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Health Profile of

This information has been put together by the North Public Health Team to assist in local needs assessment and the planning of services.

Population

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right of of amount amount fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active ys ys on 5 da on 5 da

a week a week R 32% Bee 35% d d reporte reporte having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2034 2028 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2034 2028 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2024 2015 2034 2028 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK. Health Profile of Wrexham

This information has been put together by the North Wales Public Health Team to assist in local needs assessment and the planning of services.

Population Rossett

North & West Wrexham > Wrexham UA covers an area of 504 square Central Wrexham kilometres Wrexham South > Wrexham has a Wrexham Overton

population of 271 Chirk people per square kilometre

> Wrexham has a resident population Wrexham has of 136,400 three GP clusters

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Wrexham 2013

the Wrexham UA, 2013 Wales Males Wales Female Wrexham Males Wrexham Female

90+ 85-89 80-84 75-79 70-74 65-69 60-64 55-59 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 05-09 00-04

54321012345

Wrexham population. Overall population

63% 19% 85,340 people are aged 18% 26,230 people 16-64 years are aged 24.820 people 0-15 years 2% are aged 3,080 people 65-84 years are aged 85 years or over

Population Projections, Population projections, all persons by age group, Wrexham, 2011 to 2036 Wrexham Unitary Authority, 2011 to 2036 0 to 15 years 16 to 64 years 65 years and over 85 years and over

120,000

100,000

80,000

60,000

40,000

20,000

0 2017 2016 2019 2013 2027 2011 2033 2031 2018 2029 2036 2014 2012 2032 2023 2021 2026 2015 2024 2028 2034 2022 2035 2030 2020 2025

13% This is lower than the Welsh of individuals aged national average over three years in (19%) the Wrexham are able to speak Welsh (16,659 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Wrexham 6% of 14% of LSOAs LSOAs 7,690 people 19,790 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

44% of 29% of Wrexham LSOAs LSOAs

58,740 people 39,860 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales

Registered with GPs 70% of registered patients 70% of patients registered with live in an urban area Wrexham GP cluster live in an urban area, while 30% live in a rural area

18% of registered patients live in a rural area 12% (small town/fringe) of registered patients live in a rural area 18% 3% (village/hamlet/isolated dwellings) 25,820 3,370 people are aged people are aged 65-84 years 85 years or over 144,160 patients registered Patients registered with a North Wales GP and with Wrexhan GP have an English postcode are excluded from the Geography and Deprivation indicators; therefore Cluster practices total numbers of patients do not match GP registered population numbers

Key Health Issues

Amongst the Wrexham GP Cluster patients... Health Inequality Wrexham

15% 19% 21% 21% 24% 21,190 26,140 28,590 29,500 33,140 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

ye a rly a rs e NORtH WALeS

Infant mortality rates in North Wales There are around are higher than 7,800 live births Wales (4.7 per 1,000 per year in births compared to 27% of pregnant North Wales 4.4 per 1,000 births) women have a BmI over 30

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and from the least deprived area, and likely to spend 14 additional years likely to spend 13 additional years in poorer health in poorer health

7% 5% 59% 26% 19% of babies in of singleton of babies in of children aged of children & young North Wales are babies in North Wales are 4-5 years in people under born pre-term North Wales are breast fed at birth North Wales are 20 years live in (less than low-birth weight compared to 55% overweight or poverty, compared 37 weeks) (less than 2500g) across Wales obese, the same as to Welsh national the Welsh average average of 22%

a rly ye e ars WRexHAm

Infant mortality rates in Wrexham are There are around lower than Wales 1,730 live births (4.1 per 1,000 births per year in compared to 4.4 per Wrexham 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 9 years less than the average boy 8 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 16 additional years to spend 15 additional years in in poorer health poorer health

7% 6% 60% 25% 20% of babies in of singleton of babies in of children aged of children and Wrexham are born babies in Wrexham are 4-5 years in young people pre-term Wrexham are breast fed from Wrexham are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 25% of boys & 25% of girls

mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

20% female North Wales North The number of people aged 18 Around 92,270 10% of 5 to 16 year olds in or above predicted to have a people have one North Wales (8,830 children) learning disability is estimated of the common have a mental health disorder; to rise by 6% by 2030 mental disorders same as the Welsh average

10% of children Wrexham 18% rise Wrexham

The number of people aged 18 or Around 17,960 people have 10% of 5 to 16 year olds in above predicted to have a learning one of the common mental Wrexham (1,780 children) disability is estimated to rise from around disorders have a mental health disorder; 2,500 in 2013 to around 2,950 by 2030 same as the Welsh average

The prevalence of frailty increases steadily with age and is Frailty and estimated to affect 25% of those Dementia aged over 85 years.

North Wales Wrexham

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The number of people in 4 affected by living in Wrexham aged frailty 85 years and over is expected to rise from 3,130 in 2013 to 3,920 in 2020 and 6,170 by 2030

In Wrexham, over 100 people aged 65 years and over are admitted to our In Wrexham, hospitals each year In North Wales over 2% of the with hip fractures 800 people over population are (394 per 100,000) the age of 65 are aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

25% 23% 15,060 of women people aged die of 65-84 years 30% cancer have a chronic of men illness die of cancer + Almost half of all adults over 16 + Cancer causes around 2,040 deaths per year in North in North Wales report living with at Wales. 166 per 100,000 of the population of North least one chronic illness Wales die of cancer; this is lower than the Welsh national average of 173 per 100,000 population. North Wales 16% Hypertension 111,150 people 7% Asthma 46,850 people 5% Diabetes 34,680 people 4% CHD 29,720 people 2% COPD 16,770 people

Overall, 1% 250,900 Epilepsy (36% of GP registered 4,980 people patients) patients have 1% a chronic Heart failure condition/illness 6,750 people

Chronic and long term conditions Wrexham

from 358 360 cancer deaths Cardiovascular deaths diseases 167 per 100,000 per year in per year in in Wrexham Wrexham Wrexham die of cancer + 145 per 100,000 population of + Cancer causes around 358 deaths per year in Wrexham die from Cardiovascular Wrexham. 167 per 100,000 of the population of disease; this is lower than the North Wrexham die of cancer; this is higher than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Wrexham 16% Hypertension 23,050 people 7% Asthma 9,970 people 5% Diabetes 6,900 people 5% CHD 5,790 people 2% COPD 3,400 people Overall,51,480 1% (36% of GP Epilepsy registered 1,080 people patients) patients have a chronic 1% condition/illness Heart failure 1,290 people

Positive mental wellbeing

NORtH WALeS In 2011, people in North Wales overall reported being happier and more satisfied with life, and less anxious than the Wales and UK population

WRexHAm Residents in Wrexham reported being less happy and less satisfied with life, and more anxious than the Wales and the UK population

Smoking and Alcohol North Wales Wrexham 21% of adults in North Wales 21% of adults in Wrexham were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 23% in 2011/12

23 % 2011/12 23 % 2011/12

21 % 2012/13 21 % 2012/13

43% young people over drink 43% over drink 43% over drink

26% binge drink 25% binge drink

43% of adults in 26% of adults 43% of young 43% of adults in 25% of adults North Wales drink in North Wales people aged Wrexham drink in Wrexham more than the binge drink, 16-24 years in more than the reported binge recommended the same as the North Wales drink recommended drinking in levels in Welsh average more than the levels in 2012/13 2012+13; this is a 2012/13, recommended slight drop from compared to 42% levels 26% in 2011/12 across Wales

maintaining a Healthy Weight

NORtH WALeS WRexHAm

In North Wales, the In Wrexham, the number of adults number of adults 57% who are overweight who are overweight 58% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has decreased or obese from 56% in from 60% in 2011/12 to 57% 2011/12 to 58% in in 2012/13 2012/13 23% 21% 23% 25% is the Welsh reported is the Welsh reported average being obese average being obese

21% of adults in North Wales reported 25% of adults in Wrexham reported being obese in 2012/13, lower than being obese in 2012/13, an increase the Welsh average of 23% from 22% in 2011/12 FLOUR

36% 33% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 33% of people in Wrexham eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 27% are active are active on 5 days on 5 days

a week a week R 32% Bee 35% reported reported having no having no active days active days

30% of adults in North Wales are 27% of adults in Wrexham are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this has declined from 30% having no active days, lower than the from 2011/12. 35% of adults reported Welsh average of 34% having no active days, higher than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal rexham No es W

85% 88% have had have had their jabs their jabs

85% of 4 year olds in North Wales 88% of 4 year olds in Wrexham are up-to-date with immunisations are up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Wrexham is 89% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Wrexham is 74%. 58% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

Information taken from Sub-regional Profiles Report (2014) by Claire Jones, Jo Charles and Professor Rob Atenstaedt from Public Health Wales. Data used in this report is the latest, routinely available as at October 2014 www.social-change.co.uk This infographic has been produced by Social Change UK.