and Richmond Hill PCN

Burmantofts, Harehills and Richmond Hill Primary Care Network introduction

Summary of report Burmantofts Harehills and Richmond Hill PCN has a younger than average population, with more young men than average.

The majority of the population are resident inside the most deprived fifth of the city. Almost two thirds of the population are recorded as BAME which is around double the city rate.

Most GP recorded conditions are significantly higher than rates, with the exceptions of cancer and common mental health issue which are low. Cancer rates tend to be higher in less deprived populations, this is thought to be due to earlier presentation and improved survival rates.

The PCN has a very high rate of frailty compared to most others, and under 75 mortality rates

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: B86013 North Leeds Medical Practice, B86043 East Park Medical Centre, B86061 The Practice at Harehills Corner, B86081 Bellbrooke Surgery, B86103 Conway Medical Centre, B86623 Ashton View, B86643 Road Surgery, B86669 Bevan @ Street, B86675 Lincoln Green Medical Practice, Y00848 Safe Haven GP Practice, Y02494 Shakespeare Community Practice - One Medicare

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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Burmantofts, Harehills and Richmond Hill 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 & 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 Central Yeadon Beeston B W & M B W B H & RH 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 27% 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 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 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 Burmantofts, Harehills and 55 - 59 50 - 54 Richmond Hill Primary Care 45 - 49 40 - 44 Network is very different to 35 - 39 Leeds, with many more 30 - 34 25 - 29 young children and fewer 20 - 24 15 - 19 young adults and 50 and 10 - 14 above. There are more 05 - 09 00 - 04 males aged 30-45 too. 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 most deprived fifth of Least deprived fifth Leeds but it also includes 0% 20% 40% 60% 80% some in other areas.

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 very much larger 29% of the Leeds registered population falls into proportion of BAME patients than Leeds. the BAME category in 2020. 64% compared to 29%

The PCN has a very large BAME proportion Improvements in recording have resulted in which has increased over time. increases for both the "White British" and "BAME" categories.

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

B H & RH Leeds overall 100% 100% 8% 7% 6% 11% 11% 10% 9% 11% 15% 13% 15% 14% 19% 16% 90% 22% 19% 90%

80% 80% 29% 28% 30% 29% 31% 32% 70% 31% 70% 30%

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

40% 40%

63% 64% 30% 59% 60% 30% 56% 57% 51% 53% 20% 20%

28% 29% 24% 25% 25% 27% 10% 22% 23% 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, 17% compared in terms of the overall proportions of the to 12% youngest and oldest agebands.

In terms of the older population, 5% of The over 70s group has only increased from 10% the PCN are aged 70 or more - very much to 10.6% in the chart below but that is a change smaller 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

B H & RH Leeds overall

100% 100% 7% 6% 6% 6% 6% 6% 5% 5% 10% 10% 10% 10% 10% 10% 11% 11% 90% 90%

80% 80%

70% 70%

60% 60% 76% 77% 77% 77% 77% 77% 77% 78% 50% 78% 78% 78% 78% 78% 78% 78% 78% 50%

40% 40%

30% 30%

20% 20%

10% 10% 17% 17% 17% 18% 17% 18% 17% 17% 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 falling more 8,000 quickly than Leeds for years and is significantly below the overall 6,000 Leeds rate. 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 9% aged groups in less deprived PCN populations. 56 to 75 yrs Burmantofts, Harehills and Richmond Hill PCN has average 36 to 55 yrs asthma rates in the older age bands but well below average in 16 to 35 yrs younger ages. under 16s The ageband with the highest Otley Leeds asthma rate in this PCN is 76 Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York plus years, with a rate of 9% 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. Year 6 obesity rates in this PCN are high but no This PCN is above Leeds but not significantly so, longer significantly above Leeds. This is despite the rate is more or less static and very close to deprived areas and Leeds both increasing in Deprived rates. recent data.

40%

35%

30%

25%

20%

15%

10%

5%

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 following the 25,000 downward trajectory of Leeds but has always been 20,000 significantly above the overall Leeds rate. 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 Burmantofts, Harehills and

36 to 55 yrs 27% Richmond Hill PCN has above average smoking rates in all age 16 to 35 yrs bands but they are particularly high from 36 to 75. 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 The ageband with the highest Crossgates West Leeds West Chapeltown LSMP & Light & LSMP

Midd. & Huns. smoking rate is 36 to 55 years,

Morley & District with a rate of 27% 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 following the trajectory of Leeds and has always been significantly above 20,000 the overall Leeds rate.

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 34% to be more obese. Burmantofts, Harehills and 36 to 55 yrs Richmond Hill PCN has average obesity rates in all age bands. 16 to 35 yrs The ageband with the highest Otley Leeds Obesity rate is 56 to 75 years, Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York with a rate of 34% 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 males and 400 females are almost equal in count, and the patients living in 300

count the most deprived 5th of Leeds 200 are generally those increasing in number. 100 The deprivation breakdown 0 follows the same pattern as the

2014 2015 2016 2017 2018 2019 2020 2014 2015 2016 2017 2018 2019 2020 full PCN population.

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.

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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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 always been 7,000 significantly above the overall Leeds rate, and is increasing 6,000 steadily. 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 27% older age groups in more deprived PCN populations. 56 to 75 yrs Burmantofts, Harehills and 36 to 55 yrs Richmond Hill PCN has very high diabetes rates in older age 16 to 35 yrs bands, even the 36-55 ageband under 16s is above average. Otley Leeds The ageband with the highest Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York diabetes rate is 76 plus years, Crossgates Midd. & H. West Leeds West Chapeltown LSMP & Light & LSMP with a rate of 27% 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 always been significantly above the overall 4,000 Leeds rate, and is decreasing at the same rate. 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 20% groups, slightly more so in more deprived PCN populations. 56 to 75 yrs Burmantofts, Harehills and 36 to 55 yrs Richmond Hill PCN has around average CHD rates. The 76+ rate 16 to 35 yrs is lower than similarly deprived under 16s PCNs. Otley Leeds The ageband with the highest Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York CHD rate is 76 plus years, with a Crossgates Midd. & H. West Leeds West Chapeltown

LSMP & Light & LSMP rate of 20% 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 always been 4,000 significantly above the overall Leeds rate, and is increasing at 3,000 more or less the same rate. 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 12% groups, less so in the least deprived PCN populations. 56 to 75 yrs Burmantofts, Harehills and 36 to 55 yrs Richmond Hill PCN has above average COPD rates from 56 16 to 35 yrs upwards. under 16s The ageband with the highest Otley Leeds COPD rate is 76 plus years, with Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York a rate of 12% 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 always been 3,500 significantly below the overall Leeds rate, and is increasing at a 3,000 slower rate. 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 16% groups, more so in the least deprived PCN populations. 56 to 75 yrs Burmantofts, Harehills and 36 to 55 yrs Richmond Hill PCN has below average COPD rates in all 16 to 35 yrs agebands. under 16s The ageband in this PCN with Otley Leeds the highest Cancer rate is 76 Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York plus years, with a rate of 16% 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 below the overall Leeds rate, and increasing at a 20,000 slower rate.

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.

56 to 75 yrs 30% BHR PCN has below average CMH rates in all agebands, 36 to 55 yrs particularly low in under 55s. 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 30% 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 is more or less static while Leeds climbs slowly, it has 1,500 always been significantly above the overall Leeds rate. 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 3% populations. BHR PCN has above average 36 to 55 yrs CMH rates in all agebands, 16 to 35 yrs particularly high above 55years. under 16s The ageband in this PCN with the highest rate of recorded Otley Leeds severe mental health issues is Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby York Road York 56 to 75 years, with a rate of 3% 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

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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 been significantly above the Leeds 400 rate, but it is not falling like 300 Leeds is.

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, the female rate is 400 close to Leeds but male 300 mortality is around the highest 200 in the city and not falling along with Leeds.

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 Only one PCN (Middleton & Hunslet) has a rate higher than 0

age standardised standardised 100,000 age rate per this PCN. 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

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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 has always been close 200 to the Leeds rate, but in recent years appears to be increasing 150 while Leeds falls. 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 near their Leeds averages, 200 however it is the male rates 150 going up while female rates are 100 static that has caused the 50 overall increases. 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 seven of the least 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

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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 200 significantly above the Leeds rate, because Deprived Leeds is 150 falling they are converging. 100 Meanwhile Leeds falls lower. 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 Both male and female rates 200 have been significantly above 150 Leeds for a few years. The female rate in particular are 100 starting to increase. Male rates 50 are falling only slowly while age standardised standardised 100,000 age rate per both Leeds and Deprived Leeds 0 fall much more quickly. 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 eleven less deprived 0

age standardised standardised 100,000 age rate per 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

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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 often been 50 significantly above the Leeds rate, but in recent years has 40 been improving and is now 30 close to Leeds averages. 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 Both male and female rates 50 have been well above Leeds for 40 a few years but are falling now. 30 Female rates are around those 20 of Leeds now.

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 an

Otley average rate that is lower than Armley Central Yeadon Beeston Seacroft B W & M B W B H & RH Holt Park Holt LS25 LS26 LS25 Woodsley Wetherby

York Road York might be expected, only Crossgates West Leeds West Chapeltown

LSMP & Light & LSMP significantly higher than than Midd. & Huns.

Morley & District four less deprived PCNs.

Source: ONS, GP registered populations

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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 Life expectancy for both sexes has always been very low in this years 78 PCN footprint. Female data is 76 more or less constant while 74 Leeds improves slowly. 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 PCN footprint 78 has very low life expectancy and the sexes are significantly 76 different.

74

72

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.

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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. Burmantofts HarehillsandRichmondHillPCN