A Profile of NHS Highland Community Health Partnerships
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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: