Bellshill Health and Social Care Locality Profile September 2019

Geography

There are six health & social care localities across North Lanarkshire. The data in this profile is presented at intermediate datazone geography where possible, these 78 geographies have been allocated to the health and social care locality areas on a best fit basis.

The data is drawn from public sources and some of it has to be considered within local knowledge. All the data is available from this webpage1, where the confidence levels of the data is shown clearly.

Figure 2: Intermediate Datazones within Bellshill Locality

1 https://www.northlanarkshire.gov.uk/8881 Contents

The graphs and diagrams below show the data for the intermediate geographies within Bellshill locality.

Population Poverty and Deprivation Integration Indicators Long Term Conditions Mother and Baby Indicators Early Deaths Hosptial Admissions Benefits and Labour Market Carers

Bellshill Population 2018 Females Males Persons 0 - 4 1,063 1,167 2,230 5 - 9 1,125 1,198 2,323 10 - 15 1,426 1,275 2,701 16 - 19 955 1,247 2,202 20 - 24 1,263 1,365 2,628 25 - 29 1,372 1,319 2,691 30 - 34 1,381 1,362 2,743 35 - 39 1,425 1,336 2,761 40 - 44 1,298 1,201 2,499 45 - 49 1,573 1,424 2,997 50 - 54 1,715 1,574 3,289 55 - 59 1,710 1,569 3,279 60 - 64 1,453 1,247 2,700 65 - 69 1,236 1,142 2,378 70 - 74 1,061 927 1,988 75 - 79 776 558 1,334 80 - 84 530 315 845 85 - 89 303 175 478 90+ 138 69 207 Total population 21,803 20,470 42,273

The 2018 North Lanarkshire population is 340,180.

The projected population in Bellshill locality in 2036 is shown on the population pyramid on the right.

90+ 90+ 80-84 80-84 70-74 70-74 60-64 60-64 50-54 50-54 40-44 40-44 30-34 30-34 20-24 20-24 10-15 10-15 0-4 0-4 -2,000 -1,000 0 1,000 2,000 3,000 -2,000 -1,000 0 1,000 2,000

Males Females Males Females

2016 2036 The distribution of the older population across the council is shown in the three graphs below.

Where the 65+ population live in North Lanarkshire 2018 16% Airdrie 16% 14% 12% 65+ 75+ 85+ Bellshill 12% 12% 14% Coatbridge 15% 17% 26% Cumbernauld 25% 22% 13% Motherwell 13% 14% 18% Wishaw 19% 21%

Life Expectancy 2015-2017

Males Females North Lanarkshire 75.3 79.4 Scotland 77.0 81.1

The table above shows the current life expectancy at birth for North Lanarkshire and Scotland. Life expectancy in Scotland and the UK has stalled in recent years. Discussions around this trend are available at this webpage2.

Locality, council and national figures available for the period 2013-2015 are shown on ther graph below.

Estimated Life Expectancy in Bellshill Social Work Locality, 2015

81.1 79.7 79.6 77.7 75.9 75.7 75.7 75.4 77.1 74.7 73.2 74.8 75.2 75.4 73.9 73.1 73.1 72.2 70.5 70.9 69.5 68.8

 Male life expectancy is highest in Ladywell at 78.4 years and lowest in Craigneuk, Wishaw at 64.2 years  Female life expectancy is highest in Stepps (84.1 years) and lowest in Craigneuk, Wishaw (71.6 years).

Further information on life expectancy3 across North Lanarkshire is available.

2 https://www.scotpho.org.uk/population-dynamics/recent-mortality-trends/ 3 https://www.northlanarkshire.gov.uk/index.aspx?articleid=9047

Poverty and Deprivation

Bellshill North Lanarkshire SIMD 41% 1 (Most Deprived) 31%

27% 2 28%

10% 3 18%

16% 4 14%

8% 5 (Least Deprived) 14%

Bellshill SIMD by Datazone

The graph below is based on the SIMD 2016. It shows the percentage of people who are income and employment deprived within the locality. The number of people who are income deprived includes dependants of someone who is income deprived. This webpage4 provides information of the range of income and employment deprivation across North Lanarkshire. 25% % Income deprived % Employment deprived 20%

15%

10%

Within the SIMD 2016, other issues highlighted by the data are:  14 datazones (of 57 in the Bellshill SW locality) are within the 15% most deprived areas of the country.  17 datazones are within the 15% most health deprived areas of the country. The five datazones below are within the 5% most health deprived in the country.

Rank 131 Orbiston - Amethyst Avenue to Sapphire Road

Rank 132 Viewpark - Limetree Quadrant to Gopher Avenue

Rank 150 Holytown - Shirrel Road to Sunnyside Crescent

Rank 251 Fallside - Rosepark Avenue to Sanderson Avenue

Rank 286 Fallside - Panther Drive to Merrick Terrace

 7 datazones within the locality are within the 5% most education deprived nationally.

Rank 46 Fallside - Panther Drive to Merrick Terrace Rank 74 Fallside - Rosepark Avenue to Sanderson Avenue Rank 121 Viewpark - Citrus Crescent to Woodview Rank 175 Viewpark - Glenburn Crescent to McCracken Drive Rank 224 Bellshill - Mansfield Road to West End Place Rank 308 Viewpark - Ross Drive to North Road Rank 322 Orbiston - Amethyst Avenue to Sapphire Road

4 https://www.northlanarkshire.gov.uk/index.aspx?articleid=32713 Children in low income households (%) August 2015

Scotland 16.3 North Lanarkshire 18.7 Viewpark 26.5 Orbiston 26.5 Bellshill South 23.6 Milnwood 21.5 Bellshill Central 19.7 Holytown 18.7 Fallside 17.3 Hattonrigg 10.6 Birkenshaw 5.3

The percentage of children living in low income households varies from 43.4% in Craigneuk,Wishaw to 4% in Balloch West and Carrickstone.

The graph showing the variation within each locality is available on this webpage5. The data that sits behind the graph is available at this webpage6.

5 https://www.northlanarkshire.gov.uk/8881 6 https://www.northlanarkshire.gov.uk/lowincomehouseholds Integration related indicators:

A&E attendances: Rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Bellshill 335.5 323.8 332.3 350.6 357.6 North Lanarkshire 340.0 334.5 344.2 359.3 369.6 Scotland 287.2 280.1 281.7 285.9 294.7

Bellshill’s A&E attendance rate has increased by around 8% over the last five years. Its rate has consistently remained slightly lower compared with North Lanarkshire however is consistently higher than the Scotland rate.

Emergency Admissions rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Bellshill 129.4 132.3 132.1 140.3 137.0 North Lanarkshire 125.4 130.4 132.5 136.0 136.2 Scotland 107.9 109.4 109.2 110.0 111.8

Bellshill’s emergency admission rate has increased slightly over the last five years but has remained similar to the North Lanarkshire rate.

Emergency Admission Bed Days rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Bellshill 759.2 720.7 697.1 726.0 637.9 North Lanarkshire 741.8 752.5 717.3 728.9 686.9 Scotland 779.1 762.9 758.7 746.6 744.1

Bellshill’s emergency admission bed day rate has decreased by 16% over the last five years and the rate remains lower in 2018/19 compared with North Lanarkshire and Scotland.

Age 18+ delayed discharges rate per 1,000 (Jul – Jun)

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Bellshill N/A N/A 123.1 116.2 101.1 North Lanarkshire N/A N/A 128.2 132.7 110.9 Scotland N/A N/A 118.7 114.1 99.1

Bellshill has followed a trend similar to Scotland with a year on year decrease, As opposed to North Lanarkshire as a whole which had an increase in rate of bed days in 2017/18 before decreasing again.

A&E conversion to hospital admission (%)

Percentage Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Bellshill 27.5 29.2 28.9 30.9 29.9 North Lanarkshire 26.4 28.1 27.8 29.5 29.0 Scotland 25.8 25.4 25.0 24.6 24.2

Bellshill has the second lowest A&E attendance rate in North Lanarkshire, however the highest conversion rate to admissions. This could indicate that admissions could be more appropriately triaged. This percentage is consistently above the North Lanarkshire percentage as well as the Scotland figure.

Long Term Conditions (Scotland data unavailable)

Anxiety/Depression rate per 1,000

Actual Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Bellshill 245.7 259.0 265.9 271.3 276.8 North Lanarkshire 233.0 241.7 248.2 254.0 262.2 Scotland N/A N/A N/A N/A N/A

Bellshill’s anxiety/depression prevalence rate has increased by around 13% over the last 5 years. It has consistently remained higher compared with North Lanarkshire in this time period.

Psychosis rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Bellshill 25.1 25.2 25.7 26.3 27.0 North Lanarkshire 21.7 22.0 22.4 22.9 23.4 Scotland N/A N/A N/A N/A N/A

Bellshill has the highest psychosis prevalence rate of all localities in North Lanarkshire. It has also always remained above the North Lanarkshire rate for the last 5 years.

Mother and Baby Indicators

Across the six localities breastfeeding varies, from 2.8% in Bellshill Central to 31.3% in Ladywell, this compares to a council average of 15.2% and a national average of 27.1%.

Babies exclusively breastfed at 6-8 weeks – 2015 based on 3 year aggregate (%)

Scotland 27.1 North Lanarkshire 15.2 Fallside 23.2 Birkenshaw 16.2 Orbiston 14.8 Milnwood 14.6 Bellshill South 12.5 Holytown 9.7 Viewpark 9.2 Hattonrigg 8.2 Bellshill Central 6.7

Age of Older and Younger Mothers 2014-2017, 3 year aggregate 20 18 16 Aged 35 And Over Aged 19 And Under 14 12 10

8 Percentage 6 4 2 0

Healthy Birth Weight Babies, 2015 3 year aggregate (%)

Scotland 83.4 North Lanarkshire 83.6 Orbiston 89.3 Bellshill Central 87.9 Hattonrigg 86.5 Birkenshaw 85.6 Bellshill South 84.1 Viewpark 81.6 Holytown 81.3 Fallside 79.3 Milnwood 77.4

Early Deaths

All-cause mortality among the 15-44 year olds 2016 (rate per 100,000)

Scotland 105.8 North Lanarkshire 127.8 Bellshill Central 222.9 Orbiston 213.1 Fallside 208.2 Viewpark 180.3 Bellshill South 172.9 Holytown 127.1 Hattonrigg 82.4 Milnwood 55.1 Birkenshaw 49.1

Early Deaths from Cancer 2014-2016 3 year aggregate (rate per 100,000)

Scotland 163.8 North Lanarkshire 182.7 Bellshill South 292.7 Viewpark 267.6 Orbiston 252.1 Holytown 195.0 Hattonrigg 164.1 Bellshill Central 156.0 Birkenshaw 153.5 Fallside 133.1 Milnwood 129.9

Early Deaths from Coronary Heart Disease (CHD) <75 years, 2015 (rate per 100,000)

Scotland 53.21

North Lanarkshire 65.92

Bellshill South 85.54

Viewpark 73.39

Milnwood 62.71

Fallside 62.62

Holytown 57.68

Hattonrigg 55.15

Bellshill Central 46.05

Orbiston 41.33

Birkenshaw 26.73

Hospital Admissions

Patients Hospitalised with Coronary Heart Disease, 2014 (rate per 100,000)

Scotland 403.1

North Lanarkshire 460.5

Viewpark 605.6

Orbiston 595.4

Milnwood 586.0

Holytown 582.3

Bellshill South 510.1

Hattonrigg 437.8

Bellshill Central 432.5

Fallside 376.2

Birkenshaw 256.0

Alcholol Related Hospital Stays, 2016 (rate per 100,000)

Scotland 680.8 North Lanarkshire 859.2 Viewpark 1165.7 Bellshill Central 1113.5 Bellshill South 1030.4 Holytown 657.4 Orbiston 651.0 Hattonrigg 590.3 Fallside 540.4 Milnwood 384.4 Birkenshaw 279.4

Patients (65+) with Multiple Emergency Hospitalisations 2016 (rate per 100,000)

Scotland 5422.3

North Lanarkshire 6951.3

Birkenshaw 9264.3

Viewpark 8338.6

Orbiston 8201.1

Hattonrigg 8060.8

Bellshill South 7695.4

Bellshill Central 7103.5

Holytown 6427.2

Milnwood 5983.4

Fallside 5443.5

Patients with Emergency Hospitalisations 2016 (rate per 100,000)

Scotland 7601 North Lanarkshire 9578.1 Viewpark 12101.2 Orbiston 10418 Hattonrigg 10399.7 Bellshill Central 10033.1 Bellshill South 9889.8 Birkenshaw 9660.5 Fallside 9578.9 Holytown 9066.2 Milnwood 8669.9

Patients Hospitalised with COPD 2014, 3-year aggregates 2013/14 to 2015/16 (rate per 100,000)

Scotland 245.8 North Lanarkshire 360 Viewpark 762.5 Bellshill South 557.1 Orbiston 524.4 Bellshill Central 438.2 Milnwood 386.3 Hattonrigg 348 Holytown 341.8 Birkenshaw 260.9 Fallside 254.3

Benefits and Labour Market

Pension Credits by Locality 2015 (%)

Scotland 6.2 North Lanarkshire 9.2 Bellshill Central 15.5 Viewpark 11.3 Milnwood 10.1 Hattonrigg 10.1 Holytown 9.6 Orbiston 9.4 Bellshill South 8.9 Fallside 7.3 Birkenshaw 6.0

Adults Claiming Incapacity Benefit / Severe Disablement Allowance 2015 (%)

Scotland 6.16 North Lanarkshire 7.85 Viewpark 9.88 Orbiston 9.54 Milnwood 8.66 Fallside 8.57 Holytown 8.54 Bellshill South 7.99 Bellshill Central 7.80 Hattonrigg 6.97 Birkenshaw 4.09

Educational Qualifications (All people aged 16 +)

Level 4 and No Level 1 Level 2: Level 3 above: qualifications Airdrie 25.4% 13.2% 10.2% 16.3% 35.0% Bellshill 26.5% 13.1% 10.0% 14.8% 35.7% Coatbridge 25.7% 13.2% 10.1% 15.2% 35.8% Cumbernauld 26.1% 15.2% 11.6% 19.9% 27.3% Motherwell 24.0% 14.6% 10.6% 18.9% 31.9% Wishaw 26.0% 12.9% 9.9% 16.3% 36.3%

Level 1 = : 0 Grade, Standard Grade, Level 2 = SCE Highers, Advanced Higher, CSYS, A Level, AS Level; Level 3 = : HNC, HND, SVQ level 4 or equivalent; Level 4 = Degree, Postgraduate quals, Professional qualifications

2011 census – Self Reported Health of Carers – Bellshill Locality

Bad or very bad

Fair 88 250 Very good or good 136 384

1497 149 5 978 288 15 331 291

0 to 24 25 to 49 50 to 64 65 and over

Very good or good Fair Bad or very bad 0 to 24 94.3% 4.3% 1.4% 25 to 49 81.6% 13.6% 4.8% 50 to 64 65.3% 25.6% 9.1% 65 and over 40.0% 39.6% 20.5%

40.0%40% 2011 census - Economic Activity of Unpaid Carers

Bellshill Social Work Locality North Lanarkshire Council

83 650

942 7403

598 95 18805 2373 419 2989

238 1837 188 1444