancy number and 3-year average percentage.

Denominator: All women with a known smoking status at booking (those with a smoking status of ‘unknown’ have been excluded) 52 Teenage Teenage (<18 years) pregnancies: 3-year total 2006-08 GROS and pregnancies number and 3-year average crude rate per Notifications of 1,000 females aged 15-17. * Abortions to the Chief Medical Officer for Scotland 53 Low weight live Low weight (<2,500g) live full-term singleton 2006-08 ISD Scotland births births: 3-year total number and 3-year average (SMR02) percentage of all live singleton births. 54 Babies Number of babies reported by parent as being 2006-08 CHSP-PS exclusively exclusively breastfed at 6-8 week review: 3- breastfed at 6-8 year total number and 3-year average weeks percentage.

Denominator: total number of babies receiving a 6-8 week review. Data not available for all areas * 55 – 56 Immunisation Immunisation uptake at 24 months for 2006-08 SIRS uptake Diphtheria, Pertussis, Tetanus, Polio, Hib, and - separately - MMR (measles, mumps and rubella): 3-year total number and 3-year average percentage of children of this age. 57 Child dental Primary 1 children receiving a ‘Category C’ letter 2008/09 NDIP Basic health in from Basic Inspection ("No obvious decay (school year) Inspection primary 1 experience, but child should continue to see the family dentist on a regular basis.") – number and percentage of all children inspected. 58 Child obesity in Primary 1 children whose BMI is within the top 2008/09 CHSP-S primary 1 5% of the 1990 UK reference range for their age (school year) and sex – number and percentage of all children reviewed. Data not available for all areas * 59 Patients Number of patients aged under 15 discharged 2007-09 ISD Scotland hospitalised by from hospital (annually) after an emergency (SMR1/01, unintentional admission due to an accident in the home: 3- Linked injuries at home year total number and 3-year average directly Database) (<15) age-sex standardised rate per 100,000 population per year. *see technical report (at www.scotpho.org.uk/profiles ) for more detail 1 In some cases this indicates the source of original raw datasets, with that data then manipulated by ISD to calculate required measures (e.g. life expectancy at birth, age-sex standardized mortality rates).

ScotPHO - Health and Wellbeing Profiles 2010 Page 11 of 12 Further information

Abbreviations APS: Annual Population Survey BMI: Body Mass Index CHI: Community Health Index CHSP-PS: Child Health Systems Programme – Pre-school Children CHSP-S: Child Health Systems Programme – School aged Children COPD: Chronic obstructive pulmonary disease DWP: Department for Work and Pensions GROS: General Register Office for Scotland ISD: Information Services Division (of NHS Scotland) NDIP: National Dental Inspection Programme ROS: Registers of Scotland SBSP: Scottish Breast Screening Programme SCI-DC: Scottish Care Information - Diabetes Collaboration SCRA: Scottish Children’s Reporter Administration SDA: Severe Disability Allowance SG: Scottish Government SHCS: Scottish House Condition Survey SHoS: Scottish Household Survey SIMD2009: Scottish Index of Multiple Deprivation 2009 SIRS: Scottish Immunisation Recall System SMR01/02/04: Scottish Morbidity Records SNS: Scottish Neighbourhood Statistics SPS: Scottish Prison Service SVDLS Scottish Vacant and Derelict Land Survey

Additional Profiles Products:

• Scotland level report • Technical report • Sub-CHP Excel workbooks • Spine chart packs (small area (intermediate geography) spines by CHP)

Acknowledgements:

Members of the ScotPHO team who were involved with the production of these profiles: Andrew Gasiorowski, Dr Diane Stockton, Dr Colin Fischbacher, Dr Alison Burlison, Dariusz Blaszczak, Dr James Reid, Ian Grant, Linsey Galbraith, Garry Hecht, Richard Lawder, Iona Child, Dr Rory Mitchell, Elaine Tod and Dr Gerry McCartney. Everyone who provided data for inclusion in the profiles. Members of the Profiles Project Board. Everyone who took part in the profiles consultations, and/or provided comment on the draft profiles. Dataworx Ltd for profile production automation.

For further information on this profile and the wider Health and Wellbeing Profiles Project please contact:

ISD ScotPHO Team : Andrew Gasiorowski : Dr Diane Stockton: email: [email protected] email: [email protected] email: [email protected] fax: 0131 275 7511 tel: 0141 282 2143 tel: 0131 275 6817

Dataworx: Adrian Watson email: [email protected]

Published by:

ScotPHO (Scottish Public Health Observatory) Team Information Services Division (ISD) Scotland Gyle Square 1 South Gyle Crescent EDINBURGH EH12 9EB

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