Constituency Profiles: Wirral West Including Wards*; Greasby, Frankby

Constituency Profiles:

Wirral West

Including wards*; Greasby, Frankby and Irby, Hoylake and Meols, Pensby and Thingwall, Upton and, West Kirby and Thurstaston

*Based on 2004 ward boundaries

Produced by

Performance and Business Health Intelligence Team | Public Health

October 2013 Key issues

Wirral West constituency has the smallest population with 69,118 residents. It has the largest ageing population with 8,365 residents aged over 75 years, compared with the other Wirral constituency areas (28% of the population) Hoylake and Meols ward has the largest non-white British population and Upton ward has the largest number of Asian/Asian British residents Life expectancy in Wirral West constituency is 81.2 years this the highest when compared with Wirral and the other three constituencies. The gap between the ward with the highest (Greasby, Frankby and Irby) and the lowest life expectancy (Upton) is 6.3 years One in eight (12%) children live in poverty in Wirral West constituency. In Upton Ward one in every four children live in poverty (26%) Children achieving level 4 or above at Key Stage 2 in Wirral West constituency is above the Wirral average for all subjects. All wards apart from Upton ward achieved above the Wirral average Wirral West constituency has the lowest proportion (4.5%) of 16-18 year olds not in education, employment or training (NEET) when compared with the rest of Wirral and other constituencies Upton ward has the highest rate (115.3 per 10,000 children) of Looked after Children. This is higher than the constituency and Wirral average Hoylake and Meols ward has the highest rate of teenage conception with a rate of 29 per 1000 girls. However the overall rate for the constituency is lower than the Wirral average (17.8 per 1000 girls) Upton ward has the highest proportion of women smoking during pregnancy with 12%. However this is lower than the Wirral average with 14% More than half (69.5%) of all women in the constituency breastfeed in the first 48 hours after birth, higher than the Wirral average Uptake of primary childhood immunisations in Wirral West constituency is 95.7%. All wards apart from Upton have met the target uptake of 95% Wirral West constituency has not met the target uptake for Measles, Mumps and Rubella Immunisation, with 94.1% of children immunised One in eight (12.9%) children in Upton ward is obese at age 4/5 years. This is higher than the constituency and Wirral average A fifth (21.3%) of 10/11 year olds in Upton ward is obese. This is higher than the constituency and Wirral average One in eight (13.8%) are either killed or seriously injured in road collisions in Wirral West constituency. Pensby and Thingwall ward has the highest proportion with almost a fifth of casualties (19.4%) Wirral West constituency has the lowest rate of hospital admissions for falls in people aged over 65 years during 2011/12 with a rate of 32.4 per 1000 population A third of people aged over 65 years live alone in Wirral west constituency One in 10 residents (9.2%) claim housing benefit in Wirral West constituency. One in five residents claim housing benefit in Upton ward (19.8%) One in eight (13.7%) claim council tax benefit in Wirral West constituency. This lower than the Wirral average The claimant rate for Employment Support Allowance (ESA) for Wirral West constituency is the second lowest when compared with other constituencies. The most common reason for claiming ESA is mental health reasons (which include depression) and Upton ward has the highest claimants with a rate of 25.3 per 1,000 population. Wirral West constituency has the lowest death rates (Standardised Mortality Ratio (SMR) for all causes of mortality). Although in Upton ward the SMR is 121 thus meaning 20% more deaths have been observed, compared with the national average The Standardised Mortality Ratio (SMR) for deaths caused specifically by alcohol in Wirral West constituency is 15%higher than the national average SMR 115, but is lower than the Wirral average. Upton ward is more than double the national average with a SMR of 208

List of Figures

Figure 1: Estimated Resident Population by Age Group, Wirral West Constituency, Mid-2011

Figure 2: Ethnicity by ward (broad ethnic groupings); Wirral West Constituency, 2011

Figure 3: Life Expectancy at Birth, With 95% Limits Confidence Limits: Wirral West Constituency, 2007-11 (5 years pooled)

Figure 4: Child Poverty: Wirral West Constituency, 2011

Figure 5: Educational Attainment at Key Stage 2: Wirral West Constituency, 2013

Figure 6: Young People Not in Education, Employment or Training (NEET): Wirral West Constituency, January to December 2012

Figure 7: Looked After Children: Wirral West Constituency, March 2012

Figure 8: Low Birthweight babies: Wirral West Constituency 2008-10 (3 years pooled)

Figure 9: Under 18 Conceptions: Wirral West Constituency, 2011

Figure 10: Births to Lone Mothers: Wirral West Constituency, 2008-10 (3 years pooled)

Figure 11: Percentage Smoking in Pregnancy: Wirral West Constituency, 2010/11 to 2011/12

Figure 12: Breast Feeding Initiation: Wirral West Constituency, 2010/11 to 2011/12

Figure 13: Immunisation Uptake in 1 Year Old Children: Wirral West Constituency, 2011/12

Figure 14: Immunisation Uptake 2 Year Old Children: Wirral West Constituency, 2011/12

Figure 15: Obesity in Children aged 5 Years: Wirral West Constituency, 2012/13

Figure 16: Obesity in Children aged 10 Years: Wirral West Constituency, 2012/13

Figure 17: Smoking Quit Rates (percentages): Wirral West Constituency, 2008/09 to 2012/13

Figure 18: Road Collision Causalities: Wirral West Constituency, 2010-12 (3 years pooled)

Figure 19: Hospital Admission Rates for Falls in People aged 65 Years and over: Wirral West Constituency, 2009/10 to 2011/12

Figure 20: People Living Alone Aged 65+: Wirral West Constituency 2011

Figure 21: Proportion of Housing Benefit Claimants: Wirral West Constituency, 2013

Figure 21: Proportion of Council Tax Benefit Claimants: Wirral West Constituency, 2013

Figure 22: Monthly Job Seekers Allowance Claimants, Numbers and Rates by Gender: Wirral West Constituency, March 2013

Figure 23: Rate of Employment & Support Allowance Claimants by specific health conditions: Wirral West Constituency, November 2012

Figure 24: Standardised Mortality Ratios for All Causes: Wirral West Constituency, 2009-11 (3 years pooled)

Figure 25: Wholly Attributable Alcohol Related Mortality: Wirral West Constituency, 2007-11 (5 years pooled)

List of Tables

Table 1: Estimated Resident Population by Age Group, Wirral West Constituency, Mid-2011

Table 2: Ethnicity by ward (broad ethnic groupings); Wirral West Constituency, 2011

Table 3: Life Expectancy at Birth, With 95% Limits Confidence Limits: Wirral West Constituency, 2007-11 (5 years pooled)

Table 4: Child Poverty: Wirral West Constituency, 2011

Table 5: Educational Attainment at Key Stage 2: Wirral West Constituency, 2013

Table 6: Young People Not in Education, Employment or Training (NEET): Wirral West Constituency, January to December 2012

Table 7: Looked After Children: Wirral West Constituency, March 2012

Table 8: Low Birthweight babies: Wirral West Constituency 2008-10 (3 years pooled)

Table 9: Under 18 Conceptions: Wirral West Constituency, 2011

Table 10: Births to Lone Mothers: Wirral West Constituency, 2008-10 (3 years pooled)

Table 11: Percentage Smoking in Pregnancy: Wirral West Constituency, 2010/11 to 2011/12

Table 12: Breast Feeding Initiation: Wirral West Constituency, 2010/11 to 2011/12

Table 13: Immunisation Uptake in 1 Year Old Children: Wirral West Constituency, 2011/12

Table 14: Immunisation Uptake 2 Year Old Children: Wirral West Constituency, 2011/12

Table 15: Obesity in Children aged 5 Years: Wirral West Constituency, 2012/13

Table 16: Obesity in Children aged 10 Years: Wirral West Constituency, 2012/13

Table 17: Smoking Quit Rates (percentages): Wirral West Constituency, 2008/09 to 2012/13

Table 18: Road Collision Causalities: Wirral West Constituency, 2010-12 (3 years pooled)

Table 19: Hospital Admission Rates for Falls in People aged 65 Years and over: Wirral West Constituency, 2009/10 to 2011/12

Table 20: People Living Alone Aged 65+: Wirral West Constituency 2011

Table 21: Wirral Carers: Wirral West Constituency, 2013

Table 22: Proportion of Housing Benefit Claimants: Wirral West Constituency, 2013

Table 23: Proportion of Council Tax Benefit Claimants: Wirral West Constituency, 2013

Table 24: Monthly Job Seekers Allowance Claimants, Numbers and Rates by Gender: Wirral West Constituency, March 2013

Table 25: Rate of Employment & Support Allowance Claimants by specific health conditions: Wirral West Constituency, November 2012

Table 26: Standardised Mortality Ratios for All Causes: Wirral West Constituency, 2009-11 (3 years pooled)

Table 27: Wholly Attributable Alcohol Related Mortality: Wirral West Constituency, 2007-11 (5 years pooled)

Figure 1: Estimated Resident Population by Age Group, Wirral West Constituency, Mid-2011

7000

6000

5000

4000

3000

2000

1000

0 West Kirby and Greasby, Frankby and Hoylake and Meols Pensby and Thingwall Upton Thurstaston Irby Under 15 2,021 2,030 2,096 1,914 2,840 15-44 3,656 4,135 4,320 3,880 5,734 45-64 3,907 4,505 3,918 3,819 4,366 65-74 1,544 1,627 1,303 1,685 1,453 75+ 1,587 1,680 1,688 1,689 1,721

The figure and the chart show resident population, based on the census 2011. Wirral West is the smallest constituency in Wirral with just over a fifth (69,118) of the total population. However, has the largest population aged over 75 years with 8,365 residents and the smallest population for those aged under 15 years.

Table 1: Estimated Resident Population by Age Group, Wirral West Constituency, Mid-2011

Ward of Residence (2004 boundaries) Total Population Under 15 15-44 45-64 65-74 75+ West Kirby and Thurstaston 12,715 2,021 3,656 3,907 1,544 1,587 Greasby, Frankby and Irby 13,977 2,030 4,135 4,505 1,627 1,680 Hoylake and Meols 13,325 2,096 4,320 3,918 1,303 1,688 Pensby and Thingwall 12,987 1,914 3,880 3,819 1,685 1,689 Upton 16,114 2,840 5,734 4,366 1,453 1,721 Wirral West Constituency 69,118 10,901 21,725 20,515 7,612 8,365 Birkenhead Constituency 88,951 16,695 35,170 23,058 7,636 6,392 Wallasey Constituency 89,483 15,818 33,793 24,612 7,939 7,321 Wirral South Constituency 72,285 11,775 23,892 20,456 8,406 7,756 Wirral 319,837 55,189 114,580 88,641 31,593 29,834

Notes and Definitions

1. The above table shows the estimated resident population at mid-year 2011 for the 2004 boundaries. 2. These estimates are derived from mid-2004 Lower Super Output Area (LSOA) population estimates by quinary age and sex. The estimates from LSOA populations we re-distributed using the 2001 census ward boundaries. 3. These estimated figures are not guaranteed to be accurate at this level of detail.

Source: Office for National Statistics © Crown Copyright

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Figure 2: Ethnicity by ward (broad ethnic grouping): Wirral West Constituency, 2011

500

450

400

350

300 Number

250

200

150

100

0 Hoylake and Meols Greasby, Frankby and Irby West Kirby and Thurstaston Upton Pensby and Thingwall Mixed/multiple ethnic group 168 135 140 115 59 Asian/Asian British 164 251 143 262 89 Black/African/Caribbean/Black British 25 35 9 31 4 White Non-British 451 253 295 182 124 Other ethnic group 38 31 47 29 6

All ethnicities in Wirral including White British are shown in the table below, but the chart shows only ethnicities other than White British (due to the small numbers of people from other ethnic groups). In every ward in Wirral West constituency, the largest ethnic group was White Non-British. The ward with the largest number of White Non-British was Hoylake and Meols followed closely by West Kirby and Thurstaston. The second largest category is Asian/Asian British and Upton ward has the largest population with 262 residents. Based on applications for New National Insurance Numbers over the last several years (see Wirral JSNA BME section for more details), it seems likely that a large percentage of the White Non-British group are from the EU Accession states (Eastern European countries such as Poland, Hungary etc..).

Table 2 Ethnicity by ward (broad ethnic grouping): Wirral West Constituency, 2011

Ethnic Group (broad and detailed groupings) Birkenhead Wallasey Wirral South Wirral West Grand Total Arab 45 51 47 65 208 Other Any other ethnic group 101 74 61 86 322 Mixed/multiple ethnic group: Other Mixed 254 227 157 177 815 Mixed/multiple ethnic group: White and Black African 234 184 80 60 558 Mixed/multiple Mixed/multiple ethnic group: White and Asian 281 235 219 214 949 ethnic Mixed/multiple ethnic group: White & Black Caribbean 315 353 130 166 964 Asian/Asian British: Chinese 711 427 274 241 1653 Asian/Asian British: Other Asian 309 292 185 256 1042 Asian/Asian British: Bangladeshi 591 192 41 27 851 Asian/Asian British: Indian 589 199 241 315 1344 Asian/Asian British Asian/Asian British: Pakistani 83 21 52 70 226 Black/African/ Black/African/Caribbean/Black British: African 126 123 90 50 389 Caribbean/Black Black/African/Caribbean/Black British: Other Black 21 42 23 31 117 British Black/African/Caribbean/Black British: Caribbean 65 68 33 23 189 White: Irish 820 737 561 549 2667 White: Gypsy or Irish Traveller 35 13 15 14 77 White non-British White: Other White 1191 1009 788 742 3730 White British White: English/Welsh/Scottish/Northern Irish 84204 85197 70953 63328 303682 Total 89975 89444 73950 66414 319783

Source: NOMIS/Census, 2011

Figure 3: Life Expectancy at Birth, With 95% Limits Confidence Limits: Wirral West Constituency, 2007-11 (5 years pooled)

78 Life Expectancy at birth (years) birth at Expectancy Life 76

72 West Kirby and Greasby, Frankby and Hoylake and Meols Pensby and Thingwall Upton Thurstaston Irby LE by Ward 82.7 84.0 80.3 82.9 77.7 Wirral West Constituency 81.2 81.2 81.2 81.2 81.2 Wirral Average 79.2 79.2 79.2 79.2 79.2

The table and the chart show life expectancy at birth. Wirral West constituency has the highest life expectancy at birth when compared with other constituencies and Wirral overall with 81.2 years. The gap between the lowest life expectancy in Upton ward and the highest in Greasby, Frankby and Irby is 6.3 years.

Table 3: Life Expectancy at Birth, With 95% Limits Confidence Limits: Wirral West Constituency, 2007-11 (5 years pooled)

Ward of Residence (2004 Life Expectancy 95% Confidence Intervals Boundaries) (Years) Lower Limit Upper Limit West Kirby and Thurstaston 82.7 81.8 83.7 Greasby, Frankby and Irby 84.0 82.9 85.0 Hoylake and Meols 80.3 79.4 81.3 Pensby and Thingwall 82.9 81.9 83.9 Upton 77.7 76.7 78.7 Wirral West Constituency 81.2 80.8 81.6 Birkenhead Constituency 77.0 76.6 77.4 Wallasey Constituency 78.4 78.0 78.8 Wirral South Constituency 80.5 80.1 80.9 Wirral 79.2 79.0 79.4

Notes and Definitions

1. The mortality data used in the calculations were deaths registered in each year from 2007-2011. Five years of data were aggregated to provide a reasonable number of deaths for each ward. The ward populations used in the calculations are ONS ward populations. These ward populations are classed as “experimental statistics”. 2. Life expectancy at birth indicates the number of years a baby born in an area can expect to live if they experience the mortality rates of that area for the whole of their life. It is not a guide to the remaining expectation of life at a later age, e.g. if life expectancy at birth in a particular ward is 80 years, it does not follow that people aged 70 living in that ward can expect to live for a further 10 years.

Source: Office for National Statistics © Crown Copyright

Figure 4: Child Poverty: Wirral West Constituency, 2011

15 Proportion (%) Proportion

0 Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton West Kirby and Thurstaston Ward 6.2 8.3 11.5 26.1 8.7 Wirral West 12.16 12.16 12.16 12.16 12.16 Wirral 24.4 24.4 24.4 24.4 24.4 North West 22.1 22.1 22.1 22.1 22.1 UK 20.1 20.1 20.1 20.1 20.1

The chart and the table show the proportion of all children living in poverty up to 2011. Wirral West has one of the lower proportions of children living in poverty with 1 in every 8 children (12.2%) compared with the Wirral average of 1 in every 4 children (23.8%). Upton Ward has the largest proportion of children living in poverty with 26.1% equating to 1 in every 4 children.

Table 4: Child Poverty: Wirral West Constituency, 2011

Ward of Residence % of all children (2004 boundaries) living in poverty Greasby, Frankby and Irby 6.2 Hoylake and Meols 8.3 Pensby and Thingwall 11.5 Upton 26.1 West Kirby and Thurstaston 8.7 Wirral West Constituency 12.2 Birkenhead Constituency 32.3 Wallasey Constituency 26.4 Wirral South Constituency 12.02 Wirral 23.8 North West 22.1 UK 20.1

Notes and Definitions

1. Child poverty is calculated on the basis of the number of children in families in receipt of either out of work benefits, or tax credits where their reported income is less than 60% median income as a proportion of the total number of children in the area.

Source: Her Majesty’s Revenue and Customs (HMRC), 2013

Figure 5: Educational Attainment at Key Stages 2 (level 4): Wirral West Constituency, 2013

120

100

60 Proportionachieving(%) Level4

0 Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton West Kirby and Thurstaston Reading 94.0 89.7 92.9 87.6 92.1 Writing 94.0 88.0 85.7 82.5 93.0 Grammar, Punctuation and Spelling 86.2 75.2 81.3 66.7 85.1 Maths 94.0 84.6 92.0 81.4 96.5

The table and the graph show education attainment for children achieving a level 4 or above at Key Stage 2. Wirral West attainment for all subjects is above the Wirral average (see table). Greasby Frankby and Irby have the highest attainment at Key Stage 2 compared with Upton ward with the lowest.

Table 5: Educational Attainment at Key Stages 2 (level 4): Wirral West Constituency, Wirral, 2013

Key Stage 2 - % achieving Level 4+ Ward of Residence Grammar, (2004 boundaries) Reading Writing Punctuation and Maths Spelling Greasby, Frankby and Irby 94.0 94.0 86.2 94.0 Hoylake and Meols 89.7 88.0 75.2 84.6 Pensby and Thingwall 92.9 85.7 81.3 92.0 Upton 87.6 82.5 66.7 81.4 West Kirby and Thurstaston 92.1 93.0 85.1 96.5 Wirral West Constituency 91.2 88.6 78.9 89.7 Birkenhead Constituency 86.6 81.8 73.9 85.7 Wallasey Constituency 84.7 83.1 71.1 81.2 Wirral South Constituency 89.3 88.4 79.2 88.0 Wirral 87.3 84.7 74.6 85.2

Notes and Definitions

1. All data refer to children living in Wirral who are educated in schools run by Wirral Local Education Authority (LEA). 2. The table shows the percentage of pupils achieving Level 4 or above in the Key Stage 2 tests for English and Maths. Level 4 is the level expected of most 11 year olds.

Source Wirral Local Authority, Information and Performance Department

Figure 6: Young People Not in Education, Employment or Training (NEET): Wirral West Constituency, January to December 2012

Proportion (%) Proportion 3

0 West Kirby and Greasby, Frankby and Hoylake and Meols Pensby and Thingwall Upton Thurstaston Irby Ward 3.3 3.3 3.1 4.8 7.8 Wirral West 4.5 4.5 4.5 4.5 4.5 Wirral 7.5 7.5 7.5 7.5 7.5

The proportion of young people not in education, employment or training (NEET) is the lowest in Wirral West (4.5%) when compared with other constituencies and the Wirral average (see table and chart). The highest proportion can be seen in Upton ward with 7.8% of 16-18 year old classified as NEET.

Table 6: Young People Not in Education, Employment or Training (NEET): Wirral West Constituency, January to December 2012

Ward of Residence (2004 boundaries) % NEET West Kirby and Thurstaston 3.3 Greasby, Frankby and Irby 3.3 Hoylake and Meols 3.1 Pensby and Thingwall 4.8 Upton 7.8 Wirral West Constituency 4.5 Birkenhead Constituency 12.6 Wallasey Constituency 9.9 Wirral South Constituency 5.1 Wirral 7.5 North West 9.5 England 7.6

Notes and Definitions

1. Percentage of young people 16-18 year olds who are not in education, employment or training in Wirral, 1 January 2012 to 31 December 2012. 2. Figures for the North West and England are for July 2012.

Source: Connexions MI & NCCIS Data

Table 7: Looked After Children: Wirral West Constituency, March 2012

Ward of Residence Number Rate Per 10,000 (2004 boundaries) West Kirby and Thurstaston * * Greasby, Frankby and Irby * * Hoylake and Meols * * Pensby and Thingwall 10 42.0 Upton 40 115.3 Wirral West Constituency 50 85.5 Birkenhead Constituency 375 185.2 Wallasey Constituency 150 90.6 Wirral South Constituency 35 53.8 Wirral 675 101.3 North West 11,360 76.0 England 67,050 59.0

The table above shows looked after children up to 2012. Overall, Wirral West constituency rate is 85.5 per 10,000 children. This is lower that the Wirral average of 101.3 per 10,000 children but slightly higher than Wirral South constituency with a rate of 53.8 per 10,000 children.

Notes and Definitions

1. Looked after children are: children who are in the care of the Local Authority and are between the ages of 0 to 17 years old. 2. The rates have been calculated using Wirral ONS 2011 mid-year populations for children aged 0 to 17 years. The rates are per 10,000 population.

Source: Swift Database/DCSF Annual Statistical Return SSDA903

Figure 8: Low Birthweight Babies: Wirral West Constituency 2008-10 (3 years pooled)

5 Proportion (%) Proportion 4

0 West Kirby and Thurstaston Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton Ward 6.0 5.5 6.9 5.0 7.7 Wirral West 6.4 6.4 6.4 6.4 6.4 Constituency Wirral 6.6 6.6 6.6 6.6 6.6

The chart and the table show, low birthweight babies (less than 2,500g) born in Wirral during 2008-10. Overall, Wirral West proportion is almost the same (6.4%) as the Wirral average with 6.6% of babies born weighing less than 2,500g. Upton ward has the highest proportion with 7.7% of low birthweight babies.

Table 8: Low Birthweight Babies: Wirral West Constituency 2008-10 (3 years pooled)

Total Number of Ward of Residence Live and Total Number of (2004 Ward boundaries) % Of All Births Stillbirths Births <2,500g West Kirby and Thurstaston 283 17 6.0 Greasby, Frankby and Irby 308 17 5.5 Hoylake and Meols 334 23 6.9 Pensby and Thingwall 341 17 5.0 Upton 556 43 7.7 Wirral West Constituency 1822 117 6.4 Birkenhead Constituency 3865 285 7.4 Wallasey Constituency 3459 242 7.0 Wirral South Constituency 2106 104 4.9 Wirral 11252 748 6.6

Notes and Definitions

1. Low birth-weight babies - Percentage of live and stillborn infants with a stated birth-weight under 2,500 grams. The numbers exclude births without a recorded weight. 2. All figures are presented as a total for 3 years combined (2008-2010). This is to smooth out random year-on-year variations.

Source: Office for National Statistics © Crown Copyright

Figure 9: Under 18 Conceptions: Wirral West Constituency, 2011

17 years years 17 -

15 Rate per 1000 gir;s agedpergir;s 151000Rate

0 Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton West Kirby and Thurstaston Ward 11.8 29.1 16.8 15.6 15.4 Wirral West Constituency 17.8 17.8 17.8 17.8 17.8 Wirral 35.4 35.4 35.4 35.4 35.4

The chart above shows under 18 teenage conceptions by ward. It is important to note, this is data for all conceptions whether they lead to a full term birth or termination. The under 18 conception rate for Wirral West constituency is 17.8 per 1000 girls. This is lower than the overall Wirral average of 35.4 per 1000 girls. However, Hoylake and Meols ward has the highest rate of teen conceptions in the Wirral West constituency with a rate of 29.1 per 1000 girls. (Although small numbers must be considered when interpreting this data)

Table 9: Under 18 Conceptions: Wirral West Constituency, 2011

Ward of Residence (2004 boundaries) Conceptions 15-17 Rate per 1000 girls Greasby, Frankby and Irby * 11.8 Hoylake and Meols 8 29.1 Pensby and Thingwall * 16.8 Upton 5 15.6 West Kirby and Thurstaston * 15.4 Wirral West Constituency 24 17.8 Birkenhead Constituency 82 48.2 Wallasey Constituency 73 43.0 Wirral South Constituency 29 23.9 Wirral 211 35.4

Notes and Definitions

1. Data is derived from local datasets based on activity rather than actual births. This is a proxy measure and is used to inform the local Teenage Pregnancy Steering Group Strategy, and should be used and interpreted with caution. 2. The rates have been calculated using Secondary User Service Data and BPAS data for the calendar period of 2011. The Populations used are mid-year populations for girls aged 15-17 years only. 3. Numbers of conceptions have been suppressed if they are less than 5

Source: Secondary User Service, British Pregnancy Advisory Service (BPAS) and Office for National Statistics (ONS)

Figure 10: Births to Lone Mothers: Wirral West Constituency, 2008-10 (3 years pooled)

15 Proportion (%) Proportion

0 West Kirby and Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton Thurstaston Ward 8.8 10.7 6.9 12.6 28.6 West Wirral Constituency 15.5 15.5 15.5 15.5 15.5 Wirral 24.4 24.4 24.4 24.4 24.4

The chart and the table show births to lone mothers during 2008-10. Wirral West has the second lowest proportion of lone mothers with 15.5% when compared to other constituencies and is lower than the Wirral average. The highest proportion can be seen in Upton ward (28.6%) and the lowest in Hoylake and Meols.

Table 10: Births to Lone Mothers: Wirral West Constituency, 2008-10 (3 years pooled)

Total Number of Ward of Residence Total Births to Live and % Of All Births (2004 boundaries) Lone Mothers Stillbirths

West Kirby and Thurstaston 283 25 8.8 Greasby, Frankby and Irby 308 33 10.7 Hoylake and Meols 334 23 6.9 Pensby and Thingwall 341 43 12.6 Upton 556 159 28.6 Wirral West Constituency 1822 283 15.5 Birkenhead Constituency 3865 1264 32.7 Wallasey Constituency 3459 896 25.9 Wirral South Constituency 2106 300 14.2 Wirral 11252 2743 24.4

Notes and Definitions

1. Births to lone mothers: Percentage of all births registered solely by the mother or jointly by parents who are living at different addresses. Babies born to parents who are living at the same address but are not married have been excluded. Also excluded are babies born to married mothers who have separated from their spouses. 2. The figures in the above table are for live and stillbirths. 3. All figures are presented as a total for 3-years combined (2008-2010). This is to smooth out random year-on-year variations.

Source: Office for National Statistics © Crown Copyright

Figure 11: Percentage Smoking in Pregnancy: Wirral West Constituency, 2010/11 to 2011/12

8 Proportion(%) 6

0 West Kirby and Greasby, Frankby and Hoylake and Meols Pensby and Thingwall Upton Thurstaston Irby Ward 3.9 4.2 3.9 8.0 12.1 Wirral West Constituency 6.4 6.4 6.4 6.4 6.4 Wirral 14.1 14.1 14.1 14.1 14.1

As the figure and the chart show the proportion of mothers who smoke at the time of delivery during 2010/11-2011/12. The proportion in Wirral West is less than half (6.4%) when compared with the Wirral average (14.4%).

Table 11: Percentage Smoking in Pregnancy: Wirral West Constituency, 2010/11 to 2011/12

Ward of Residence Smoking in Pregnancy (2004 boundaries) 2010/11 - 2011/12

West Kirby and Thurstaston 3.9 Greasby, Frankby and Irby 4.2 Hoylake and Meols 3.9 Pensby and Thingwall 8.0 Upton 12.1 Wirral West Constituency 6.4 Birkenhead Constituency 17.7 Wallasey Constituency 14.6 Wirral South Constituency 6.4 Wirral 14.1

Notes and Definition

1. The figures in this table have been extracted from the WHIS database. The data is for 2 financial years pooled from 2010/11 to 2011/12. 2. Percentage rates for smoking in pregnancy are for women who gave birth at Wirral Hospital Trust, excluding pregnancies in women residing outside of NHS Wirral. Also excluded are pregnancies where there was no response to the smoking in pregnancy or breastfeeding initiation question. Overall this data covers around 91% of Wirral births. 3. Smoking in pregnancy is the percentage (%) of women known to be smokers at the time of delivery.

Source: Wirral Health Informatics Service WHIS

Figure 12: Breast Feeding Initiation: Wirral West Constituency, 2010/11 to 2011/12

40 Proportion (%) (%) Proportion

0 West Kirby and Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton Thurstaston Ward 77.8 78.1 78.5 65.0 47.9 Wirral West 69.5 69.5 69.5 69.5 69.5 Constituency Wirral 53.4 53.4 53.4 53.4 53.4

The chart and the table show breast feeding initiation rates between 2010/11-2011/12. Wirral West performance is 69.5%, higher than the Wirral average of 53.4% and other constituencies. The lowest rates can be seen in Upton ward with less than half (47.9%) of women who breast feed in the first 48 hours of after birth.

Table 12: Breast Feeding Initiation: Wirral West Constituency, 2010/11 to 2011/12

Ward of Residence Breast Feeding Initiation (2004 boundaries) 2010/11 - 2011/12

West Kirby and Thurstaston 77.8 Greasby, Frankby and Irby 78.1 Hoylake and Meols 78.5 Pensby and Thingwall 65.0 Upton 47.9 Wirral West Constituency 69.5 Birkenhead Constituency 47.7 Wallasey Constituency 52.3 Wirral South Constituency 64.1 Wirral 53.4

Notes and Definitions

1. The figures in this table have been extracted from the WHIS database. The data is for 2 financial years pooled from 2010/11 to 2011/12. 2. Percentage rates for breast feeding initiation are for women who gave birth at Wirral Hospital Trust, excluding pregnancies in women residing outside of NHS Wirral. Also excluded are pregnancies where there was no response to the breastfeeding initiation question. Overall this data covers around 91% of Wirral births. 3. Breast feeding initiation is defined as a mother giving any breast milk (including expressed breast milk) in the first 48 hours.

Source: Wirral Health Informatics Service (WHIS), 2012

Figure 13: Primary Immunisation Uptake in 1 Year Old Children: Wirral West Constituency, 2011/12

94 Uptake(%)

91 West Kirby and Greasby, Frankby and Hoylake and Meols Pensby and Thingwall Upton Thurstaston Irby Ward 96.8 97.0 96.6 96.2 93.5 Wirral West Constituency 95.7 95.7 95.7 95.7 95.7 Wirral 95.2 95.2 95.2 95.2 95.2

The chart and the table illustrates Immunisation uptake at age 1 this is a measure used to quantify the primary vaccination uptake, see definition. Wirral West constituency is almost the same (95.7%) as the Wirral average (95.2%) with both areas achieving above 95%. All wards apart from Upton ward achieved the target uptake of 95%

Table 13: Primary Immunisation Uptake in 1 Year Old Children: Wirral West Constituency, 2011/12

Uptake of 3rd Primary Immunisation Ward of Residence Number of Number (2004 boundaries) Uptake Rate (%) Children Aged 1 Vaccinated West Kirby and Thurstaston 126 122 96.8 Greasby, Frankby and Irby 101 98 97.0 Hoylake and Meols 119 115 96.6 Pensby and Thingwall 106 102 96.2 Upton 199 186 93.5 Wirral West Constituency 651 623 95.7 Birkenhead Constituency 1296 1218 94.0 Wallasey Constituency 1084 1041 96.0 Wirral South Constituency 730 698 95.6 Wirral 3,776 3,594 95.2

Notes and Definitions

1. Uptake of 3rd primary immunisations is defined as a child having received their 3rd Diphtheria immunisation. 2. Number of children aged 1: The total number of 1 year old children within each ward for the period 2011/12. Number vaccinated: The number of 1 year old children who have received their 3rd Diphtheria immunisation. 3. Children are routinely scheduled for “primary” immunisations against each of the following: Diphtheria, Tetanus, Pertussis (Whooping Cough), Polio, Haemophilus Influenza B (Hib) and Meningitis C. These are given in a series of immunisations from the age of 2 months. Additional immunisations against pneumococcal infection have also been recently introduced.

Source: KC51 Returns Database for NHS Wirral

Figure 14: Immunisation Uptake of Measles, Mumps, Rubella (MMR) in 2 Year Old Children: Wirral West Constituency, 2011/12

93 Uptake (%) (%) Uptake

90 West Kirby and Greasby, Frankby Pensby and Hoylake and Meols Upton Thurstaston and Irby Thingwall Ward 95.6 94.3 94.1 95.4 92.3 Wirral West Constituency 94.1 94.1 94.1 94.1 94.1 Wirral 93.4 93.4 93.4 93.4 93.4

The chart and the table show Immunisation uptake for MMR vaccination. Overall, Wirral West constituency uptake is 94.1%, slightly higher than the Wirral average 93.4%. Only West Kirby and Thurstaston and Pensby and Thingwall achieved the uptake target of 95% with 95.6% and 95.4% respectively.

Table 14: Immunisation Uptake of Measles, Mumps, Rubella (MMR) in 2 Year Old Children: Wirral West Constituency, 2011/12

Uptake of 1st MMR Immunisation Ward of Residence Number of Children (2004 boundaries) Number Vaccinated Uptake Rate (%) Aged 2 West Kirby and Thurstaston 113 108 95.6 Greasby, Frankby and Irby 122 115 94.3 Hoylake and Meols 118 111 94.1 Pensby and Thingwall 109 104 95.4 Upton 195 180 92.3 Wirral West Constituency 657 618 94.1 Birkenhead Constituency 1215 1112 91.5 Wallasey Constituency 1115 1051 94.3 Wirral South Constituency 739 701 94.9 Wirral 3,762 3,513 93.4 Notes and Definitions

1. Uptake of 1st MMR is defined as a child having received their 1st dose MMR immunisation. 2. Number of children aged 2: The total number of 2 year old children within each ward for the period 2011/12. Number vaccinated: The number of 2 year old children who have received their 1st dose MMR immunisation. 3. A single dose of MMR (Measles, Mumps and Rubella) is offered from 13 months. The national programme aims to immunise 95% of children by the age of 2.

Source: KC51 Returns Database for NHS Wirral Produced by Wirral Performance and Public Health Intelligence Team: Constituency Profile for Wirral West H:\PubHealth\Public Health Intelligence Team\Reports\Constituency Profiles 2013\West Wirral\Wirral West Constituency Profiles draft7 FINAL.docx Page 19 of 37

Figure 15: Obesity in children at Reception (age 4/5) years, Wirral West Constituency, 2012/13

40 Proportion (%) (%) Proportion

0 Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton West Kirby and Thurstaston YR - healthy weight 79.9 84.3 77.8 74.3 85.5 YR - obese 8.5 5.7 9.7 12.9 5.3 YR - overweight 11.0 10.1 11.1 12.3 9.2 YR - underweight 0.6 0.0 1.4 0.6 0.0 Wirral West Constituency % Obese Reception 8.7 8.7 8.7 8.7 8.7 Wirral % Obese Reception 8.5 8.5 8.5 8.5 8.5

The chart and the table show the proportion of children that are monitored through the National Child Measurement Programme (NCMP). The proportion of children aged 5 who are recorded as ‘healthy weight’ for Wirral West constituency is 79.9%, slightly more than the Wirral average with 77.0%. The proportion of children classified as obese for the constituency is 8.7%, higher than the Wirral average of 7.3%. However West Kirby and Thurstaston has the lowest proportion of children classified as obese with 5.3% aged 5 years and Upton the highest at 12.9%.

Table 15: Obesity in children at Reception (age 4/5) years, Wirral West Constituency, 2012/13

Ward of Residence (2004 boundaries) YR - healthy weight YR - obese YR - overweight YR - underweight Greasby, Frankby and Irby 79.9 8.5 11.0 0.6 Hoylake and Meols 84.3 5.7 10.1 0.0 Pensby and Thingwall 77.8 9.7 11.1 1.4 Upton 74.3 12.9 12.3 0.6 West Kirby and Thurstaston 85.5 5.3 9.2 0.0 Wirral West Constituency 79.9 8.7 10.9 0.5 Birkenhead Constituency 73.6 10.9 14.7 0.8 Wallasey Constituency 78.5 6.5 13.8 1.1 Wirral South Constituency 77.3 7.3 15.1 0.3 Wirral 77 8.5 13.8 0.8

Notes and Definitions

1. The National Child Measurement Programme (NCMP) measures the weight and height of children in reception class (aged 4 to 5 years) and year 6 (aged 10 to 11 years) to assess overweight children and obese levels within primary schools 2. Children's heights and weights are measured and used to calculate a Body Mass Index (BMI) centile 3. Defining children as overweight or obese is a complex process, given that their height and weight change at the same time. An individual's BMI is calculated by dividing their weight (expressed in kilograms) by the square of their height (expressed in metres). 4. The method of assigning a BMI classification is different for children and adults 5. Figures will not always sum due to rounding

Source: National Child Measurement Programme, 2013

Figure 16: Obesity in children at Year 6 (age 10/11) years: Wirral West Constituency, 2012/13

40 Proportion (%) (%) Proportion

0 Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton West Kirby and Thurstaston Y6 - healthy weight 71.3 80.9 69.1 64.5 75.6 Y6 - obese 14.7 6.1 16.2 21.3 12.8 Y6 - overweight 13.2 11.5 13.2 13.5 10.5 Y6 - underweight 0.8 1.5 1.5 0.6 1.2 Wirral West Constituency % Obese 14.4 14.4 14.4 14.4 14.4 Wirral % Obese Year 6 19 19 19 19 19

The chart and the table show the proportion of children that are monitored through the National Child Measurement Programme (NCMP). The proportion of children aged 10 who are recorded as ‘healthy weight’ for Wirral West constituency is higher, 72.1% compared to the Wirral average with 65.4%. The proportion of children classified as ‘obese’ in Wirral West is lower (14.4%) when compared with the Wirral average of 19%.

Table 16: Obesity in children at Year 6 (age 10/11) years: Wirral West Constituency, 2012/13

Ward of Residence (2004 boundaries) Y6 - healthy weight Y6 - obese Y6 - overweight Y6 - underweight Greasby, Frankby and Irby 71.3 14.7 13.2 0.8 Hoylake and Meols 80.9 6.1 11.5 1.5 Pensby and Thingwall 69.1 16.2 13.2 1.5 Upton 64.5 21.3 13.5 0.6 West Kirby and Thurstaston 75.6 12.8 10.5 1.2 Wirral West Constituency 72.1 14.4 12.5 1.1 Birkenhead Constituency 62.6 21.1 15.3 1.0 Wallasey Constituency 65.5 20.8 13.0 0.7 Wirral South Constituency 63.9 19.0 15.3 1.8 Wirral 65.4 19 14.5 1.1

Notes and Definitions

Source: National Child Measurement Programme, 2013

Figure 17: Smoking Quit Rates (percentages): Wirral West Constituency, 2008/09 to 2012/13

30 Proportion(%)

0 West Kirby and Thurstaston Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton 08/09 39.6 54.4 43.4 49.6 39.9 09/10 64.5 50.6 41.4 61.0 46.5 10/11 46.7 52.2 53.3 40.4 42.1 11/12 51.4 30.8 33.3 44.0 32.5 12/13 47.9 55.3 43.5 51.3 34.6

The chart and the table show clients who did not smoke in the 4 weeks following their quit date. During 2012/13 Wirral West constituency had an overall quit rate of 46.5% slightly more than the Wirral average (41%). The lowest quit rates can be seen in Upton ward with just over a third (34.6%) not smoking after their quit date.

Table17: Smoking Quit Rates (percentages): Wirral West Constituency, 2008/09 to 2012/13

Ward of Residence Quit Rate % (2004 Boundaries) 08/09 09/10 10/11 11/12 12/13 West Kirby and Thurstaston 39.6 64.5 46.7 51.4 47.9 Greasby, Frankby and Irby 54.4 50.6 52.2 30.8 55.3 Hoylake and Meols 43.4 41.4 53.3 33.3 43.5 Pensby and Thingwall 49.6 61.0 40.4 44.0 51.3 Upton 39.9 46.5 42.1 32.5 34.6 Wirral West Constituency 45.4 52.8 46.9 38.4 46.5 Birkenhead Constituency 41.8 43.7 40.9 40.3 36.1 Wallasey Constituency 45.4 49.2 46.8 45.8 46.2 Wirral South Constituency 46.0 49.7 38.5 45.5 46.9 Wirral 43.7 46.6 43.7 41.4 41.0

Notes and Definitions

1. Successful quitters are clients who did not smoke in the 4 weeks following their quit date (self-reported smoking status). 2. The Unknown/Other category is clients who did not give a full/accurate postcode or the postcode could not be matched to a Wirral ward.

Source: Wirral Stop Smoking Service

Figure 18: Road Collision Causalities: Wirral West Constituency, 2010-12 (3 years pooled)

Proportion(%) 10

0 West Kirby and Greasby, Frankby Pensby and Hoylake and Meols Upton Thurstaston and Irby Thingwall Ward 17.0 8.4 11.9 19.4 12.3 Wirral West Constituency 13.8 13.8 13.8 13.8 13.8 Wirral 12.9 12.9 12.9 12.9 12.9

The chart and table show the proportion of people killed or seriously injured from road traffic collisions. It is important to note this data represents where the road collision took place rather than place of residence. Almost 1 in 8 casualties (13.8%) are killed or seriously injured in Wirral West Constituency, slightly more than the Wirral average of 12.9%. Almost a fifth (19.4%) are killed or seriously injured within the area of Pensby and Thingwall.

Table 18: Road Collision Causalities: Wirral West Constituency, 2010-12 (3 years pooled)

Total Number of % Killed or Seriously Ward (2004 Boundaries) Casualties Injured West Kirby and Thurstaston 59 17.0 Greasby, Frankby and Irby 83 8.4 Hoylake and Meols 67 11.9 Pensby and Thingwall 108 19.4 Upton 122 12.3 Wirral West Constituency 439 13.8 Birkenhead Constituency 1007 11.1 Wallasey Constituency 597 13.5 Wirral South Constituency 549 15.1 Wirral 2592 12.9

Notes and Definitions

1. The data in this table are based on the information collected by Merseyside Police at the scene of the collision using the STATS-19 form. This is used to record the details of the incident and the circumstances surrounding it. 2. The data collated to wards, is based on the location of the collision rather than the usual place of residence of the collision victim. 3. The data is up to and inclusive of 31/12/2012. Source: Wirral Accident Investigation Unit

Figure 19: Hospital Admission Rates for Falls in People aged 65 Years and over: Wirral West Constituency, 2009/10 to 2011/12

Rate per population1,000Rate 20

0 West Kirby and Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton Thurstaston 2009/10 36.6 33.4 45.6 33.1 49.3 2010/11 38.3 28.2 47.9 35.6 43.1 2011/12 40.7 32.1 52.3 38.5 54.0

As the table and the chart show, falls relating to people aged over 65 years during 2009/10 to 2011/12. In 2011/12, Wirral West has the lowest Constituency hospital admission rate with a rate of 32.4 per 1000 population. Upton ward has the highest rate of falls (by place of fall) with a rate of 54.0 per 1000 population, over two-thirds higher than the constituency average.

Table 19: Hospital Admission Rates for Falls in People aged 65 Years and over: Wirral West Constituency, 2009/10 to 2011/12

2009/10 2010/11 2011/12

Ward of Residence Number of Rate per Number of Rate per Number of Rate per (2004 boundaries) admissions 1000 admissions 1000 admissions 1000 West Kirby and Thurstaston 109 36.6 114 38.3 121 40.7 Greasby, Frankby and Irby 104 33.4 88 28.2 100 32.1 Hoylake and Meols 136 45.6 143 47.9 156 52.3 Pensby and Thingwall 105 33.1 113 35.6 122 38.5 Upton 158 49.3 138 43.1 173 54.0 Wirral West Constituency 612 39.7 458 29.7 499 32.4 Birkenhead Constituency 581 42.5 591 43.2 660 48.2 Wallasey Constituency 592 40.3 591 40.2 584 39.8 Wirral South Constituency 566 36.6 550 35.6 668 43.2 Wirral 2351 40.2 2328 39.3 2584 43.6

Notes and Definitions

1. The majority of the data is for emergency hospital admissions, however it also contains figures for other types of admissions in people aged 65 and over. 2. This data includes admissions where any of the 8 diagnoses codes included an ICD-10 code that corresponds to a fall. 3. The rate is per 1,000 persons aged 65 and over using the population estimates mid-2010. Source: Secondary Use Service

Percentage (%) Percentage 15

0 Greasby, Pensby & West Kirby & Hoylake& Meols Upton Frankby & Irby Thingwall Thurstaston Ward 29.1 32.9 32.8 36.5 31.9 Wirral West Constituency 32.7 32.7 32.7 32.7 32.7 Wirral 34.0 34.0 34.0 34.0 34.0

The table and chart show the proportion of people aged 65 years and over living alone. A third (32.7%) of people aged 65 years live alone in Wirral West constituency. Compared with 34% in Wirral overall. The highest proportion can be seen in Upton ward with 36.5% and the lowest West Kirby and Thurstaston 31.9%.

Table 20: People Living Alone aged 65 years: Wirral West Constituency, 2011

Ward of Residence (2004 boundaries) Living alone total aged 65+ % of 65+ living alone Greasby, Frankby and Irby 962 3307 29.1 Hoylake and Meols 985 2991 32.9 Pensby and Thingwall 1107 3374 32.8 Upton 1160 3174 36.5 West Kirby and Thurstaston 1000 3131 31.9 Wirral West Constituency 5214 15977 32.7 Birkenhead Constituency 5055 14028 37.3 Wallasey Constituency 5572 15260 36.8 Wirral South Constituency 4780 16162 30.0 Wirral 20621 61427 34

Notes and Definition

1. A household is defined as one person living alone, or a group of people (not necessarily related) living at the same address who share cooking facilities and share a living room or sitting room or dining area 2. A household must contain at least one person whose place of usual residence is at the address. A group of short-term residents living together is not classified as a household, and neither is a group of people at an address where only visitors are staying. Source: Census, 2011

Table 21: Wirral Carers: Wirral West Constituency, 2013

Ward of Residence Number of (2004 boundaries) Informal/Principal Carers Greasby, Frankby and Irby 232 Hoylake and Meols 180 Pensby and Thingwall 246 Upton 355 West Kirby and Thurstaston 221 Wirral West Constituency 1234 Birkenhead Constituency 1552 Wallasey Constituency 1688 Wirral South Constituency 1259 Wirral 5733

The table above shows the number of carers known to social services. In Wirral West constituency the number recorded as ‘Informal or Principle Carer’ is 1,234. Anecdotal evidence suggests this is an underestimated figure and not all carers are registered or in receipt of some form of service.

According to the Census (2011), 40,340 people in Wirral identified themselves as a carer, so it is clear that the large majority of those caring are not known to services.

As of August 2012, 4,800 Wirral people were claiming Carer’s Allowance (NOMIS, 2013). These figures mean that around one in eight of all carers in Wirral are known to services and/or claiming Carers Allowance

Notes and Definitions

1. The term carer is those identified and recorded on the database with a current role of “Informal/Principal Carer” 2. The numbers are correct at the time of extraction (August 2013)

Source: Swift database

Figure 21: Proportion of Housing Benefit Claimants: Wirral West Constituency, 2013

15 Proportion (%) Proportion

0 Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton West Kirby and Thurstaston Ward 3.2 6.1 8.1 19.8 6.3 Wirral West Constituency 9.2 9.2 9.2 9.2 9.2 Wirral 15.9 15.9 15.9 15.9 15.9

The chart and the table show the proportion of the population claiming housing benefit. Almost 1 in every 10 people claim housing benefit in Wirral West (9.2%), this is less than the Wirral average of 15.9%. A fifth (19.8%) of people claim housing benefit in Upton ward, compared with only 3.2% in Greasby, Frankby and Irby.

Table 21: Proportion of Housing Benefits Claimants: Wirral West Constituency, 2013

Ward of Residence Number of Housing (2004 boundaries) Benefit Claimants % Greasby, Frankby and Irby 272 3.2 Hoylake and Meols 488 6.1 Pensby and Thingwall 612 8.1 Upton 1962 19.8 West Kirby and Thurstaston 469 6.3 Wirral West Constituency 3803 9.2 Birkenhead Constituency 14052 24.6 Wallasey Constituency 9972 24.1 Wirral South Constituency 3793 8.7 Wirral 31620 15.9

Notes and Definitions

1. Data relates to households in receipt of housing benefit 2. Percentages have been calculated using mid-2011 census population estimates by ward 3. Data is correct as of July 2013

Source: Wirral Council, Benefits Processing

Figure 22: Proportion of Council Tax Benefit Claimants: Wirral West Constituency, 2013

15 Proportion (%) Proportion

The table and the chart show the proportion of council tax benefit claimants. One in every 8 people (13.7%) in Wirral West constituency claim council tax benefits, compared with 1 in every 5 claimants for Wirral overall (19.3%). Quarter (24.7%) claim council tax benefits in Upton ward which is higher than the Wirral average of 19.3%.

Table 22: Proportion of Council Tax Benefit Claimants: Wirral West Constituency, 2013

Number of Council Ward of Residence Tax Benefit (2004 boundaries) Claimants % Greasby, Frankby and Irby 659 7.8 Hoylake and Meols 733 9.1 Pensby and Thingwall 1116 14.8 Upton 2440 24.7 West Kirby and Thurstaston 737 10.0 Wirral West Constituency 5685 13.7 Birkenhead Constituency 15254 26.7 Wallasey Constituency 12215 21.4 Wirral South Constituency 5259 12.1 Wirral 38413 19.3

Notes and Definitions

1. Data relates to households in receipt of housing benefit 2. Percentages have been calculated using mid-2011 census population estimates by ward 3. Data is correct as of July 2013

Source: Wirral Council, Benefits Processing

Figure 23; Monthly Job Seekers Allowance Claimants, Numbers and Rates by Gender: Wirral West Constituency, March 2013

2 Proportion of JSA Claimants Claimants JSA of Proportion

0 West Kirby and Greasby, Frankby and Hoylake and Meols Pensby and Thingwall Upton Thurstaston Irby Ward 1.5 1.6 2.0 2.3 4.3 Wirral West Constituency 2.4 2.4 2.4 2.4 2.4 Wirral 4.1 4.1 4.1 4.1 4.1

The table and the chart show the proportion of job seekers allowance claimants up to March 2013. A small proportion 2.4% claim jobs seekers allowance in Wirral West compared to the Wirral average of 4.1%. The lowest proportions at ward level are seen in West Kirby and Thurstaston and Greasby, Frankby and Irby with 1.5% and 1.6% respectively. The highest rate can be seen in Upton ward with 4.3% slightly higher than the Wirral average.

Table 23 Monthly Job Seekers Allowance Claimants, Numbers and Rates by Gender: Wirral West Constituency, March 2013

Total Job Seekers Allowance claimants Ward of Residence Male Female Total (2004 boundaries) Number % Number % Number % West Kirby and Thurstaston 84 2.3 28 0.7 112 1.5 Greasby, Frankby and Irby 94 2.3 40 0.9 134 1.6 Hoylake and Meols 106 2.7 56 1.4 162 2.0 Pensby and Thingwall 109 3.0 65 1.7 174 2.3 Upton 287 6.1 138 2.7 425 4.3 Wirral West Constituency 680 3.4 327 1.5 1007 2.4 Birkenhead Constituency 2459 8.9 1037 3.5 3496 6.1 Wallasey Constituency 1827 6.6 805 2.7 2632 4.6 Wirral South Constituency 645 3.0 319 1.4 964 2.2 Wirral 5,611 5.8 2,488 2.4 8,099 4.1 North-West 129,873 5.7 62,989 2.8 192,862 4.2 UK 1,012,106 5.0 526,470 2.6 1,538,576 3.8

Notes and Definitions

1. Job seekers allowance figures are based on the number of people resident in the area who are unemployed and claiming Job Seekers Allowance (JSA). The JSA percentage (%) rate is expressed as a proportion of resident working age population (16- 59 for females and 16-64 for males). 2. ONS Mid-2011 population estimates have been used as a denominator to calculate the JSA rates. 3. Figures may not add up to the total figures due to rounding. Source: NOMISWEB Produced by Wirral Performance and Public Health Intelligence Team: Constituency Profile for Wirral West H:\PubHealth\Public Health Intelligence Team\Reports\Constituency Profiles 2013\West Wirral\Wirral West Constituency Profiles draft7 FINAL.docx Page 32 of 37

Figure 24: Employment & Support Allowance Claimants by specific health conditions, Number and Rates: Wirral West Constituency, November 2012

Rate perRate 1000Popualtion 10

0 Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton West Kirby and Thurstaston Mental Illness 15.3 15.5 9.3 25.3 8.1 Nervous system 3.5 2.5 2.6 3.5 2.0 Respiratory or Circulatory 4.1 1.9 1.3 4.5 1.4 Musco-skeletal 4.7 3.1 4.0 6.6 2.0 Injury, poisoning 2.4 2.5 1.3 2.0 0.7 Other 9.4 6.8 4.0 14.7 6.1

The chart and the figure show the rate of Employment Support Allowance (ESA) claimants by specific diseases. Wirral West constituency has the second lowest ESA claimant rate with a rate of 37.7 per 1000 population compared with Wirral’s rate of 57.1 per 1000. The highest claimant rate by specific disease condition – Mental Health which includes depression is seen in Upton ward with a rate of 25.3 per 1000 population. The second highest category apart from other is musclo-skeletal and Wirral West has the lowest rate 4.6 per 1000 population compared to Wirral, 7.6 per 1000 population. However Upton ward has the highest rate with a rate of 6.6 per 1000 population.

Table 25: Rate of Employment & Support Allowance Claimants by specific health conditions: Wirral West Constituency, November 2012

Disease Specific Claimants Rate per 1,000

Respiratory Total Ward of Residence Mental Nervous or Musco- Injury, claimants (2004 boundaries) Illness system Circulatory skeletal poisoning Other Total (number) Greasby, Frankby and Irby 15.3 3.5 4.1 4.7 2.4 9.4 39.5 335 Hoylake and Meols 15.5 2.5 1.9 3.1 2.5 6.8 32.3 260 Pensby and Thingwall 9.3 2.6 1.3 4.0 1.3 4.0 22.5 170 Upton 25.3 3.5 4.5 6.6 2.0 14.7 56.6 560 West Kirby and Thurstaston 8.1 2.0 1.4 2.0 0.7 6.1 20.3 150 Wirral West Constituency 16.3 3.1 3.0 4.6 2.0 8.7 37.7 1475 Birkenhead Constituency 39.3 3.3 4.9 11.0 3.9 16.4 78.8 4585 Wallasey Constituency 30.4 3.1 4.1 8.2 2.9 13.7 62.4 3595 Wirral South Constituency 15.0 2.7 2.3 4.6 1.6 8.2 34.3 1540 Wirral 27.3 3.1 3.7 7.6 2.8 12.6 57.1 11365

Figure 26: Standardised Mortality Ratios for All Causes: Wirral West Constituency, 2009-11 (3 years pooled)

140

120

100

60 Standardised Mortality Ratio Mortality Standardised

0 West Kirby and Thurstaston Greasby, Frankby and Irby Hoylake and Meols Pensby and Thingwall Upton Ward 91.21 71.72 101.62 84.60 121.14 Wirral West Constituency 95.8 95.8 95.8 95.8 95.8 Wirral 109.6 109.6 109.6 109.6 109.6

The chart and the table show the Standardised Mortality Ratio (SMR) for all causes of death during 2009- 11. Overall, Wirral West constituency is below the England average of 100 with a SMR of 95.8. Wirral’s overall mortality rate is almost 10% above the England average of 100 with a SMR of 109.6. Greasby, Frankby and Irby wards have the lowest death rates – lower than the national average thus 30% fewer deaths. Upton ward has a fifth (SMR 121.14) more deaths than the national average of 100 and this equates to 10% more deaths than the Wirral average of 109.6

Table 26: Standardised Mortality Ratios for All Causes: Wirral West Constituency, 2009-11 (3 years pooled)

Ward of Residence 95% Confidence Intervals (2004 boundaries) SMR LCL UCL West Kirby and Thurstaston 91.21 91.01 99.99 Greasby, Frankby and Irby 71.72 64.45 79.60 Hoylake and Meols 101.62 101.43 110.45 Pensby and Thingwall 84.60 84.41 93.17 Upton 121.14 120.93 130.65 Wirral West Constituency 95.8 92.1 99.7 Birkenhead Constituency 129.8 125.1 134.7 Wallasey Constituency 114.6 110.3 119.0 Wirral South Constituency 101.4 97.4 105.5 Wirral 109.6 107.5 111.8

Notes and Definitions

1. Standardised Mortality Ratios (SMR) is a way of comparing death rates in a particular area with those in the national population. The SMR for England in 2009-11 is 100, so an area with SMR of 120 is said to have a mortality rate 20% higher than the national average (after taking account of differences in the age structure of the two populations). 2. 95% Confidence Intervals indicate the range within which the true value of SMR falls, e.g. a 95% CI for Wirral of 93.5 to 113.2 means that we can be 95% certain that the SMR lies somewhere between of 93.5 and 113.2.

Produced by Wirral Performance and Public Health Intelligence Team: Constituency Profile for Wirral West Page 35 of 37

Figure 26: Wholly Attributable Alcohol Related Mortality: Wirral West Constituency, 2007-11 (5 years pooled)

250

200

150

100 StandardisedRatioMortality 50

0 Greasby, Frankby Pensby and West Kirby and Hoylake and Meols Upton and Irby Thingwall Thurstaston Ward 57.9 159.8 113.7 208.6 39.5 Wirral WestConstituency 115.9 115.9 115.9 115.9 115.9 Wirral 183.9 183.9 183.9 183.9 183.9

The chart and the table show the Wholly Attributable Alcohol Related Mortality (SMR) during 2007-11.In laymen’s terms, deaths that are entirely alcohol related. It is important to note this analysis contains small numbers hence the wide variations in the mortality rates. Wirral West SMR is 115 thus, 15% above the England average of 100. In comparison, Wirral’s overall SMR is 184 therefore Wirral has 84% more deaths that are wholly attributable to alcohol when compared to the national average of 100. West Kirby and Thurstaston have the lowest death rate with a SMR 39 thus 61% fewer deaths than the national average. Upton is over 110% above the national average of 100, for wholly attributable alcohol deaths with a SMR of 208.

Table 26: Wholly Attributable Alcohol Related Mortality: Wirral West Constituency, 2007-11 (5 years pooled)

Ward of Residence 95% Confidence Intervals (2004 boundaries) SMR LCL UCL Greasby, Frankby and Irby 57.9 18.8 135.2 Hoylake and Meols 159.8 82.6 279.1 Pensby and Thingwall 113.7 52.0 215.9 Upton 208.6 123.6 329.7 West Kirby and Thurstaston 39.5 8.1 115.3 Wirral West Constituency 115.9 57.0 215.0 Birkenhead Constituency 264.0 167.2 401.8 Wallasey Constituency 197.9 117.0 318.5 Wirral South Constituency 130.9 67.6 232.8 Wirral 183.9 164.5 205.1 Notes and Definitions

1 Standardised Mortality Ratios (SMR) is a way of comparing death rates in a particular area with those in the national population. The SMR for England in 2007-11 is 100, so an area with SMR of 120 is said to have a mortality rate 20% higher than the national average (after taking account of differences in the age structure of the two populations). 2 95% Confidence Intervals indicate the range within which the true value of SMR falls, e.g. a 95% CI for Wirral of 93.5 to 113.2 means that we can be 95% certain that the SMR lies somewhere between of 93.5 and 113.2. 3 There are 13 conditions whereby definition wholly attributable to alcohol consumption. See appendix 1 for list of ICD 10 codes wholly attributable to alcohol 4 There are 13 conditions whereby definition wholly attributable to alcohol consumption. See appendix 1 for list of ICD 10 codes wholly attributable to alcohol

Source: Public Health Mortality Files, 2013

Appendix 1: ICD 10 Codes used and attributable fractions for alcohol-attributable/specific hospital admission and mortality

ICD 10 Disease AAF E24.4 Alcohol-Induced pseudo Cushing's Syndrome 1.00 F10 Mental and behavioural disorders due to use of alcohol 1.00 G31.2 Degeneration of nervous system due to alcohol 1.00 G62.1 Alcoholic polyneuropathy 1.00 G72.1 Alcoholic myopathy 1.00 I42.6 Alcoholic cardiomyopathy 1.00 K29.2 Alcoholic gastritis 1.00 K70 Alcoholic liver disease 1.00 K86.0 Chronic pancreatits (alcohol induced) 1.00 T51.0 Ethanol 1.00 T51.1 Methonol poisioning 1.00 T51.9 Toxic Effect Alcohol, unspecified 1.00 X45 Accidental poisoning by and exposure to alcohol 1.00 For further details please contact Jane Morgan, Wirral West Constituency Manager at [email protected] Beverley Murray [email protected]

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