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TRAFFORD WEST LOCALITY HEALTH PROFILE

JANUARY 2021 WEST LOCALITY: WARDS

-: Second largest ward in the Borough. It is characterised by large areas of agricultural green belt land including . Within the ward are a large industrial complex and Carrington Business . Within the south east part of the ward are the villages of Carrington and and within the eastern area is the residential area of Sale. The northern boundary of the site is bounded by the . The ward is home to the United and Manchester City Football Clubs training grounds. Bucklow - St Martins has three very distinct areas with pockets of high deprivation and isolated communities.

East: In the north of and is bounded to the north by the Manchester Ship and the . The ward is home to the , separated from the residential areas by the M60, the historical , which crosses the and Barton Swing Bridge.

: Bounded by the Manchester Ship Canal to the west, Davyhulme waste water treatment works to the north and residential areas of Davyhulme and to the east and south. The ward is mainly residential with large areas of private open land along the canal edge and the Mersey Valley to the south east tip of the ward. Trafford General Hospital is located in this ward.

• Flixton: Bounded by the Mersey Valley and the River Mersey to the south and is traversed by the Manchester to railway line. Its population is concentrated in areas in the northern half of the ward; other areas are generally open and include two golf courses (William Wroe and Flixton Golf Course).

: Situated in the heart of the northern part of the Borough. It is split into three residential areas by the M60 motorway and a railway line. The Mersey Valley and the River Mersey form the southern boundary, with the residential areas of to the east and Flixton to the west. Within the ward are Urmston Town Centre and one of the five cemeteries of the Borough.

Source: Trafford Data Lab, 2020 WEST LOCALITY: DEMOGRAPHICS

• The West locality has an estimated population of 52,279 across the five wards (Bucklow-St Martins, , Davyhulme West, Flixton and Urmston) (ONS, 2019).

• Data at the ward level suggests that the five wards in the West locality have a higher proportion of 65+ years population r compared to Trafford average (ONS, 2019).

• Wards in the West locality have a low percentage of BAME communities in Trafford (Census, 2011)

• Bucklow-St Martins is the most deprived ward in Trafford (IMD, 2019)

• Around 17.6% of children are living in poverty and 13.6% of people living in income deprived households in the West locality (ONS, 2019). PERCENTAGE (%) OF POPULATION AGED 65+ YEARS BY WARDS IN TRAFFORD (ONS, 2019)

Bucklow-St Martins ward has the lowest percentage (15.3%) of population aged 65+ years in Trafford, followed by 19.6% in Davyhulme East, 20% in Urmston, 21% in Davyhulme West and 22.8% in Flixton. (ONS, 2019). Figure Source: Trafford Data Lab PERCENTAGE (%)OF BAME POPULATION BY WARDS IN TRAFFORD (CENSUS, 2011)

Urmston ward has the fourteenth highest percentage (7.7%) of BAME population in West, followed by 6.2% in Bucklow-St Martins, 6.1% in Davyhulme East, 4.5% in Davyhulme West and 3.8% in Flixton (ONS, 2019) Figure Source: Trafford Data Lab DEPRIVATION SCORES BY WARDS IN TRAFFORD (CENSUS, 2011)

Bucklow-St Martins ward has the highest deprivation score in West, followed by Urmston, Davyhulme West, Davyhulme East and Flixton. (IMD, 2019).(Note: IMD scores are not absolute values so a score of 40 does not indicate twice the deprivation of a ward with a score of 20. Higher average scores indicate higher relative levels of deprivation. Figure Source: Trafford Data Lab WEST LOCALITY: CHILD HEALTH

• Data for A&E attendance, emergency and injury admissions is not available at the ward level. Data for Trafford shows high rates of A&E attendance, emergency and injury admissions in under 5 population. • Three years rolling average from 2017-2020 suggests that 21.1% of Reception year and 33.5% of Year 6 children are obese and overweight (Obesity Profile, 2020). • Percentage of reception year children with excess weight in Davyhulme West, Flixton and Davyhulme East are better than average (statistically significant), whereas worse than the England average for Urmston and Bucklow-St Martins. • 1 ward in West is the Trafford wards with the highest percentage of Year 6 children with excess weight. • The percentage of Year 6 children with excess weight (33.5%) is higher than the average for Trafford as a whole (31.5%), but lower than the England average of 34.6%.

Source: Obesity Profile, 2020 CHILDREN WITH EXCESS WEIGHT YEAR 6, THREE YEAR AVERAGE 2017/18 - 2019/20

Area Value LCI UCI

The percentage of Year 6 children with excess weight (33.5%) is higher than Trafford as a whole (31.5%), but lower than the England average of 34.6%. Source: Obesity Profile, 2020 WEST LOCALITY: DISEASE AND POOR HEALTH

• Limited data on disease and poor health is present at the ward level, with the most recent data available until the year 2018. • 20% of residents in the West wards reported a limiting long term illness or disability in the census (Census, 2011) • There is a mixed picture of lifestyle related ill-health in the West locality. • 45% more lung cancer cases during the period 2012-2016, applying age-sex-year-specific incidence rates for England to the ward population (Local Health, 2016). • During the period 2013/14- 2017/18: - 10.3% more admissions for alcohol related harm and the admission ratios across 3 wards were similar to the England average, except for Urmston and Bucklow-St Martins, which were statistically worse. - 32.4% more emergency COPD admissions and the admission ratios across all but one wards were higher (statistically significant) than England average. Admission ratio for Flixton was similar to England average. - 29% more emergency admissions for CHD and the admission ratios across al but one wards were worse than the England average. Davyhulme East was similar to England average. - 29.8% more emergency admissions for Stroke and the admission ratios across all wards were worse than the England average. HOSPITAL STAYS FOR ALCOHOL-RELATED HARM BY WARDS IN TRAFFORD (2013/14-2017/18)

Area Value LCI UCI

Urmston ward has 45.7% more hospital stays from alcohol-related harm, followed by Bucklow-St Martins (42.8%), Flixton (24.1%), Davyhulme East (23.1%) and Davyhulme West (21.8%).

Source: Local Health, 2018 EMERGENCY HOSPITAL ADMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) (2013/14- 2017/18) Area Value LCI UCI

Bucklow-St Martins ward has 50.7% more hospital admissions due to CHD, followed by Davyhulme West (35%), Flixton (25.5%), Urmston (20.5%) and Davyhulme East (17.7%) Source: Local Health, 2018 WEST LOCALITY: LIFE EXPECTANCY

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

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

- Bucklow-St Martins has the joint lowest male life expectancy of 75.6 years across all wards in Trafford. Life expectancy for males in Bucklow-St Martins is 4.8 years lower than Trafford and 3.9 years lower than England. - Bucklow-St Martins has the lowest female life expectancy of 78.6 years in females across all Trafford wards. Life expectancy for females in Bucklow-St Martins ward is 4.9 years lower than Trafford and 4.5 years lower than England. - Life expectancy for males is similar (statistically significant) to England average for Davyhulme West and Flixton, worse for Urmston and Bucklow-St Martin’s, but better for Davyhulme East. - Life expectancy for females is similar (statistically significant) to England average for Davyhulme West, Davyhulme East and Flixton, but worse for Urmston and Bucklow-St Martins.

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

Bucklow-St Martins has the joint lowest male life expectancy of 75.6 years across all wards in Trafford. Male life expectancy is 76.8 years in Urmston, 80.2 years in Flixton, 80.7 years in Davyhulme West, and 81.4 years in Davyhulme East. Figure Source: Trafford Data Lab LIFE EXPECTANCY AT BIRTH (FEMALE) 2013-2017

Bucklow-St Martins has the lowest female life expectancy of 78.6 years in females across all Trafford wards. Female life expectancy is 81.8 years in Urmston, 82.9 years in Flixton, 83.6 years in Davyhulme East and 84.5 years in Davyhume West. Figure Source: Trafford Data Lab HEALTHY LIFE EXPECTANCY AT BIRTH (MALE) 2009-2013

Bucklow-St Martins has the second lowest healthy life expectancy (Male) of 57 years across all wards in Trafford. Healthy life expectancy (Male) is 63.2 years in Urmston, 64 years in Davyhulme East and Davyhulme West, and 65.4 years in Flixton. Figure Source: Trafford Data Lab HEALTHY LIFE EXPECTANCY AT BIRTH (FEMALE) 2009-2013

Bucklow-St Martins has the second lowest healthy life expectancy (Female) of 57.2 years across all wards in Trafford. Healthy life expectancy (Female) is 64.2 years in Urmston, 65.1 years in Flixton, 65.7 years for Davyhulme West, and 66.1 years for Davyhulme East. Figure Source: Trafford Data Lab WEST LOCALITY: CAUSE OF DEATH

• No recent data is present for causes of death at the ward level for Trafford. The latest available data is for the year 2017. • Across the West locality, there are 20% more preventable deaths compared with England. • Preventable mortality ratio is similar (statistically significant) to England average for Flixton, Davyhulme West and Davyhulme East, and worse for Bucklow-St Martins and Urmston wards. • Deaths under 75 years of age are high across the West wards with: - 9.8% more deaths from all causes. Bucklow-St Martins has the highest premature mortality ratio from all causes across Trafford wards with 71% more deaths. - 13.1% more deaths from cancer. Bucklow-St Martins has the highest premature mortality ratio for cancer across Trafford wards with 56.5% more deaths. - 12% more deaths from circulatory diseases. Bucklow-St Martins has the second highest levels of premature deaths from circulatory diseases in Trafford with 94% more deaths. DEATHS FROM CAUSES CONSIDERED PREVENTABLE, ALL AGES, STANDARDISED MORTALITY RATIO, 2013-2017

Area Value LCI UCI

Preventable mortality ratio is similar (statistically significant) to England average for Davyhulme East (13.9% less deaths), Davyhulme West (13.4% less deaths) and Flixton (8.8% more deaths), but worse for Urmston and Bucklow-St Martins wards. Source: Local Health, 2017 DEATHS FROM ALL CAUSES, UNDER 75 YEARS, STANDARDISED MORTALITY RATIO, 2013 - 2017

Area Value LCI UCI

Premature mortality ratio (deaths under 75 years of age) from all causes is better (statistically significant) than England for Davyhulme West (17.4% less deaths), similar for Davyhulme East and Flixton, but worse for Urmston and Bucklow-St Martins wards. Source: Local Health, 2017 DEATHS FROM RESPIRATORY DISEASES, ALL AGES, STANDARDISED MORTALITY RATIO, 2013-17

Area Value LCI UCI

Standardised mortality ratio from respiratory diseases is similar (statistically significant) to England for Flixton (1.9% less deaths), Davyhulme West (3.2% more deaths), Urmston (16.9% more deaths) and Davyhulme East (17.7% more deaths) but worse for Bucklow-St Martins. Source: Local Health, 2017 WEST LOCALITY: SUMMARY

• The West locality contains the wards of Bucklow-St Martins, Davyhulme East, Davyhulme West, Flixton and Urmston. • The age structure is predominantly older working age (Local Health, 2019) with a low BAME population (ONS, 2011) • The 5 wards have varying levels of deprivation, with about 17.6% of children living in poverty and 13.6% of people living in income deprived households in the locality (Local Health. 2019). • Health of the people of Trafford West Locality is worse compared with Trafford and England average. • The rate of premature mortality in the locality is higher than that of Trafford and England. • About 33.5% of Year 6 children are obese and overweight (2017/2018-2019/2020). • The incidence of lung cancer (2012-2016) is statistically significantly higher than the England average. • The rate of alcohol related hospital admissions are statistically similar compared with England average across 3 wards and 2 wards are statistically significantly higher.