Chapter Three Chapter Three Health of the population within Local Area Partnerships and Area Partnership Boards within Central and Eastern Cheshire Primary Care Trust 45 Chapter Three Health of the population within Local Area Partnerships and Area Partnership Boards within Central and Eastern Cheshire Primary Care Trust This chapter provides an statistics in England and documents or highlighted overview of the health and Wales and have an average within different chapters health needs of Central and population of 7,200 of this report Eastern Cheshire Primary It should be noted that: • the commentary throughout Care Trust (CECPCT) residents this chapter will still use who live within the statistical • data is provided at the the term CECPCT rate, geographic boundaries of the statistical geography. These but this rate is the rate seven Local Area Partnerships ‘statistical’ geographic calculated for the CECPCT (LAPs) of Cheshire East Unitary boundaries are built up from resident population plus the Authority (CEUA) and two out MSOAs to give the nearest population of four MSOAs of the five Area Partnership configuration to the actual which sit outside of CECPCT Boards (APBs) of Cheshire West geographic boundaries of boundaries - identified & Chester Unitary Authority the area partnerships. This within the data tables as (CW&CUA) (Figure 1). was done to: PCT+ Chapter Three o allow the inclusion Divided into nine sections, this of data that is only • in the Technical Appendix, chapter provides health and available at MSOA level the supporting spine charts will show both values - health needs data for each of o prevent possible identified as actual PCT rate the individual area partnerships, disclosure against data (without the population of with differences compared with that is already published the other area partnerships, their the four additional MSOAs) relevant Unitary Authority and o link to previous health and PCT+ rate inequalities and life CECPCT rates where available. lifestyle data is at area expectancy work when • Outliers in the following areas partnership, MSOA, Unitary considering potential are identified: Authority and PCT+ level lives saved • population and population where available trends • within this chapter, area data is comprehensive to partnership and / or • • self reported health status reflect a range of relevant Unitary Authority rates are issues but is not exhaustive. • patient health as defined compared against CECPCT Where data is not available by life expectancy, all cause rates which have been at area partnership level, mortality and death by calculated from aggregated information may be major disease data based on the CECPCT available at CECPCT or resident population plus the • lifestyles followed by Unitary Authority level and population of four MSOAs the population (such contained in other reports which sit outside of CECPCT as smoking, alcohol such as the Joint Strategic boundaries but which are consumption, obesity) Needs Assessment or the contained within the area CECPCT Commissioning • patient disease and lifestyle partnership boundaries. Strategic Plan recording within the Therefore, when looking Middle Super Output Areas at the comparison of data • data provided for Nantwich (MSOAs) that make up the within the commentary of LAP, Northwich & Rural area partnerships. MSOAs this chapter, the CECPCT North APB and Winsford are a geographic hierarchy rate may differ slightly & Rural East APB covers designed to improve the from those CECPCT rates populations that reside collection, analysis and that have been previously outside of CECPCT reporting of small area published in other boundaries 46 Figure 1: Local Area Partnerships and Area Partnership Boards within Central and Eastern Cheshire Primary Care Trust Poynton Disley Wilmslow Knutsford Alderley Edge Bollington Northwich Macclesfield Winsford Middlewich Holmes Chapel Congleton Sandbach Area Partnerships Congleton LAP Crewe Alsager Chapter Three Crewe LAP Knutsford LAP Nantwich Macclesfield LAP Nantwich LAP Northwich & Rural North APB Poynton LAP Wilmslow LAP Winsford & Rural East APB Central and Eastern Cheshire PCT Boundary Dotted Eyes © Crown copyright and/or database right 2010. All rights reserved. Licence number 100019918 • all maps included in spine charts in the Technical It is intended that the health Chapter Three in each Appendix. All of these sources data provided within this area partnership section of information should be used report will enhance that which and in the supporting by the area partnerships to is currently available in the Technical Appendix are help identify the major health existing area partnership profiles created from ‘statistical’ concerns and needs of their that have been created by the area partnership boundaries. local populations so as to Research and Intelligence Units Four of these, Congleton, inform the strategic direction of CEUA and CW&CUA. Knutsford, Nantwich and and delivery of local services to Wilmslow differ from Figure address local health inequalities. It is these latter area partnership 1 and maps seen in other profiles that people should refer publications This chapter does not provide to when looking for data and the definitive explanations for information pertaining to: • this is a snap shot of the causes and reasons for high health across and within • priorities and perceptions or low, good or bad rates. the area partnerships and • national performance this information will be indicators H Recommendation: Area monitored over time area partnership people partnerships are encouraged • • jobs and enterprise Area Partnerships to analyse further the internal The information contained in variations in detail and • children and young people this chapter can be used in determine where patterns exist • safer and stronger conjunction with the additional that can explain the reasons and communities causes. health data that is provided in • environmental sustainability the supporting Area Partnership and individual indicator 47 Area Partnerships example of this is demonstrated and Practice Based by the Congleton LAP, Commissioning groups which contains the towns of The health and health needs Congleton and Holmes Chapel of patients served by the three whose population is largely Practice Based Commissioning served by / are the responsibility (PBC) groups of CECPCT was of the Eastern Cheshire PBC the focus of the CECPCT Consortium, and the towns Annual Report of the Director of of Alsager, Middlewich and Public Health 2009. PBC groups Sandbach whose population are a key supporting partnership are largely served by / are the body for both LAPs and APBs responsibility of the South in delivering health services Cheshire PBC Consortium. to and effecting a change in the health of the population. This is important to note when Further information about the either partnership body (PBC three PBC groups can be seen in or LAP / APB) wishes to work Chapter Two. in conjunction with the other to address a health issue(s) in It should be noted both by GPs either a particular population or and LAP / APB steering group within a particular geographic members that the resident area as success will depend on populations served by the cross PBC group and / or cross Chapter Three PBC groups are often drawn LAP / APB partnership working. from within numerous area partnership boundaries. A clear Further information Practice Based Commissioning Area Partnerships Refer to the Introduction of the Central and Refer to Chapter One of the Central and Eastern Cheshire Primary Care Trust Annual Congleton Eastern Cheshire Primary Care Trust Annual Report of the Director of Public Health 2010 Report of the Director of Public Health 2010 or or CECPCT Annual Report of the Director of Cheshire East UA Website: Public Health 2009: www.cecpct.nhs.uk www.cheshireeast.gov.uk Follow the route: Home Page > About Us > Follow the route: Home Page > Community Public Health and Living > LSP > Local Area Partnerships or Cheshire West & Chester UA Website: www.cheshirewestandchester.gov.uk Follow the route: Home Page > Your Council > Partnership and Area Working > Area Working 48 1. Congleton Local Area Partnership Congleton LAP Headlines The area partnership: 12 months and 16.0% • contains Holmes Chapel • covers 219 square kilometres (range 12.4% - 19.8%) of its MSOA (101.8 per 100,000 and is the third largest residents stating that they CI 56.2-168.8), which has Local Area Partnership have a limiting long-term the lowest (best) directly (LAP) geographically within illness (LLTI) (2001 Census) standardised rate for male Cheshire East Unitary • has a male life expectancy deaths from circulatory Authority (CEUA) rate (78.9 years) which is diseases (all ages) within CECPCT • is made up of 14 Middle higher (better) than the Super Output Areas CEUA and England rates • contains Middlewich East (MSOAs), two of which but lower (worse) than the MSOA (255.6 per 100,00 Chapter Three have been identified as CECPCT rate CI 171.6 - 365.3), which Central and Eastern Cheshire • has a female life expectancy has a directly standardised Primary Care Trust (CECPCT) rate (83.1 years) which is rate for female deaths from Spearhead MSOA areas higher (better) than the circulatory diseases (all ages) which is significantly higher • has Congleton War CEUA, CECPCT and England rates (worse) than the CECPCT Memorial Hospital and ten average and which is the GP practices located within • contains Congleton & highest (worst) rate within its geographic boundaries Holmes