Southport & Formby CCG Locality Profile Overview • 4 localities in Southport & Formby CCG: Population

• Approx. 122,927 people registered with a GP in Southport and Formby CCG. • Central Southport has the largest population compared with the other localities in Southport and Formby CCG. • Formby has the smallest population overall. • Central Southport has the highest percentage of under 20s in the CCG overall average. • Formby has proportionally less under 20s than the CCG average. • The proportion of over 65s is higher than average in Formby and lower than average in Central Southport • The proportion of over 85s is higher than average in Ainsdale & Birkdale, but lower than average in Formby.

Population Projections

• Southport and Formby CCG has more over 65 year olds (24.6%)compared to the England average of 16.7 %. • Over the next decade (using 2011 Census populations and ONS projections): The overall population of residents may increase by approximately 4,200 residents The population of 0-14 year olds may increase by 1,400 residents The working age population (15-64) may fall by 1,800 residents The 65+ population grow by 4,500 residents, which could have a significant impact on health and social care services.

• Source: Census based 2011 projections applied to ONS resident populations

Disease Prevalence

Source: QOF April 2013-March 2014

Overall the CCG has higher prevalence of CHD, Stroke, Hypertension, COPD, Asthma and Cancer than the national average. North Southport has higher than average prevalence of stroke, diabetes, depression, COPD, asthma and cancer. Central Southport has lower than average prevalence of CHD, hypertension, COPD, asthma and cancer Cancer

Cancer Prevalence by Locality 3.5

3.0

2.5

2.0

1.5 Prevalence

1.0

0.5

0.0 Ainsdale & Birkdale Central Southport Formby North Southport

Locality S&F CCG England Southport and Formby CCG prevalence of cancer is higher than the national average and amongst the highest CCGs in the country, however prevalence is not adjusted for the high elderly population in the area (2.5% compared to 1.8%). Incidence is also very slightly above national average when adjusted for age. Unplanned Admissions – Ainsdale & Birkdale

Patients Aged Under 65 Patients Aged 65 Years and Over

2014 / 15 YTD Crude Rate per 1,000 Under 65 2014 / 15 YTD Crude Rate per 1,000 65+

Locality Respiratory NEL Cardiac NEL Digestive NEL Locality Respiratory NEL Cardiac NEL Digestive NEL Ainsdale Medical Centre 7.2 3.7 6.6 Ainsdale Medical Centre 30.7 24.0 15.9 Ainsdale Village Surgery 6.8 3.6 4.6 Ainsdale Village Surgery 12.1 35.1 17.5 Grange Surgery 9.7 3.5 6.2 Grange Surgery 28.0 45.9 20.0 Lincoln House Surgery 8.3 2.4 7.7 Lincoln House Surgery 59.6 23.4 17.0 The Family Surgery 15.3 4.0 7.1 The Family Surgery 38.1 44.5 19.1 Ainsdale & Birkdale Locality 9.2 3.6 6.4 Ainsdale & Birkdale Locality 30.1 33.9 17.8 NHS Southport & Formby CCG 9.3 4.5 7.5 NHS Southport & Formby CCG 31.6 37.8 18.9

Respiratory NEL Primary Diagnosis ICD10 Coding J00-J93 Cardiac NEL Primary Diagnosis ICD10 Coding I00-I99 Digestive NEL Primary Diagnosis ICD10 Coding K00-K93

10.0% Lower than Locality Score Within 10.0% of the Locality Score (Higher or Lower) 10.0% Higher than Locality Score

• There is variation across practices in the rate of unplanned admissions. Admissions have been split into those for patients over and under 65 years old, this is because over 65s are more likely to have long term conditions and pre-existing complexity than patients under the age of 65. Unplanned Admissions – Central Southport

Patients Aged Under 65 Patients Aged 65 Years and Over

2014 / 15 YTD Crude Rate per 1,000 Under 65 2014 / 15 YTD Crude Rate per 1,000 65+

Locality Respiratory NEL Cardiac NEL Digestive NEL Locality Respiratory NEL Cardiac NEL Digestive NEL Cumberland House Surgery 8.6 5.1 10.2 Cumberland House Surgery 31.9 43.4 19.8 Curzon Road Medical Practice 10.0 7.6 8.0 Curzon Road Medical Practice 50.6 58.0 26.8 Kew Surgery 7.0 4.8 8.3 Kew Surgery 33.7 25.7 17.8 St Marks Medical Centre 11.9 5.5 9.0 St Marks Medical Centre 35.0 52.6 21.7 Trinity Practice 15.5 5.3 17.2 Trinity Practice 92.9 66.6 30.5 Central Southport Locality 10.7 5.5 10.0 Central Southport Locality 41.6 50.2 22.3 NHS Southport & Formby CCG 9.3 4.5 7.5 NHS Southport & Formby CCG 31.6 37.8 18.9

Respiratory NEL Primary Diagnosis ICD10 Coding J00-J93 Cardiac NEL Primary Diagnosis ICD10 Coding I00-I99 Digestive NEL Primary Diagnosis ICD10 Coding K00-K93

10.0% Lower than Locality Score Within 10.0% of the Locality Score (Higher or Lower) 10.0% Higher than Locality Score

• There is variation across practices in the rate of unplanned admissions. Admissions have been split into those for patients over and under 65 years old, this is because over 65s are more likely to have long term conditions and pre-existing complexity than patients under the age of 65. Unplanned Admissions – Formby

Patients Aged Under 65 Patients Aged 65 Years and Over

2014 / 15 YTD Crude Rate per 1,000 Under 65 2014 / 15 YTD Crude Rate per 1,000 65+

Locality Respiratory NEL Cardiac NEL Digestive NEL Locality Respiratory NEL Cardiac NEL Digestive NEL Chapel Lane Surgery 5.1 2.9 7.7 Chapel Lane Surgery 21.2 28.3 16.9 Freshfield Surgery 8.7 6.7 7.1 Freshfield Surgery 20.2 35.7 10.9 The Hollies 6.3 4.4 6.9 The Hollies 17.5 43.3 20.6 The Village Surgery Formby 7.6 2.4 4.6 The Village Surgery Formby 24.9 30.8 12.8 Formby Locality 6.8 3.6 6.4 Formby Locality 22.2 32.0 15.1 NHS Southport & Formby CCG 9.3 4.5 7.5 NHS Southport & Formby CCG 31.6 37.8 18.9

Respiratory NEL Primary Diagnosis ICD10 Coding J00-J93 Cardiac NEL Primary Diagnosis ICD10 Coding I00-I99 Digestive NEL Primary Diagnosis ICD10 Coding K00-K93

10.0% Lower than Locality Score Within 10.0% of the Locality Score (Higher or Lower) 10.0% Higher than Locality Score

• There is variation across practices in the rate of unplanned admissions. Admissions have been split into those for patients over and under 65 years old, this is because over 65s are more likely to have long term conditions and pre-existing complexity than patients under the age of 65. Unplanned Admissions – North Southport

Patients Aged Under 65 Patients Aged 65 Years and Over

2014 / 15 YTD Crude Rate per 1,000 Under 65 2014 / 15 YTD Crude Rate per 1,000 65+

Locality Respiratory NEL Cardiac NEL Digestive NEL Locality Respiratory NEL Cardiac NEL Digestive NEL Churchtown Medical Centre 10.0 4.7 6.3 Churchtown Medical Centre 38.0 36.4 22.2 Norwood Surgery 9.8 3.4 6.0 Norwood Surgery 35.4 33.4 18.5 Roe Lane Surgery 5.1 9.0 4.5 Roe Lane Surgery 20.7 41.5 20.7 Sussex Road Surgery 10.1 7.7 6.2 Sussex Road Surgery 22.0 37.4 15.4 The Corner Surgery (dr Mulla) 9.9 6.5 7.8 The Corner Surgery (dr Mulla) 25.3 27.5 18.7 The Marshside Surgery (dr Wainwright) 10.1 5.6 9.1 The Marshside Surgery (dr Wainwright) 34.8 49.7 24.8 North Southport Locality 9.5 5.1 6.5 North Southport Locality 33.1 36.1 20.5 NHS Southport & Formby CCG 9.3 4.5 7.5 NHS Southport & Formby CCG 31.6 37.8 18.9

Respiratory NEL Primary Diagnosis ICD10 Coding J00-J93 Cardiac NEL Primary Diagnosis ICD10 Coding I00-I99 Digestive NEL Primary Diagnosis ICD10 Coding K00-K93

10.0% Lower than Locality Score Within 10.0% of the Locality Score (Higher or Lower) 10.0% Higher than Locality Score

• There is variation across practices in the rate of unplanned admissions. Admissions have been split into those for patients over and under 65 years old, this is because over 65s are more likely to have long term conditions and pre-existing complexity than patients under the age of 65. Maps – Older People: living alone

Proportion of pensioners living alone (2011 Census)

Higher levels of pensioners living alone around the town centre, just north of the Southport town centre and eastern parts of Ainsdale (England average 31.5%, these areas circa 40%) Maps – Older people: admissions for hip fracture

Emergency admissions hip fracture 2008/9 – 2012-/13

Slightly higher rates in central Southport, Blowick, and eastern parts of Formby but 23% higher than national average in Kew. Maps – COPD admissions

Emergency admissions COPD 2006/7 – 2010-11

Higher rates in Kew & Norwood areas (almost 25% higher than national average rates) Maps – CHD admissions

Emergency admissions CHD 2006/7 – 2010-11

Higher rates in Crossens, eastern parts of Ainsdale. Maps – Carers

Proportion of people providing 50+ hours unpaid care per week

3.6% in north Southport, 3.5% Ainsdale

(England average 2.4%)

Data Sources and Notes

• Population data: registered list sizes from Central Operations (NHS England), other resident and Census based populations and projections from Office for National Statistics (www.ons.gov.uk ) • Deprivation from Indices of Deprivation 2010: https://www.gov.uk/government/collections/english-indices-of-deprivation • Data in pages 5-9: aggregated to locality level from Public Health England’s GP Practice profiles (note that because of the lack of published raw data, some percentages may be rounded and averaged to calculate a locality level indicator) http://fingertips.phe.org.uk/profile/general-practice Full details and metadata for all indicators here: http://www.apho.org.uk/resource/view.aspx?RID=96724 • Local admissions data pages 10-12 from Cheshire & Merseyside Commissioning Support Unit (CMCSU) obtained from Secondary Uses Service (SUS) • Maps from www.localhealth.org.uk Many other maps are available for the entire country.

With thanks to West Lancashire CCG for their inspiration and sharing their locality profiles, Sefton Public Health for population, wider determinants, lifestyle, disease prevalence sections, CMCSU for local admissions data.