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Public Health in the Bradford South Area of Bradford Metropolitan District Council Area

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Public Health in the Bradford South Area of Bradford Metropolitan District Council Area Report of the Strategic Director of Health and Wellbeing to the meeting of Bradford South Area Committee to be held on March 28th 2019 AK Subject: PUBLIC HEALTH IN THE BRADFORD SOUTH AREA OF BRADFORD METROPOLITAN DISTRICT COUNCIL AREA Summary statement: This report seeks to inform Bradford South Area Committee of the work; activities and outturn data of the Public Health department; specifically as it contributes to the health and wellbeing of the population of Bradford South constituency Bev Maybury Portfolio: Health and Wellbeing Strategic Director –Health and Wellbeing Cllr Sarah Ferriby Report Contact: Darren Fletcher & Overview & Scrutiny Area: Sarah Possingham Phone: (01274) 43 5133 (01274) 431319 Health and Social Care E-mail: [email protected] [email protected] Report for Bradford South Area Committee –Public Health -2019-03-28 1. SUMMARY The following report aims to update members on the work and activities of Public Health and how these impact on the residents of Bradford South area. Looking at Appendix 1 which outlines the local and district wide performance data returns and outcomes there are still a range of complex health and wellbeing issues facing the populations of Bradford South. These cannot be mitigated easily, however supporting robust partnership working between voluntary and community sector organisations (VCS); the public sector (the Council and National Health Service -NHS organisations) and communities themselves can open up opportunities to make significant changes which can benefit people resident in Bradford South. 2. BACKGROUND Public Health’s last report to Bradford South Area committee was made on the 15th March 2018. This report built on the previous ones by strengthening those aspects which were related to Bradford South specifically. This years’ report hopes to continue extending the tailoring of issues to the area even further however some outturns and data is still collected on a district wide basis. 3. OTHER CONSIDERATIONS 3.1 Appendix 1 to this report updates the main statistics for Bradford South; Bradford district and the national picture. These have been updated from the last report, the focus of which was 2016 to those from 2017, which is the most recent data available. 3.2 Populations The population of Bradford South continues to increase; 3.6% since 2011 which is higher than the district average which is 2.2% relative to national figures. This is due to an increase in the number of 0-15 year olds, as well as, an increase in people aged 45-60 both of which are in line with wider District picture. National figures differ in that they show growing populations of people aged 16-64 and 65 plus which are not reflected in Bradford District’s figures; instead there is a steady increase in younger people and those in the mid-life bracket. 21% of Bradford South’s population described themselves as being from a black and/ minority ethnic background in the 2011 census. The Bradford district wide figure is higher at 33%. Comparing this against other constituency breakdowns, Bradford South therefore has the third highest proportion of non-white residents in the district after Bradford West and East. The next census will be taken in 2021 and more accurate figures will be available following that. 3.3 Life Expectancy 3.31Life Expectancy at birth The National average life expectancy at birth figures are 83.1 years for women and 79.6 for men. In Bradford District as a whole the average is 81.6 for women and 77.7 for men. Bradford South’s life expectancy figures are lower than the district averages, 80.8 for women and 77 for men. These vary across the 6 wards in South area, with Royds; Great Horton; Queensbury and Tong wards having the lowest for averages for men and Royds and Tong having the lowest for women. Wibsey has higher than the national averages for both men and women at 83.8 for women and 80 for men. 3.32 Infant mortality Bradford District continues to have a high infant mortality rate; 5.8 deaths per 1000 live births as apposed to the national figure which is 3.9 per 1000 live births. Between 2015-2017 there were 23 infant deaths in Bradford South equating to 4.9 deaths per 1000 live births making it lower than Bradford district; but still cause for concern in comparison with national figures. 3.33 Under 75 mortality rates from cancer The mortality rates of people aged under 75 from cancer in South area are high at 130 deaths on average each year. There has been a small decrease in these in 2015-17 however South still has as the second highest figure for this in the district. 3.4 Child excess weight 3.41 Child Excess Weight in reception (4-5years old) Excess weight in children aged 4-5 continues to be an issue in South area. 24.3% of south areas 4-5 year olds are overweight which is considerably higher than the Bradford average of 21.2% and the national one of 22.2%. 3.42 Child excess weight in year 6 (10-11 years old) Bradford South’s averages for excess weight in children of this age peaked in 2013-14 and now shows a decrease; matching the district wide figure. This is an improvement however the district wide figure of 36.7% is higher than the national average of 33.9% and therefore still remains a cause of concern. 3.5 Public Health and partners programmes Public Health and their partners offer a range of services across Bradford district including Bradford South. Since the last report to the area committee in March 2018 there have been new workstreams and new programmes developed to tackle health and wellbeing; including the weight of children and young people from 2017 onwards. These are now beginning to make positive changes which it is hoped will reduce the above outturns in coming years. Further details are below; 3.6 Services for Adults 3.61 Stop Smoking services and tackling illicit tobacco Stop smoking support is provided by a team of specialists based in Public Health and via a network of providers in primary care and pharmacies. Stop smoking support is available at a range of venues including General Practioners (GP’s) surgeries, libraries, supermarkets, and children’s centres to ensure that support is accessible within communities. Within secondary care support to quit smoking is provided by the specialist team on the wards in the main hospitals. The following link is to a ‘ready reckoner’ which gives an idea of the financial costs of smoking by ward http://ash.lelan.co.uk/ 3.62. Reducing smoking in pregnancy has been a priority for a number of years. Public Health work with a range of health partners to ensure a systematic and evidence based approach to tackle maternal smoking is embedded throughout the antenatal care pathway. 3.63. Breathe 2025 is the vision for the Yorkshire and Humber promoted locally - to see the next generation of children born and raised in a place free from tobacco, where smoking is unusual. A multipronged approach to reduce the number of young people taking up smoking is a priority. This includes tackling the trade in illegal tobacco. ‘Keep it Out’ is a programme jointly funded by local authorities across West Yorkshire to combat the damage illegal tobacco does to our communities. Available from a range of sources within some local communities, the sale of illegal tobacco seriously undermines the impact of other tobacco control measures, makes it easier for children to start smoking; enabling them to become hooked at a young age. 3.64 Lung cancer kills more people in West Yorkshire and Harrogate than any other cancer, with high levels of the disease diagnosed at late stage. There is now robust evidence that earlier diagnosis can be effectively encouraged through a combination of targeted lung health checks in high risk areas, public awareness, clinician education and better access to diagnostic testing. With funding from West Yorkshire and Harrogate Cancer Alliance a pilot lung health check scheme will ‘go live’ in Bradford in General Practises (GP’s) practices taking part in the pilot. The programme will identify people to be offered a free lung health check in the community close to their home, along with access to specialist stop smoking advice and appropriate follow-up, including Computerized Tomography (CT) scanning, if needed. The proposal creates the opportunity to establish a local health and care partnership between the local council, providers of National Health Services (NHS) and commissioning organisations in order to drive the programme. 3.65 Public Health continue to work in partnership with Bradford City and Districts, Clinical Commissioning groups (CCG’s), Bradford Breathing Better programme to improve respiratory health outcomes for children, young people and adults in Bradford with Chronic obstructive pulmonary disease (COPD) or asthma. 3.7 Screening There are currently three national screening programmes; Bowel, Cervical and Breast, all of which are provided by; NHS England, local Clinical Commissioning groups (CCG’s) and/or local General Practises (GP’s). Bradford’s take-up figures for these are poor in comparison to other areas of the country, which may impact on the mortality rates for under 75’s due to cancer. This is included in the Clinical Commissioning groups (CCG’s) report, which is also on tonight’s agenda. 3.71 There are currently three national cancer screening programmes: Bowel, Cervical and Breast, all of which are commissioned centrally by PHE and NHS England. Bowel screening for Bradford is coordinated by the North East Hub on Tyneside while Breast screening is managed by the Pennine Screening Team based at St Luke’s Hospital.
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