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Adel and ward April 2019

Health profile overview for Adel and Wharfedale ward

This profile presents a high level summary of health Population age structure: 21,358 in total related data sets for the Adel and Wharfedale ward. Comparison of ward and age structures January 2019. Leeds as outline, ward shaded. This ward has a GP registered population of 21,358 Mid range Most deprived 5th Least deprived 5th with the majority of the ward population living in the 100-104 Males: 10,569 Females: 10,789 least deprived fifth of Leeds. In Leeds terms the ward 90-94 is ranked third least deprived. 80-84

The age profile of this ward is very different to Leeds, 70-74 with many more elderly people and far fewer young 60-64 adults and children. 50-54 40-44

30-34 About deprivation in this report 20-24 Deprivation throughout is measured using the Index of 10-14 Multiple Deprivation (IMD). The IMD is the result of analysis in seven 'domains': Income, employment, education, health, 0-4 crime, barriers to housing & services, and living environment. 6% 3% 0% 3% 6% The IMD provides a score for every part of England and we use Deprivation in this ward this in Leeds to determine which areas of Leeds are most Proportions of this population within each deprivation fifth of deprived. Leeds. January 2019.

Leeds is divided into five groups from the most deprived fifth of 61% Leeds the "deprived fifth", to the least. Because this divides Leeds by MSOAs, it is a slightly generalised and removes detail in very small areas. 27%

8% 5% Ward deprivation scores take IMD scores for small areas, and 0% weights them using population size in mid 2018. The result is Most Least like an average deprivation score for the ward area but giving deprived fifth deprived fifth greater weight to those areas with more residents. https://www.gov.uk/government/statistics/english-indices-of- deprivation-2015 All wards by deprivation score GP recorded ethnicity, top 5 in ward % Ward % Leeds Wards are scored taking into account the numbers of people and the levels of deprivation where they live, the higher the score White British 83.8% 70% the more deprived the ward population. Other White Background 5.1% 10% and Indian or British Indian 3.0% 3% and Richmond Hill and Riverside Other Ethnic Background 1.9% 2% Killingbeck and White Irish 0.4% 1% Beeston and (GP ethnicity data January 2019, does not contain unknowns, blanks etc) Bramley and Farnley and Wortley Pupil ethnicity, top 5 in ward Ward% Ward % Leeds Little and Woodhouse White British 2,033 76% 65% and Indian 95 4% 2% Morley South Any other Asian background 92 3% 2% and Hyde Park Rothwell Any other ethnic group 91 3% 2% Ardsley and Robin Hood Any other white background 75 3% 5% Kippax and Morley North (Pupil data from January 2018 School Census) and Yeadon Pupil language, top 5 in ward Ward % Ward % Leeds and English 2,397 90% 79% Moortown and Arabic 97 4% 1% and Rawdon Kurdish 16 1% 1% Adel and Wharfedale Chinese 12 0% 0% Harewood Farsi/Persian (Any Other) 11 0% 0% 0 204060

Health and Wellbeing profile 10/04/19 Page 1 of 6 Adel and Wharfedale ward April 2019

Child obesity - reception classes and year 6 classes in 2016/17 Rates of children who are overweight or obese as provided by the National Child Measurement Programme (NCMP). The data shows children by ward of residence as a proportion of all children in the ward. The wards are ranked in descending order of deprivation score and this ward is outlined in red. Because the wards are ranked by deprivation it is possible to see a fall in rates from left to right - the least deprived wards tend to have lower rates of child deprivation.

Reception Year 6 40% 40% 35% 35% 30% 30% Overweight 25% 25% 20% 20% Very overweight 15% 15% 10% 10% This ward 5% 5% 0% 0% Most deprived Least deprived Most deprived Least deprived

Looked after children Progress8

180 Beeston, Cottingley and Middleton 160 Garforth 140 Leodis 120 Rothwell 100 Morley 2Gether ount 80 C Headingley - Kirkstall 60 Brigshaw 40 Horsforth 20 Otley/Pool/ 0 Farnley Most deprived Least deprived Templenewsam Halton Number of looked after children in wards from 2016-17, by ESNW location before being taken into care. Those within the Bramley most deprived fifth of Leeds are shown in orange. None of EPOS the 641 looked after children who are resident inside the Inner East most deprived fifth of Leeds are within this ward. ARM Seacroft Manston The wards are shown ranked by deprivation and despite Pudsey variations in population sizes the general picture shows Lantern Learning Trust larger counts in more deprived areas. J.E.S.S ACES Job seekers allowance -0.8 -0.5 -0.3 0 0.3 0.5 0.8 Lower achievement Higher achievement 1,000 1 to 13 weeks 800 13 to 52 weeks Progress8 scores for Leeds Childrens Clusters in 52+ weeks 600 descending order (2016-17). Clusters that overlap significantly with this Ward are highlighted.

Count 400

200 A School Cluster’s Progress8 score is usually between -1 and +1. A score of +1 means that pupils 0 Most deprived Least deprived attending schools in that cluster achieve one grade Counts of adults receiving Job Seekers Allowance in higher in each qualification than other similar November 2018. pupils nationally. A score of -1 means they achieve one grade lower. The wards are ranked by levels of deprivation and despite variations in population size and structure, there is a clear Progress 8 scores measure the schools within the reduction in numbers as deprivation falls. cluster, not the students living inside the cluster.

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GP recorded conditions, October 2018 (age standardised rates per 100,000 ) These charts show all 33 wards in rank order by directly age standardised rate (DSR). DSR removes the effect that differing age structures have on data, and allow comparison of 'young' and 'old' areas. GP data can only reflect those patients who visit their doctor. Certain groups within the population are known to present late, or not at all, therefore it is important to remember that GP data is not the whole of the picture. This data includes all Leeds GP registered patients who live within the ward. The small areas (MSOAs) within wards are overlaid as red dots and often differ widely.

How to read these charts 0 20406080100120 020 2040608010040 60 Red dots are areas making 10,000 up this ward (MSOAs) Asthma (under 16s) 8,000 DeprDDeprivedivedi

Leeds 6,000 Red wards are Ward 5,325 4,000 significantly higher White wards than Leeds are not Leeds 6,286 Green wards are 2,000 significantly significantly lower different to Deprived fifth 6,207 than Leeds 0 Leeds THIS ward is 020406080100808 100 outlined in red 0 20406080100 35,000 5,000 CHD30,000 Adult obesity (BMI>30) 4,000 25,000 20,000 3,000 Ward3,161 Ward 18,536 15,000 2,000 Leeds3,783 10,000 Leeds 23,712 1,000 5,000 Deprived fifth4,663 Deprived fifth 27,935 0 0

020406080100 0 20406080100120 6,000 4,000 Cancer5,000 COPD 3,000 4,000 3,000 2,000 Ward4,571 Ward 1,046 2,000 Leeds4,065 Leeds 2,596 1,000 1,000 Deprived fifth3,653 Deprived fifth 4,589 0 0

0 20406080100120 12,000 30,000 10,000 Diabetes25,000 Common mental health issues 8,000 20,000 6,000 Ward4,325 15,000 Ward 21,179 10,000 4,000 Leeds6,259 Leeds 22,361 2,000 5,000 Deprived fifth9,233 Deprived fifth 22,076 0 0 0 20406080100

0 20406080100120 3,000 40,000 0 20406080100 2,500 Severe mental health issues (18+)35,000 Smoking (16+) 30,000 2,000 25,000 1,500 Ward942 20,000 Ward 11,056 1,000 15,000 Leeds1,321 10,000 Leeds 18,277 500 Deprived fifth1,937 5,000 Deprived fifth 27,619 0 0

Obese smokers (adults for whom both records were updated within 12 months)

90 80 Women Men 70 Most deprived These charts show the number of obese smokers in 60 fifth this ward, by gender and deprivation levels. 50

Count 40 Mid ranges Any patients living in the most deprived fifth of 30 Leeds are shown in orange. There have always 20 been large numbers in more deprived areas. 10 Least deprived Women (who are more likely to be clinically obese) 0 fifth outnumber men in this group. 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19

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Life expectancy at birth, 2014-16 ranked wards

0 20 40 60 80 100 (years) Males Females 0 20406080100 90y Male Female90y Ward 85.0 87.1

80y 80y Leeds resident 79.1 82.7

70y 70y Deprived Leeds* 74.4 79.0

60y 60y The relationship between deprivation and life Life expectancy at birth, 2014-16. Ranked by deprivation expectancy is well established and can be seen clearly here.

90y Male Female 90y The most deprived wards are shown first, 80y 80y deprivation falls from left to right and the line indicates a linear trend of improvement as 70y 70y deprivation falls. Male life expectancy shows a 60y 60y greater relationship with deprivation - the trend Most dep. Least dep Most dep. Least dep line is steeper.

All cause mortality - under 75s, 2012-16 ranked wards

020406080100 0 20406080100 0 20406080100 (DSR per 100,000) All Males Females 1,000 1,000 800 800 Ward 225 245 206 600 600 Highest MSOA in ward 299 343 260 400 400 Lowest MSOA in ward 183 170 197 200 200 Leeds resident 356 427 286 0 0 All Male Female Deprived fifth 562 668 449 DSR - Directly Standardised Rate removes the effect that age structures have on data, allows comparison of 'young' and 'old' areas

Cancer mortality - under 75s, 2012-16 ranked wards (DSR per 100,000) All Males Females 300 300 250 250 Ward 114 129 100 200 200 Highest MSOA in area 146 216 122 150 150 100 100 Lowest MSOA in area 114 107 84 50 50 Leeds resident 147 164 133 0 0 All Male Female Deprived fifth 203 225 181 Circulatory disease mortality - under 75s, 2012-16 ranked wards (DSR per 100,000) All Males Females 250 250 200 200 Ward 46 60 33 150 150 Highest MSOA in area 69 72 66 100 100 Lowest MSOA in area 40 45 35 50 50 Leeds resident 82 113 52 0 0 All Male Female Deprived fifth 141 188 94 Respiratory disease mortality - under 75s, 2012-16 ranked wards (DSR per 100,000) All Males Females 150 150 Ward 16 13 19 100 100 Highest MSOA in area 20 27 19

50 50 Lowest MSOA in area 8 0 13 Leeds resident 32 35 29 0 0 All Male Female Deprived fifth 64 73 55

Ordnance Survey PSMA Data, Licence Number 100050507, (c) Crown Copyright 2011, All rights reserved. Mortality data copyright (c) 2016, re- used with the permission of the Health and Social Care Information Centre / NHS Digital. All rights reserved. GP data source: Leeds GP data extraction programme, only includes Leeds registered patients who are resident in the city. * 'Deprived Leeds' is an alternative definition of deprivation in Leeds - it is those areas that fall into the most deprived 10% of England, and is used when the 'Deprived fifth' can not be calculated for a dataset.

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Data appendix for GP recorded conditions Adel & Wharfedale ward

GP recorded conditions data is available for relatively small areas called MSOAs - they are combined in this report to ward areas. The charts for the GP recorded condition indicators include the MSOAs as small red dots to illustrate the variation that can occur within an area the size of a ward.

The tables below give the October 2018 rates for the MSOAs making up this ward - these are the rates displayed as red dots in the GP conditions charts. The MSOA names are nationally awarded. All rates here are age standardised per 100,000 meaning age is not a factor in any differences.

Asthma (under 16s) Leeds: 6,285.8 , 6,067.6 Dep: 6,207.3 Adel 5,445.4 , Bramhope, Pool and Carlton 4,646.3 Ward: 5,324.8 - - - -

CHD Leeds: 3,782.7 Cookridge, Holt Park 3,393.6 Dep: 4,662.9 Adel 3,173.1 Arthington, Bramhope, Pool and Carlton 2,958.5 Ward: 3,161.0 - - - -

Adult obesity Leeds: 23,712.3 Cookridge, Holt Park 20,758.8 Dep: 27,935.4 Adel 17,316.6 Arthington, Bramhope, Pool and Carlton 16,140.6 Ward: 18,536.1 - - - -

Cancer Leeds: 4,065.1 Adel 4,947.5 Dep: 3,653.1 Arthington, Bramhope, Pool and Carlton 4,503.3 Cookridge, Holt Park 4,336.4 Ward: 4,570.9 - - - -

COPD Leeds: 2,596.3 Cookridge, Holt Park 1,211.8 Dep: 4,589.3 Arthington, Bramhope, Pool and Carlton 885.4 Adel 883.1 Ward: 1,045.7 - - - -

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Adel & Wharfedale ward data appendix continued Diabetes Leeds: 6,259.2 Adel 4,754.3 Dep: 9,233.3 Cookridge, Holt Park 4,466.7 Arthington, Bramhope, Pool and Carlton 3,646.3 Ward: 4,324.9 - - - -

Common mental health issues Leeds: 22,361.1 Cookridge, Holt Park 23,276.8 Dep: 22,076.3 Arthington, Bramhope, Pool and Carlton 20,166.0 Adel 19,289.5 Ward: 21,178.6 - - - -

Severe mental health issues (18+) Leeds: 1,321.2 Cookridge, Holt Park 1,025.7 Dep: 1,936.8 Adel 852.6 Arthington, Bramhope, Pool and Carlton 530.4 Ward: 942.3 - - - -

Smoking (1ϲ+) Leeds: 18,277.2 Cookridge, Holt Park 14,077.1 Dep: 27,618.6 Arthington, Bramhope, Pool and Carlton 9,032.7 Adel 8,634.7 Ward: 11,055.8 - - - - Common mental health issues example definitions Anxiety OCD Panic Phobia PTSD Depression

Severe mental health issues - example definitions Affective psychoses Delusional Disorder Manic Disorder Psychotic Disorders Schizophrenia Paranoia Bipolar Affective Disorder

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