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TRAFFORD SOUTH LOCALITY HEALTH PROFILE

JANUARY 2021 SOUTH LOCALITY: WARDS

• Altrincham: Altrincham is Trafford's largest town and sub-regional shopping centre. It's at the hub of south Manchester's modern transport infrastructure with major developments being undertaken within the ward. • Bowdon: Bowdon is the largest ward in Trafford, semi-rural and has a low population density. The ward has a combination of several small, rural villages surrounded by open countryside, including Dunham Massey Country Park and more densely populated residential areas. The majority of the ward is owned by the National Trust as part of the Dunham Massey Estate. • Broadheath: Broadheath has a become an area of major regeneration and has a mix of land uses. To the south the Bridgewater Canal, industrial and retail areas, to the north a new housing development known as Stamford Brook. To the west it has agricultural areas with views across to Warburton and Dunham and to the east residential areas of Timperley. • Hale Barns: Hale Barns lies at the southern tip of the Borough and is considered to be an affluent ward amongst the top 10% wealthiest areas in England. The ward is diverse in nature and is home to large Jewish and Muslim community groups. • Hale Central: Hale Central is a densely populated ward located to the south east of Altrincham town centre. Hale village is the heart of the ward with restaurants, shops and bars • Timperley: Timperley is primarily a residential area in the south of the Borough. The south of the ward is more affluent than the north of the ward. The ward ranks within the top 500 of the least deprived wards in the country. • Village: Village ward is on the eastern boundary of the Borough adjoining Manchester along Brooklands Road. The ward is fairly affluent but has pockets of areas with significant challenges Source: Trafford Data Lab, 2020 SOUTH LOCALITY: DEMOGRAPHICS

• The South locality has an estimated population of 79,917 across the seven wards (ONS, 2019).

• Data at the ward level suggests that all 7 wards in the South locality have the highest percentage of their population in the 16-64 years age group (ONS, 2019).

• Wards in the south locality relatively low BAME population (Census, 2011)

• Least deprived locality in Trafford but has some pockets of deprivation e.g. in Village ward (IMD, 2019)

• Around 7.3% of children are living in poverty and 4.3% of children living in income deprived households (as a proportion of all children aged 0–15 years) in the South locality (Local Health, 2019). PERCENTAGE (%) OF POPULATION AGED 65++ YEARS BY WARDS IN TRAFFORD (ONS, 2019)

Bowdon ward has the highest percentage (25.6%) of population aged 65+ years in Trafford followed by Hale Barns (24.6%) (ONS, 2019). Figure Source: Trafford Data Lab PERCENTAGE (%)OF BAME POPULATION BY WARDS IN TRAFFORD (CENSUS, 2011)

Relatively low BAME population in the South Locality with the lowest BAME population in Timperley (5.1%) but Hale Barns has slightly higher BAME population (16.9%) than Trafford Average of 14.5%TextText Figure Source: Trafford Data Lab DEPRIVATION SCORES BY WARDS IN TRAFFORD (CENSUS, 2011)

Timperley ward has the lowest deprivation score in Trafford, followed by Hale Barns and Bowdon (IMD, 2019). All wards in the South locality have lower levels of deprivation. Village ward has the highest deprivation score in the South due to some pockets of deprivation Figure Source: Trafford Data Lab SOUTH LOCALITY: CHILD HEALTH

• School readiness and GCSE achievement better than England average across all 7 wards (Local Health, 2019)

• Three years rolling average from 2017-2020 suggests that 17.5% of Reception year and 28.1 % of Year 6 children are obese and overweight in the South Locality (Obesity Profile, 2020).

• Percentage of reception year children with excess weight are better (statistically significant) than England average (22.6%) for Bowdon (11.5%), Hale Central (14.5%), Timperley (16.9%), Broadheath (17.6%) and Altrincham (18.2%). Hale Barns (20.4%) and Village (23.2%) have similar percentage of reception year children with excess weight compared with England average (Obesity Profile, 2020).

• The percentage of Year 6 children with excess weight are better (statistically significant) than England average (34.6%) for Hale Barns (23.2%), Hale Central (25%), Timperley (26.6%), Bowdown (27.7%) and Altrincham (28.7). Broadheath (32.5%) and Village (33.3%) have similar percentage of Year 6 children with excess weight compared with England average (Obesity Profile, 2020). CHILDREN WITH EXCESS WEIGHT RECEPTION YEAR, THREE YEAR AVERAGE 2017/18 - 2019/20

Area Value LCI UCI

Bowdon (11.9%) and Hale Central (14.5%) wards have the lowest percentage of reception year children with excess weight across all wards in Trafford. Source: Obesity Profile, 2020 SOUTH LOCALITY: DISEASE AND POOR HEALTH • Limited data on disease and poor health is present at the ward level, with the most recent data available until the year 2018. • 14.3% of residents in the north wards reported a limiting long term illness or disability (Census, 2011) with Hale Central residents reporting the lowest percentage (10.3%) across all wards in Trafford • There is a low level of lifestyle related ill-health in the north locality with the exception of Village ward. • 11% fewer lung cancer cases during the period 2012-2016, applying age-sex-year-specific incidence rates for England to the ward population (Local Health, 2016). • During the period 2013/14- 2017/18: - 14.3% fewer admissions for alcohol related harm and the admission ratios across 5 wards were lower (statistically significant) than England average with the exception of Broadheath (similar) and Village (worse). - 39% fewer emergency COPD admissions and the admission ratios across 5 wards were lower (statistically significant) than England average with the exception of Broadheath (similar) and Village (worse). - 19.1% fewer emergency admissions for CHD and the admission ratios across 4 wards were lower (statistically significant) than England average with the exception of Broadheath, Village and Hale Barns (similar) - 14.4% more emergency admissions for Stroke and the admission ratios across 4 wards were similar(statistically significant) to England average with the exception of Hale Barns, Broadheath and Altrincham (worse). EMERGENCY HOSPITAL ADMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) (2013/14- 2017/18) Area Value LCI UCI

The only four wards with hospital admissions for COPD better than England average are in the South locality (36.4% fewer cases in Timperley, 32.4% fewer cases in Hale Central, 28.4% fewer cases in Bowdon and 20.4% fewer cases in Altrincham. Source: Local Health, 2018 HOSPITAL STAYS FOR ALCOHOL-RELATED HARM BY WARDS IN TRAFFORD (2013/14-2017/18)

Area Value LCI UCI

The only five wards with hospital admissions for COPD better than England average are in the South locality (28.8% fewer cases in Hale Barns, 26.4% fewer cases in Bowdon, 24.8% fewer cases in Hale Central, 20.9% fewer cases in Timperley and 11.9% fewer cases in Altrincham Source: Local Health, 2018 SOUTH LOCALITY: LIFE EXPECTANCY

• No recent data is present for healthy life expectancy at the ward level for Trafford. The latest available data is for the year 2017.

• There are wide inequalities in life expectancy and healthy life expectancy across the South locality

- Bowdon has the highest male life expectancy of 84 years across all wards in Trafford. Life expectancy for males in Bowdon is 4.1 years higher than Trafford (79.9 years) and 4.5 years higher than England (79.5 years). - Hale Barns has the highest female life expectancy of 86.7 years in females across all Trafford wards. Life expectancy for females in Hale Barns is 3.2 years higher than Trafford (83.5 years) and 3.6 years higher than England (83.1 years). - Life expectancy for males is better (statistically significant) than England average for Bowdon, Hale Barns and Timperley. None of the South wards have life expectancy (male) worse than England average. - Life expectancy for females is better (statistically significant) than England average for Hale Barns, Bowdon, Hale Central and Altrincham. None of the South wards have life expectancy (female) worse than England average.

Source: Local Health, 2017 LIFE EXPECTANCY AT BIRTH (MALE) 2013-2017

Bowdon ward has the highest male life expectancy of 84 years across all wards in Trafford followed by 83.8% in Hale Barns. Village ward has the lowest male life expectancy of 79.3 years

Figure Source: Trafford Data Lab LIFE EXPECTANCY AT BIRTH (FEMALE) 2013-2017

Hale Barns has the highest female life expectancy of 86.7 years in females across all Trafford wards, followed by Bowdon (86.3 years) and Hale Central (86.1 years). Broadheath has the lowest female life expectancy of 82.4 years in the South locality Figure Source: Trafford Data Lab HEALTHY LIFE EXPECTANCY AT BIRTH (MALE) 2009-2013

Hale Central has the highest healthy life expectancy (Male) of 72 years across all wards in Trafford, followed by 70.6 years in Bowdon and Hale Barns. Village ward has the lowest health life expectancy (Male) of 63.5 years amongst the South locality. Figure Source: Trafford Data Lab HEALTHY LIFE EXPECTANCY AT BIRTH (FEMALE) 2009-2013

Hale Central has the highest healthy life expectancy (Female) of 73.9 years across all wards in Trafford, followed by 73.1 years in Hale Barns and 71.6 years in Bowdon. Village ward has the lowest Healthy life expectancy (Female) of 65.5 years amongst South wards. Figure Source: Trafford Data Lab SOUTH LOCALITY: CAUSES OF DEATH

• No recent data is present for causes of death at the ward level for Trafford. The latest available data is for the year 2017. • Across the South locality, there are 20.4% fewer preventable deaths compared with England population. • Bowdon, Timperley, Hale Central and Hale Barns wards are amongst the 5 wards with the lowest preventable mortality ratio (48.6% fewer deaths in Bowdon, 37.7% fewer deaths in Timperley, 24.4% few deaths in Hale Central and 23% fewer deaths in Hale Barns). • Deaths under 75 years of age are low across the South wards with: - 24% fewer deaths from all causes. Bowdon has the lowest premature mortality ratio from all causes across Trafford wards with 50% fewer deaths. - 18.7 fewer deaths from cancer. Bowdon has the lowest premature mortality ratio for cancer across Trafford wards with 38.3% fewer deaths. - 29.7% fewer deaths from circulatory diseases. Bowdon has the lowest levels of premature deaths from circulatory diseases in Trafford with 55.9% fewer deaths. Broadheath is the only South ward with more circulatory diseases deaths (7.9%) compared with England population, although it is not statistically significant. .

• There are 20% fewer deaths from respiratory diseases in the South locality. Hale Central has the lowest mortality ratio with 42.2% fewer deaths from respiratory diseases followed by Hale Barns with 37.8% fewer deaths. Source: Local Health, 2017 DEATHS FROM CAUSES CONSIDERED PREVENTABLE, ALL AGES, STANDARDISED MORTALITY RATIO, 2013-2017

Area Value LCI UCI

Preventable mortality ratio (deaths from causes considered preventable) is better (statistically significant) than England average for Bowdon, Timperley, Hale Central and Hale Barns. All other wards are similar to England average. Village ward has the highest preventable mortality ratio in South wards with 0.4% fewer preventable deaths Source: Local Health, 2017 DEATHS FROM ALL CAUSES, UNDER 75 YEARS, STANDARDISED MORTALITY RATIO, 2013 - 2017 Area Value LCI UCI

Premature mortality ratio (deaths under 75 years of age) from all causes is better (statistically significant) than England average for Bowdon, Hale Central, Hale Barns and Timperley. All other wards are similar to England average. Broadheath ward has the highest preventable mortality ratio in South wards with 3.5% fewer premature deaths Source: Local Health, 2017 DEATHS FROM RESPIRATORY DISEASES, ALL AGES, STANDARDISED MORTALITY RATIO, 2013-17

Area Value LCI UCI

Standardised mortality ratio from respiratory diseases is better (statistically significant) than England average for Hale Central and Hale Barns. All other wards are similar to England average. Bowdon has the highest mortality ratio from respiratory diseases in South wards with 7.3% fewer premature deaths Source: Local Health, 2017 SOUTH LOCALITY: SUMMARY

• The North locality contains the wards of Altrincham, Bowdon, Broadheath, Hale Barns, Hale Central, Timperley and Village.

• Age structure of South locality is fairly similar to Trafford as a whole (Local Health, 2019) and has a low BAME population (ONS, 2011).

• South is the least deprived of Trafford’s localities and contains some of the most affluent neighbourhoods in the country. This is reflected in the generally better than average health outcomes.

• South experiences significantly fewer deaths than would be expected compared to England and after adjusting for differences in age structure between South locality and England.