<<

Health Profile of

This information has been put together by the North Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in . Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right of of amount amount fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active ys ys on 5 da on 5 da

a week a week R 32% Bee 32% d d reporte reporte having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2034 2028 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2034 2028 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2034 2028 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Flintshire

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population

Holywell

North West Flint > Flintshire covers an Flintshire area of 437 square kilometres North East Flintshire Flintshire > Flintshire has a population of 350 Mold people per square South kilometre. This is the Flintshire highest population density in North Wales. Flintshire has > Flintshire has a three GP clusters resident population of 153,240.

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Flintshire 2013

the Flintshire UA, 2013 Wales Males Wales Female Flintshire Males Flintshire Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Flintshire population. Overall population

62% 95,490 people are aged 19% 16-64 years 19% 28,410 people 29,340 people 2% are aged are aged 3,190 people 0-15 years 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Flintshire, 2011 to 2036 Flintshire Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Flintshire are able to speak Welsh (19,340 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Flintshire 4% of 11% of LSOAs LSOAs 5,880 people 15,110 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

32% of 17% of Flintshire LSOAs LSOAs

47,570 people 25,720 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% 70% of patients registered with of registered patients Flintshire GP cluster live in an urban live in an urban area area, while 30% live in a rural area

15% of registered patients 15% live in a rural area of registered patients (small town/fringe) live in a rural area 19% 2% (village/hamlet/isolated dwellings) 27,300 3,200 people are aged people are aged 65-84 years 85 years or over 146,620 patients registered Patients registered with a North Wales GP and with Flintshire GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Flintshire GP Cluster patients... Health Inequality Flintshire

34% 11% 15% 13% 28%

16,680 22,660 19,140 40,390 49,360 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation a ly ye e r a rs NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BMI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

ly yea ea r rs FLINtSHIRe

Infant mortality rates in Flintshire are There are around higher than Wales 1,700 live births (4.5 per 1,000 births per year in compared to 4.4 per Flintshire 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 7 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 14 additional years to spend 13 additional years in in poorer health poorer health

7% 6% 52% 25% 17% of babies in of singleton of babies in of children aged of children and Flintshire are born babies in Flintshire are 4-5 years in Flintshire young people pre-term Flintshire are breast fed from are overweight or under 20 years live (less than low-birth weight birth compared to obese; 26% of boys in poverty 37 weeks) (less than 2500g) 55% across Wales & 25% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Flintshire 4% rise Flintshire

The number of people aged 18 or above Around 20,210 people have 10% of 5 to 16 year olds in predicted to have a learning disability is one of the common mental Flintshire (2,035 children) estimated to rise from just over 2,800 in disorders have a mental health disorder; 2013 to just over 2,900 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Flintshire

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Flintshire frailty aged 85 years and over is expected to rise from 3,380 in 2013 to 4,460 by 2020 and 7,440 by 2030

In Flintshire, around 185 people aged 65 years and over In Flintshire, 2% of are admitted to our the population are hospitals with hip In North Wales over aged 85 years and fractures each year 800 people over over; the lowest (601 per 100,000 the age of 65 are proportion across population) admitted to hospitals North Wales with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Flintshire

from 400 409 cancer deaths Cardiovascular deaths diseases 166 per 100,000 per year in per year in in Flintshire Flintshire Flintshire die of cancer + 154 per 100,000 population of + Cancer causes around 400 deaths per year in Flintshire die from Cardiovascular Flintshire. 166 per 100,000 of the population of disease; this is higher than the Flintshire die of cancer; the same as the North Wales North Wales average of 152 per rate and lower than the average for Wales (173 per 100,000 population, but lower than 100,000 population the Welsh national average of 157 per 100,000 population Flintshire 15% Hypertension 22,970 people 7% Asthma 9,920 people 5% Diabetes 7,390 people 4% CHD 5,890 people 2% COPD 3,120 people Overall,51,400 1% (35% of GP Epilepsy registered 900 people patients) patients have a chronic 1% condition/illness Heart failure 1,210 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

FLINtSHIRe Residents in Flintshire reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Flintshire 21% of adults in North Wales 20% of adults in Flintshire were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 22% in 2011/12

23 % 2011/12 22 % 2011/12

21 % 2012/13 20 % 2012/13

43% young people over drink 43% over drink 44% over drink

26% binge drink 29% binge drink

43% of adults in 26% of adults 43% of young 44% of adults in 29% of adults in North Wales drink in North Wales people aged Flintshire drink Flintshire binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended this has increased levels in Welsh average more than the levels, this is the slightly from 28% 2012/13, recommended highest across in 2011/12 compared to 42% levels North Wales across Wales

Maintaining a Healthy Weight

NORtH WALeS FLINtSHIRe

In North Wales, the In Flintshire, the number of adults number of adults 57% who are overweight who are overweight 56% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 57% in 2011/12 to 57% 2011/12 to 56% in in 2012/13 2012/13 23% 21% 23% 21% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 21% of adults in Flintshire reported being obese in 2012/13, lower than being obese in 2012/13, a decline the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of adults in Flintshire eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 32% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Flintshire are active on active on 5 or more days per week 5 or more days per week in 2012/13, in 2012/13. 32% of adults reported this has increased from 28% in 2011/12. having no active days, lower than the 32% of adults reported having no Welsh average of 34% active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal lintshire No es F

85% 86% have had have had their jabs their jabs

85% of 4 year olds in North Wales 86% of 4 year olds in Flintshire are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Flintshire is 90% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Flintshire is 73%. 56% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK.