Highland 4: a profile of NHS Highland Community Health Partnerships
Health Intelligence and Knowledge Team, NHS Highland
A copy of this report is available on the NHS Highland website
Web Site: www.show.scot.nhs.uk/hhb
Document version: Nov 2006: V1
Highland NHS Board Assynt House Beechwood Park Inverness IV2 3HG
Highland 4: a profile of NHS Highland Community Health Partnerships
Table of contents:
GENERAL PRACTICE AND HOSPITAL LOCATIONS II
FOREWORD III
1. HIGHLAND CHP POPULATION PROFILE 1
2. NATURAL POPULATION CHANGE 14
1 3. MAJOR CAUSE OF DEATH BY COMMUNITY HEALTH PARTNERSHIP AREA 16
4. DEPRIVATION AND HEALTH 22
i NHS Highland Community Health Partnerships General practice and hospital locations
Digital Boundaries Crown Copyright HIKU, NHSHI
ii Highland 4: a profile of NHS Highland Community Health Partnerships Foreword
Following a request from the Board in August it was agreed that a one-off profile of each of the community health partnerships within the new NHS Highland boundary would be beneficial for comparative purposes.
Highland 4: a profile of NHS Highland Community Health Partnerships brings together:
- demographic profile in terms of population size and structure by locality within CHP, GP practice sizes, and natural population change in terms of births and deaths trends.
- mortality profile in terms of broad disease group within each CHP and specific causes of death within each disease group by CHP.
- deprivation profiles using the Scottish Indices of Multiple Deprivation (SIMD06) to examine the spread of deprivation by datazone within each CHP, and to explore each of the dimensions of SIMD06, an identification of the datazones in the most 20% deprived datazones, and a series of maps that identify those datazones geographically.
The aim of this profile is to enable the reader to gain an understanding of these dynamics within each CHP and to facilitate comparisons between the CHPs. The obvious omission from the profile is morbidity. It had been hoped that use of data from the quality outcome framework (QOF) from GP practices could have been used but this has not been possible within the timescale. A future supplement may combine such information with hospital admission data to provide such a picture.
It should be remembered, when using this profile, that the geographical area covered is large – from Campbeltown to John O’Groats is over 300 miles and over 7 hours drive. Smaller area profiles are available or can be compiled from existing data sources such as: -
Scottish Neighbourhood Statistics at www.sns.gov.uk
Scottish Public Health Observatory at www.scotpho.org.uk
These sources will be supplemented in the near future by CHP information to be made available as part of the Delivering for Health Information Project co-ordinated by the Information and Statistics Division of NHS Scotland.
It is hoped that this profile will prompt as many questions as it provides answers, and will provoke discussion within CHPs, as well as at the Board.
Dr Eric Baijal Mr Derek Leslie Director of Public Health & Director of Planning & Health Policy Performance
iii
iv 1. Highland CHP Population Profile
NHS Highland population Figure 1.1: NHS Highland population structure October 2006
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
15000 10000 5000 0 5000 10000 15000 NHS Highland - CHI Population by Sex
Male Female
Figure 1.2: NHS Highland Community Health Partnership area populations
Argyll & Mid North South East NHS Bute Highland Highland Highland Highland Male 44052 47223 19866 45259 156400 Female 45876 47542 19921 46735 160074 Total 89928 94765 39787 91994 316474 Total as a percentage of NHS 28% 30% 13% 29% Highland population
1 Argyll and Bute CHP population Figure 1.3: Argyll and Bute population structure October 2006
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
4000 3000 2000 1000 0 1000 2000 3000 4000 Argyll & Bute CHP - CHI Population by Sex
Male Female
Figure 1.4: Argyll & Bute Local Health Partnership area populations
Argyll & Bute & Helensburgh Mid Argyll, Oban, Lorn Bute Cowal & Lomond Kintyre & & the Isles Islay Male 44052 11240 11641 10767 10404 Female 45876 11627 12694 10937 10618 Total 89928 22867 24335 21704 21022 Total as a percentage of NHS 28% 7% 8% 7% 7% Highland population
2 Figure 1.5: Argyll and Bute population structures by area
90+ 90+
85-89 85-89
80-84 80-84
75-79 75-79
70-74 70-74
65-69 65-69
60-64 60-64
55-59 55-59
50-54 50-54
45-49 45-49
40-44 40-44
35-39 35-39
30-34 30-34
25-29 25-29
20-24 20-24
15-19 15-19
10-14 10-14
5- 9 5- 9
1- 4 1- 4
0- 1 0- 1
1500 1000 500 0 500 1000 1500 1500 1000 500 0 500 1000 1500 Bute & Cowal - CHI Population by Sex Helensburgh & Lomond - CHI Population by Sex
Male Female Male Female
90+ 90+
85-89 85-89
80-84 80-84
75-79 75-79
70-74 70-74
65-69 65-69
60-64 60-64
55-59 55-59
50-54 50-54
45-49 45-49
40-44 40-44
35-39 35-39
30-34 30-34
25-29 25-29
20-24 20-24
15-19 15-19
10-14 10-14
5- 9 5- 9
1- 4 1- 4
0- 1 0- 1
1500 1000 500 0 500 1000 1500 1500 1000 500 0 500 1000 1500 Mid Argyll Kintyre & Islay - CHI Population by Sex Oban Lorn & The Isles - CHI Population by Sex
Male Female Male Female
3 Figure 1.6: Argyll and Bute CHP General Practice populations October 2006
Practice Location Pr. Population Area total Oban , Lorn & The Islands 84006 Port Appin Surgery 887 84097 Coll Medical Practices 194 84129 Colonsay Surgery 123 84191 Taynuilt Medical Practice 4,660 84275 Easdale Medical Practice 1,038 84504 Salen Surgery, Mull 913 84519 Tobermory Medical Practice, Mull 1,443 84523 Ross, Mull & Iona Medical Services, Mull 698 84581 Lorn Medical Centre, Oban 10,345 84805 Tiree Medical Practice 721 21,022
Mid Argyll, Kintyre & Islay 84030 Campbeltown Health Centre 6,640 84063 Carradale Surgery 677 84307 Furnace Surgery 1,255 84331 Bowmore Medical Practice, Islay 1,196 84345 Port Ellen Practice, Islay 1,312 84350 Rhinns Medical Centre, Islay 883 84383 Jura Medical Practice 193 84415 Lochgilphead Medical Centre 6,569 84472 Muasdale Surgery 838 84651 Southend Medical Practice 447 84740 Tarbert Medical Practice 1,694 21,704
Bute & Cowal 84237 246 Argyll Street, Dunoon 3,893 84241 30 Church Street, Dunoon 4,721 84256 246 Argyll Street, Dunoon 3,527 84449 Lochgoilhead Medical Centre 463 84646 The Bute Practice, Rothesay 7,134 84684 Strachur Medical Practice 829 84716 Riverbank Surgery, Kilmun 1,232 84773 Burnside Surgery ,Tighnabruiach 1,068 22,867
Helensburgh & Lomond 85009 Arrochar Surgery 1,068 85117 Garelochhead Medical Centre 2,086 85141 Helensburgh Medical Centre 10,510 85155 Helensburgh Medical Centre 8,121 85193 Kilcreggan Health Centre 2,550 24,335
ARGYLL & BUTE 89,928 Data source: Community Health Index (CHI) October 2006
4 Mid Highland CHP population Figure 1.7: Mid Highland CHP population structure October 2006
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
4000 3000 2000 1000 0 1000 2000 3000 4000 Mid Highland CHP - CHI Population by Sex
Male Female
Figure 1.8: Mid Highland Local Health Partnership area populations
Mid Lochaber Ross, Skye & Highland Cromarty & Lochalsh West Ness Male 47223 10455 30298 6470 Female 47542 10620 30415 6507 Total 94765 21075 60713 12977 Total as a percentage of NHS 30% 7% 19% 4% Highland population
5
Figure 1.9: Mid Highland CHP population structures by area
90+ 90+
85-89 85-89
80-84 80-84
75-79 75-79
70-74 70-74
65-69 65-69
60-64 60-64
55-59 55-59
50-54 50-54
45-49 45-49
40-44 40-44
35-39 35-39
30-34 30-34
25-29 25-29
20-24 20-24
15-19 15-19
10-14 10-14
5- 9 5- 9
1- 4 1- 4
0- 1 0- 1
2500 2000 1500 1000 500 0 500 1000 1500 2000 2500 2500 2000 1500 1000 500 0 500 1000 1500 2000 2500 Lochaber LHP - CHI Population by Sex Ross Cromarty & West Ness LHP - CHI Population by Sex
Male Female Male Female
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
2500 2000 1500 1000 500 0 500 1000 1500 2000 2500 Skye & Lochalsh LHP - CHI Population by Sex
Male Female
6 Figure 1.10: Mid Highland CHP General Practice populations October 2006
Practice Location Pr. Population Area total
Ross, Cromarty & West Ness 55338 Invergordon / Alness 12,579 55342 Applecross 262 55357 Aultbea / Gairloch 2,258 55361 Cromarty 1,175 55376 Dingwall 11,462 55381 Fortrose 5,084 55395 Lochcarron 920 55408 Munlochy 2,154 55412 Strathpeffer 3,475 55427 The Health Centre, Tain (1) 3,276 55431 Tain & Fern Medical Practice (2) 5,377 55446 Torridon 443 55451 Ullapool 2,489 55696 High Street, Beauly 2,366 55709 Surgery, Beauly & Muir of Ord 5,148 55728 Drumnadrochit 2,245 60,713
Skye & Lochalsh 55516 Broadford 1,908 55521 Carbost 590 55535 Dunvegan 1,738 55540 Ferrindonald 783 55554 Glenelg 287 55569 Kyle of Lochalsh 2,638 55573 Portree 5,033 12,977
Lochaber 55588 Arisaig 594 55592 Ballachulish 1,574 55605 Craig Nevis, Fort William 3,598 55610 High Street, Fort William 4,962 55624 Tweeddale, Fort William 5,156 55639 Kinlochleven 848 55643 Lochaline 346 55658 Mallaig 1,161 55662 Salen, Strontian 1,256 55677 Isle of Eigg 146 55732 Fort Augustus 1,434 21,075
MID HIGHLAND 94,765
Data source: Community Health Index (CHI) October 2006
7 North Highland CHP population Figure 1.11: North Highland CHP population October 2006
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
2000 1500 1000 500 0 500 1000 1500 2000 North Highland CHP - CHI Population by Sex
Male Female
Figure 1.12: North Highland Local Health Partnership area populations
North Caithness Sutherland Sutherland Highland East West Male 19866 13302 4805 1759 Female 19921 13167 5061 1693 Total 39787 26469 9866 3452 Total as a percentage of NHS 13% 8% 3% 1% Highland population
8
Figure 1.13: North Highland CHP population structures by area
90+ 90+
85-89 85-89
80-84 80-84
75-79 75-79
70-74 70-74
65-69 65-69
60-64 60-64
55-59 55-59
50-54 50-54
45-49 45-49
40-44 40-44
35-39 35-39
30-34 30-34
25-29 25-29
20-24 20-24
15-19 15-19
10-14 10-14
5- 9 5- 9
1- 4 1- 4
0- 1 0- 1
1500 1000 500 0 500 1000 1500 1500 1000 500 0 500 1000 1500 Caithness LHP - CHI Population by Sex East Sutherland LHP - CHI Population by Sex
Male Female Male Female
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
1500 1000 500 0 500 1000 1500 West Sutherland LHP - CHI Population by Sex
Male Female
9 Figure 1.14: North Highland CHP General Practice populations October 2006
Practice Location Pr. Population Area total Caithness 55003 Princess Street, Thurso 5,798 55037 Riverbank, Thurso 6,015 55075 Dunbeath 538 55080 Canisbay & Castletown 3,021 55094 Lybster 1,199 55131 Wick Medical Centre, Wick (1) 7,439 55145 Wick Medical Centre, Wick (2) 2,459 26,469
East Sutherland 55201 Dornoch 2,409 55220 Golspie 2,033 55249 The Health Centre, Lairg 1,136 55287 Brora & Helmsdale (55198,55234) 2,583 55291 Creich Surgery, Bonar Bridge 1,705 9,866
West Sutherland 55183 Armadale 857 55215 Durness 330 55253 Lochinver 985 55268 Scourie, Kinlochbervie 698 55272 Tongue 582 3,452
NORTH HIGHLAND 39,787
Data source: Community Health Index (CHI) October 2006
10 South East Highland CHP population Figure 1.15: South East Highland CHP population October 2006
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
4000 3000 2000 1000 0 1000 2000 3000 4000 South & East Highland CHP - CHI Population by Sex
Male Female
Figure 1.16: South East Highland Local Health Partnership area populations
South East Badenoch & Inverness Nairn & Highland Strathspey Ardersier Male 45259 6400 31833 7026 Female 46735 6605 32907 7223 Total 91994 13005 64740 14249 Total as a percentage of NHS 29% 4% 20% 5% Highland population
11 Figure 1.17: South East Highland CHP population structures by area
90+ 90+
85-89 85-89
80-84 80-84
75-79 75-79
70-74 70-74
65-69 65-69
60-64 60-64
55-59 55-59
50-54 50-54
45-49 45-49
40-44 40-44
35-39 35-39
30-34 30-34
25-29 25-29
20-24 20-24
15-19 15-19
10-14 10-14
5- 9 5- 9
1- 4 1- 4
0- 1 0- 1
3000 2500 2000 1500 1000 500 0 500 1000 1500 2000 2500 3000 3000 2500 2000 1500 1000 500 0 500 1000 1500 2000 2500 3000 Badenoch & Strathspey LHP - CHI Population by Sex Inverness LHP - CHI Population by Sex
Male Female Male Female
90+
85-89
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
10-14
5- 9
1- 4
0- 1
3000 2500 2000 1500 1000 500 0 500 1000 1500 2000 2500 3000 Nairn & Ardersier LHP - CHI Population by Sex
Male Female
12 Figure 1.18: South East Highland CHP General Practice populations October 2006
Practice Location Pr. Population Area total Nairn 55681 Ardersier 3,424 55906 Nairn 10,825 14,249
Badenoch & Strathspey 55911 Aviemore 4,374 55925 Grantown-on-Spey 5,117 55930 Kingussie 3,033 55944 Laggan, Newtonmore 481 13,005
Inverness 55747 Foyers 993 55751 Culloden (1) 4,413 55766 Culloden (2) 5,108 55817 Kingsmills 9,805 55836 Fairfield Road 4,461 55841 Riverside 10,130 55855 Ardlarich (3) 2,001 55860 Kinmylies 2,729 55874 Southside Road 5,088 55889 Burnfield 4,101 55893 Crown Avenue 6,216 56006 Cairn Medical 9,695 64,740
SOUTH EAST HIGHLAND 91,994
Data source: Community Health Index (CHI) October 2006
13 2. Natural population change
All data extracted from GRO(S) vital events files for NHS Highland residents only by date of event.
Figure 2.1: NHS Highland births and deaths by calendar year
NHS Highland Calendar Year Birth & Deaths (Residents Only)
4500
4000
3500
3000 s
t 2500 n e v
E 2000
1500
1000
500
0 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
Births Deaths
Figure 2.2: Argyll and Bute births and deaths by calendar year
Argyll & Bute CHP Calendar Year Birth & Deaths (Residents Only)
1600
1400
1200
1000 s t n
e 800 v E 600
400
200
0 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
Births Deaths
14 Figure 2.3: Mid Highland births and deaths by calendar year
Mid Highland CHP Calendar Year Birth & Deaths (Residents Only)
1200
1000
800 s t n
e 600 v E
400
200
0 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
Births Deaths Figure 2.4: North Highland births and deaths by calendar year
North Highland CHP Calendar Year Birth & Deaths (Residents Only)
800
700
600
500 s t n
e 400 v E 300
200
100
0 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
Births Deaths Figure 2.5: South East Highland births and deaths by calendar year
South & East Highland CHP Calendar Year Birth & Deaths (Residents Only)
1400
1200
1000 s
t 800 n e v
E 600
400
200
0 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
Births Deaths
15 3. Major cause of death by Community Health Partnership area 1
Argyll and Bute Community Health Partnership Three of the major causes of death in Argyll & Bute CHP, as in Highland and Scotland are cancer, coronary heart disease and stroke. Between 2003 and 2005, cancer, coronary heart disease and stroke accounted for 58% of all deaths in Argyll & Bute CHP. Figure 3.1: Causes of death in Argyll and Bute CHP
Cancer 26%
Other Causes 15%
Coronary Heart Disease Diseases of the 21% Digestive System 5% External Causes 4%
Diseases of the Other Circulatory Respiratory System Diseases* 11% 7% Stroke 11% Between 2003 and 2005, on average, there were 1099 deaths each year in Argyll & Bute CHP. Cancer was the biggest primary cause of death, recorded in 26% of all deaths, with coronary heart disease and stroke accounting for 21% and 11% of deaths respectively over the 3-year period. Table 3.1: Average annual number of deaths in Argyll & Bute CHP, 2003 to 2005 By primary cause of death
Argyll & Bute CHP NHS Highland
Number of Percentage Number of Percentage Cause ICD 10 Code deaths of deaths deaths of deaths Cancer C00-C97 283 25.7 908 26.8 Coronary Heart Disease I21-I25 229 20.8 633 18.7 Diseases of the Respiratory System J00-J99 123 11.2 367 10.8 Stroke I60-I69 126 11.4 392 11.6 Other Circulatory Diseases* I00-I99* 76 6.9 251 7.4 External Causes V01-Y98 46 4.2 178 5.3 Diseases of the Digestive System K00-K93 57 5.2 165 4.9
Other Causes 161 14.6 490 14.5
All Causes 1099 100.0 3385 100.0 *excluding CHD and Stroke 1 All data extracted from GRO(S) vital events files for NHS Highland residents by date of event
16 Mid Highland Community Health Partnership The three major causes of death in Mid Highland CHP, as in Highland and Scotland are cancer, coronary heart disease and stroke. Between 2003 and 2005, cancer, coronary heart disease and stroke accounted for 57% of all deaths in Mid Highland CHP. Figure 3.2: Causes of death in Mid Highland CHP
Cancer 28%
Other Causes 14%
Coronary Heart Disease Diseases of the 18% Digestive System 5%
External Causes 6% Diseases of the Respiratory System Other Circulatory 10% Diseases* 8% Stroke 11%
Between 2003 and 2005 on average, there were 904 deaths each year in Mid Highland CHP. Cancer was the biggest primary cause of death, recorded in 28% of all deaths, with coronary heart disease and stroke accounting for 18% and 11% of deaths respectively over the 3-year period.
Table 3.2: Average annual number of deaths in Mid Highland CHP, 2003 to 2005
By primary cause of death
Mid Highland CHP NHS Highland
Number of Percentage Number of Percentage Cause ICD 10 Code deaths of deaths deaths of deaths Cancer C00-C97 249 27.5 908 26.8 Coronary Heart Disease I21-I25 167 18.4 633 18.7 Diseases of the Respiratory System J00-J99 92 10.2 367 10.8 Stroke I60-I69 99 10.9 392 11.6 Other Circulatory Diseases* I00-I99* 71 7.9 251 7.4 External Causes V01-Y98 54 5.9 178 5.3 Diseases of the Digestive System K00-K93 44 4.9 165 4.9 Other Causes 129 14.3 490 14.5
All Causes 904 100.0 3385 100.0 *excluding CHD and Stroke
17 North Highland Community Health Partnership Three of the major causes of death in North Highland CHP, as in Highland and Scotland are cancer, coronary heart disease and respiratory disease. Between 2003 and 2005, cancer, coronary heart disease and respiratory conditions accounted for 57% of all deaths in North Highland CHP. Figure 3.3: Causes of death in North Highland CHP
Cancer 27%
Other Causes 15%
Coronary Heart Disease Diseases of the 19% Digestive System 4% External Causes 5%
Diseases of the Other Circulatory Respiratory System Diseases* 11% 8% Stroke 11%
Between 2003 and 2005, on average, there were 471 deaths each year in North Highland CHP. Cancer was the biggest primary cause of death, recorded in 27% of all deaths, with coronary heart disease and respiratory accounting for 19% and 11% of deaths respectively over the 3-year period.
Table 3.3: Average annual number of deaths in North Highland CHP, 2003 to 2005
By primary cause of death
North Highland CHP NHS Highland
Number of Percentage Number of Percentage Cause ICD 10 Code deaths of deaths deaths of deaths Cancer C00-C97 125 26.6 908 26.8 Coronary Heart Disease I21-I25 89 19.0 633 18.7 Diseases of the Respiratory System J00-J99 54 11.5 367 10.8 Stroke I60-I69 53 11.3 392 11.6 Other Circulatory Diseases* I00-I99* 37 7.9 251 7.4 External Causes V01-Y98 24 5.1 178 5.3 Diseases of the Digestive System K00-K93 19 4.0 165 4.9 Other Causes 69 14.6 490 14.5
All Causes 471 100.0 3385 100.0 *excluding CHD and Stroke
18 South East Highland Community Health Partnership
Three of the major causes of death in South East Highland CHP, as in Highland and Scotland are cancer, coronary heart disease and stroke. Between 2003 and 2005, cancer, coronary heart disease and stroke accounted for 56% of all deaths in South East Highland.
Figure 3.4: Causes of death in South East Highland CHP
Cancer 27%
Other Causes 15%
Coronary Heart Disease 16% Diseases of the Digestive System 5%
External Causes 6% Diseases of the Respiratory System Other Circulatory 11% Diseases* 7% Stroke 13%
Between 2003 and 2005, on average, there were 910 deaths each year in South East Highland CHP. Cancer was the biggest primary cause of death, recorded in 27% of all deaths, with coronary heart disease and stroke accounting for 16% and 13% of deaths respectively over the 3 year period.
Table 3.4: Average annual number of deaths in South East Highland CHP, 2003 to 2005
By primary cause of death South & East Highland CHP NHS Highland
Number of Percentage Number of Percentage Cause ICD 10 Code deaths of deaths deaths of deaths Cancer C00-C97 251 27.5 908 26.8 Coronary Heart Disease I21-I25 148 16.3 633 18.7 Diseases of the Respiratory System J00-J99 97 10.7 367 10.8 Stroke I60-I69 115 12.6 392 11.6 Other Circulatory Diseases* I00-I99* 67 7.4 251 7.4 External Causes V01-Y98 55 6.0 178 5.3 Diseases of the Digestive System K00-K93 45 5.0 165 4.9 Other Causes 132 14.5 490 14.5
All Causes 910 100.0 3385 100.0 *excluding CHD and Stroke
19 Cause specific deaths by Highland Community Health Partnership Table 3.5: Deaths from selected causes in each CHP area, 2003-2005
Percentage refers to the proportion that each individual condition contributes to all deaths in the cause specific category
North South East Argyll & Bute Mid Highland Highland Highland NHS Highland
No. of % of No. of % of No. of % of No. of % of No. of % of deaths deaths deaths deaths deaths deaths deaths deaths deaths deaths All Cancers 848 747 376 752 2723
Lung Cancer 208 25% 152 20% 84 22% 179 24% 623 23%
Gastro Intestinal 237 28% 215 29% 109 29% 218 29% 779 29%
Colon Cancer 58 7% 53 7% 33 9% 51 7% 195 7%
Stomach Cancer 45 5% 28 4% 10 3% 22 3% 105 4%
Rectum Cancer 10 1% 7 1% 3 1% 13 2% 33 1%
Female Breast Cancer 75 9% 61 8% 39 10% 45 6% 220 8%
Lymphatic & Haem. 75 9% 55 7% 21 6% 58 8% 209 8% Leukaemia 26 3% 16 2% 6 2% 21 3% 69 3%
Cervical Cancer 7 1% 9 1% 6 2% 8 1% 30 1%
All Circulatory 1291 1009 540 991 3831
Coronary Heart 687 53% 500 50% 268 50% 445 45% 1900 50% Disease Acute Myocardial 435 34% 273 27% 150 28% 197 20% 1055 28%
Stroke 377 29% 296 29% 160 30% 344 35% 1177 31%
Atherosclerosis 16 1% 2 0% 1 0% 3 0% 22 1%
Chronic Rheumatic 5 0% 6 1% 2 0% 10 1% 23 1% Heart Disease
Hypertensive 14 1% 29 3% 7 1% 17 2% 67 2%
20 Table 3.5: Deaths from selected causes, 2003-2005 (continued)
North South East Argyll & Bute Mid Highland Highland Highland NHS Highland
No. of % of No. of % of No. of % of No. of % of No. of % of deaths deaths deaths deaths deaths deaths deaths deaths deaths deaths All Respiratory 369 277 163 291 1100 System
Pneumonia 145 39% 91 33% 77 47% 102 35% 415 38%
COPD 216 59% 182 66% 80 49% 186 64% 664 60% Asthma 2 1% 7 3% 2 1% 5 2% 16 1%
All Digestive 170 132 57 136 495 System
Stomach & 14 8% 18 14% 7 12% 14 10% 53 11% Duodenum
Alcoholic Liver 43 25% 35 27% 9 16% 36 26% 123 25%
Hernia 15 9% 13 10% 4 7% 16 12% 48 10%
External Causes 137 161 72 164 534
Accidents 83 61% 100 62% 43 60% 85 52% 311 58%
Motor Vehicles 20 15% 26 16% 10 14% 22 13% 78 15%
Suicides 26 19% 33 20% 13 18% 37 23% 109 20%
Homicide 4 3% 0 0% 1 1% 5 3% 10 2%
Undetermined 14 10% 15 9% 10 14% 24 15% 63 12% Deaths
All data extracted from GRO(S) vital events files for NHS Highland residents by date of event
21 4. Deprivation and health
The Scottish Executive published the latest revision of the Scottish Index of Deprivation (SIMD) in October 2006. The completed report, supporting files and technical supplements for SIMD06 are available online from the Scottish Executive [http://www.scotland.gov.uk/Topics/Statistics/SIMD/Overview]. The indices are also integrated within the Scottish Neighbourhood Statistics Project [www.sns.gov.uk] and here details of some individual indicators can be further explored and mapped.
The SIMD measures aspects of deprivation across different domains and combines these with explicit weightings into an overall deprivation score for small geographic area. The domains in the SIMD06 construction are: income; employment; health; education, skills and training; housing; crime and geographic access to services. The seven domains consist of 37 indicators that directly or indirectly measure a particular aspect of deprivation. The datazone geography provides these details for 6505 areas in Scotland of which 414 are in the NHS Highland area. Datazone areas were designed around common population size and characteristics and the SIMD approach is therefore a geographic profile of concentrations of area deprivation. The index does not capture the number of individuals who are multiply deprived.
The arguments about the strengths and weaknesses of trying to measure deprivation in rural areas are well rehearsed. In the area served by NHS Highland there are large geographic areas at the datazone scale that group heterogeneous populations with very different economic and social profiles. The people living in these places do not equally share in outcomes and opportunities. While recognising the strengths of the index as a tool and it’s importance in the current policy arena, it is important to remember that area effects impact on life circumstances and chances, but it is individuals and households who actually experience deprivation. Not all people living in the areas identified are multiply deprived and many individuals and families who experience the reality of deprivation represented by one or more of the indices subject domains are not at the heart of the SIMD’s particular social focus.
The maps and tables in this section are intended to provide an overview of multiple deprivation as understood by the SIMD06 measure for each CHP area in NHS Highland. CHP boundaries have been aligned to a best fit for datazone geography. Evidence from a large number of studies has demonstrated that profound social gradients are associated with a range of health conditions and can also generate inequalities in access to services. Geographic variations in socio-economic and other deprivation variables are closely related to the health status of the population and this can be confirmed visually by examining the accompanying maps of the SIMD06 health domain. These identify the geographies with a higher than expected level of ill- health or mortality given the age-sex profile of the population.
22 Table 4.1: Distribution of datazones in the most deprived 15% of national multiple deprivation by NHS Highland CHP area
Area Total Total Number of Population % of % of number of population datazones of datazones population datazones 2004 in the most datazones in the most in the most (GRO (S)) deprived in the most deprived deprived 15% of deprived 15% of 15% of national 15% of national national multiple national multiple multiple deprivation multiple deprivation deprivation deprivation in local in local area area Argyll & 122 91190 10 6422 8.2 7.0 Bute Mid 121 87959 6 4058 5.0 4.6 Highland North 57 38254 3 1920 5.3 5.0 Highland South East 114 85127 8 5952 7.0 7.0 Highland NHS 414 302530 27 18352 6.5 6.1 Highland
Figure 4.1: NHS Highland distribution of population by national vigintile (5%) of multiple deprivation
14 100 51 % of population 90 12 80
% of population f n 40 o
o i
10 cumulative e t 70
39 g a l a t u
35 n p n
60 e
o 31 o c 8 31 i p r t
f e a l o p
50
u e e p g 21 v 21 o 6 i a 22 21 t p t 40 a n 18 l e u c r 14 30 m
e 15 4 14 u P 11 C 20 8 2 7 7 5 3 10
0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 most deprived least deprived Vigintile (5%) of national deprivation
Number of datazones is shown in column series end
23 Table 4.2: NHS Highland distribution of datazones and population by percentage of national deprivation by SIMD06 domains
Most deprived percent of national deprivation 5% 10% 15% 20% 25% 30% Multiple Deprivation Number of datazones 5 7 15 8 11 21 Cumulative Number of datazones 5 12 27 35 46 67 Cumulative Percentage of local population 1.0 2.6 6.1 7.7 10.5 15.8 Income Number of datazones 6 8 13 8 11 14 Cumulative Number of datazones 6 14 27 35 46 60 Cumulative Percentage of local population 1.3 3.1 6.0 7.8 10.8 14.4 Employment Number of datazones 5 7 12 5 12 18 Cumulative Number of datazones 5 12 24 29 41 59 Cumulative Percentage of local population 1.0 2.4 5.3 6.5 9.5 13.7 Health Number of datazones 9 10 7 26 16 15 Cumulative Number of datazones 9 19 26 52 68 83 Cumulative Percentage of local population 1.9 4.2 5.9 11.9 15.8 19.5 Education Number of datazones 4 7 4 16 16 13 Cumulative Number of datazones 4 11 15 31 47 60 Cumulative Percentage of local population 0.9 2.4 3.3 6.9 10.8 13.9 Housing Number of datazones 0 1 8 15 16 22 Cumulative Number of datazones 0 1 9 24 40 62 Cumulative Percentage of local population 0 0.3 2.0 5.6 9.4 14.8 Geographic Access Number of datazones 107 45 31 27 17 12 Cumulative Number of datazones 107 152 183 210 227 239 Cumulative Percentage of local population 25.6 36.7 44.8 51.6 55.5 58.0 Crime Number of datazones 17 11 11 14 18 14 Cumulative Number of datazones 17 28 39 53 71 85 Cumulative Percentage of local population 3.9 6.7 9.1 12.9 17.1 20.3
24 Table 4.3: NHS Highland datazones in the most deprived twenty percent of national multiple deprivation
SIMD Percentage Population National of national CHP datazone datazone area name1 2004 Rank 2006 deprivation SEHI S01003860 Inverness Merkinch North 643 48 5 SEHI S01003849 Inverness Merkinch East 675 77 5 SEHI S01003862 Inverness South Kessock 657 170 5 AB S01000767 - 600 222 5 AB S01000749 - 504 232 5 SEHI S01003855 Inverness Merkinch South 933 366 10 NHI S01003977 Wick Pultneytown South 518 452 10 AB S01000748 - 532 459 10 NHI S01003976 Wick South 645 583 10 MHI S01003924 Invergordon Strath Avenue 500 587 10 MHI S01003922 Alness Teaninich 786 601 10 AB S01000717 - 886 603 10 SEHI S01003853 Inverness Central & Longman 795 716 15 AB S01000732 - 570 724 15 AB S01000770 - 588 725 15 MHI S01003730 Fort William North 619 729 15 MHI S01003926 Alness Kirkside 601 753 15 MHI S01003937 Seaboard South 768 767 15 AB S01000752 - 994 870 15 SEHI S01003839 Inverness Raigmore North 642 888 15 SEHI S01003845 Inverness Merkinch Telford 979 897 15 AB S01000731 - 504 927 15 NHI S01003985 Wick Hillhead North 757 931 15 SEHI S01003796 Inverness Hilton West 628 943 15 AB S01000815 - 603 956 15 MHI S01003935 Milton & Kildary 784 960 15 AB S01000716 - 641 976 15 SEHI S01003882 Nairn Moss-side 487 1007 20 MHI S01003931 Alness Obsdale 791 1013 20 MHI S01003928 Alness Firhill 840 1111 20 NHI S01003978 Wick South Head 567 1142 20 SEHI S01003793 Inverness Hilton South 517 1161 20 AB S01000747 - 557 1193 20 MHI S01003724 Glen Nevis 770 1199 20 SE S01003833 Inverness Central North West 519 1243 20 1 datazone naming convention only available for Highland local authority area
25 Map 4.1: Argyll and Bute CHP areas in the national most deprived twenty percent of multiple deprivation
Digital Boundaries Crown Copyright HIKU, NHSHI
26 Map 4.2: Mid Highland CHP areas in the national most deprived twenty percent of multiple deprivation
Digital Boundaries Crown Copyright
27 HIKU, NHSHI Map 4.3: North Highland CHP areas in the national most deprived twenty percent of multiple deprivation
Digital Boundaries Crown Copyright HIKU, NHSHI
28 Map 4.4: South East Highland CHP areas in the national most deprived twenty percent of multiple deprivation
Digital Boundaries Crown Copyright HIKU, NHSHI
29 Table 4.4: NHS Highland datazone areas in the national most deprived twenty percent of health deprivation
Percentage of national Percentage Population Health health of national CHP datazone datazone area name1 2004 Rank deprivation deprivation SEHI S01003860 Inverness Merkinch North 643 16 5 5 SEHI S01003849 Inverness Merkinch East 675 47 5 5 NHI S01003977 Wick Pultneytown South 518 85 5 10 SEHI S01003862 Inverness South Kessock 657 100 5 5 AB S01000748 - 532 202 5 10 AB S01000749 - 504 250 5 5 AB S01000717 - 886 286 5 10 AB S01000815 - 603 288 5 15 AB S01000767 - 600 290 5 5 SEHI S01003853 Inverness Central & Longman 795 334 10 15 SEHI S01003845 Inverness Merkinch Telford 979 345 10 15 SEHI S01003855 Inverness Merkinch South 933 428 10 10 NHI S01003976 Wick South 645 453 10 10 MHI S01003730 Fort William North 619 524 10 15 SEHI S01003839 Inverness Raigmore North 642 539 10 15 AB S01000826 - 715 559 10 35 MHI S01003731 Fort William Central 570 589 10 25 MHI S01003924 Invergordon Strath Avenue 500 625 10 10 MHI S01003724 Glen Nevis 770 645 10 20 AB S01000816 - 608 675 15 30 MHI S01003733 Caol South East 825 684 15 30 AB S01000752 - 994 764 15 15 NHI S01003986 Wick North Primary School 549 784 15 25 MHI S01003922 Alness Teaninich 786 828 15 10 NHI S01003985 Wick Hillhead North 757 893 15 15 SEHI S01003833 Inverness Central North West 519 895 15 20 MHI S01003800 Portree West 736 979 20 35 AB S01000732 - 570 993 20 15 MHI S01003736 Caol North East 759 999 20 40 AB S01000716 - 641 1,009 20 15 NHI S01003984 Wick Central North 623 1,015 20 30 AB S01000812 - 778 1,016 20 35 AB S01000744 - 743 1,049 20 30 SEHI S01003796 Inverness Hilton West 628 1,066 20 15 SEHI S01003790 Inverness Hilton South West 594 1,086 20 30 SEHI S01003818 Inverness Dalneigh Central 808 1,089 20 25 SEHI S01003793 Inverness Hilton South 517 1,101 20 20 NHI S01003997 Thurso High and Low Ormlie 901 1,118 20 30 AB S01000747 - 557 1,132 20 20 NHI S01003962 Brora North 571 1,145 20 30 MHI S01003921 Alness Dalmore 820 1,154 20 30 AB S01000715 - 665 1,160 20 40 AB S01000770 - 588 1,183 20 15 AB S01000814 - 852 1,189 20 35 MHI S01003926 Alness Kirkside 601 1,193 20 15 MHI S01003722 Kinlochleven 877 1,195 20 30 MHI S01003907 Dingwall Central 794 1,201 20 25 MHI S01003763 Broadford 933 1,203 20 40 MHI S01003826 Portree East & Rural 685 1,212 20 50 AB S01000746 - 723 1,232 20 35 AB S01000731 - 504 1,240 20 15 MHI S01003734 Caol West 689 1,263 20 35 1 datazone naming convention only available for Highland local authority area
30 Map 4.5: Argyll and Bute CHP areas in the national most deprived twenty percent of health deprivation
Digital Boundaries Crown Copyright HIKU, NHSHI
31 Map 4.6: Mid Highland CHP areas in the national most deprived twenty percent of health deprivation
Digital Boundaries Crown Copyright HIKU, NHSHI
32 Map 4.7: North Highland CHP areas in the national most deprived twenty percent of health deprivation
Digital Boundaries Crown Copyright HIKU, NHSHI
33 Map 4.8: South East Highland CHP areas in the national most deprived twenty percent of health deprivation
Digital Boundaries Crown Copyright HIKU, NHSHI
34
Highland 4 a profile of NHS Highland Community Health Partnerships
Directorate of Planning and Performance Health Intelligence and Knowledge Team
Highland NHS Board