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Health Profile of Isle of

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

Population

> Anglesey covers an area of 711 square kilometres Anglesey

> Anglesey has a population of 99 people per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

Population Projections, Population projections, all persons by age group, Isle of Anglesey, Isle of Anglesey , 2011 to 2036 0 to 15 years 16 to 64 years 2011 to 2036 65 years and over 85 years and over

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,4 30 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right of of amount amount fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active ys ys on 5 da on 5 da

a week a week R 32% Bee 30% d d reporte reporte having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,4 30 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,4 30 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,4 30 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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

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

Population Amlwch

> Anglesey covers Holyhead an area of 711 square kilometres Anglesey

> Anglesey has a Beaumaris population of 99 people Llangefni per square kilometre

> Anglesey has a resident population of 70,100 Isle of Anglesey has one GP cluster

Proportion of population by age and gender, Population Pyramid of age and sex, Wales and Isle of Anglesey 2013 the Isle of Anglesey, 2013 Wales Males Wales Female Isle of Anglesey Males Isle of Anglesey Female

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

54321012345

Isle of Anglesey population. Overall population

59% 41,460 people are aged 24% 17% 16-64 years 16,580 people 12,050 people 3% are aged 2,120 people are aged 65-84 years are aged 0-15 years 85 years or over

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

45,000

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5000

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

57% This is higher than the Welsh of individuals aged national average over three years in (19%) the Isle of Anglesey are able to speak Welsh (38,570 people)

...and North Wales average (35%)

LSOA = Lower Super Output Area Deprivation in Anglesey 2% of 16% of LSOAs LSOAs 1,470 people 10,450 people live in the most live in the most deprived 10% of deprived 20% LSOAs in Wales LSOAs in Wales

55% of 21% of Anglesey LSOAs LSOAs

36,890 people 14,500 people live in the most live in the most deprived 50% deprived 30% LSOAs in Wales LSOAs in Wales Registered with GPs 31% of registered patients live in a rural area 19% of patients registered with (small town/fringe) 19% Anglesey GP cluster live in an urban of registered patients area, while 81% live in a rural area live in an urban area

50% of registered patients 23% 3% live in a rural area (village/hamlet/isolated dwellings) 15,060 1,950 people are aged people are aged 65-84 years 85 years or over 65,940 Patients registered with a North Wales GP and registered patients have an English postcode are excluded from the in the Anglesey GP Geography and Deprivation indicators; therefore total numbers of patients do not match GP registered population numbers Key Health Issues

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

40% 17% 21% 12% 10% 11,350 13,860 26,420 7,710 6,540 people are people are in people are in people are in people are in the most the next most the middle the next least in the least deprived fifth deprived fifth deprived fifth deprived fifth of deprivation of deprivation of deprivation of deprivation

y ye a rl a rs e NORtH WALeS

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

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

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

Infant mortality rates in Anglesey are There are around higher than Wales 770 live births (5.3 per 1,000 births per year in compared to 4.4 per Anglesey 1,000 births)

The average boy born in the most The average girl born in the most deprived area is likely to live over deprived area is likely to live over 7 years less than the average boy 5 years less than the average girl from the most affluent area, and in the least deprived area, and likely likely to spend 13 additional years to spend 11 additional years in in poorer health poorer health

8% 6% 59% 27% 20% of babies in of singleton of babies in of children aged of children and Anglesey are born babies in Anglesey are 4-5 years in young people pre-term Anglesey are breast fed from Anglesey are under 20 years live (less than low-birth weight birth compared to overweight or in poverty 37 weeks) (less than 2500g) 55% across Wales obese; 27% of boys & 26% of girls

Mental disorders & learning disabilities

13% male 10% of children

6% rise North Wales

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

1.6% decline 10% of children Anglesey Anglesey

The number of people aged 18 Around 9,400 people have 10% of 5 to 16 year olds in or above predicted to have a one of the common mental Anglesey (840 children) have learning disability is estimated disorders a mental health disorder; to decline by 1.6% by 2030 same as the Welsh average

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

North Wales Anglesey

The North Wales 85 and over population is expected to rise by 85% from 2013 to 2030, with 1 The Anglesey 85 in 4 affected by and over population frailty is expected to rise by 90% from 2013 to 2030

More than 90 people over the age of 65 are admitted to hospitals with hip In Anglesey, fractures each year In North Wales over 3% of the (510 per 100,000 800 people over population are the age of 65 are population) aged 85 years admitted to hospitals or over with hip fractures each year (495 per 100,000 population) Dementia is an important mental health condition of old age, as it is a significant cause of morbidity, mortality and healthcare use. the prevalence of dementia in North Wales is expected to almost double by 2030 due to the aging population. Chronic and long term conditions North Wales

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

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

Chronic and long term conditions Anglesey

from 220 240 cancer deaths Cardiovascular deaths diseases 165 per 100,000 per year in per year in in Anglesey Anglesey Anglesey die of cancer + 151 per 100,000 population of + Cancer causes around 220 deaths per year in Anglesey die from Cardiovascular Anglesey. 165 per 100,000 of the population of disease; this is lower than the North Anglesey die of cancer; this is lower than the North Wales average of 152 per 100,000 Wales average of 166 per 100,000 per population, and population, and the Welsh national the Welsh national average average of 157 per 100,000 population.

Anglesey 16% Hypertension 10,910 people 7% Asthma 4,950 people 5% Diabetes 3,490 people 5% CHD 3,050 people 3% COPD 1,780 people Overall,25,430 1% (39% of GP Epilepsy registered 450 people patients) patients have a chronic 1% condition/illness Heart failure 800 people

Positive mental wellbeing

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

ANGLeSey Residents in Anglesey reported being happier and more satisfied with life, and less anxious than the Wales and the UK population

Smoking and Alcohol North Wales Anglesey 21% of adults in North Wales 23% of adults in Anglesey were were smokers in 2012/13, smokers in 2012/13, compared compared to 23% in 2011/12 from 25% in 2011/12

23 % 2011/12 25 % 2011/12

21 % 2012/13 23 % 2012/13

43% young people over drink 43% over drink 40% over drink

26% binge drink 23% binge drink

43% of adults in 26% of adults 43% of young 40% of adults in 23% of adults in North Wales drink in North Wales people aged Anglesey drink Anglesey binge more than the binge drink, 16-24 years in more than the drink in 2012/13, recommended the same as the North Wales drink recommended compared to 27% levels in Welsh average more than the levels in 2012/13, in 2011/12 2012/13, recommended a decline from compared to 42% levels 41% in 2011/12 across Wales

Maintaining a Healthy Weight

NORtH WALeS ANGLeSey

In North Wales, the In Anglesey, the number of adults number of adults 57% who are overweight who are overweight 57% overweight or obese (BMI over or obese (BMI over overweight or obese 25) has increased 25) has increased or obese from 56% in from 54% in 2011/12 to 57% 2011/12 to 57% in in 2012/13 2012/13 23% 21% 23% 23% is the Welsh reported is the Welsh reported average being obese average being obese

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

36% 28% eat the right eat the right amount of amount of fruit & veg fruit & veg 36% of people in North Wales eat the 28% of adults in Anglesey eat the recommended amount of fruits recommended amount of fruits and vegetables each day, higher and vegetables each day than the Welsh average of 33% 30% 32% are active are active on 5 days on 5 days

a week a week R 32% Bee 30% reported reported having no having no active days active days

30% of adults in North Wales are 32% of adults in Anglesey are active active on 5 or more days per week on 5 or more days per week in in 2012/13. 32% of adults reported 2012/13, this stayed the same from having no active days, lower than the 2011/12. 30% of adults reported having Welsh average of 34% no active days, lower than the Welsh average of 34%

Vaccination and immunisation programmes

rth Wal nglesey No es A

85% 83% have had have had their jabs their jabs

85% of 4 year olds in North Wales 83% of 4 year olds in Anglesey are are up-to-date with immunisations up-to-date with immunisations. compared to 82% across Wales. Uptake for 3 complete doses of HPV Uptake for 3 complete doses of vaccine in 12-13 year old girls in HPV vaccine in 12-13 year old girls Anglesey is 85% in North Wales is 88%, compared to 87% across Wales

Uptake of the flu vaccination by Uptake of the flu vaccination by people aged 65 years and over people aged 65 years and over in North Wales is 71%, compared in Anglesey is 70%. 52% of people to 68% across Wales. 54% of people aged under 65 years who are ‘at risk’ aged under 65 years who are ‘at risk’ received the vaccination received the vaccination, compared to 51% across Wales

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