Coatbridge Health and Social Care Locality Profile November 2020

Geography

There are six health and social care localities across North Lanarkshire. The data in this profile is presented at intermediate datazone geography where possible, these 78 geographies have been allocated to the locality areas on a best fit basis.

Contents The graphs and diagrams below show the data for the intermediate geographies within Coatbridge locality.

Population 2019 Life expectancy 2016 (2014-2018 5 year aggregate) Poverty and deprivation MSG indicator Long term conditions Mother and baby indicators Early deaths Hospital admissions Benefits and labour market Carers

Coatbridge Population 2019 Age group Females Males Persons 0 - 4 1,303 1,379 2,682 5 - 9 1,559 1,451 3,010 10 - 15 1,766 2,013 3,779 16 - 19 1,204 1,096 2,300 20 - 24 1,508 1,544 3,052 25 - 29 1,626 1,649 3,275 30 - 34 1,691 1,510 3,201 35 - 39 1,762 1,579 3,341 40 - 44 1,604 1,589 3,193 45 - 49 1,890 1,769 3,659 50 - 54 2,007 1,911 3,918 55 - 59 1,931 1,837 3,768 60 - 64 1,618 1,482 3,100 65 - 69 1,300 1,257 2,557 70 - 74 1,077 964 2,041 75 - 79 922 707 1,629 80 - 84 701 479 1,180 85 - 89 429 218 647 90+ 302 102 404 Total population 26,200 24,536 50,736

The 2019 North Lanarkshire population is 341,370. The projected population in Coatbridge locality in 2036 is shown on the population pyramid on the right.

The distribution of the older population across the council is shown in the three graphs below.

Life Expectancy 2016-2018

Males Females North Lanarkshire 75.2 79.4 Scotland 77.1 81.0

The table above shows the current life expectancy at birth for North Lanarkshire and Scotland. Life expectancy in Scotland and the UK has stalled in recent years. Discussions around this trend are available at this webpage1.

Locality, council and national figures available for the period 2013-2015 are shown on the graph below.

Estimated life expectancy in Coatbridge social work locality, 2016 (2014-2018 5 year aggregate)

• Male life expectancy is highest in Craigneuk, Airdrie at 85.5 years and lowest in Craigneuk, Wishaw at 65.0 years • Female life expectancy is highest in 2 areas - Balloch East and Stepps - (87.2 years) and lowest in Craigneuk, Wishaw (69.1 years).

Further information on life expectancy2 across North Lanarkshire is available.

1 https://www.scotpho.org.uk/population-dynamics/recent-mortality-trends/ 2 https://www.northlanarkshire.gov.uk/your-council/facts-and-figures/life-expectancy

Poverty and Deprivation

The graph is based on the SIMD 2020 It shows the percentage of people who are income and employment deprived within the locality. The number of people who are income deprived includes dependants of someone who is income deprived. This webpage3 provides information of the range of income and employment deprivation across North Lanarkshire.

Within the SIMD 2020, other issues highlighted by the data are: • 22 of the 65 datazones are ranked within the 15% most deprived communites in the country

3 https://www.northlanarkshire.gov.uk/your-council/facts-and-figures/scottish-index-multiple-deprivation-simd-2020

• While 18 datazones are within the 15% most health deprived areas of the country, the 5 datazones below are ranked within the 5% most health deprived.

• Cliftonville - Towers and Dunbeth nursery – health rank 40 • Greenend - John Smith Gardens to Southfield Crescent – health rank 69 • Barrowfield - Benson Street to Bute Street – health rank - 89 • Coatbridge - Time Capsule – health rank 112 • Kirkwood - Bankhead Place to Huntly Drive – health rank 281 • Rosehall - Calder Avenue to Broughton Place – health rank 269

22 Coatbridge datazones are within the 15% most education deprived communities nationally, with the 5 datazones listed below in the 5% most education deprived.

• Cliftonville - Towers and Dunbeth nursery – education rank = 4 • Greenend - John Smith Gardens to Southfield Crescent – education rank = 9 • Barrowfield - Benson Street to Bute Street – education rank = 12 • Kirkwood - Bankhead Place to Huntly Drive – education rank = 52 • Kirkwood - Peel Place to Stirling Street – education rank = 56 • Coatbridge - Time Capsule – education rank = 83 • Rosehall - St Bernards PS to Burleigh Street – education rank = 107 • Sikeside - Dalveen Quadrant to Cumbrae Crescent – education rank = 138 • Shawhead - Industrial areas to Mossneuk Street – education rank = 173 • Rosehall - Calder Avenue to Broughton Place – education rank = 185 • Old Monkland - Woodside Street to Lismore Drive – education rank = 189 • Kirkwood - Renfrew Street to St Monica's PS – education rank = 231 • Townhead - Derwent Drive to Selby Place – education rank = 243 • Old Monkland - Woodside Street to Monkton Crescent – education rank = 266 • Gartsherrie - Industrial Estate to Russell Colt Street – education rank = 293

Children in low income households (%) August 2016

The percentage of children living in low income households varies from 40% in Craigneuk,Wishaw to 4% in Carrickstone.

MSG related indicators:

A&E attendances rate per 1,000

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 391.7 387.0 404.0 416.3 428.1 North Lanarkshire 340.0 334.5 344.2 359.3 369.6 Scotland 287.2 280.1 281.7 285.9 294.7

Coatbridge’s A&E attendance rate has increased by around 10% over the last five years. The A&E attendance rate has remained consistently higher compared with North Lanarkshire and drastically higher than the national rate.

Emergency Admissions rate per 1,000

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 133.7 144.3 145.1 152.6 151.0 North Lanarkshire 125.4 130.4 132.5 136.0 136.2 Scotland 107.9 109.4 109.2 110.0 111.8

Coatbridge’s emergency admission rate has increased by roughly 13% over the past five years however there has been a 1% decrease in the last year. It has continually had higher rates compared with North Lanarkshire and Scotland rates.

Emergency Admission Bed Days

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 746.8 780.6 725.5 737.3 682.7 North Lanarkshire 741.8 752.5 717.3 728.9 686.9 Scotland 779.1 762.9 758.7 746.6 744.1

Coatbridge’s emergency admission bed days rate has decreased by around 9% over the last five years. The 2018/19 rate is lower compared with North Lanarkshire and Scotland.

Age 18+ delayed discharges rate per 1,000 (Jul – Jun)

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge N/A N/A 161.8 143.3 128.7 North Lanarkshire N/A N/A 128.2 132.7 110.9 Scotland N/A N/A 118.7 114.1 99.1

Coatbridge has the highest delayed discharge rate of all of North Lanarkshire’s localities for the past 3 years. Although it remains higher than the Partnership and national rate, there has been a continual decrease over that time period too.

A&E conversion to hospital admission (%)

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 27.9 31.3 29.8 30.5 29.4 North Lanarkshire 26.4 28.1 27.8 29.5 29.0 Scotland 25.8 25.4 25.0 24.6 24.2

Coatbridge has a fairly consistent A&E to admission conversion rate, where they have seen a slight decrease over the last year, however they remain above the North Lanarkshire average and the National rate.

Alcohol related admissions rate per 1,000

Locality Rate per 1,000 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 9.8 11.1 11.3 11.3 12.5 North Lanarkshire 7.3 7.9 8.1 8.7 8.7 Scotland 6.5 6.5 6.6 6.5 6.6

Coatbridge’s alcohol related hospital admissions rate has increased by around 28% over the last 5 years. The alcohol related admission rate has been consistently higher compared with North Lanarkshire.

Drug related admissions rate per 1,000

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 1.0 1.1 1.6 2.0 2.6 North Lanarkshire 0.9 1.1 1.4 1.7 1.9 Scotland 1.3 1.4 1.6 1.8 1.9

Coatbridge has the highest drug related admission of North Lanarkshire where over the last 4 years, has increased at a higher rate than other localities.

Emergency admission average length of stay rate per 1,000

Locality Rate per 1,000 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 5.6 5.4 5.0 4.8 4.5 North Lanarkshire 5.9 5.8 5.4 5.4 5.0 Scotland 7.2 7.0 6.9 6.8 6.7

Coatbridge has the lowest average length of stay for emergency admissions; it also has the highest emergency admission and potentially preventable admission rates. This would show a potential for reducing overall admissions if preventable admission rates could be reduced.

Long Term Conditions (Scotland data unavailable)

Diabetes prevalence rate per 1,000

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 53.6 55.6 56.7 58.5 60.0 North Lanarkshire 54.5 56.6 58.1 59.5 61.3 Scotland N/A N/A N/A N/A N/A

Despite the gradual year on year increase in diabetes prevalence in Coatbridge for the last 5 years, it has consistently remained below the North Lanarkshire average each year.

Heart failure prevalence rate per 1,000

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 8.1 7.7 7.2 7.0 7.3 North Lanarkshire 7.7 7.3 7.0 6.7 6.8 Scotland N/A N/A N/A N/A N/A

Coatbridge has followed a similar trend to North Lanarkshire for heart failure prevalence over the last 5 years; however Coatbridge has also had a higher prevalence rate over the last 5 years as well.

Liver failure prevalence rate per 1,000

Locality Actual 2014/15 2015/16 2016/17 2017/18 2018/19 Coatbridge 1.2 1.3 1.2 1.2 1.3 North Lanarkshire 0.7 0.8 0.8 0.9 0.9 Scotland N/A N/A N/A N/A N/A

Coatbridge’s liver failure rate per 1,000 has remained at a similar rate over the last 5 years; however remains the locality with the highest rate when compared to other localities.

Mother and Baby Indicators

Across the six localities breastfeeding varies, from 2.8% in Bellshill Central to 31.3% in Ladywell, this compares to a council average of 15.2% and a national average of 27.1%.

Babies exclusively breastfed at 6-8 weeks – 2015 based on 3 year aggregate (%)

Age of Older and Younger Mothers 2014-2017 3 year aggregate

Healthy Birth Weight Babies, 2015 3 year aggregate (%)

Early Deaths All-cause mortality among the 15-44 year olds 2016 (rate per 100,000)

Early Deaths from Cancer 2014-2016 3 year aggregate (rate per 100,000)

Early Deaths from Coronary Heart Disease (CHD) <75 years, 2015 (rate per 100,000)

Hospital Admissions Patients Hospitalised with Coronary Heart Disease, 2014 (rate per 100,000)

Alcohol Related Hospital Stays, 2016 (rate per 100,000)

Patients (65+) with Multiple Emergency Hospitalisations 2016 (rate per 100,000)

Patients with Emergency Hospitalisations 2016 (rate per 100,000)

Patients Hospitalised with COPD 2014, 3-year aggregates 2013/14 to 2015/16 (rate per 100,000)

Benefits and Labour Market

Pension Credits by Locality 2015 (%)

Adults Claiming Incapacity Benefit / Severe Disablement Allowance 2015 (%)

Educational Qualifications (All people aged 16 +) Locality Level 1 Level 2: Level 3 Level 4 and above: No qualifications Airdrie 25.4% 13.2% 10.2% 16.3% 35.0% Bellshill 26.5% 13.1% 10.0% 14.8% 35.7% Coatbridge 25.7% 13.2% 10.1% 15.2% 35.8% Cumbernauld 26.1% 15.2% 11.6% 19.9% 27.3% Motherwell 24.0% 14.6% 10.6% 18.9% 31.9% Wishaw 26.0% 12.9% 9.9% 16.3% 36.3%

Level 1 = : 0 Grade, Standard Grade, Level 2 = SCE Highers, Advanced Higher, CSYS, A Level, AS Level; Level 3 = : HNC, HND, SVQ level 4 or equivalent; Level 4 = Degree, Postgraduate quals, Professional qualifications

2011 census – Self reported health of carers (Coatbridge)

Age Group Very good or good Fair Bad or very bad 0 to 24 92.3% 6.2% 1.5% 25 to 49 80.2% 15.4% 4.5% 50 to 64 62.2% 25.2% 12.6% 65 and over 34.9% 44.1% 21%

2011 census - Economic activity of unpaid carers