Middleton and Hunslet Primary Care Network Introduction

Middleton and Hunslet PCN

Middleton and Hunslet Primary Care Network introduction

Summary of report Middleton and Hunslet PCN has an age structure very close to that of Leeds, the vast majority of whom are living in the most deprived parts of the city. There are a greater proportion of White British than in Leeds.

GP recorded conditions are all very high, significantly above Leeds, except for cancer and serious mental health issues. The PCN population has very high rates of frailty, and under 75 mortality is the highest in the city mainly due to respiratory and circulatory disease.

Life expectancy is low but for men at least it is a little higher than other PCNs with similar levels of deprivation.

Practices in this PCN when this report data was made This report uses GP recorded data for groups of practices called Primary care networks (PCNs). Most of the data in this report represents the combined registered populations of the practices making up the PCN. Collating and producing data for this report was concluded in early 2020 when the PCN memberships had been stable for some time. The following practices were aggregated to create PCN data for this profile: B86035 Whitfield Practice, B86042 Lingwell Croft Surgery, B86096 Arthington Medical Centre, B86633 Drs Khan and Muneer, B86642 Church Street

PCN footprints PCN footprints: Some data - Life Expectancy for instance - cannot be made by registered populations and instead is produced for the area that the PCN covers which is called its footprint. A PCN footprint is the area of Leeds where the PCN has more registered patients than eny other PCN. Data reported by footprints represents all patients living in the area regardless of which PCN they are registered to. PCN footprints do not overlap and cover the entirety of Leeds.

Deprivation in this report The Index of Multiple Deprivation 2019 (IMD2019) is used in this report to relate differences in health data to variations in patient environments. Each PCN has a calculated deprivation score which is created using the July 2015 practice population size and locations, PCNs are ranked by their deprivation score in many charts to investigate relationships with deprivation. July 2015 population data is used because it matches the denominators used by the IMD2019 itself.

Note that PCN registered populations can live far from their GP practice and experience a wide variety of deprivation conditions.

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Middleton and Hunslet Primary Care Network

Introduction 1 Contents 2 About the charts in this report 3

Demographics Age structure 4 Black and Minority Ethnic patients (BAME) 5 Population change over time 6

Health Asthma 7 Child obesity (NCMP)* 8 Smoking 9 Obesity 10 Obese smokers 11 Diabetes 12 Coronary Heart Disease (CHD) 13 Chronic Obstructive Pulmonary Disorder (COPD) 14 Cancer 15 Common mental health 16 Severe mental health 17 Frailty 18

Mortality All cause mortality (under 75s)* 19 Cancer mortality (under 75s)* 20 Circulatory mortality (under 75s)* 21 Respiratory mortality (under 75s)* 22 Life expectancy* 23

Map of PCN footprints Map of PCN footprints* 24

* Some datasets cannot be grouped by practice and are shown by PCN footprint area instead. See Introduction page for more details.

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About the charts used in this profile Charts use consistent colours throughout this profile, and text about the PCN will be in blue. Colours have been chosen to work with the most common forms of colour blindness. Time series chart example

PCN is significantly Deprived Leeds above Leeds Grey area is the range of all PCNs from Leeds highest to lowest PCN is not significantly different to Leeds

PCN is significantly below Leeds

Comparing rates, PCNs ranked by deprivation example PCN is significantly In this chart PCNs are shown in above Leeds order of deprivation with the most deprived on the left. Middleton & Hunslet PCN is orange because it is significantly Leeds higher than Leeds, Central PCN is significantly lower than Leeds and therefore blue. PCN significantly below Leeds The dotted line is a best fit through all PCN rates and in this case slopes downward because

Otley less deprived PCN populations Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley

Wetherby have lower rates. York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

% of agebands with condition example The proportion of each ageband with this condition. In this 76 plus yrs example more deprived PCN populations have larger rates in all agebands but the rate is 56 to 75 yrs quite steady for over 75s in all PCNS. 36 to 55 yrs 31% Leeds is shown as dark grey bars 16 to 35 yrs and dotted lines, the chosen PCN is highlighted in blue and the ageband with the highest Otley Leeds Armley Central Yeadon Beeston

Seacroft prevalence in the PCN is B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H.

West Leeds West labelled with prevalence Chapeltown LSMP & Light & LSMP morley & Dst. percentage.

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Age structure and deprivation compared to Leeds PCN registered

Age structure of this PCN, compared to Leeds in grey The age and genders proportions of this PCN are 95+ Females Males shown as shaded areas. The 90 - 94 85 - 89 colours correspond to 80 - 84 75 - 79 deprivation levels in Leeds as 70 - 74 in the chart below. 65 - 69 60 - 64 Middleton and Hunslet 55 - 59 50 - 54 Primary Care Network is 45 - 49 40 - 44 similar to Leeds with slightly 35 - 39 more children, fewer young 30 - 34 25 - 29 adults, and slightly fewer 20 - 24 15 - 19 aged 65 or more. 10 - 14 05 - 09 00 - 04 6% 4% 2% 0% 2% 4% 6%

Deprivation in this PCN population Leeds can be divided into five groups, from most to Most deprived 5th least deprived. 2nd most deprived In this PCN the population are almost entirely within 2nd least deprived the two most deprived fifths Least deprived fifth of Leeds. 0% 20% 40% 60%

Lees deprived PCNs have older populations This table shows the agebands that dominate PCN 80+ populations. The least 70-79 deprived PCNs have 60-69 populations that are less 50-59 diverse in age. 40-49 30-39 The 30-39 ageband is the 20-29 largest in this PCN. 10-19 00-09 greater than or equal to 30% greater than or equal to 20% greater than or equal to 15% greater than or equal to 11% Beeston B H & RH Midd. & Huns. Armley Road York Seacroft B W & M Chapeltown Crossgates Woodsley Leeds West LSMP & Light Morley & Dist Central Park Holt LS25 LS26 Yeadon Otley Wetherby PCNs in deprivation order, most deprived to the left, least deprived on the right

January 2020 population data collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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PCN ethnicity change over time PCN registered

Ethnicity is recorded in very high detail by Leeds GPs, when aggregated it can provide a simple picture of the population changing over time.

How these details are grouped to make Black and minority ethnic (BAME) can effect the outcome. These charts compare the "White British" group with all remaining ethnic types combined into BAME. The third category shows patients with no recorded ethnicity, this has steadily improved in Leeds helping to reveal the true picture.

PCN BAME change over time Leeds BAME change over time In 2020 this PCN has a smaller proportion 29% of the Leeds registered population falls into of BAME patients than Leeds. 23% the BAME category in 2020. compared to 29%

The PCN shows a fall of BAME proportion Improvements in recording have resulted in and a very high rate of recording. increases for both the "White British" and "BAME" categories.

Unknown, not recorded Unknown, not recorded White British White British BAME BAME

Midd. & Huns. Leeds overall 100% 100% 4% 2% 1% 7% 6% 11% 11% 10% 9% 11% 15% 16% 15% 14% 90% 22% 19% 90%

80% 80%

70% 70%

75% 66% 60% 75% 75% 65% 60% 60% 63% 65% 66% 63% 61% 60% 60% 66% 58% 50% 57% 50%

40% 40%

30% 30%

20% 20%

28% 26% 27% 28% 29% 25% 25% 23% 23% 23% 24% 25% 25% 10% 20% 22% 22% 10%

0% 0%

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Population change over time - the very young, and the elderly PCN registered

PCN population age change over time Leeds population age change over time In 2020 this PCN has a larger proportion of Leeds registered patients are remarkably stable young patients than Leeds, 14% compared in terms of the overall proportions of the to 12% youngest and oldest agebands.

In terms of the older population, 9% of The over 70s group has only increased from 10% the PCN are aged 70 or more - smaller to 10.6% in the chart below but that is a change than Leeds at 11% in number of people from 80,465 to 92,065.

70 years and older 70 years and older 10-69 years 10-69 years 0-9 years 0-9 years

Midd. & Huns. Leeds overall

100% 100% 10% 9% 9% 9% 9% 9% 9% 9% 10% 10% 10% 10% 10% 10% 11% 11% 90% 90%

80% 80%

70% 70%

60% 60%

77% 77% 76% 76% 77% 77% 76% 77% 50% 78% 78% 78% 78% 78% 78% 78% 78% 50%

40% 40%

30% 30%

20% 20%

10% 10% 14% 14% 14% 14% 14% 14% 14% 14% 12% 12% 12% 12% 12% 12% 12% 12% 0% 0%

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Asthma in children PCN registered

Change of asthma rates over time (under 16s) In a time series we can see that generally rates have been falling 12,000 for many years. 10,000 This PCN has been significantly 8,000 below the overall Leeds rate for years, however it appears to be 6,000 more or less static recently. 4,000

2,000 Deprived Leeds is barely

age standardised standardised 100,000 age rate per different to Leeds overall, and 0 falling at the same speed. 2013 2014 2015 2016 2017 2018 2019 2020

Under 16s rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of asthma in children don’t 10,000 9,000 display a relationship with 8,000 deprivation - the grey dotted 7,000 line is virtually horizontal. 6,000 5,000 4,000 3,000 2,000 1,000 0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

Asthma is more common in less deprived populations (January 2020) The proportion of each ageband who have asthma. In general it is more prevalent in middle 76 plus yrs aged groups in less deprived PCN populations. 56 to 75 yrs This PCN has slightly below average rates of asthma in all 36 to 55 yrs agebands.

16 to 35 yrs 12% The ageband with the highest under 16s asthma rate in this PCN is 16 to 35 years, with a rate of 12% Otley Leeds Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Child obesity in Reception and Year 6 PCN footprints

Obesity % - Reception over time Obesity % - Year 6 over time Leeds has hovered around 10% obesity in Leeds has risen a little from around 19% to 21% Reception classes for years. Deprived areas are in the chart below, and rates in deprived areas higher and rising steadily, while the PCNs are are much higher. slowly diverging. This PCN is climbing steadily and is now one of This PCN used to be equal to the deprived rate the highest in the city - higher now than the and much higher than the city rate, but in recent deprived areas figure. data has come down to match Leeds.

40%

35%

30%

25%

20%

15%

10%

0% 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Obesity % - PCNs reception in 2018-2019 Obesity % - PCNs Year 6 in 2018-2019 Reception rates of obesity are higher for more The Year 6 data has a much stronger relationship deprived PCNs and lower for less deprived - the with deprivation - the dashed line slopes steeply, chart generally slopes from left to right. The and around half of PCNs have a higher Year 6 relationship is clear but not that strong. rate than the highest Reception rate.

40% 35% 30% 25% 20% 15% 10% 5% 0% Otley Otley Armley Central Armley Central Yeadon Yeadon Beeston Beeston Seacroft Seacroft B W & M B H & RH & H B B W & M Holt Park B H & RH & H B Holt Park LS25 LS26 LS25 Woodsley LS25 LS26 LS25 Wetherby Woodsley Wetherby York Road York Road Crossgates Crossgates West Leeds West West Leeds West Chapeltown Chapeltown LSMP & Light & LSMP LSMP & Light & LSMP Midd. & Huns. & Midd. Midd. & Huns. & Midd. Morley & District Morley PCN NCMP data shows the students resident & District Morley inside the PCN footprint, regardless of where their school is located. NCMP data is collected annually and sent to NHS Digital for national collation. NHS Digital return the processed data to local authorities and this is presented here.

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Smoking (adults) PCN registered

Change of smoking rates over time (adults) In a time series we can see that rates have been falling steadily 35,000 for many years. 30,000 This PCN has been significantly 25,000 above the overall Leeds rate for years. It is falling more quickly 20,000 than Leeds though. 15,000 Deprived Leeds is very different 10,000 to Leeds overall with much age standardised standardised 100,000 age rate per higher rates of smoking, 5,000 however it is falling more quickly than Leeds overall. 2013 2014 2015 2016 2017 2018 2019 2020

Adult rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of smoking display an extremely strong relationship with 27,000 deprivation - the grey dotted 22,000 line slopes sharply.

17,000

12,000

7,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District Smoking is more common in all age groups as deprivation increases The proportion of each ageband who smoke. More deprived PCN populations generally have 76 plus yrs larger smoking rates in all agebands. 56 to 75 yrs This PCN has high smoking rates 36 to 55 yrs 31% in all agebands.

16 to 35 yrs The ageband with the highest smoking rate is 36 to 55 years, Otley Leeds with a rate of 31% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Obesity (adults where BMI>30) PCN registered

Change of obesity rates over time (adults) In a time series we can see that rates have been rising slowly for 30,000 many years.

25,000 This PCN has been significantly above the overall Leeds rate for years and is usually the highest 20,000 in the city.

15,000 Deprived Leeds is much higher

age standardised standardised 100,000 age rate per than Leeds overall, and rising at 10,000 the same speed. 2013 2014 2015 2016 2017 2018 2019 2020

Adult rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of adult obesity display a 35,000 reasonably strong relationship 30,000 with deprivation - the grey 25,000 dotted line is sloped but there is 20,000 variation. 15,000 10,000 5,000 0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District Obesity is more common in middle age as deprivation increases The proportion of each ageband who are obese. More deprived PCN populations generally have 76 plus yrs larger obesity rates in all agebands. Older agebands tend 56 to 75 yrs 40% to be more obese. This PCN has very high rates of 36 to 55 yrs obesity in all agebands.

16 to 35 yrs The ageband with the highest Obesity rate is 56 to 75 years, Otley Leeds with a rate of 40% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Obese smokers (where both records were updated within 12 months) PCN registered

Obese smokers in Leeds, counts by gender and deprivation In January 2020 there were 10,252 Leeds registered and 7,000 Females Males resident patients recorded as 6,000 being obese and current 5,000 smokers.

4,000 56% of these patients are count 3,000 female.

2,000 These charts show the numbers 1,000 gradually rising since 2014, and the most deprived 5th of Leeds 0 (dark orange) has always had

2014 2015 2016 2017 2018 2019 2020 2014 2015 2016 2017 2018 2019 2020 the most patients.

Obese smokers, counts in this PCN by gender and deprivation In this PCN… These charts show the number 600 Females Males of obese smokers in this PCN, by 500 gender and deprivation. In this PCN the female obese 400 smokers outnumber the males greatly, and the overall trend is 300

count moving very slightly 200 downwards.

100 This is despite the numbers of obese smokers in the most 0 deprived fifth increasing slowly

2014 2015 2016 2017 2018 2019 2020 2014 2015 2016 2017 2018 2019 2020 over time.

Obese smokers are older in less deprived PCNs This table shows the agebands within each PCN that contribute 80+ the most to the PCN total of 70-79 obese smokers. 60-69 50-59 For instance, the 50-59 ageband 40-49 contains between 25% and 30% 30-39 of the obese smoker population 20-29 for most PCNs. 16-19 greater than or equal to 30%

Otley greater than or equal to 25% Armley Central Yeadon Beeston Seacroft B W & M B H & RH Holt Park LS25 LS26 Woodsley

Wetherby greater than or equal to 20% York Road Crossgates West Leeds Chapeltown

LSMP & Light greater than or equal to 10% Midd. & Huns. Midd. Morley & Dist.

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Diabetes (all ages) PCN registered

Change of diabetes rates over time In a time series we can see that rates have been rising steadily 10,000 for many years. 9,000 8,000 This PCN has been significantly 7,000 above the overall Leeds rate for years and is increasing at the 6,000 same rate. 5,000 4,000 Deprived Leeds is much higher 3,000 age standardised standardised 100,000 age rate per than Leeds overall, and rising 2,000 more quickly. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of adult diabetes display a very 11,000 10,000 strong relationship with 9,000 deprivation - the grey dotted 8,000 line is clearly sloped. 7,000 6,000 5,000 4,000 3,000 2,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

Diabetes in older age is more common as deprivation increases The proportion of each ageband recorded with diabetes. In general it is more prevalent in

76 plus yrs 24% older age groups in more deprived PCN populations. 56 to 75 yrs This PCN has above average 36 to 55 yrs rates of diabetes in older agebands. 16 to 35 yrs under 16s The ageband with the highest diabetes rate is 76 plus years, Otley Leeds with a rate of 24% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Coronary heart disease (CHD) all ages PCN registered

Change of CHD rates over time In a time series we can see that rates have been falling slowly 6,000 for many years. 5,000 This PCN has been significantly above the overall Leeds rate for 4,000 years and is decreasing more quickly. 3,000

2,000 Deprived Leeds is much higher

age standardised standardised 100,000 age rate per than Leeds overall, and falling 1,000 slightly more quickly. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of CHD display a clear 6,000 relationship with deprivation - 5,000 the grey dotted line is clearly sloping. 4,000

3,000

2,000

1,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

CHD in older age is slightly more common as deprivation increases The proportion of each ageband recorded with CHD. It is very prevalent in the oldest age 76 plus yrs 24% groups, slightly more so in more deprived PCN populations. 56 to 75 yrs This PCN has above average 36 to 55 yrs rates of CHD in older agebands, especially 76+. 16 to 35 yrs under 16s The ageband with the highest CHD rate is 76 plus years, with a Otley Leeds rate of 24% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Chronic obstructive pulmonary disorder (COPD) all ages PCN registered

Change of COPD rates over time In a time series we can see that rates have been very slowly 6,000 increasing for many years. 5,000 This PCN has been highest in the 4,000 city for many years and is increasing more quickly. 3,000

2,000

1,000 Deprived Leeds is much higher

age standardised standardised 100,000 age rate per than Leeds overall, and rising 0 while Leeds is almost static. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of COPD display a very strong 6,000 relationship with deprivation - 5,000 the grey dotted line is clearly 4,000 sloping. 3,000 2,000 1,000 0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

COPD is more common in older more deprived populations The proportion of each ageband recorded with COPD. It is very prevalent in the oldest age 76 plus yrs 19% groups, less so in the least deprived PCN populations. 56 to 75 yrs This PCN has double the average 36 to 55 yrs rates of COPD in older agebands. 16 to 35 yrs under 16s The ageband with the highest COPD rate is 76 plus years, with Otley Leeds a rate of 19% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Cancer (all ages) PCN registered

Change of Cancer rates over time In a time series we can see that rates have been climbing 5,000 steadily for many years. 4,500 4,000 This PCN has been close to 3,500 Leeds for years and follwing much the same increases. 3,000 2,500 2,000 Deprived Leeds is lower than 1,500 Leeds overall, this is thought to age standardised standardised 100,000 age rate per be due to higher cancer 1,000 mortality, possibly a result of late diagnosis. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of cancer display a weak 5,000 inverted relationship with 4,500 deprivation - the grey dotted 4,000 line is sloped slightly showing 3,500 lower rates in more deprived 3,000 PCN populations. 2,500 2,000 1,500 1,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

Cancer is more common in older less deprived populations The proportion of each ageband recorded with cancer. It is very prevalent in the oldest age 76 plus yrs 20% groups, more so in the least deprived PCN populations. 56 to 75 yrs This PCN has average rates of 36 to 55 yrs cancer in all agebands. 16 to 35 yrs The ageband in this PCN with under 16s the highest Cancer rate is 76 plus years, with a rate of 20% Otley Leeds Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Common mental health issues (CMH) all ages PCN registered

Change of common mental health rates over time In a time series we can see that rates have been climbing 30,000 steadily for many years.

25,000 This PCN has always been significantly above the Leeds rate, and climbing more quickly. 20,000

15,000 Deprived Leeds is higher than

age standardised standardised 100,000 age rate per Leeds overall and increasing at 10,000 the same rate. 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of common mental health don’t 30,000 really display a relationship with deprivation - the grey dotted 25,000 line barely slopes and PCN rates vary a lot. This may indicate low 20,000 recording or presentations in some areas. 15,000

10,000 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

CMH does not vary much by age group or deprivation The proportion of each ageband recorded with common mental health issues. It is very prevalent 76 plus yrs in most age groups. 38% 56 to 75 yrs This PCN has well above average rates of CMH in all adult 36 to 55 yrs agebands. 16 to 35 yrs The ageband in this PCN with under 16s the highest rate of recorded common mental health issues is Otley Leeds 56 to 75 years, with a rate of Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York 38% Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Severe mental health issues (SMH) ages 18+ PCN registered

Change of severe mental health rates over time (18+) In a time series we can see that rates have been climbing very 2,500 slowly for many years. 2,000 This PCN has always been close to the Leeds rate, and is 1,500 following the general trend. 1,000 Deprived Leeds is much higher 500 than Leeds overall and age standardised standardised 100,000 age rate per increasing at the same slow 0 rate. 2013 2014 2015 2016 2017 2018 2019 2020

Rates compared (January 2020) - ranked by deprivation Overall, in January 2020, rates of severe mental health display 2,500 a very strong relationship with 2,000 deprivation - the grey dotted line slopes steeply. 1,500

1,000

500

0 age standardised standardised 100,000 age rate per Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist.

SMH is more common in older more deprived populations The proportion of each ageband recorded with serious mental health issues. It is prevalent in 76 plus yrs the older age groups, more so in the most deprived PCN 56 to 75 yrs 2% populations. This PCN has well above average 36 to 55 yrs rates of SMH in older agebands. 16 to 35 yrs The ageband in this PCN with under 16s the highest rate of recorded severe mental health issues is Otley Leeds 56 to 75 years, with a rate of 2% Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP Morley & Dist. This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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Frailty - moderate and severe, March 2019 PCN registered

Moderate frailty, age standardised rates per 1,000 Moderate frailty rates per 1,000 show a strong relationship with 50 deprivation. 45 40 Despite outliers the picture is of higher rates in more deprived 35 PCN populations, and lower 30 rates in less deprived PCNs. 25 'LSMP & The Light' PCN has a 20 very low rate and a very wide 15 range of confidence, the age standardisedage rate per 1,000 population contains few elderly 10 patients hence the wide range. 5 Wetherby PCN however has an 0 average rate of frailty despite its

Otley position as least deprived PCN Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby

York Road York population in the city. Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Severe frailty, age standardised rates per 1,000 Severe frailty also has a strong relationship with deprivation, 25 and again Wetherby PCN stands out as having a rate well above 20 average.

Age standardisation of this data 15 has removed age as a factor in differences so there is another reason for this. It could perhaps 10 be improved recording or presentation by patients. age standardised standardised 1,000 age rate per 5

0 Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: Leeds Data model March 2019

Health and wellbeing profile Page 18 of 24 22/06/2020 Middleton and Hunslet PCN

All cause mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that rates have been dropping very 700 slowly for many years. 600 500 This PCN has always had the highest mortality rate in the 400 city, and in recent years has 300 been increasing steadily.

200 Deprived Leeds is much higher 100 than Leeds overall and age standardised standardised 100,000 age rate per decreasing at the same slow 0 rate. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 900 Females Males different sexes. Here are the 800 separate female and male rates. 700 600 Male and female rates are very 500 different but both are always 400 highest in the city and 300 increasing since around 2011. 200

age standardised standardised 100,000 age rate per 100 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 700 a strong and consistent link with 600 deprivation where less deprived 500 PCN populations have lower 400 mortality rates. 300 200 100 This PCN has the highest rate in the city, it is actually 0

age standardised standardised 100,000 age rate per significantly higher than any

Otley other PCN (except special case Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby

York Road York LSMP & Light) Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: ONS, GP registered populations

Health and wellbeing profile Page 19 of 24 22/06/2020 Middleton and Hunslet PCN

Cancer mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that rates have been falling very 300 slowly for many years. 250 This PCN was extremely high for 200 many years, but in recent data it no longer holds this position. 150

100 Deprived Leeds is much higher 50 than Leeds overall and age standardised standardised 100,000 age rate per decreasing at the same slow 0 rate. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 400 Females Males different sexes. Here are the 350 separate female and male rates. 300 250 Male and female rates are both very high. Female rates slowly 200 increasing while mate rates are 150 steady and now higher then 100 those of Deprived Leeds. 50 age standardised standardised 100,000 age rate per 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 300 a clear and consistent link with 250 deprivation where less deprived 200 PCN populations have lower mortality rates. 150 100 50 This PCN has a rate significantly higher than almost all PCNs n 0

age standardised standardised 100,000 age rate per the city. Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: ONS, GP registered populations

Health and wellbeing profile Page 20 of 24 22/06/2020 Middleton and Hunslet PCN

Circulatory disease mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that rates have been falling very 300 slowly for many years. 250 This PCN has always been above 200 the Leeds rate, and in general is falling faster than Leeds. 150

100 Deprived Leeds is much higher 50 than Leeds overall and age standardised standardised 100,000 age rate per decreasing at the same slow 0 rate. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 350 Females Males different sexes. Here are the 300 separate female and male rates. 250 The male and female rates are 200 very different but generally both 150 are nearly highest in the city. Both sexes have the same 100 improvement followed by 50 increase in recent data. age standardised standardised 100,000 age rate per 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 189 168 a clear and consistent link with 147 deprivation where less deprived 126 PCN populations have lower 105 mortality rates. 84 63 42 This PCN has a rate significantly 21 higher than thirteen less 0

age standardised standardised 100,000 age rate per deprived PCNs. Otley Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: ONS, GP registered populations

Health and wellbeing profile Page 21 of 24 22/06/2020 Middleton and Hunslet PCN

Respiratory disease mortality (under 75s) PCN footprints

Change in overall mortality rate over time In a time series we can see that the Leeds rate has been rising 80 very slowly for many years. 70 60 This PCN has always been far 50 above the Leeds rate, and although falling steadily its is 40 still virtually highest in Leeds. 30 20 Deprived Leeds is much higher 10 age standardised standardised 100,000 age rate per than Leeds overall and 0 increasing much more quickly. 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Female and male rates over time An overall mortality rate often hides very different rates for the 90 Females Males different sexes. Here are the 80 separate female and male rates. 70 60 The male and female rates are 50 nearly highest in the city. Falls in 40 the female mortality rate have 30 driven the PCN improvements. 20

age standardised standardised 100,000 age rate per 10 0 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 2006-10 2007-11 2008-12 2009-13 2010-14 2011-15 2012-16 2013-17 2014-18 Rates compared (2014-18) - ranked by deprivation Overall mortality rates are shown here for all PCNs, there is 84 a relatively consistent link with deprivation where less deprived 63 PCN populations have lower mortality rates. 42

21 There is a clear and strong link between deprivation and 0

age standardised standardised 100,000 age rate per mortality. This PCN has a rate

Otley significantly higher than twelve Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby

York Road York less deprived PCNs. Crossgates West Leeds West Chapeltown LSMP & Light & LSMP Midd. & Huns. Morley & District

Source: ONS, GP registered populations

Health and wellbeing profile Page 22 of 24 22/06/2020 Middleton and Hunslet PCN

Life expectancy PCN footprints

Change in life expectancy over time In a time series we can see that 88 Females Males rates have been climbing slowly 86 for many years. Male figures are 84 improving more quickly but still generally lower than females. 82 80 This PCN has always been years 78 significantly below the Leeds figures, female LE is only slighty 76 higher now than it was in 2007. 74 72 Deprived Leeds is much lower than Leeds overall and more or 70 less static while Leeds slowly improves. 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 2013-2015 2014-2016 2015-2017 2016-2018 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 2013-2015 2014-2016 2015-2017 2016-2018

Female and male life expectancy in 2016-18, all PCNs Life expectancy 95% confidence 88 Females Males interval ranges are shown here. PCNs are ranked by footprint 86 deprivation scores and those with lower deprivation have 84 much higher life expectancy.

82 The link to deprivation is especially clear for males.

years 80

In 2016-18 the male and female 78 life expectancy figures are significantly different, but closer 76 than many deprived PCNs in Leeds. 74

70 Otley Otley Armley Armley Central Central Yeadon Yeadon Beeston Beeston Seacroft Seacroft B W & M B W & M B H & RH B H & RH Holt Park Holt Park LS25 LS26LS25 LS26LS25 Woodsley Woodsley Wetherby Wetherby York Road York Road Crossgates Crossgates West Leeds West Leeds Chapeltown Chapeltown LSMP &LSMP Light LSMP &LSMP Light Midd. & Huns. Midd. & Huns. Morley & District Morley & District

Bars in this chart encompass 95% confidence intervals, Leeds and deprived Leeds have very narrow confidence intervals and can be illustrated with a line. Source: ONS deaths extract, GP registered populations.

Health and wellbeing profile Page 23 of 24 22/06/2020 elhadwlbigpoiePg 4o 422/06/2020 Page 24of Health and wellbeingprofile PCN footprints

Small areas called LSOAs were allocated to the PCN with the most registered patients living there.

Some small adjustments were made to ensure PCN footprints were contigious areas. It is possible for a practice to be located in another PCN footprint. Middleton andHunsletPCN