HEALTH & WELLBEING WARD PROFILE

Population 11,419  ♂48.7% ♀51.3% Male Population 5,556 Audenshaw Population (5.5% Since 2001) Female Population 5,863 ( Population +2.9% Since 2001) (Tameside Male Population 49.1%) (Tameside Female Population 50.9%)

Audenshaw ward is located in the west neighbourhood to the North of Denton and the east of . The population of Audenshaw grew by 5.5% over the ten year period between the 2001 and 2011 censuses. Audenshaw has a similar overall age distribution to Tameside as a whole. Audenshaw has a lower proportion of BME residents compared to the Tameside average, with a lower proportion of Indian and Bangladeshi residents compared to the Tameside average.

Employment 64.6% 2.4% 11% Employment Rate Job Seekers Allowance Claimant Rate Out of Work Benefit Claimants 4th Highest in Tameside (Tameside Average=2.8%) (Tameside Average=13.6%) (Tameside Average=61.3%) Economic Status (% Aged 16-74) The employment rate in Audenshaw is marginally higher than the Tame- side and averages, which is due to a higher proportion of the Audenshaw Audenshaw Tameside England population employed full time. (Number) (%) (%) (%)

The proportion of the population aged 16-64 in Audenshaw that claim out Economically Active 6089 71.5 68.8 69.9 of work benefits is lower in Audenshaw compared to Tameside and Eng- Employee Full Time) 3683 43.2 40.6 38.6 land as a whole. This is in the majority due to a lower proportion of Em- Employee (Part Time) 1156 13.6 13.2 13.7 ployment Support Allowance (ESA) claimants in the working age popula- tion of Audenshaw, whereas the proportion claiming Job Seekers Allow- Self-Employed 665 7.8 7.4 9.7 ance is only slightly lower than the Tameside and England averages. Unemployed 350 4.1 5.0 4.4 Full Time Student 235 2.8 2.5 3.4 Economically Inactive 2430 28.5 31.2 30.1

Job Seekers Allowance Claimants by Ward (% Aged 16-64) Out of Work Benefit Claimants (% Aged 16-64)

Audenshaw Audenshaw Tameside England (Number) (%) (%) (%)

Job Seekers Allowance (JSA) 190 2.4 2.8 2.8 Employment Support Allowance 570 7.1 8.8 8 (ESA) Lone Parents (claiming Income 95 1.2 1.6 1.4 Support) Other 30 0.4 0.4 0.4

Total out of work benefit claimants 885 11.0 13.6 12.6

Education and Training 26.7% 47.8% 73.6% Residents Aged 16+ without Early Years Foundation Stage: Pupils Achieving 5 GCSEs any Qualifications 5 Year Olds with a Good Level Including English and Maths at (Tameside Average=28.1%) of Development Grades A*-C (Tameside Average=56.5%) The proportion of Audenshaw pupils achieving 5 GCSEs grades A*- C including English and Maths was the highest in Tameside in the 2011/12 school year at 73.6%.

The proportion of the Audenshaw adult population with different lev- els of highest qualification achieved from the 2011 census are only marginally different from the Tameside average.

A lower proportion of 5 year olds than the Tameside average achieved a good level of development within the early years founda- tion stage Highest Achieved Qualification (% Aged 16+)

Audenshaw Tameside England (%) (%) (%)

No Qualifications 26.7 28.1 22.5

Level 1: 1-4 GCSEs or Equivalent 15.4 16.1 13.3

Level 2: 5+ GCSEs or Equivalent 18.4 17.3 15.2

Level 3: 2+ A-Levels or Equivalent 12.9 12.1 12.4

Level 4 and above: Degree Level 17.8 17.5 27.4

Apprenticeship 5.0 3.6 3.6

Other Qualifications 3.7 5.7 5.7

Housing 4,891 13% 3.5% Number of Households Fuel Poor Households Households without Central Heating (Tameside Average=14.1%) (Tameside Average=2.8%) The majority of the housing stock in Audenshaw is Semi-Detached at Housing Type (% Households) 51.7%. The proportion of homes that are owner occupied is substantial- Au- ly higher than both the Tameside and England averages. Tameside England denshaw (%) (%) (%) Approximately 1 in 8 households in Audenshaw are fuel poor and ap- proximately 1 in 30 households do not have central heating. House: Detached 10.0 11.3 22.3 House: Semi-Detached 51.7 37.5 30.7 The percentage of homes in Audenshaw that have some degree of House: Terraced 26.5 35.7 24.5 room overcrowding are lower than the Tameside and England averages. Flat/ Apartment: Purpose Built Block 10.2 13.4 16.7 Flat/ Apartment: Converted House 1.0 1.2 4.3 Housing Tenure (% Households) Flat/ Apartment: In Commercial Building 0.6 0.9 1.1 Audenshaw Tameside England Caravan or other Mobile/ Temporary Structure 0 <0.1 0.4 (%) (%) (%) Modelled Percentage of Households in Fuel Poverty Owner Occupied 72.2 63.8 63.3 Private Rented 11.0 13.2 16.8

Social Rented 15.5 21.5 17.7 Shared Ownership (part owned and part rented) 0.4 0.3 0.8 Living Rent Free 1.0 1.1 1.3 Household Overcrowding (% Households)

Audenshaw Tameside England (%) (%) (%)

Room Overcrowding 4.7 6.1 8.7

Bedroom Overcrowding 3.0 3.9 4.6

Health

6.3% 20.0%  125.7 per 100,000 u75 population Poor Health (Self-Reported) Limiting Long Term Illness or Disability Under-75 CVD Mortality Rate (DSR) 5th Lowest in Tameside, average 7.3%) (Tameside Average =20.9%) (9th Lowest in Tameside, average = 86.4)

Residents of Audenshaw have a slightly lower level of limiting long term illness or disability compared to the Tameside average. Male and Fe- male life expectancy in Audenshaw are approximate to the Tameside average. Rates of diagnosed for CHD, Hypertension, Asthma, Heart Fail- ure and Atrial Fibrillation are higher than Tameside and England averages.

Percentage Limiting Long Term Illness or Disability Males Females Tameside Average 30 ♂ ♀ 25

Life Expectancy Life Expectancy 20 75.9 80.6 8th Lowest in Tameside 10th Lowest in Tameside 15 Tameside Average=76.1 Tameside Average=80.3 10 Under 75 All-Cause Under 75 All-Cause 5

Mortality Rate Mortality Rate Limiting % TermIllness Long or Disability 0 575.6 376.4 (per 100,000 u75 Population) (per 100,000 u75 Population) 8th Highest in Tameside 8th Highest in Tameside Tameside Average=560.6 Tameside Average=358.9

Distribution of Acorn Wellbeing Groups in Audenshaw

The profile of Acorn Wellbeing groups in Audenshaw are detailed in the map (next page) and chart (bottom) :-  The highest represented Wellbeing Acorn Group in Audenshaw at 45.7% of the population is the ‘Caution’ group’. These are areas where the health and wellbeing of the population is generally good with a below average incidence of illness. However, the population within the ’Caution’ group do ex- hibit some unhealthy behaviours that may lead to ill-health. Within the ‘caution’ group there are lower levels of smoking, with a lower prevalence of high blood pressure, but a higher prevalence of obesity and high cholesterol..  The ‘At Risk’ group makes up 22.1% of the Audenshaw population. Areas represented by the ‘At Risk’ group generally do not have a high incidence of illness, but multiple unhealthy lifestyle behaviours such as smoking, excess alcohol consumption and poor diets that put the population at risk of future health problems. Unhealthy lifestyle behaviours within the ‘At Risk’ group are compounded by social issues such as unemployment and debt, which can lead to low mental wellbeing.  The ‘Health Challenges’ group makes up 20.4% of the Audenshaw population. These are areas with the highest levels of illness and risky behaviours now and within the past that lead to health challenges. They are typically some of the most deprived neighbourhoods and those with the highest elderly populations. This group has the highest prevalence of smoking and lowest consumption of fruit and vegetables. There may also be issues with isolation and mental wellbeing within the ‘Health Challenges’ group.  The ‘Healthy’ group makes up 11.7% of the Audenshaw population. These are areas with very low levels of illness and good lifestyle behaviours. These areas are typically more affluent, often with a high proportion of older residents. Levels of smoking are very low and consumption of fruit and vegetables are high.

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Map of Audenshaw ward, illustrating where the 4 main ‘Acorn’ wellbeing groups are geographically placed

Acorn Wellbeing Profile of the Audenshaw Population

The profile of Acorn Wellbeing types in Audenshaw are detailed in the table (next page) and charts (below). There are four Acorn Wellbeing types that make up approximately 60% of the Audenshaw population:-  The highest represented Wellbeing Acorn Type in Audenshaw at 30.1% of the population is ‘Everything in Moderation’. This type is the most aver- age for family structure and housing. They are more likely to live in a 3 bedroom semi detached property which is owner occupied. There are low levels of benefit claimants within this type. They tend to work in intermediate occupations or junior managerial roles, with an income slightly higher than the national average. Health of people within this type is generally good with lower than average smoking rates, although levels of obesity and the propor- tion drinking more than recommended levels are higher than average.  The ‘Everyday Excesses’ type accounts for 13.2% of the Audenshaw population. These areas are typically made up of owner occupied or privately rented terraced housing The population tend to work in lower supervisory or semi-routine occupations, although some areas have higher than average job seekers allowance claimants. Three times more households than the average have no central heating within this type. Smoking prevalence and drinking more than recommended levels are higher than average. The population within this group is younger than average and therefore health prob- lems and illness levels are low. They take relatively few prescribed medicines, and on average do not suffer with high cholesterol, obesity or high blood pressure.  ‘Routed Routines’ accounts for 9.8% of the Audenshaw population. Areas of this type are typically family orientated and composed of 2-3 bedroom housing, much of which is owner occupied. Incomes are modest with many working in supervisory or semi-routine occupations. Almost a quarter of the population within this type consider their health to be fair or worse. The prevalence of diabetes, angina and bronchitis are higher than average. Drink- ing above recommended levels and smoking are slightly above average levels.  ‘Happy Families’ accounts for 8.4% of the Audenshaw population. Almost a quarter of the population of such areas are married with children. Resi- dents are typically educated and work in managerial or executive level roles. Almost 90% of residents consider their health to be either good or very good, with very low levels of high blood pressure, high cholesterol and obesity. The proportion that drink above recommended levels is approximately average with a low rate of smoking. HEALTHY CAUTION

0% 4% 8% 12% 16% 20% 24% 28% 32% 0% 4% 8% 12% 16% 20% 24% 28% 32%

AT RISK HEALTH CHALLENGES

0% 4% 8% 12% 16% 20% 24% 28% 32% 0% 4% 8% 12% 16% 20% 24% 28% 32%

Proportion of % of Total Population % of Ward Tameside Tameside Wellbeing Acorn Group Types Wellbeing Acorn Type Description Tameside Index within Ward Population Population Acorn Group Population Population

1 Limited living 168 1.5% 4844 2.2% 3.5% 68 2 Poorly pensioners 660 5.9% 8638 3.9% 7.6% 150 3 Hardship heartlands 479 4.3% 24478 11.2% 2.0% 38 1- HEALTH CHALLENGES 4 Elderly ailments 807 7.2% 12056 5.5% 6.7% 131 5 Countryside complacency 172 1.5% 1317 0.6% 13.1% 256 HEALTH CHALLENGES 2286 20.4% 51333 23.4% 4.5% 87 6 Dangerous dependencies 0.0% 7285 3.3% 0.0% 0 7 Struggling smokers 47 0.4% 10170 4.6% 0.5% 9 8 Despondent diversity 0.0% 200 0.1% 0.0% 0 9 Everyday excesses 1475 13.2% 31468 14.3% 4.7% 92 2- AT RISK 10 Respiratory risks 298 2.7% 8509 3.9% 3.5% 69 11 Anxious adversity 554 5.0% 6991 3.2% 7.9% 155 12 Perilous futures 101 0.9% 4668 2.1% 2.2% 42 13 Regular revellers 0.0% 823 0.4% 0.0% 0 AT RISK 2475 22.1% 70114 32.0% 3.5% 69 14 Rooted routines 1093 9.8% 16657 7.6% 6.6% 129 15 Borderline behaviours 174 1.6% 6635 3.0% 2.6% 51 3- CAUTION 16 Countryside concerns 479 4.3% 7393 3.4% 6.5% 127 17 Everything in moderation 3370 30.1% 34721 15.8% 9.7% 190 CAUTION 5116 45.7% 65406 29.8% 7.8% 153 19 Relishing retirement 0.0% 4123 1.9% 0.0% 0 20 Perky pensioners 197 1.8% 5284 2.4% 3.7% 73 21 Sensible seniors 0.0% 439 0.2% 0.0% 0 22 Gym & juices 0.0% 3479 1.6% 0.0% 0 4- HEALTHY 23 Happy families 944 8.4% 9114 4.2% 10.4% 203 24 Five-a-day greys 0.0% 598 0.3% 0.0% 0 25 Healthy, wealthy & wine 166 1.5% 8234 3.8% 2.0% 40 HEALTHY 1307 11.7% 31271 14.3% 4.2% 82

METADATA INDICATOR DESCRIPTION SOURCE LINK

WARD POPULATION Census based population estimates for 2011 by sex, age CENSUS 2011 https://www.nomisweb.co.uk/census/2011 and ethnicity.

ECONOMIC STATUS Census based evaluation of economic status of 16-64 year CENSUS 2011 https://www.nomisweb.co.uk/census/2011 olds

OUT OF WORK BENEFIT CLAIMANT RATES Claimant counts and rates for out of work benefit claimants Department of Work and Pensions (DWP), accessed via https://www.nomisweb.co.uk/ from the Work and Pensions Longitudinal Study (WPLS). NOMIS

HIGHEST ACHIEVED QUALIFICATION Census based figure for the highest achieved qualification CENSUS 2011 https://www.nomisweb.co.uk/census/2011 within the adult population.

EARLY YEARS FOUNDATION STAGE: % of 5 year olds achieving a good level of development on DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk % OF 5 YEAR OLDS ACHEIVING A GOOD LEVEL OF the Early Years Foundation Stage (2011/12) lic Health England DEVELOPMENT

ACHEIVEMENT OF 5 GCSEs AT GRADES A*-C IN- % pupils achieving 5 GCSEs at grades A*-C including DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk CLUDING ENGLISH AND MATHS English and Maths (2011/12) lic Health England

HOUSING TENURE % of households by housing tenure. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSING TYPE % of households by property type. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSEHOLD OVERCROWDING % of households with an Occupancy rating rooms of 1 or CENSUS 2011 https://www.nomisweb.co.uk/census/2011 less. There are two measures of occupancy rating, one based on the number of rooms in a household's accommo- dation, and one based on the number of bedrooms. The ages of the household members and their relationships to each other are used to derive the number of rooms/ bedrooms they require. An occupancy rating of -1 implies that a household has one fewer room/bedroom than re- quired, whereas +1 implies that they have one more room/ bedroom than required.

FUEL POVERTY Modelled % of households that are fuel poor. CENTRE FOR SUSTAINABLE ENERGY http://www.fuelpovertyindicator.org.uk

HOUSEHOLDS WITH NO CENTRAL HEATING % of households with no central heating CENSUS 2011 https://www.nomisweb.co.uk/census/2011

POOR HEALTH (SELF REPORTED ) Percentage of people self reporting their health as either CENSUS 2011 https://www.nomisweb.co.uk/census/2011 bad or very bad in the 2011 census

LIMTING LONG TERM ILLNESS OR DISABILITY Percentage of people stating that they have a long-term CENSUS 2011 https://www.nomisweb.co.uk/census/2011 illness or disability in the 2011 census

QOF PREVALENCE RATES Percentage of the population registered with a GP that HSCIC 2014 http://www.hscic.gov.uk/catalogue/PUB12262 have a particular condition (2013/14)

LIFE EXPECTANCY Life Expectancy at birth by sex PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A MID-YEAR POPULATION ESTIMATES

UNDER 75 ALL-CAUSE MORTALITY RATES Mortality Rate for all causes in residents aged under 75 by PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A sex. Directly standardised rate per 100,000 population MID-YEAR POPULATION ESTIMATES (2011-2013)

UNDER 75 CVD MORTALITY RATES Mortality Rate for CVD in residents aged under 75 by sex. PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A Directly standardised rate per 100,000 population (2011- MID-YEAR POPULATION ESTIMATES 2013)

Wellbeing Acorn is a geodemographic segmentation tool that profiles the population in terms of health and wellbeing attributes. These include existing medical conditions, prescribed medication, life- style behaviours such as smoking and alcohol consumption, and self-perceived health status. There are four overarching groups to the segmentation, Health Challenges, At Risk, Caution and Healthy. Each of these Wellbeing Acorn groups are further divided into a number of types, of which there are 25 in total. Each Wellbeing Acorn type has a particular profile of demographic and health factors that give an overview of the state of health of the population living in an area. Note that in Tameside non of the population is represented by the Acorn Type ‘Cultural Concerns’ and therefore this group is excluded from these profiles. For a full overview of the features of each of the Wellbeing Acorn groups and types please see the Wellbeing Acorn user guide, available at :- www.caci.co.uk/sites/default/files/resources/Wellbeing_Acorn_UG.pdf