Holt Park PCN

Holt Park Primary Care Network introduction

Summary of report Holt Park PCN has fewer young adults than most PCNs and most patient live in less deprived parts of Leeds, the “White British” ethnic group is larger here than in Leeds.

All heath conditions are significantly better than Leeds, except for cancer which is average and common mental health conditions which are significantly higher than the city. Cancer rates tend to be higher in less deprived populations, this is thought to be due to earlier presentation and improved survival rates.

Frailty and under 75 mortality rates are very good, and life expectancy is also very high.

Practices in this PCN when this report data was made This report uses GP recorded data for groups of practices called Primary care networks (PCNs). Most of the data in this report represents the combined registered populations of the practices making up the PCN. Collating and producing data for this report was concluded in early 2020 when the PCN memberships had been stable for some time. The following practices were aggregated to create PCN data for this profile: B86004 High Field Surgery, B86044 Ireland Wood & Horsforth Medical Practice, B86074 Fieldhead Surgery

PCN footprints PCN footprints: Some data - Life Expectancy for instance - cannot be made by registered populations and instead is produced for the area that the PCN covers which is called its footprint. A PCN footprint is the area of Leeds where the PCN has more registered patients than eny other PCN. Data reported by footprints represents all patients living in the area regardless of which PCN they are registered to. PCN footprints do not overlap and cover the entirety of Leeds.

Deprivation in this report The Index of Multiple Deprivation 2019 (IMD2019) is used in this report to relate differences in health data to variations in patient environments. Each PCN has a calculated deprivation score which is created using the July 2015 practice population size and locations, PCNs are ranked by their deprivation score in many charts to investigate relationships with deprivation. July 2015 population data is used because it matches the denominators used by the IMD2019 itself.

Note that PCN registered populations can live far from their GP practice and experience a wide variety of deprivation conditions.

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Holt Park Primary Care Network

Introduction 1 Contents 2 About the charts in this report 3

Demographics Age structure 4 Black and Minority Ethnic patients (BAME) 5 Population change over time 6

Health Asthma 7 Child obesity (NCMP)* 8 Smoking 9 Obesity 10 Obese smokers 11 Diabetes 12 Coronary Heart Disease (CHD) 13 Chronic Obstructive Pulmonary Disorder (COPD) 14 Cancer 15 Common mental health 16 Severe mental health 17 Frailty 18

Mortality All cause mortality (under 75s)* 19 Cancer mortality (under 75s)* 20 Circulatory mortality (under 75s)* 21 Respiratory mortality (under 75s)* 22 Life expectancy* 23

Map of PCN footprints Map of PCN footprints* 24

* Some datasets cannot be grouped by practice and are shown by PCN footprint area instead. See Introduction page for more details.

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About the charts used in this profile Charts use consistent colours throughout this profile, and text about the PCN will be in blue. Colours have been chosen to work with the most common forms of colour blindness. Time series chart example

PCN is significantly Deprived Leeds above Leeds Grey area is the range of all PCNs from Leeds highest to lowest PCN is not significantly different to Leeds

PCN is significantly below Leeds

Comparing rates, PCNs ranked by deprivation example PCN is significantly In this chart PCNs are shown in above Leeds order of deprivation with the most deprived on the left. Middleton & Hunslet PCN is orange because it is significantly Leeds higher than Leeds, Central PCN is significantly lower than Leeds and therefore blue. PCN significantly below Leeds The dotted line is a best fit through all PCN rates and in this case slopes downward because

Otley less deprived PCN populations Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley

Wetherby have lower rates. York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

% of agebands with condition example The proportion of each ageband with this condition. In this 76 plus yrs example more deprived PCN populations have larger rates in all agebands but the rate is 56 to 75 yrs quite steady for over 75s in all PCNS. 36 to 55 yrs 15% Leeds is shown as dark grey bars 16 to 35 yrs and dotted lines, the chosen PCN is highlighted in blue and the ageband with the highest Otley Leeds Armley Central Yeadon Beeston

Seacroft prevalence in the PCN is B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H.

West Leeds West labelled with prevalence Chapeltown LSMP & Light & LSMP morley & Dst. percentage.

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Age structure and deprivation compared to Leeds PCN registered

Age structure of this PCN, compared to Leeds in grey The age and genders proportions of this PCN are 95+ Females Males shown as shaded areas. The 90 - 94 85 - 89 colours correspond to 80 - 84 75 - 79 deprivation levels in Leeds as 70 - 74 in the chart below. 65 - 69 60 - 64 Holt Park Primary Care 55 - 59 50 - 54 Network is similar to Leeds 45 - 49 40 - 44 except it has slightly more 35 - 39 young children, fewer aged 30 - 34 25 - 29 15-29, and more aged 70-74. 20 - 24 15 - 19 10 - 14 05 - 09 00 - 04 6% 4% 2% 0% 2% 4% 6%

Deprivation in this PCN population Leeds can be divided into five groups, from most to Most deprived 5th least deprived. 2nd most deprived Most PCN patients live in the least deprived areas of 2nd least deprived Leeds, virtually none within Least deprived fifth the most deprived fifth. 0% 10% 20% 30% 40% 50%

Lees deprived PCNs have older populations This table shows the agebands that dominate PCN 80+ populations. The least 70-79 deprived PCNs have 60-69 populations that are less 50-59 diverse in age. 40-49 30-39 The 30-39 ageband is the 20-29 largest in this PCN. 10-19 00-09 greater than or equal to 30% greater than or equal to 20% greater than or equal to 15% greater than or equal to 11% Beeston B H & RH Midd. & Huns. Armley Road York Seacroft B W & M Chapeltown Crossgates Woodsley Leeds West LSMP & Light Morley & Dist Central Park Holt LS25 LS26 Yeadon Otley Wetherby PCNs in deprivation order, most deprived to the left, least deprived on the right

January 2020 population data collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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PCN ethnicity change over time PCN registered

Ethnicity is recorded in very high detail by Leeds GPs, when aggregated it can provide a simple picture of the population changing over time.

How these details are grouped to make Black and minority ethnic (BAME) can effect the outcome. These charts compare the "White British" group with all remaining ethnic types combined into BAME. The third category shows patients with no recorded ethnicity, this has steadily improved in Leeds helping to reveal the true picture.

PCN BAME change over time Leeds BAME change over time In 2020 this PCN has a much smaller 29% of the Leeds registered population falls into proportion of BAME patients than Leeds. the BAME category in 2020. 17% compared to 29%

The PCN shows a dramatic change in Improvements in recording have resulted in recording rates and currently a lower increases for both the "White British" and BAME proportion than Leeds. "BAME" categories.

Unknown, not recorded Unknown, not recorded White British White British BAME BAME

Holt Park Leeds overall 100% 100% 6% 6% 7% 6% 11% 16% 15% 14% 90% 19% 19% 90% 23% 22% 28% 28% 32% 30% 80% 80%

70% 70%

60% 65% 66% 60% 63% 77% 61% 78% 60% 60% 58% 50% 63% 57% 50% 59% 53% 54% 52% 40% 63% 40%

30% 30%

20% 20%

28% 29% 24% 25% 25% 27% 10% 22% 23% 10% 16% 18% 18% 18% 18% 16% 17% 9% 0% 0%

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Population change over time - the very young, and the elderly PCN registered

PCN population age change over time Leeds population age change over time In 2020 this PCN has a similar proportion Leeds registered patients are remarkably stable of young patients to Leeds, 13% compared in terms of the overall proportions of the to 12% youngest and oldest agebands.

In terms of the older population, 14% of The over 70s group has only increased from 10% the PCN are aged 70 or more - larger than to 10.6% in the chart below but that is a change Leeds at 11% in number of people from 80,465 to 92,065.

70 years and older 70 years and older 10-69 years 10-69 years 0-9 years 0-9 years

Holt Park Leeds overall

100% 100% 10% 10% 10% 10% 10% 10% 11% 11% 13% 13% 13% 13% 14% 14% 14% 14% 90% 90%

80% 80%

70% 70%

60% 60%

78% 78% 78% 78% 78% 78% 50% 76% 75% 75% 75% 74% 73% 73% 73% 78% 78% 50%

40% 40%

30% 30%

20% 20%

10% 10% 11% 12% 12% 12% 12% 13% 13% 13% 12% 12% 12% 12% 12% 12% 12% 12% 0% 0%

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Asthma in children PCN registered

Change of asthma rates over time (under 16s) In a time series we can see that generally rates have been falling 12,000 for many years. 10,000 This PCN is virtually identical to 8,000 the Leeds rates and has been for some time. 6,000

4,000

2,000 Deprived Leeds is barely

age standardised standardised 100,000 age rate per different to Leeds overall, and 0 falling at the same speed. 2013 2014 2015 2016 2017 2018 2019 2020

Under 16s rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of asthma in children don’t 10,000 9,000 display a relationship with 8,000 deprivation - the grey dotted 7,000 line is virtually horizontal. 6,000 5,000 4,000 3,000 2,000 1,000 0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

Asthma is more common in less deprived populations (January 2020) The proportion of each ageband who have asthma. In general it is more prevalent in middle 76 plus yrs aged groups in less deprived PCN populations. 56 to 75 yrs This PCN has well above average asthma rates in 16 to 55 year 36 to 55 yrs agebands.

16 to 35 yrs 18% The ageband with the highest under 16s asthma rate in this PCN is 16 to 35 years, with a rate of 18% Otley Leeds Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Child obesity in Reception and Year 6 PCN footprints

Obesity % - Reception over time Obesity % - Year 6 over time Leeds has hovered around 10% obesity in Leeds has risen a little from around 19% to 21% Reception classes for years. Deprived areas are in the chart below, and rates in deprived areas higher and rising steadily, while the PCNs are are much higher. slowly diverging. Year 6 rates in this PCN have been falling steadily Reception rates were much lower than Leeds but while Leeds barely moves. The PCN has been have slowly risen over time and now match significantly below the city since 2015/16. Leeds.

40%

35%

30%

25%

20%

15%

10%

0% 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Obesity % - PCNs reception in 2018-2019 Obesity % - PCNs Year 6 in 2018-2019 Reception rates of obesity are higher for more The Year 6 data has a much stronger relationship deprived PCNs and lower for less deprived - the with deprivation - the dashed line slopes steeply, chart generally slopes from left to right. The and around half of PCNs have a higher Year 6 relationship is clear but not that strong. rate than the highest Reception rate.

40% 35% 30% 25% 20% 15% 10% 5% 0% Otley Otley Armley Central Armley Central Yeadon Yeadon Beeston Beeston Seacroft Seacroft B W & M B H & RH & H B B W & M Holt Park B H & RH & H B Holt Park LS25 LS26 LS25 Woodsley LS25 LS26 LS25 Wetherby Woodsley Wetherby York Road York Road Crossgates Crossgates West Leeds West West Leeds West Chapeltown Chapeltown LSMP & Light & LSMP LSMP & Light & LSMP Midd. & Huns. & Midd. Midd. & Huns. & Midd. Morley & District Morley PCN NCMP data shows the students resident & District Morley inside the PCN footprint, regardless of where their school is located. NCMP data is collected annually and sent to NHS Digital for national collation. NHS Digital return the processed data to local authorities and this is presented here.

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Smoking (adults) PCN registered

Change of smoking rates over time (adults) In a time series we can see that rates have been falling steadily 35,000 for many years. 30,000

25,000 This PCN has been well below the Leeds trajectory for years 20,000 and is falling more quickly too.

15,000 Deprived Leeds is very different 10,000 to Leeds overall with much age standardised standardised 100,000 age rate per higher rates of smoking, 5,000 however it is falling more quickly than Leeds overall. 2013 2014 2015 2016 2017 2018 2019 2020

Adult rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of smoking display an extremely strong relationship with 27,000 deprivation - the grey dotted 22,000 line slopes sharply.

17,000

12,000

7,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District Smoking is more common in all age groups as deprivation increases The proportion of each ageband who smoke. More deprived PCN populations generally have 76 plus yrs larger smoking rates in all agebands. 56 to 75 yrs This PCN has well below average

36 to 55 yrs 15% smoking rates in all agebands.

16 to 35 yrs The ageband with the highest smoking rate is 36 to 55 years, Otley Leeds with a rate of 15% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Obesity (adults where BMI>30) PCN registered

Change of obesity rates over time (adults) In a time series we can see that rates have been rising slowly for 30,000 many years.

25,000 This PCN has been well below the Leeds trajectory for years and recently has levelled off. 20,000

15,000 Deprived Leeds is much higher

age standardised standardised 100,000 age rate per than Leeds overall, and rising at 10,000 the same speed. 2013 2014 2015 2016 2017 2018 2019 2020

Adult rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of adult obesity display a 35,000 reasonably strong relationship 30,000 with deprivation - the grey 25,000 dotted line is sloped but there is 20,000 variation. 15,000 10,000 5,000 0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District Obesity is more common in middle age as deprivation increases The proportion of each ageband who are obese. More deprived PCN populations generally have 76 plus yrs larger obesity rates in all agebands. Older agebands tend

56 to 75 yrs 27% to be more obese. Holt Park PCN has slightly below 36 to 55 yrs average obesity rates in all agebands. 16 to 35 yrs The ageband with the highest Otley Leeds Obesity rate is 56 to 75 years, Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York with a rate of 27% Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Obese smokers (where both records were updated within 12 months) PCN registered

Obese smokers in Leeds, counts by gender and deprivation In January 2020 there were 10,252 Leeds registered and 7,000 Females Males resident patients recorded as 6,000 being obese and current 5,000 smokers.

4,000 56% of these patients are count 3,000 female.

2,000 These charts show the numbers 1,000 gradually rising since 2014, and the most deprived 5th of Leeds 0 (dark orange) has always had

2014 2015 2016 2017 2018 2019 2020 2014 2015 2016 2017 2018 2019 2020 the most patients.

Obese smokers, counts in this PCN by gender and deprivation In this PCN… These charts show the number 250 Females Males of obese smokers in this PCN, by gender and deprivation. 200 Female and male numbers are very similar, which is quite 150 different to most PCNs. Female

count numbers are declining though 100 while male numbers climb.

50 The most deprived parts of this population are either static or 0 declining, which is also different

2014 2015 2016 2017 2018 2019 2020 2014 2015 2016 2017 2018 2019 2020 to many PCNs.

Obese smokers are older in less deprived PCNs This table shows the agebands within each PCN that contribute 80+ the most to the PCN total of 70-79 obese smokers. 60-69 50-59 For instance, the 50-59 ageband 40-49 contains between 25% and 30% 30-39 of the obese smoker population 20-29 for most PCNs. 16-19 greater than or equal to 30%

Otley greater than or equal to 25% Armley Central Yeadon Beeston Seacroft B W & M B H & RH Holt Park LS25 LS26 Woodsley

Wetherby greater than or equal to 20% York Road Crossgates West Leeds Chapeltown

LSMP & Light greater than or equal to 10% Midd. & Huns. Midd. Morley & Dist.

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Diabetes (all ages) PCN registered

Change of diabetes rates over time In a time series we can see that rates have been rising steadily 10,000 for many years. 9,000 8,000 This PCN has been significantly 7,000 below the Leeds trajectory for years and is increasing at the 6,000 same rate. 5,000 4,000 Deprived Leeds is much higher 3,000 age standardised standardised 100,000 age rate per than Leeds overall, and rising 2,000 more quickly. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of adult diabetes display a very 11,000 10,000 strong relationship with 9,000 deprivation - the grey dotted 8,000 line is clearly sloped. 7,000 6,000 5,000 4,000 3,000 2,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

Diabetes in older age is more common as deprivation increases The proportion of each ageband recorded with diabetes. In general it is more prevalent in

76 plus yrs 17% older age groups in more deprived PCN populations. 56 to 75 yrs This PCN has below average 36 to 55 yrs diabetes rates for all agebands. 16 to 35 yrs The ageband with the highest under 16s diabetes rate is 76 plus years, with a rate of 17% Otley Leeds Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Coronary heart disease (CHD) all ages PCN registered

Change of CHD rates over time In a time series we can see that rates have been falling slowly 6,000 for many years. 5,000 This PCN has been significantly below the Leeds trajectory for 4,000 years but is decreasing more slowly. 3,000

2,000 Deprived Leeds is much higher

age standardised standardised 100,000 age rate per than Leeds overall, and falling 1,000 slightly more quickly. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of CHD display a clear 6,000 relationship with deprivation - 5,000 the grey dotted line is clearly sloping. 4,000

3,000

2,000

1,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

CHD in older age is slightly more common as deprivation increases The proportion of each ageband recorded with CHD. It is very prevalent in the oldest age

76 plus yrs 19% groups, slightly more so in more deprived PCN populations. 56 to 75 yrs This PCN has average CHD rates 36 to 55 yrs for all agebands. 16 to 35 yrs The ageband with the highest under 16s CHD rate is 76 plus years, with a rate of 19% Otley Leeds Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Chronic obstructive pulmonary disorder (COPD) all ages PCN registered

Change of COPD rates over time In a time series we can see that rates have been very slowly 6,000 increasing for many years. 5,000 This PCN has been below the 4,000 Leeds trajectory for years and recently has begin to climb 3,000 more quickly than the city. 2,000

1,000 Deprived Leeds is much higher

age standardised standardised 100,000 age rate per than Leeds overall, and rising 0 while Leeds is almost static. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of COPD display a very strong 6,000 relationship with deprivation - 5,000 the grey dotted line is clearly 4,000 sloping. 3,000 2,000 1,000 0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

COPD is more common in older more deprived populations The proportion of each ageband recorded with COPD. It is very prevalent in the oldest age

76 plus yrs 8% groups, less so in the least deprived PCN populations. 56 to 75 yrs This PCN has below average 36 to 55 yrs COPD rates for all agebands. 16 to 35 yrs The ageband with the highest under 16s COPD rate is 76 plus years, with a rate of 8% Otley Leeds Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Cancer (all ages) PCN registered

Change of Cancer rates over time In a time series we can see that rates have been climbing 5,000 steadily for many years. 4,500 4,000 This PCN was above Leeds for 3,500 years but Leeds rose to meet it and they are no longer 3,000 significantly different. 2,500 2,000 Deprived Leeds is lower than 1,500 Leeds overall, this is thought to age standardised standardised 100,000 age rate per be due to higher cancer 1,000 mortality, possibly a result of late diagnosis. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of cancer display a weak 5,000 inverted relationship with 4,500 deprivation - the grey dotted 4,000 line is sloped slightly showing 3,500 lower rates in more deprived 3,000 PCN populations. 2,500 2,000 1,500 1,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

Cancer is more common in older less deprived populations The proportion of each ageband recorded with cancer. It is very prevalent in the oldest age 76 plus yrs 20% groups, more so in the least deprived PCN populations. 56 to 75 yrs This PCN has average cancer 36 to 55 yrs rates in all agebands. 16 to 35 yrs The ageband in this PCN with under 16s the highest Cancer rate is 76 plus years, with a rate of 20% Otley Leeds Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Common mental health issues (CMH) all ages PCN registered

Change of common mental health rates over time In a time series we can see that rates have been climbing 30,000 steadily for many years.

25,000 This PCN has been above Leeds for several years and rising at about the speed. 20,000

15,000 Deprived Leeds is higher than

age standardised standardised 100,000 age rate per Leeds overall and increasing at 10,000 the same rate. 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of common mental health don’t 30,000 really display a relationship with deprivation - the grey dotted 25,000 line barely slopes and PCN rates vary a lot. This may indicate low 20,000 recording or presentations in some areas. 15,000

10,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

CMH does not vary much by age group or deprivation The proportion of each ageband recorded with common mental health issues. It is very prevalent 76 plus yrs in most age groups.

56 to 75 yrs This PCN has average CMH rates for most agebands. 36 to 55 yrs 31% The ageband in this PCN with 16 to 35 yrs the highest rate of recorded under 16s common mental health issues is 36 to 55 years, with a rate of Otley Leeds 31% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Severe mental health issues (SMH) ages 18+ PCN registered

Change of severe mental health rates over time (18+) In a time series we can see that rates have been climbing very 2,500 slowly for many years. 2,000 This PCN has been significantly below Leeds for many years, 1,500 and generally changing at the same rate. 1,000 Deprived Leeds is much higher 500 than Leeds overall and age standardised standardised 100,000 age rate per increasing at the same slow 0 rate. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of severe mental health display 2,500 a very strong relationship with 2,000 deprivation - the grey dotted line slopes steeply. 1,500

1,000

500

0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

SMH is more common in older more deprived populations The proportion of each ageband recorded with serious mental health issues. It is prevalent in 76 plus yrs the older age groups, more so in the most deprived PCN

56 to 75 yrs 1% populations. This PCN has below average 36 to 55 yrs SMH rates for some agebands 16 to 35 yrs and average for old or young extremes. under 16s The ageband in this PCN with Otley Leeds the highest rate of recorded Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York severe mental health issues is Crossgates Midd. & H. West Leeds West Chapeltown

LSMP & Light & LSMP 56 to 75 years, with a rate of 1% Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Frailty - moderate and severe, March 2019 PCN registered

Moderate frailty, age standardised rates per 1,000 Moderate frailty rates per 1,000 show a strong relationship with 50 deprivation. 45 40 Despite outliers the picture is of higher rates in more deprived 35 PCN populations, and lower 30 rates in less deprived PCNs. 25 'LSMP & The Light' PCN has a 20 very low rate and a very wide 15 range of confidence, the age standardisedage rate per 1,000 population contains few elderly 10 patients hence the wide range. 5 Wetherby PCN however has an 0 average rate of frailty despite its

Otley position as least deprived PCN Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby

York Road York population in the city. Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Severe frailty, age standardised rates per 1,000 Severe frailty also has a strong relationship with deprivation, 25 and again Wetherby PCN stands out as having a rate well above 20 average.

Age standardisation of this data 15 has removed age as a factor in differences so there is another reason for this. It could perhaps 10 be improved recording or presentation by patients. age standardised standardised 1,000 age rate per 5

0 Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: Leeds Data model March 2019

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All cause mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that rates have been dropping very 700 slowly for many years. 600 500 This PCN has always been significantly below the city 400 average, and despite recent 300 gains is more or less static over this time period. 200 Deprived Leeds is much higher 100 than Leeds overall and age standardised standardised 100,000 age rate per decreasing at the same slow 0 rate. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 900 Females Males different sexes. Here are the 800 separate female and male rates. 700 600 Both mortality rates are far 500 below Leeds, but the male rate 400 increases are cancelling any 300 improvements in female rates. 200

age standardised standardised 100,000 age rate per 100 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 700 a strong and consistent link with 600 deprivation where less deprived 500 PCN populations have lower 400 mortality rates. 300 200 100 This PCN is where we expect it to be, and is significantly lower 0

age standardised standardised 100,000 age rate per than several more deprived

Otley PCNs. Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: ONS, GP registered populations

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Cancer mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that rates have been falling very 300 slowly for many years. 250 This PCN has been near or 200 below the Leeds rate for many years, but has barely changed 150 while Leeds has dropped. 100 Deprived Leeds is much higher 50 than Leeds overall and age standardised standardised 100,000 age rate per decreasing at the same slow 0 rate. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 400 Females Males different sexes. Here are the 350 separate female and male rates. 300 250 Both sexes show fluctuations, male rates worsened steadily 200 and are now improving. Female 150 rates overall are improving 100 slowly. 50 age standardised standardised 100,000 age rate per 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 300 a clear and consistent link with 250 deprivation where less deprived 200 PCN populations have lower mortality rates. 150 100 50 This PCN has an average rate, and is significantly below four 0

age standardised standardised 100,000 age rate per more deprived PCNs. Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: ONS, GP registered populations

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Circulatory disease mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that rates have been falling very 300 slowly for many years. 250 This PCN has been significantly 200 below the Leeds rate for many years, and has been falling at 150 more or less the same rate. 100 Deprived Leeds is much higher 50 than Leeds overall and age standardised standardised 100,000 age rate per decreasing at the same slow 0 rate. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 350 Females Males different sexes. Here are the 300 separate female and male rates. 250 Male rates have been 200 significantly below those of 150 Leeds for years but appear to be on the increase recently, female 100 rates rose and fell but are now 50 once again significantly below age standardised standardised 100,000 age rate per the city. 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 189 168 a clear and consistent link with 147 deprivation where less deprived 126 PCN populations have lower 105 mortality rates. 84 63 42 This PCN has a well below 21 average rate that is significantly 0

age standardised standardised 100,000 age rate per below twelve more deprived

Source: ONS, GP registered populations

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Respiratory disease mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that the Leeds rate has been rising 80 very slowly for many years. 70 60 This PCN has been significantly 50 below the Leeds rate for many years, but isclimbing at a slightly 40 faster rate. 30 20 Deprived Leeds is much higher 10 age standardised standardised 100,000 age rate per than Leeds overall and 0 increasing much more quickly. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 90 Females Males different sexes. Here are the 80 separate female and male rates. 70 60 Male and female rates have 50 both been increasing - female 40 rates more quickly - and neither 30 are currently significantly 20 different to Leeds.

age standardised standardised 100,000 age rate per 10 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 84 a relatively consistent link with deprivation where less deprived 63 PCN populations have lower mortality rates. 42

21 There is a clear and strong link between deprivation and 0

age standardised standardised 100,000 age rate per mortality. This PCN overall has a

Otley slightly below average rate that Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby

York Road York is significantly below other more Crossgates West Leeds West Chapeltown

LSMP & Light & LSMP deprived PCNs. Midd. & Huns. Morley & District

Source: ONS, GP registered populations

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Life expectancy PCN footprints

Change in life expectancy over time In a time series we can see that 88 Females Males rates have been climbing slowly 86 for many years. Male figures are 84 improving more quickly but still generally lower than females. 82 80 This PCN has been significantly above Leeds levels for a long years 78 time, male data is improving 76 slowly, but female LE is more or 74 less static. 72 Deprived Leeds is much lower than Leeds overall and more or 70 less static while Leeds slowly improves. 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 2013-2015 2014-2016 2015-2017 2016-2018 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 2013-2015 2014-2016 2015-2017 2016-2018

Female and male life expectancy in 2016-18, all PCNs Life expectancy 95% confidence 88 Females Males interval ranges are shown here. PCNs are ranked by footprint 86 deprivation scores and those with lower deprivation have 84 much higher life expectancy.

82 The link to deprivation is especially clear for males.

years 80

In 2016-18 female life 78 expectancy is more or less the same as it was in 2008-10. The 76 PCN has always had a very high LE so it is not realistic to expect 74 continuous improvement.

72 The PCN footprint has female LE which is significantly above similar PCN Central, and almost 70 higher than Yeadon. Male LE is Otley Otley Armley Armley Central Central

Yeadon Yeadon still high but actually is Beeston Beeston Seacroft Seacroft B W & M B W & M B H & RH B H & RH Holt Park Holt Park LS25 LS26LS25 LS26LS25 Woodsley Woodsley Wetherby Wetherby York Road York Road Crossgates Crossgates West Leeds West Leeds Chapeltown Chapeltown significantly below Wetherby. LSMP &LSMP Light LSMP &LSMP Light Midd. & Huns. Midd. & Huns. Morley & District Morley & District

Bars in this chart encompass 95% confidence intervals, Leeds and deprived Leeds have very narrow confidence intervals and can be illustrated with a line. Source: ONS deaths extract, GP registered populations.

Health and wellbeing profile Page 23 of 24 22/06/2020 elhadwlbigpoiePg 4o 422/06/2020 Page 24of Health and wellbeingprofile PCN footprints

Small areas called LSOAs were allocated to the PCN with the most registered patients living there.

Some small adjustments were made to ensure PCN footprints were contigious areas. It is possible for a practice to be located in another PCN footprint. Holt ParkPCN