HEALTH & WELLBEING WARD PROFILE

Population 10,855  ♂50.2% ♀49.8% Male Population 5,448 Dukinfield Stalybridge Population (-16.3% Female Population 5,407 Since 2001) ( Male Population 49.1%) (Tameside Female Population 50.9%)

The population of Dukinfield Stalybridge declined by 16.3% between the 2001 and 2011 censuses, with a shift in the age distribution to that of older age groups. The population of Dukinfield Stalybridge is proportionally older compared to Tameside as a whole. The proportion of the Dukinfield Stalybridge population of white ethnicity is higher than the Tameside and averages at 95.8%, with a lower proportion of the population of Indian, Pakistani and Bangladeshi ethnicities.

Employment 62.6% 2.7% 13% Employment Rate Job Seekers Allowance Claimant Rate Out of Work Benefit Claimants 8th Highest in Tameside (Tameside Average=2.8%) (Tameside Average=13.6%) (Tameside Average=61.3%) Economic Status (% Aged 16-74) The employment rate in Dukinfield Stalybridge is marginally higher than Dukinfield Dukinfield the Tameside average at 62.6%, which is due to a higher proportion of full Tameside England Stalybridge Stalybridge (%) (%) time employees. (Number) (%)

The overall claimant rate for out of work benefits in Dukinfield Stalybridge Economically Active 5620 69.4 68.8 69.9 is marginally lower than the Tameside average at 13%. The Job Seekers Employee (Full Time) 3396 41.9 40.6 38.6 Allowance claimant rate in Dukinfield Stalybridge is approximate to the Employee (Part Time) 1061 13.1 13.2 13.7 Tameside average at 2.7%. The claimant rate for employment support al- Self-Employed 613 7.6 7.4 9.7 lowance in Dukinfield Stalybridge is marginally higher than the Tameside 359 4.4 5.0 4.4 average. The claimant rate for lone parents claiming income support is Unemployed half the Tameside average in Dukinfield Stalybridge. Full Time Student 191 2.4 2.5 3.4 Economically Inactive 2476 30.6 31.2 30.1

Job Seekers Allowance Claimants by Ward (% Aged 16-64) Out of Work Benefit Claimants (% Aged 16-64) Dukinfield Dukinfield Tameside England Stalybridge Stalybridge (%) (%) (Number) (%) Job Seekers Allowance (JSA) 175 2.7 2.8 2.8

Employment Support Allowance (ESA) 600 9.2 8.8 8

Lone Parents (claiming Income Sup- 55 0.8 1.6 1.4 port)

Other 20 0.3 0.4 0.4

Total out of work benefit claimants 850 13.0 13.6 12.6

Education and Training 26.6% 65.1% 59.6% Residents Aged 16+ without Early Years Foundation Stage: Pupils Achieving 5 GCSEs any Qualifications 5 Year Olds with a Good Level Including English and Maths at (Tameside Average=28.1%) of Development Grades A*-C (Tameside Average=59.9%) (Tameside Average=56.5%)

There is a slightly lower proportion of adults with no qualifications in Dukin- field Stalybridge compared to the Tameside average, although the propor- tions of the adult population having achieved their highest qualification at the various levels are not considerably different from the Tameside aver- age.

The proportion of Dukinfield Stalybridge pupils within the 2011/12 school year achieving 5 GCSEs grades A* to C including English and Maths was the sixth highest out of the 19 Tameside wards, which was marginally high- er than the Tameside average.

Highest Achieved Qualification (% Aged 16+)

Dukinfield Tameside Stalybridge England (%) (%) (%)

No Qualifications 26.6 28.1 22.5

Level 1: 1-4 GCSEs or Equivalent 16.3 16.1 13.3

Level 2: 5+ GCSEs or Equivalent 17.5 17.3 15.2

Level 3: 2+ A-Levels or Equivalent 12.6 12.1 12.4

Level 4 and above: Degree Level 17.5 17.5 27.4

Apprenticeship 5.1 3.6 3.6

Other Qualifications 4.4 5.7 5.7

Housing 4,863 13.2% 1.9% Number of Households Fuel Poor Households Households without Central Heating (Tameside Average=14.1%) (Tameside Average=2.8%) The housing stock in Dukinfield Stalybridge is largely semi-detached or ter- Housing Type (% Households) raced, but with a higher proportion of detached housing and purpose built flats Dukinfield than the Tameside average. Tameside England Stalybridge (%) (%) (%) The proportion of homes in Dukinfield Stalybridge that are owner occupied is higher than the Tameside average at 67.6%, with one in five homes being so- House: Detached 14.5 11.3 22.3 cial rented and one in ten homes being privately rented. House: Semi-Detached 34.9 37.5 30.7

Approximately 1 in 8 households in Dukinfield Stalybridge are fuel poor and 1 House: Terraced 28.4 35.7 24.5 in 50 households have no central heating. Flat/ Apartment: Purpose Built Block 20.3 13.4 16.7 Flat/ Apartment: Converted House 1.2 1.2 4.3 Housing Tenure (% Households) Flat/ Apartment: In Commercial Building 0.8 0.9 1.1 Dukinfield Tameside England Caravan or other Mobile/ Temporary Struc- Stalybridge 0 <0.1 0.4 (%) (%) ture (%) Modelled Percentage of Households in Fuel Poverty Owner Occupied 67.6 63.8 63.3 Private Rented 10.2 13.2 16.8

Social Rented 20.5 21.5 17.7 Shared Ownership (part owned and part rented) 0.5 0.3 0.8 Living Rent Free 1.2 1.1 1.3 Household Overcrowding (% Households) Dukinfield Tameside England Stalybridge (%) (%) (%) Room Overcrowding 4.2 6.1 8.7

Bedroom Overcrowding 2.5 3.9 4.6

Health

7.6% 22.6%  116.5 per 100,000 u75 population Poor Health (Self-Reported) Limiting Long Term Illness or Disability Under-75 CVD Mortality Rate (DSR) 7th Highest in Tameside, average 7.3%) (Tameside Average =20.9%) (8th Lowest in Tameside, average = 86.4)

Residents of Dukinfield Stalybridge have a level of self-reported poor health and limiting long term illness or disability that is marginally higher than the Tameside average. Both male and female life expectancy in Dukinfield Stalybridge are not substantially different to the Tameside aver- age. The registered prevalence of CHD, Hypertension, Asthma, Cancer, Chronic Kidney Disease and Peripheral Arterial Disease (PAD) in Dukinfield Stalybridge are higher than the Tameside average.

Percentage Limiting Long Term Illness or Disability Males Females Tameside Average ♂ ♀ 30 25

Life Expectancy Life Expectancy 20 75.3 80.4 6th Lowest in Tameside 7th Lowest in Tameside 15 Tameside Average=76.1 Tameside Average=80.3 10 Under 75 All-Cause Under 75 All-Cause 5

Mortality Rate Mortality Rate Limiting % TermIllness Long or Disability 0 480.2 382.2 (per 100,000 u75 Population) (per 100,000 u75 Population) 5th Lowest in Tameside 6th Highest in Tameside Tameside Average=560.6 Tameside Average=358.9

Distribution of Acorn Wellbeing Groups in Dukinfield Stalybridge

The profile of Acorn Wellbeing groups in Dukinfield Stalybridge are detailed in the map (next page) and chart (bottom) :-  The highest represented Wellbeing Acorn Group in Dukinfield Stalybridge at 36.6% of the population is the ‘Caution’ group’. These are areas where the health and wellbeing of the population is generally good with a below average incidence of illness. However, the population within the ’Caution’ group do exhibit some unhealthy behaviours that may lead to ill-health. Within the ‘caution’ group there are lower levels of smoking, with a lower prev- alence of high blood pressure, but a higher prevalence of obesity and high cholesterol.  The ‘At Risk’ group represents 29.4% of the Dukinfield Stalybridge population. Areas represented by the ‘At Risk’ group generally do not have a high incidence of illness, but multiple unhealthy lifestyle behaviours such as smoking, excess alcohol consumption and poor diets that put the population at risk of future health problems. Unhealthy lifestyle behaviours within the ‘At Risk’ group are compounded by social issues such as unemployment and debt, which can lead to low mental wellbeing.  The ‘Health Challenges’ group makes up 24.7% of the Dukinfield Stalybridge population. These are areas with the highest levels of illness and risky behaviours now and within the past that lead to health challenges. They are typically some of the most deprived neighbourhoods and those with the highest elderly populations. This group has the highest prevalence of smoking and lowest consumption of fruit and vegetables. There may also be is- sues with isolation and mental wellbeing within the ‘Health Challenges’ group.  The ‘Healthy’ group makes up 9% of the Dukinfield Stalybridge population. These are areas with very low levels of illness and good lifestyle behav- iours. These areas are typically more affluent, often with a high proportion of older residents. Levels of smoking are very low and consumption of fruit and vegetables are high.

0% 5% 10% 15% 20% 25% 30% 35% 40%

Map of Dukinfield Stalybridge, illustrating where the four main ’Acorn’ wellbeing groups are geographically placed

Acorn Wellbeing Profile of the Dukinfield Stalybridge Population The profile of Acorn Wellbeing types in Dukinfield Stalybridge are detailed in the table and charts opposite. There are four Acorn Wellbeing types that make up approximately 56% of the Dukinfield Stalybridge population:-  The highest represented Wellbeing Acorn Type in Dukinfield Stalybridge at 22% of the population is ‘Everything in Moderation’. This type is the most average for family structure and housing. They are more likely to live in a 3 bedroom semi detached property which is owner occupied. There are low levels of benefit claimants within this type. They tend to work in intermediate occupations or junior managerial roles, with an income slightly higher than the national average. Health of people within this type is generally good with lower than average smoking rates, although levels of obesity and the pro- portion drinking more than recommended levels are higher than average.  The ‘Everyday Excesses’ type accounts for 16.9% of the Dukinfield Stalybridge population. These areas are typically made up of owner occupied or privately rented terraced housing. The population tend to work in lower supervisory or semi-routine occupations, although some areas have higher than average job seekers allowance claimants. Three times more households than the average have no central heating within this type. Smoking prev- alence and drinking more than recommended levels are higher than average. The population within this group is younger than average and therefore health problems and illness levels are low. They take relatively few prescribed medicines, and on average do not suffer with high cholesterol, obesity or high blood pressure.  The ‘Hardship Heartlands’ type accounts for 8.6% of the Dukinfield Stalybridge Population. The population of these neighbourhoods are likely to live in small social rented houses or flats and to be employed in lower skilled trades, with many being long term unemployed. Levels of smoking and drink- ing above recommended levels are high. The incidence and prevalence of lifestyle related conditions are high including obesity, bronchitis/emphysema, kidney complaints and angina. There are also higher than average rates of mental illness.  The ‘Elderly Ailments’ type accounts for 8.5% of the Dukinfield Stalybridge Population. The financial wellbeing of this group is high with more than half likely to own their own semi-detached or detached houses outright. With almost 40% of such areas within the over 65 age bracket, conditions as- sociated with age are more prevalent such as angina, arthritis and other bone and joint problems. Other prevalent conditions include high blood pres- sure, obesity and high cholesterol. There are low instances of smoking and high fruit and vegetable consumption.

HEALTHY CAUTION

0% 4% 8% 12% 16% 20% 24% 0% 4% 8% 12% 16% 20% 24%

AT RISK HEALTH CHALLENGES

0% 4% 8% 12% 16% 20% 24% 0% 4% 8% 12% 16% 20% 24%

Proportion of % of Total Population % of Ward Tameside Tameside Wellbeing Acorn Group Types Wellbeing Acorn Type Description Tameside Index within Ward Population Population Acorn Group Population Population

1 Limited living 609 5.7% 4844 2.2% 12.6% 258 2 Poorly pensioners 214 2.0% 8638 3.9% 2.5% 51 3 Hardship heartlands 913 8.6% 24478 11.2% 3.7% 77 1- HEALTH CHALLENGES 4 Elderly ailments 903 8.5% 12056 5.5% 7.5% 154 5 Countryside complacency 0 0.0% 1317 0.6% 0.0% 0 HEALTH CHALLENGES 2639 24.7% 51333 23.4% 5.1% 106 6 Dangerous dependencies 0 0.0% 7285 3.3% 0.0% 0 7 Struggling smokers 263 2.5% 10170 4.6% 2.6% 53 8 Despondent diversity 0 0.0% 200 0.1% 0.0% 0 9 Everyday excesses 1804 16.9% 31468 14.3% 5.7% 118 2- AT RISK 10 Respiratory risks 324 3.0% 8509 3.9% 3.8% 78 11 Anxious adversity 283 2.7% 6991 3.2% 4.0% 83 12 Perilous futures 324 3.0% 4668 2.1% 6.9% 143 13 Regular revellers 136 1.3% 823 0.4% 16.5% 339 AT RISK 3134 29.4% 70114 32.0% 4.5% 92 14 Rooted routines 710 6.7% 16657 7.6% 4.3% 88 15 Borderline behaviours 218 2.0% 6635 3.0% 3.3% 67 3- CAUTION 16 Countryside concerns 634 5.9% 7393 3.4% 8.6% 176 17 Everything in moderation 2344 22.0% 34721 15.8% 6.8% 139 CAUTION 3906 36.6% 65406 29.8% 6.0% 123 19 Relishing retirement 0 0.0% 4123 1.9% 0.0% 0 20 Perky pensioners 153 1.4% 5284 2.4% 2.9% 59 21 Sensible seniors 133 1.2% 439 0.2% 30.3% 622 22 Gym & juices 0 0.0% 3479 1.6% 0.0% 0 4- HEALTHY 23 Happy families 597 5.6% 9114 4.2% 6.6% 135 24 Five-a-day greys 0 0.0% 598 0.3% 0.0% 0 25 Healthy, wealthy & wine 74 0.7% 8234 3.8% 0.9% 18 HEALTHY 957 9.0% 31271 14.3% 3.1% 63

METADATA

INDICATOR DESCRIPTION SOURCE LINK

WARD POPULATION Census based population estimates for 2011 by sex, age CENSUS 2011 https://www.nomisweb.co.uk/census/2011 and ethnicity.

ECONOMIC STATUS Census based evaluation of economic status of 16-64 year CENSUS 2011 https://www.nomisweb.co.uk/census/2011 olds

OUT OF WORK BENEFIT CLAIMANT RATES Claimant counts and rates for out of work benefit claimants Department of Work and Pensions (DWP), accessed via https://www.nomisweb.co.uk/ from the Work and Pensions Longitudinal Study (WPLS). NOMIS

HIGHEST ACHIEVED QUALIFICATION Census based figure for the highest achieved qualification CENSUS 2011 https://www.nomisweb.co.uk/census/2011 within the adult population.

EARLY YEARS FOUNDATION STAGE: % of 5 year olds achieving a good level of development on DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk % OF 5 YEAR OLDS ACHEIVING A GOOD LEVEL OF the Early Years Foundation Stage (2011/12) lic Health England DEVELOPMENT

ACHEIVEMENT OF 5 GCSEs AT GRADES A*-C IN- % pupils achieving 5 GCSEs at grades A*-C including DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk CLUDING ENGLISH AND MATHS English and Maths (2011/12) lic Health England

HOUSING TENURE % of households by housing tenure. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSING TYPE % of households by property type. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSEHOLD OVERCROWDING % of households with an Occupancy rating rooms of 1 or CENSUS 2011 https://www.nomisweb.co.uk/census/2011 less. There are two measures of occupancy rating, one based on the number of rooms in a household's accommo- dation, and one based on the number of bedrooms. The ages of the household members and their relationships to each other are used to derive the number of rooms/ bedrooms they require. An occupancy rating of -1 implies that a household has one fewer room/bedroom than re- quired, whereas +1 implies that they have one more room/ bedroom than required.

FUEL POVERTY Modelled % of households that are fuel poor. CENTRE FOR SUSTAINABLE ENERGY http://www.fuelpovertyindicator.org.uk

HOUSEHOLDS WITH NO CENTRAL HEATING % of households with no central heating CENSUS 2011 https://www.nomisweb.co.uk/census/2011

POOR HEALTH (SELF REPORTED ) Percentage of people self reporting their health as either CENSUS 2011 https://www.nomisweb.co.uk/census/2011 bad or very bad in the 2011 census

LIMTING LONG TERM ILLNESS OR DISABILITY Percentage of people stating that they have a long-term CENSUS 2011 https://www.nomisweb.co.uk/census/2011 illness or disability in the 2011 census

QOF PREVALENCE RATES Percentage of the population registered with a GP that HSCIC 2014 http://www.hscic.gov.uk/catalogue/PUB12262 have a particular condition (2013/14)

LIFE EXPECTANCY Life Expectancy at birth by sex PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A MID-YEAR POPULATION ESTIMATES

UNDER 75 ALL-CAUSE MORTALITY RATES Mortality Rate for all causes in residents aged under 75 by PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A sex. Directly standardised rate per 100,000 population MID-YEAR POPULATION ESTIMATES (2011-2013)

UNDER 75 CVD MORTALITY RATES Mortality Rate for CVD in residents aged under 75 by sex. PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A Directly standardised rate per 100,000 population (2011- MID-YEAR POPULATION ESTIMATES 2013) Wellbeing Acorn is a geodemographic segmentation tool that profiles the population in terms of health and wellbeing attributes. These include existing medical conditions, prescribed medication, life-style behaviours such as smoking and alcohol consumption, and self-perceived health status. There are four overarching groups to the segmentation, Health Challenges, At Risk, Caution and Healthy. Each of these Wellbeing Acorn groups are further divided into a number of types, of which there are 25 in total. Each Wellbeing Acorn type has a particular profile of demographic and health factors that give an overview of the state of health of the population living in an area. Note that in Tameside non of the population is represented by the Acorn Type ‘Cultural Concerns’ and therefore this group is excluded from these profiles. For a full overview of the features of each of the Wellbeing Acorn groups and types please see the Wellbeing Acorn user guide, available at :- www.caci.co.uk/sites/default/files/resources/Wellbeing_Acorn_UG.pdf