Motherwell Health and Social Care Locality Profile September 2019

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

The data is drawn from public sources and should be considered with local knowledge. All the data is available from this webpage,1 where the confidence levels of the data are shown clearly.

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

Contents

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

Population 2018 Life expectancy Poverty and Deprivation Integration Indicators Long Term Conditions Mother and Baby Indicators Early Deaths Hospital Admissions Benefits and Labour Market Carers

Population 2018 Females Males Persons 0 - 4 1,239 1,240 2,479 5 - 9 1,417 1,426 2,843 10 - 15 1,608 1,360 2,968 16 - 19 1,024 1,306 2,330 20 - 24 1,286 1,378 2,664 25 - 29 1,348 1,391 2,739 30 - 34 1,538 1,420 2,958 35 - 39 1,626 1,677 3,303 40 - 44 1,471 1,410 2,881 45 - 49 1,739 1,700 3,439 50 - 54 1,845 1,787 3,632 55 - 59 1,615 1,518 3,133 60 - 64 1,360 1,271 2,631 65 - 69 1,132 1,051 2,183 70 - 74 1,087 931 2,018 75 - 79 806 642 1,448 80 - 84 645 429 1,074 85 - 89 357 184 541 90+ 152 88 240 Total population 23,295 22,209 45,504

The 2018 population is 340,180.

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

90+ 90+ Males Females 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 -2,000 -1,000 0 1,000 2,000

2016 2036

The distribution of the older population across the council is shown in the three graphs below, 13% of the council’s population aged 65 and over live in Motherwell.

Where the 65+ population live in North Lanarkshire 2018 16% Airdrie 16% 14% 12% 65+ 75+ 85+ 12% 12% 14% 15% 17% 26% 25% 22% 13% Motherwell 13% 14% 18% 19% 21% Life Expectancy Males Females North Lanarkshire 75.3 79.4 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 the graph below.

Estimated life expectancy in Motherwell social work locality, 2015

81.1 80.4 79.6 79.2 78.8 78.9 77.1 76.6 76.8 78.4 75.7 75.3 76.6 74.7 74.4 75.4 72.6 72.9 72.3 72.5 71.7 72 70.3 70.7 69.5 69.8

ForgewoodMotherwellMotherwellMuirhouseMotherwell Carfin and Muirhouse Ladywell North Scotland South North West North Cleekhimin and New and Lanarkshire Knowetop

 Male life expectancy is highest in Ladywell at 78.4 years and lowest in , Wishaw at 64.2 years  Female life expectancy is highest in (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

Motherwell North Lanarkshire

SIMD 41% 1 (Most Deprived) 31%

17% 2 27%

3 20% 18%

6% 4 13%

15% 5 (Least Deprived) 13%

SIMD by datazone

The graph 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. 30% % Income deprived % Employment deprived 25%

20%

15%

10%

5%

0% Ladywell Muirhouse Carfin Newarthill Muirhouse Carfin and Clydesdale Motherwell Forgewood Motherwell Motherwell North and North Cleekhimin and New West North South Lanarkshire Knowetop Stevenston

Within the SIMD 2016, other issues highlighted by the data are ( 1=most deprived; 6976 = least deprived):  There are 58 datazones in Motherwell social work locality  17 of these datazones are within the 15% most deprived communites in Scotland  6 of the 17 are within the 5% most deprived in the country. These are:

Rank 107 Forgewood - Braidhurst High School to Kylemore Roundabout Rank 118 Motherwell South - Airbles Road to Watson Street Rank 198 Muirhouse - Shields Road to Keane Path Rank 220 Motherwell - Street to Wilson Street Rank 249 Motherwell North - Logan Road to Watling Street Rank 329 Motherwell Town Centre

 18 of the 57 Motherwell datazones are within the 15% most deprived in terms of health in the country, with 5 deemed most actutelly deprived in terms of the health of the population. The 5 most health deprived areas in Motherwell are :

Rank 122 Forgewood - Braidhurst High School to Kylemore Roundabout Rank 253 Motherwell South - Airbles Road to Watson Street Rank 268 Motherwell - Dalziel Street to Wilson Street Rank 285 Motherwell North - Logan Road to Watling Street Rank 314 - Cumbrae Drive to Dechmont Avenue  17 of the 57 datazones are within the 15% most deprived in the eduction domain within the SIMD, 5 of which are in the 5% most deprived. These 5 are:

Rank 108 Forgewood - Braidhurst High School to Kylemore Roundabout Rank 233 Motherwell North - Magna Street to Chesters Crescent Rank237 New Stevenson - Beech Avenue to Station Road Rank 316 Motherwell North - Logan Road to Watling Street Rank 329 Motherwell West - Cumbrae Drive to Dechmont Avenue

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

Scotland 16.3 North Lanarkshire 18.7 Motherwell South 29.2 Forgewood 27.6 Motherwell North 26.5 Motherwell West 23.7 Carfin and Cleekhimin 18.8 Carfin North 16.5 Newarthill 16.1 Muirhouse 14.6 Clydesdale and 13.7 Muirhouse and Knowetop 13.6 Ladywell 6

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 Indicators A&E attendances rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 336.8 329.6 336.4 360.0 366.0 North Lanarkshire 340.0 334.5 344.2 359.3 369.6 Scotland 287.2 280.1 281.7 285.9 294.7

Motherwell and North Lanarkshire’s emergency admission rates have been fairly similar over the last five years. Both have seen an increase of around 9% and remain consistently above the Scotland rate.

Emergency Admissions rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 138.1 132.7 144.0 143.4 149.0 North Lanarkshire 125.4 130.4 132.5 136.0 136.2 Scotland 107.9 109.4 109.2 110.0 111.8

Motherwell’s emergency admission rate has increased by around 8% over the last five years. The 2018/19 rate is around 10% higher compared with North Lanarkshire and has had a consistently higher rate year on year, compared to the partnership and Scotland as a whole.

Emergency Admission Bed Days rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 761.9 767.0 702.1 692.3 707.3 North Lanarkshire 741.8 752.5 717.3 728.9 686.9 Scotland 779.1 762.9 758.7 746.6 744.1

Motherwell’s emergency admission bed days rate has decreased by around 7% over the last five years and has remained below the partnership and National rate since 2016/17.

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 Motherwell N/A N/A 127.6 131.6 117.9 North Lanarkshire N/A N/A 128.2 132.7 110.9 Scotland N/A N/A 118.7 114.1 99.1

Motherwell’s delayed discharge rate has followed a similar trend to both the partnership and national rate, showing a gradual overall decrease.

A&E conversion to hospital admission (%)

Percentage Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 23.6 22.4 24.2 29.0 29.1 North Lanarkshire 26.4 28.1 27.8 29.5 29.0 Scotland 25.8 25.4 25.0 24.6 24.2

Motherwell’s A&E conversion to admission rate has been gradually increasing year on year and in 2018/19, the rate has now crept above the partnership level. This trend is the opposite of what is being seen at a national level, where Scotland has been observing a gradual year on year decrease.

Drug related admissions rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 1.6 1.7 2.2 2.3 2.3 North Lanarkshire 0.9 1.1 1.4 1.7 1.9 Scotland 1.3 1.4 1.6 1.8 1.9

Motherwell’s drug related admissions has consistently been above the partnership and national average rates, however the rate of increase appears to have slowed in the past 2 years, remaining at 2.3 admissions per 1,000.

Emergency admission average length of stay rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 5.5 5.8 4.9 4.8 4.7 North Lanarkshire 5.9 5.8 5.4 5.4 5.0 Scotland 7.2 7.0 6.9 6.8 6.7

Motherwell has one of the lowest average lengths of stay for emergency admissions in North Lanarkshire; it also has one of the highest emergency admission and potentially preventable admission rates. This would show a potential for reducing overall admissions if preventable admission rates could be reduced.

Potentially preventable admissions rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 22.2 22.7 23.8 26.6 26.5 North Lanarkshire 19.8 22.0 22.2 24.3 23.9 Scotland 16.6 17.1 17.3 18.2 17.2

Motherwell’s potentially preventable admissions rate has increased by around 20% over the last five years. For the last five years Motherwell’s rate has been higher than the North Lanarkshire rate, with both being above the Scotland average.

7 day emergency readmission rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 13.7 13.9 15.5 13.5 15.1 North Lanarkshire 12.3 12.4 12.9 12.4 12.8 Scotland 10.0 10.1 10.4 10.4 10.7

Motherwell had the highest 7 day emergency readmission rate in 2018/19 across the North Lanarkshire localities and has consistently had the highest rate each year for the last 5 years.

2+ Emergency Admissions rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 25.1 23.6 26.5 25.4 27.7 North Lanarkshire 22.4 23.0 23.9 24.1 24.6 Scotland 18.6 18.8 19.0 19.2 19.1

Motherwell has continually had one of the highest rates of 2+ emergency admissions in North Lanarkshire and a far greater rate than Scotland.

Long Term Conditions (Scotland data unavailable)

Hypertension Prevalence rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 132.3 133.2 133.9 132.1 134.0 North Lanarkshire 143.8 146.0 146.7 146.7 147.7

Motherwell’s hypertension prevalence rate is the lowest of all localities in North Lanarkshire and has been for the previous five years.

Heart Failure Prevalence rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 6.2 6.1 6.3 6.1 5.9 North Lanarkshire 7.7 7.3 7.0 6.7 6.8

Motherwell has consistently had the lowest heart failure prevalence rate across North Lanarkshire over the last five years.

Psychosis Prevalence rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 26.4 26.5 27.1 26.7 26.7 North Lanarkshire 21.7 22.0 22.4 22.9 23.4

Motherwell has consistently had the highest psychosis prevalence rate of the North Lanarkshire localities over the past five years.

Other Neurological Disease Prevalence rate per 1,000

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 1.3 1.2 1.4 1.3 1.4 North Lanarkshire 1.0 1.0 1.1 1.1 1.1

Motherwell has consistently had the highest other neurological disease prevalence rate of the North Lanarkshire localities over the past five 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 Ladywell 31.3 Muirhouse 21.9 Forgewood 20.4 Carfin North 19.7 Muirhouse and Knowetop 19.4 Carfin and Cleekhimin 16.3 Clydesdale and New Stevenston 13.6 Motherwell North 11.9 Motherwell West 10.3 Newarthill 9.2 Motherwell South 8.4

Age of older and younger mothers 2014-2017 3-year aggregate (%)

30 Aged 35 And Over Aged 19 And Under 25

20

15

10

5

0

Healthy birth weight babies, 2015 3-year aggregate (%) Scotland 83.4 North Lanarkshire 83.6 Carfin North 90.6 Ladywell 89 Motherwell West 88.3 Muirhouse 88.2 Forgewood 87.4 Clydesdale and New… 86.6 Motherwell North 85.3 Muirhouse and… 81.9 Newarthill 79.5 Carfin and Cleekhimin 79.2 Motherwell South 77.5

Early deaths

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

Scotland 105.8 North Lanarkshire 127.8 Motherwell North 245.3 Motherwell South 223.3 Muirhouse 186.8 Clydesdale and New… 169.8 Motherwell West 164.5 Carfin and Cleekhimin 158.4 Forgewood 141.3 Newarthill 87.1 Muirhouse and Knowetop 81.7 Carfin North 79.4 Ladywell 50.5

Early deaths from cancer 2014-2016 3 year aggregate (rate per 100,000)

Scotland 163.8 North Lanarkshire 182.7 Motherwell South 256.9 Motherwell North 244.5 Carfin North 243.1 Forgewood 223.9 Muirhouse 180.2 Motherwell West 174.7 Newarthill 169.4 Carfin and Cleekhimin 155.3 Clydesdale and New… 146.2 Muirhouse and Knowetop 119.7 Ladywell 103.7

Early deaths from coronary heart disease (CHD) <75 years, 2015 (rate per 100,000)

Scotland 53.21 North Lanarkshire 65.92 Motherwell West 151.26 Newarthill 111.00 Carfin North 98.63 Carfin and Cleekhimin 89.25 Forgewood 85.47 Motherwell South 76.26 Muirhouse 74.29 Motherwell North 49.21 Clydesdale and New Stevenston 44.94 Muirhouse and Knowetop 36.26 Ladywell 29.99

% of deaths caused by suicide

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 0.5 0.7 0.8 1.0 1.1 North Lanarkshire 0.8 0.7 1.2 0.9 1.2 Scotland 0.9 1.0 1.0 1.0 1.0

% of deaths caused by suicide in Motherwell have doubled over the last five years, increasing at a faster rate than both North Lanarkshire and Scotland.

Palliative Care % of people dying in NHS hospital

Rate per 1,000 Locality 2014/15 2015/16 2016/17 2017/18 2018/19 Motherwell 52.0 56.0 48.0 52.0 53.0 North Lanarkshire 49.0 51.0 49.0 49.0 48.0 Scotland 51.0 50.0 49.0 48.0 48.0

Motherwell had the highest percentage of people dying in NHS hospitals in2018/19 amongst the North Lanarkshire localities. Also, it has consistently had a higher percentage compared with Scotland over the last five years.

Hospital Admissions

Patients hospitalised with coronary heart disease, 2014 (rate per 100,000)

Scotland 403.1 North Lanarkshire 460.5 Motherwell West 639.1 Newarthill 634.9 Motherwell South 611.0 Motherwell North 606.0 Forgewood 560.2 Carfin North 488.2 Muirhouse and Knowetop 459.8 Carfin, Cleekhimin and New Stevenston 424.1 Ladywell 289.1

Alcohol related hospital stays, 2016 (rate per 100,000)

Scotland 680.8 North Lanarkshire 859.2 Forgewood 2378.2 Motherwell South 1937.4 Carfin and Cleekhimin 1007.3 Clydesdale and New… 849.5 Muirhouse and Knowetop 761.2 Motherwell West 701.6 Motherwell North 671.8 Muirhouse 651.7 Newarthill 573.4 Carfin North 465.5 Ladywell 190.4

Patients (65+) with multiple emergency hospitalisations 2016 (rate per 100,000)

Scotland 5422.3 North Lanarkshire 6951.3 Forgewood 9373.6 Motherwell South 9079 Motherwell West 8602.4 Motherwell North 7974 Clydesdale and New Stevenston 7947.4 Carfin and Cleekhimin 7636 Muirhouse 6763.9 Newarthill 6679.3 Muirhouse and Knowetop 6669.6 Carfin North 5845.9 Ladywell 5706

Patients with emergency hospitalisations 2016 (rate per 100,000)

Scotland 7601 North Lanarkshire 9578.1 Motherwell South 12045.2 Forgewood 11832.8 Motherwell North 11311.4 Motherwell West 10453.2 Carfin and Cleekhimin 10128.6 Newarthill 10039.5 Clydesdale and New Stevenston 9943.5 Muirhouse 9733.8 Carfin North 9646.8 Muirhouse and Knowetop 8862.4 Ladywell 7692.7

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

Scotland 245.8 North Lanarkshire 360 Motherwell North 816.7 Forgewood 547.6 Carfin North 524.3 Motherwell West 515.2 Motherwell South 411.4 Carfin and Cleekhimin 331.9 Newarthill 328.4 Clydesdale and New Stevenston 297.8 Muirhouse 239.3 Muirhouse and Knowetop 217.7 Ladywell 133.7

Benefits and labour market

Pension Credits by locality 2015 (%)

Scotland 6.2 North Lanarkshire 9.2 Motherwell South 14.8 Forgewood 13.2 Newarthill 12.6 Craigneuk Wishaw 12.1 Motherwell West 11.1 Carfin North 10.1 Motherwell North 9.6 Carfin, Cleekhimin & New S'ton 9.6 Muirhouse and Knowetop 7.4 Ladywell 2.5 Adults claiming Incapacity Benefit / Severe Disablement Allowance 2015 (%)

Scotland 6.16 North Lanarkshire 7.85 Craigneuk Wishaw 16.62 Motherwell South 14.79 Forgewood 10.17 Motherwell West 9.49 Motherwell North 9.40 Carfin, Cleekhimin and New… 8.44 Newarthill 8.16 Netherton and Kirkhill 7.87 Carfin North 6.85 Muirhouse and Knowetop 5.91 Ladywell 2.27

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 (Motherwell) Bad or very bad

83 Fair 278 Very good or good 171 346

1748 187 6 1067 342 22 390 395

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

Very good or good Fair Bad or very bad 0 to 24 93.3% 5.3% 1.4% 25 to 49 82.9% 13.2% 3.9% 50 to 64 67.4% 21.8% 10.8% 65 and over 42.7%% 37% 20.2%

2011 census - Economic activity of unpaid carers

Motherwell Social Work Locality North Lanarkshire Council

116 650

1137 7403

598 18805 75 2662 2989 438

288 1837 205 1444