HEALTH & WELLBEING WARD PROFILE ASHTON HURST

Population 11,503  ♂48.7% ♀51.3% Ashton Hurst Population (-4.1% Since 2001) Male Population 5,603 Female Population 5,900 (Tameside Population +2.9% Since 2001) (Tameside Male Population 49.1%) (Tameside Female Population 50.9%)

Ashton Hurst is one of four wards making up the Market town of Ashton-Under-Lyne. The Population of Ashton Hurst decreased by 4.1% between the 2001 and 2011 censuses. The population of Ashton Hurst has a similar age profile to the Tameside population as a whole.

A lower proportion of people in Ashton Hurst are classified as White British compared to Tameside as a whole, with a higher proportion of people of Indian and Pakistani ethnic backgrounds.

Employment 55.8% 2.7% 14.2% Employment Rate Job Seekers Allowance Claimant Rate Out of Work Benefit Claimants (Tameside Average=13.6%) 3rd Lowest in Tameside (Tameside Average=2.8%)

Ashton Hurst has one of the lowest employment rates out of all wards in Economic Status (% Aged 16-74) Tameside, although the rate of unemployment is not reflective of this. The Ashton Ashton Tameside England Hurst lower employment rate in Ashton Hurst can be accounted for by a higher Hurst (%) (%) (%) rate of economic inactivity within the ward. This higher rate of economic (Number) inactivity within Ashton Hurst is accounted for by a higher proportion of re- Economically Active 5343 63.4 68.8 69.9 tired people within the ward Employee Full Time) 2956 35.1 40.6 38.6

Employee (Part Time) 1151 13.7 13.2 13.7 The rate of out of work benefit claimants in Ashton Hurst is slightly higher than the Tameside average, which can be accounted for by a higher than Self-Employed 597 7.1 7.4 9.7 average rate of ESA and lone parent claimants, with a job seekers allow- Unemployed 436 5.2 5.0 4.4 ance claimant rate that is marginally lower than the Tameside average. Full Time Student 203 2.4 2.5 3.4 Economically Inactive 3089 36.6 31.2 30.1

Job Seekers Allowance Claimants by Ward (% Aged 16-64) Out of Work Benefit Claimants (% Aged 16-64) Ashton Ashton Tameside England Hurst Hurst (%) (%) (%) (Number) Job Seekers Allowance (JSA) 200 2.7 2.8 2.8

Employment Support Allowance (ESA) 670 9.1 8.8 8

Lone Parents (claiming Income Support) 155 2.1 1.6 1.4

Other 25 0.3 0.4 0.4

Total out of work benefit claimants 1050 14.2 13.6 12.6

Education and Training 28.8% 64.6% 53.7% Residents Aged 16+ without Early Years Foundation Stage: Pupils Achieving 5 GCSEs any Qualifications 5 Year Olds with a Good Level Including English and Maths at (Tameside Average=28.1%) of Development Grades A*-C (Tameside Average=59.9%) (Tameside Average=56.5%)

The proportion of the Ashton Hurst population with no qualifications is slightly higher than the Tameside average. Achievement of 5 GCSEs grades A* to C including English and Maths is below the Tameside average.

The proportion of 5 year olds achieving a good level of development in the Early Years Foundation Stage in Ashton Hurst is higher than the Tameside average.

Highest Achieved Qualification (% Aged 16+)

Ashton Tameside England (%) Hurst (%) (%)

No Qualifications 28.8 28.1 22.5

Level 1: 1-4 GCSEs or Equivalent 15.3 16.1 13.3

Level 2: 5+ GCSEs or Equivalent 17.3 17.3 15.2

Level 3: 2+ A-Levels or Equivalent 10.9 12.1 12.4

Level 4 and above: Degree Level 18.4 17.5 27.4

Apprenticeship 4.1 3.6 3.6

Other Qualifications 5.3 5.7 5.7

Housing 4,769 14.4% 1.7% Number of Households Fuel Poor Households Households without Central Heating (Tameside Average=14.1%) (Tameside Average=2.8%)

Most housing in Ashton Hurst is semi-detached or detached with a low- Housing Type (% Households) er proportion of Terraced housing and apartments than Tameside and England averages. Almost two thirds of homes in Ashton Hurst are Ashton Tameside England Hurst (%) (%) (%) owner occupied with approximately a quarter of homes social rented. House: Detached 21.1 11.3 22.3 The modelled rate of fuel poor households in Ashton Hurst is marginally 53.1 37.5 30.7 higher than the Tameside average at 14.4%. House: Semi-Detached House: Terraced 16.0 35.7 24.5 Flat/ Apartment: Purpose Built Block 8.9 13.4 16.7 Flat/ Apartment: Converted House 0.6 1.2 4.3 Housing Tenure (% Households) Flat/ Apartment: In Commercial Building 0.3 0.9 1.1 Ashton Tameside England Caravan or other Mobile/ Temporary Structure 0 <0.1 0.4 Hurst (%) (%) (%) Owner Occupied 64.5 63.8 63.3 Modelled Percentage of Households in Fuel Poverty Private Rented 9.0 13.2 16.8

Social Rented 25.4 21.5 17.7 Shared Ownership (part owned and part rented) 0.2 0.3 0.8 Living Rent Free 0.9 1.1 1.3

Household Overcrowding (% Households)

Ashton Tameside England Hurst (%) (%) (%)

Room Overcrowding 5.9 6.1 8.7

Bedroom Overcrowding 4.5 3.9 4.6

Health

7.7% 21.6%  89.2 per 100,000 u75 population Poor Health (Self-Reported) Limiting Long Term Illness or Disability Under-75 CVD Mortality Rate (DSR) 5th Highest in Tameside, average 7.3%) (Tameside Average =20.9%) (2nd Lowest in Tameside, average = 86.4)

Residents of Ashton Hurst have a slightly higher level of limiting long term illness or disability compared to the Tameside average. Male life ex- pectancy within the ward is higher than the Tameside average, whereas Female life expectancy is slightly lower than the Tameside average. Ashton Hurst has a high prevalence of Coronary Heart Disease (CHD), Diabetes, Asthma, Chronic Kidney Disease (CKD) and Peripheral Arte- rial Disease (PAD) compared to the Tameside average.

QOF Prevalence Rates 2013/14 Chronic Peripheral Atrial Diabetes Kidney Arterial CHD Stroke/ TIA Hypertension COPD Asthma Cancer Heart Failure Dementia Fibrillation (17+) Disease Disease (AF) (CKD) (18+) (PAD) Ashton Hurst 4.9% 2.2% 16.5% 6.4% 3.0% 6.7% 1.7% 0.7% 0.7% 3.5% 1.3% 1.3% Tameside 4.7% 2.2% 16.9% 6.1% 3.0% 6.4% 1.9% 0.7% 0.6% 3.1% 1.4% 1.0% England 3.3% 1.7% 13.7% 6.2% 1.8% 5.9% 2.1% 0.7% 0.6% 4.0% 1.6% 0.6% Males Females Percentage Limiting Long Term Illness or Disability Tameside Average ♂ ♀ 30

25

Life Expectancy Life Expectancy 20 77.3 79.6 6th Highest in Tameside 5th Lowest in Tameside 15 Tameside Average=76.1 Tameside Average=80.3 10 Under 75 All-Cause Under 75 All-Cause 5

Mortality Rate Mortality Rate Limiting % TermIllness Long or Disability 0 475.1 293.7 (per 100,000 u75 Population) (per 100,000 u75 Population) 4th Lowest in Tameside 3rd Lowest in Tameside Tameside Average=560.6 Tameside Average=358.9

Distribution of Acorn Wellbeing Groups in Ashton Hurst

The profile of Acorn Wellbeing groups in Ashton Hurst are detailed in the map (left) and chart (bottom left) :-  The highest represented Wellbeing Acorn Group in Ashton Hurst at 30.4% of the population is the ‘At Risk’ group. Areas represented by the ‘At Risk’ group generally do not have a high incidence of illness, but multiple unhealthy lifestyle behaviours such as smoking, excess alcohol consumption and poor diets putting the population at risk of future health problems. Unhealthy lifestyle behaviours within the ‘At Risk’ group are compounded by social issues such as unemployment and debt, which can lead to low mental wellbeing.  The ‘Caution’ group represents 29% of the Ashton Hurst population. These are areas where the health and wellbeing of the population is generally good with a below average incidence of illness. However, the population within the ’Caution’ group do exhibit some unhealthy behaviours that may lead to ill- health. Within the ‘caution’ group there are lower levels of smoking, with a lower prevalence of high blood pressure, but a higher prevalence of obesity and high cholesterol.  The ‘Health Challenges’ group makes up 22% of the Ashton Hurst population. These are areas with the highest levels of illness and risky behaviours now and within the past that lead to health challenges. They are typically some of the most deprived neighbourhoods and those with the highest elderly populations. This group has the highest prevalence of smoking and lowest consumption of fruit and vegetables. There may also be issues with social isolation and mental wellbeing within the ‘Health Challenges’ group.  The ‘Healthy’ group makes up 18.6% of the Ashton Hurst population. This group represents a higher proportion for the Ashton Hurst Population than that of Tameside as a whole. These are areas with very low levels of illness and good lifestyle behaviours. These areas are typically more affluent, often with a high proportion of older residents. Levels of smoking are very low and consumption of fruit and vegetables are high.

0% 5% 10% 15% 20% 25% 30% 35% 40%

Map of the Hurst Ward, illustrating where the 4 main Acorn wellbeing groups are geographically placed

Acorn Wellbeing Profile of the Ashton Hurst Population

The profile of Acorn Wellbeing types in Ashton Hurst are detailed in the table and charts opposite. There are four Acorn Wellbeing types that make up ap- proximately 50% of the Ashton Hurst population:-  The highest represented Wellbeing Acorn Type in Ashton Hurst at 16.5% of the population is ‘Struggling Smokers’. Levels of smoking and expendi- ture on tobacco within these areas are much higher than the national average. Although many people in these areas state dissatisfaction with their health, the actual number of health conditions is below the national average. High levels of smoking in areas classified as ‘Struggling Smokers’ predis- pose people within these areas to major future health problems.  The ‘Countryside Concerns’ type makes up 12.6% of the Ashton Hurst population. These areas are composed of fairly well-off residents, some of whom are farm owners or managers. The group typically has an older age profile, with an expected high level of bone and joint problems and some cancers. There is a higher than average number of people with high cholesterol and high blood pressure, with a greater than average numbers taking cardiovascular medication. Alcohol intake is slightly above the national average, with women more likely to drink above the recommended levels. Few people are likely to be current smokers with a higher than average proportion of ex-smokers.  The ‘Everything in Moderation’ type makes up 12.2% of the Ashton Hurst Population and is the most average for family structure and housing. They are more likely to live in a 3 bedroom semi detached property which is owner occupied. There are low levels of benefit claimants within this type. They tend to work in intermediate occupations or junior managerial roles, with an income slightly higher than the national average. Health of people within this type is generally good with lower than average smoking rates, although levels of obesity and the proportion drinking more than recommended lev- els are higher than average.  The ‘Hardship Heartlands’ type accounts for 8.2% of the Ashton Hurst Population. The population of these neighbourhoods are likely to live in small social rented houses or flats and to be employed in lower skilled trades, with many being long term unemployed. Levels of smoking and drinking above recommended levels are high. The incidence and prevalence of lifestyle related conditions are high including obesity, bronchitis/emphysema, kidney complaints and angina. There are also higher than average rates of mental illness.

HEALTHY CAUTION

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 0% 2% 4% 6% 8% 10% 12% 14% 16% 18%

AT RISK HEALTH CHALLENGES

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% Proportion of % of Total Population % of Ward Tameside Tameside Wellbeing Acorn Group Types Wellbeing Acorn Type Description Tameside Index within Ward Population Population Acorn Group Population Population

1 Limited living 212 1.8% 4844 2.2% 4.4% 82 2 Poorly pensioners 787 6.8% 8638 3.9% 9.1% 171 3 Hardship heartlands 950 8.2% 24478 11.2% 3.9% 73 1- HEALTH CHALLENGES 4 Elderly ailments 610 5.2% 12056 5.5% 5.1% 95 5 Countryside complacency 0 0.0% 1317 0.6% 0.0% 0 HEALTH CHALLENGES 2559 22.0% 51333 23.4% 5.0% 94 6 Dangerous dependencies 187 1.6% 7285 3.3% 2.6% 48 7 Struggling smokers 1924 16.5% 10170 4.6% 18.9% 356 8 Despondent diversity 0 0.0% 200 0.1% 0.0% 0 9 Everyday excesses 550 4.7% 31468 14.3% 1.7% 33 2- AT RISK 10 Respiratory risks 624 5.4% 8509 3.9% 7.3% 138 11 Anxious adversity 45 0.4% 6991 3.2% 0.6% 12 12 Perilous futures 215 1.8% 4668 2.1% 4.6% 87 13 Regular revellers 0 0.0% 823 0.4% 0.0% 0 AT RISK 3545 30.4% 70114 32.0% 5.1% 95 14 Rooted routines 460 3.9% 16657 7.6% 2.8% 52 15 Borderline behaviours 21 0.2% 6635 3.0% 0.3% 6 3- CAUTION 16 Countryside concerns 1474 12.6% 7393 3.4% 19.9% 375 17 Everything in moderation 1424 12.2% 34721 15.8% 4.1% 77 CAUTION 3379 29.0% 65406 29.8% 5.2% 97 19 Relishing retirement 532 4.6% 4123 1.9% 12.9% 243 20 Perky pensioners 483 4.1% 5284 2.4% 9.1% 172 21 Sensible seniors 147 1.3% 439 0.2% 33.5% 630 22 Gym & juices 0 0.0% 3479 1.6% 0.0% 0 4- HEALTHY 23 Happy families 501 4.3% 9114 4.2% 5.5% 103 24 Five-a-day greys 70 0.6% 598 0.3% 11.7% 220 25 Healthy, wealthy & wine 440 3.8% 8234 3.8% 5.3% 101 HEALTHY 2173 18.6% 31271 14.3% 6.9% 131

METADATA

INDICATOR DESCRIPTION SOURCE LINK

WARD POPULATION Census based population estimates for 2011 by sex, age CENSUS 2011 https://www.nomisweb.co.uk/census/2011 and ethnicity.

ECONOMIC STATUS Census based evaluation of economic status of 16-64 year CENSUS 2011 https://www.nomisweb.co.uk/census/2011 olds

OUT OF WORK BENEFIT CLAIMANT RATES Claimant counts and rates for out of work benefit claimants Department of Work and Pensions (DWP), accessed via https://www.nomisweb.co.uk/ from the Work and Pensions Longitudinal Study (WPLS). NOMIS

HIGHEST ACHIEVED QUALIFICATION Census based figure for the highest achieved qualification CENSUS 2011 https://www.nomisweb.co.uk/census/2011 within the adult population.

EARLY YEARS FOUNDATION STAGE: % of 5 year olds achieving a good level of development on DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk % OF 5 YEAR OLDS ACHEIVING A GOOD LEVEL OF the Early Years Foundation Stage (2011/12) lic Health England DEVELOPMENT

ACHEIVEMENT OF 5 GCSEs AT GRADES A*-C INCLUD- % pupils achieving 5 GCSEs at grades A*-C including DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk ING ENGLISH AND MATHS English and Maths (2011/12) lic Health England

HOUSING TENURE % of households by housing tenure. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSING TYPE % of households by property type. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSEHOLD OVERCROWDING % of households with an Occupancy rating rooms of 1 or CENSUS 2011 https://www.nomisweb.co.uk/census/2011 less. There are two measures of occupancy rating, one based on the number of rooms in a household's accommo- dation, and one based on the number of bedrooms. The ages of the household members and their relationships to each other are used to derive the number of rooms/ bedrooms they require. An occupancy rating of -1 implies that a household has one fewer room/bedroom than re- quired, whereas +1 implies that they have one more room/ bedroom than required.

FUEL POVERTY Modelled % of households that are fuel poor. CENTRE FOR SUSTAINABLE ENERGY http://www.fuelpovertyindicator.org.uk

HOUSEHOLDS WITH NO CENTRAL HEATING % of households with no central heating CENSUS 2011 https://www.nomisweb.co.uk/census/2011

POOR HEALTH (SELF REPORTED ) Percentage of people self reporting their health as either bad or very CENSUS 2011 https://www.nomisweb.co.uk/census/2011 bad in the 2011 census

LIMTING LONG TERM ILLNESS OR DISABILITY Percentage of people stating that they have a long-term illness or CENSUS 2011 https://www.nomisweb.co.uk/census/2011 disability in the 2011 census

QOF PREVALENCE RATES Percentage of the population registered with a GP that have a particu- HSCIC 2014 http://www.hscic.gov.uk/catalogue/PUB12262 lar condition (2013/14)

LIFE EXPECTANCY Life Expectancy at birth by sex PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS MID-YEAR N/A POPULATION ESTIMATES

UNDER 75 ALL-CAUSE MORTALITY RATES Mortality Rate for all causes in residents aged under 75 by sex. PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS MID-YEAR N/A Directly standardised rate per 100,000 population (2011-2013) POPULATION ESTIMATES

UNDER 75 CVD MORTALITY RATES Mortality Rate for CVD in residents aged under 75 by sex. Directly PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS MID-YEAR N/A standardised rate per 100,000 population (2011-2013) POPULATION ESTIMATES

Wellbeing Acorn is a geodemographic segmentation tool that profiles the population in terms of health and wellbeing attributes. These include existing medical conditions, prescribed medication, life-style behaviours such as smoking and alcohol consumption, and self-perceived health status. There are four overarching groups to the segmen- tation, Health Challenges, At Risk, Caution and Healthy. Each of these Wellbeing Acorn groups are further divided into a number of types, of which there are 25 in total. Each Wellbeing Acorn type has a particular profile of demographic and health factors that give an overview of the state of health of the population living in an area. Note that in Tameside none of the population is represented by the Acorn Type ‘Cultural Concerns’ and therefore this group is excluded from these profiles. For a full overview of the features of each of the Wellbeing Acorn groups and types please see the Wellbeing Acorn user guide, available at :- www.caci.co.uk/sites/default/files/resources/Wellbeing_Acorn_UG.pdf