Health & Wellbeing Ward Profile Ashton Waterloo

HEALTH & WELLBEING WARD PROFILE ASHTON WATERLOO

Population 11,246  ♂49% ♀51% Male Population 5,511 Ashton Waterloo Population (16.5% Since Female Population 5,735 2001) (Tameside Male Population 49.1%) (Tameside Female Population 50.9%) Ashton Waterloo is one of the four wards that make up the market town of Ashton-under-Lyne. The population of Ashton Waterloo grew substantially in the 10 years between the 2001 and 2011 censuses by 16.5%, with a proportional ageing of the population. The age profile of Ash- ton Waterloo is similar to that of Tameside as a whole.

Ashton Waterloo has a higher proportion of residents of Indian and Pakistani ethnic background compared to Tameside and England averages.

Employment 61% 2% 13% Employment Rate Job Seekers Allowance Claimant Rate Out of Work Benefit Claimants 9th Lowest in Tameside (Tameside Average=2.8%) (Tameside Average=13.6%) (Tameside Average=61.3%) Economic Status (% Aged 16-74) The employment rate in Ashton Waterloo at 61% is similar to the Tame- Ashton Ashton Wa- Tameside England side average. The proportion of the ward population aged 16-64 claiming Waterloo terloo (%) (%) (%) Job Seekers Allowance is low at 2%. The claimant rate of Employment (Number) Support Allowance (ESA) and for lone parents claiming income support is Economically Active 5633 68.5 68.8 69.9 marginally higher in Ashton Waterloo compared to the Tameside and Eng- land averages. Employee Full Time) 3300 40.1 40.6 38.6 Employee (Part Time) 1107 13.5 13.2 13.7 Self-Employed 610 7.4 7.4 9.7 Unemployed 383 4.7 5.0 4.4 Full Time Student 233 2.8 2.5 3.4 Economically Inactive 2593 31.5 31.2 30.1

Job Seekers Allowance Claimants by Ward (% Aged 16-64) Out of Work Benefit Claimants (% Aged 16-64) Ashton Ashton Tameside England Waterloo Waterloo (%) (%) (Number) (%) Job Seekers Allowance (JSA) 140 2.0 2.8 2.8

Employment Support Allowance (ESA) 630 9.0 8.8 8

Lone Parents (claiming Income Support) 120 1.7 1.6 1.4

Other 25 0.4 0.4 0.4

Total out of work benefit claimants 915 13.0 13.6 12.6

Education and Training 29% 66.9% 49.7% Residents Aged 16+ without Early Years Foundation Stage: Pupils Achieving 5 GCSEs any Qualifications 5 Year Olds with a Good Level Including English and Maths at (Tameside Average=28.1%) of Development Grades A*-C (Tameside Average=59.9%) (Tameside Average=56.5%)

Levels of educational achievement in Ashton Waterloo are generally lower than Tameside as a whole. The proportion of pupils achieving 5 GCSEs including English and Maths is the fourth lowest out of wards in the borough at 49.7%.

However, a substantially higher proportion of five year olds in Ashton Waterloo achieved a good level of development within the Early Years Foundation Stage compared to Tameside as a whole.

Highest Achieved Qualification (% Aged 16+)

Ashton Water- Tameside England (%) loo (%) (%)

No Qualifications 29.0 28.1 22.5

Level 1: 1-4 GCSEs or Equivalent 17.3 16.1 13.3

Level 2: 5+ GCSEs or Equivalent 16.7 17.3 15.2

Level 3: 2+ A-Levels or Equivalent 11.5 12.1 12.4

Level 4 and above: Degree Level 16.3 17.5 27.4

Apprenticeship 4.6 3.6 3.6

Other Qualifications 4.7 5.7 5.7

Housing 4,751 12.4% 2.9% Number of Households Fuel Poor Households Households without Central Heating (Tameside Average=14.1%) (Tameside Average=2.8%) The housing stock of Ashton Waterloo has a larger proportion of semi- Housing Type (% Households) detached properties compared to Tameside and England. The propor- Ashton Tameside England tion of homes that are owner occupied is similar to the Tameside and Waterloo (%) (%) England averages, with a lower proportion of privately rented properties (%) and a higher proportion of socially rented properties. House: Detached 11.1 11.3 22.3

Approximately, 1 in 35 households in Ashton Waterloo has no central House: Semi-Detached 44.8 37.5 30.7 heating and 1 in 8 households are expected to be fuel poor. House: Terraced 29.9 35.7 24.5 Flat/ Apartment: Purpose Built Block 12.5 13.4 16.7 Housing Tenure (% Households) Flat/ Apartment: Converted House 1.0 1.2 4.3

Ashton Flat/ Apartment: In Commercial Building 0.6 0.9 1.1 Tameside England Waterloo (%) (%) Caravan or other Mobile/ Temporary Structure 0 <0.1 0.4 (%) Modelled Percentage of Households in Fuel Poverty Owner Occupied 63.9 63.8 63.3 Private Rented 10.3 13.2 16.8

Social Rented 23.9 21.5 17.7 Shared Ownership (part owned and part rented) 0.6 0.3 0.8 Living Rent Free 1.2 1.1 1.3 Household Overcrowding (% Households) Ashton Tameside England Waterloo (%) (%) (%) Room Overcrowding 5.8 6.1 8.7

Bedroom Overcrowding 4.3 3.9 4.6

Health

7.6% 22.2%  135 per 100,000 u75 population Poor Health (Self-Reported) Limiting Long Term Illness or Disability Under-75 CVD Mortality Rate (DSR) 6th Highest in Tameside, average 7.3%) (Tameside Average =20.9%) (9th Highest in Tameside, average = 86.4)

Residents of Ashton Waterloo have a higher level self-reported poor health and limiting long term illness or disability compared to the Tameside average. Male and female life expectancy within the ward are similar to the Tameside average. Levels of diagnosed CHD and CKD are higher within Ashton Waterloo population. Premature mortality rates for males are substantially elevated within the ward, whereas those for females are lower than average.

Percentage Limiting Long Term Illness or Disability Males Females Tameside Average 30 ♂ ♀ 25

Life Expectancy Life Expectancy 20 76.1 80.5 10th Lowest in Tameside 9th Lowest in Tameside 15 Tameside Average=76.1 Tameside Average=80.3 10 Under 75 All-Cause Under 75 All-Cause 5

Mortality Rate Mortality Rate Limiting % TermIllness Long or Disability 0 607.8 328.0 (per 100,000 u75 Population) (per 100,000 u75 Population) 5th Highest in Tameside 6th Lowest in Tameside Tameside Average=560.6 Tameside Average=358.9

Distribution of Acorn Wellbeing Groups in Ashton Waterloo

The profile of Acorn Wellbeing groups in Ashton Waterloo are detailed in the map (next page) and chart (bottom) :-  The highest represented Wellbeing Acorn Group in Ashton Waterloo at 34% of the population is the ‘Caution’ group’. These are areas where the health and wellbeing of the population is generally good with a below average incidence of illness. However, the population within the ’Caution’ group do exhibit some unhealthy behaviours that may lead to ill-health. Within the ‘caution’ group there are lower levels of smoking, with a lower prevalence of high blood pressure, but a higher prevalence of obesity and high cholesterol.  The ‘At Risk’ group represents 33% of the Ashton Waterloo population. Areas represented by the ‘At Risk’ group generally do not have a high incidence of illness, but multiple unhealthy lifestyle behaviours such as smoking, excess alcohol consumption and poor diets that put the population at risk of future health problems. Unhealthy lifestyle behaviours within the ‘At Risk’ group are compounded by social issues such as unemployment and debt, which can lead to low mental wellbeing.  The ‘Health Challenges’ group makes up 23% of the Ashton Waterloo population. These are areas with the highest levels of illness and risky behaviours now and within the past that lead to health challenges. They are typically some of the most deprived neighbourhoods and those with the highest elderly populations. This group has the highest prevalence of smoking and lowest consumption of fruit and vegetables. There may also be issues with social isolation and mental wellbeing within the ‘Health Challenges’ group.  The ‘Healthy’ group makes up 9% of the Ashton Waterloo population. These are areas with very low levels of illness and good lifestyle behaviours. These areas are typically more affluent, often with a high proportion of older residents. Levels of smoking are very low and consumption of fruit and vegetables are high.

0% 5% 10% 15% 20% 25% 30% 35% 40%

Map of Ashton Waterloo, illustrating where the 4 main Acorn wellbeing groups are geographically placed

Acorn Wellbeing Profile of the Ashton Waterloo Population

The profile of Acorn Wellbeing types in Ashton Waterloo are detailed in the table (next page) and chart (below). There are four Acorn Wellbeing types that make up approximately 50% of the Ashton Waterloo population:-  The highest represented Wellbeing Acorn Type in Ashton Waterloo at 15.5% of the population is ‘Everything in Moderation’. This type is the most average for family structure and housing. Residents are more likely to live in a 3 bedroom semi detached property which is owner occupied. There are low levels of benefit claimants within this type. They tend to work in intermediate occupations or junior managerial roles, with an income slightly higher than the national average. Health of people within this type is generally good with lower than average smoking rates, although levels of obesity and the proportion drinking more than recommended levels are higher than average.  The ‘Routed Routines’ type accounts for 11.5% of the Ashton Waterloo Population. These are typically family orientated areas composed of 2-3 bedroom housing, much of which is owner occupied. Incomes are modest with many working in supervisory or semi-routine occupations. Almost a quarter of the population within this type consider their health to be fair or worse. The prevalence of diabetes, angina and bronchitis are higher than average. Drinking above recommended levels and smoking are slightly above average levels.  The ‘Everyday Excesses’ type accounts for 9.9% of the Ashton Waterloo Population. These areas are typically made up of owner occupied or privately rented terraced housing. The population tend to work in lower supervisory or semi-routine occupations, although some areas have higher than average job seekers allowance claimants. Three times more households than the average have no central heating within this type. Smoking prevalence and drinking more than recommended levels are higher than average. The population within this group is younger than average and therefore health problems and illness levels are low. They take relatively few prescribed medicines, and on average do not suffer with high cholesterol, obesity or high blood pressure.  Them ‘Poorly Pensioners’ type accounts for 9.4% of the Ashton Waterloo population. These areas are typically made up of social rented low to mid- rise flats or semi-detached houses. Due to the old age distribution of such areas, age related diseases occur at high instances and illness such as heart disease and angina are almost three times the national average. Levels of smoking are higher than the national average. The minority of those that are not of retirement age are typically within routine occupations or unemployed and in receipt of benefits.

HEALTHY CAUTION

0% 2% 4% 6% 8% 10% 12% 14% 16% 0% 2% 4% 6% 8% 10% 12% 14% 16%

AT RISK HEALTH CHALLENGES

0% 2% 4% 6% 8% 10% 12% 14% 16% 0% 2% 4% 6% 8% 10% 12% 14% 16%

% of Total Proportion of Population % of Ward Tameside Wellbeing Acorn Group Types Wellbeing Acorn Type Description Tameside Tameside Index within Ward Population Population Population Population

1 Limited living 314 2.8% 4844 2.2% 6.5% 128 2 Poorly pensioners 1045 9.4% 8638 3.9% 12.1% 239 3 Hardship heartlands 588 5.3% 24478 11.2% 2.4% 47 1- HEALTH CHALLENGES 4 Elderly ailments 589 5.3% 12056 5.5% 4.9% 96 5 Countryside complacency 0.0% 1317 0.6% 0.0% 0 HEALTH CHALLENGES 2536 22.8% 51333 23.4% 4.9% 98 6 Dangerous dependencies 393 3.5% 7285 3.3% 5.4% 107 7 Struggling smokers 575 5.2% 10170 4.6% 5.7% 112 8 Despondent diversity 0.0% 200 0.1% 0.0% 0 9 Everyday excesses 1098 9.9% 31468 14.3% 3.5% 69 2- AT RISK 10 Respiratory risks 398 3.6% 8509 3.9% 4.7% 92 11 Anxious adversity 956 8.6% 6991 3.2% 13.7% 270 12 Perilous futures 208 1.9% 4668 2.1% 4.5% 88 13 Regular revellers 0.0% 823 0.4% 0.0% 0 AT RISK 3628 32.7% 70114 32.0% 5.2% 102 14 Rooted routines 1273 11.5% 16657 7.6% 7.6% 151 15 Borderline behaviours 342 3.1% 6635 3.0% 5.2% 102 3- CAUTION 16 Countryside concerns 457 4.1% 7393 3.4% 6.2% 122 17 Everything in moderation 1726 15.5% 34721 15.8% 5.0% 98 CAUTION 3798 34.2% 65406 29.8% 5.8% 115 19 Relishing retirement 0.0% 4123 1.9% 0.0% 0 20 Perky pensioners 265 2.4% 5284 2.4% 5.0% 99 21 Sensible seniors 1 0.0% 439 0.2% 0.2% 4 22 Gym & juices 0.0% 3479 1.6% 0.0% 0 4- HEALTHY 23 Happy families 400 3.6% 9114 4.2% 4.4% 87 24 Five-a-day greys 22 0.2% 598 0.3% 3.7% 73 25 Healthy, wealthy & wine 365 3.3% 8234 3.8% 4.4% 88 HEALTHY 1053 9.5% 31271 14.3% 3.4% 66

METADATA INDICATOR DESCRIPTION SOURCE LINK

WARD POPULATION Census based population estimates for 2011 by sex, age CENSUS 2011 https://www.nomisweb.co.uk/census/2011 and ethnicity.

ECONOMIC STATUS Census based evaluation of economic status of 16-64 year CENSUS 2011 https://www.nomisweb.co.uk/census/2011 olds

OUT OF WORK BENEFIT CLAIMANT RATES Claimant counts and rates for out of work benefit claimants Department of Work and Pensions (DWP), accessed via https://www.nomisweb.co.uk/ from the Work and Pensions Longitudinal Study (WPLS). NOMIS

HIGHEST ACHIEVED QUALIFICATION Census based figure for the highest achieved qualification CENSUS 2011 https://www.nomisweb.co.uk/census/2011 within the adult population.

EARLY YEARS FOUNDATION STAGE: % of 5 year olds achieving a good level of development on DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk % OF 5 YEAR OLDS ACHEIVING A GOOD LEVEL OF the Early Years Foundation Stage (2011/12) lic Health England DEVELOPMENT

ACHEIVEMENT OF 5 GCSEs AT GRADES A*-C IN- % pupils achieving 5 GCSEs at grades A*-C including DEPARTMENT OF EDUCATION. Data accessed via Pub- http://www.localhealth.org.uk CLUDING ENGLISH AND MATHS English and Maths (2011/12) lic Health England

HOUSING TENURE % of households by housing tenure. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSING TYPE % of households by property type. 2011 census CENSUS 2011 https://www.nomisweb.co.uk/census/2011

HOUSEHOLD OVERCROWDING % of households with an Occupancy rating rooms of 1 or CENSUS 2011 https://www.nomisweb.co.uk/census/2011 less. There are two measures of occupancy rating, one based on the number of rooms in a household's accommo- dation, and one based on the number of bedrooms. The ages of the household members and their relationships to each other are used to derive the number of rooms/ bedrooms they require. An occupancy rating of -1 implies that a household has one fewer room/bedroom than required, whereas +1 implies that they have one more room/ bedroom than required. FUEL POVERTY Modelled % of households that are fuel poor. CENTRE FOR SUSTAINABLE ENERGY http://www.fuelpovertyindicator.org.uk

HOUSEHOLDS WITH NO CENTRAL HEATING % of households with no central heating CENSUS 2011 https://www.nomisweb.co.uk/census/2011

POOR HEALTH (SELF REPORTED ) Percentage of people self reporting their health as either CENSUS 2011 https://www.nomisweb.co.uk/census/2011 bad or very bad in the 2011 census

LIMTING LONG TERM ILLNESS OR DISABILITY Percentage of people stating that they have a long-term CENSUS 2011 https://www.nomisweb.co.uk/census/2011 illness or disability in the 2011 census

QOF PREVALENCE RATES Percentage of the population registered with a GP that HSCIC 2014 http://www.hscic.gov.uk/catalogue/PUB12262 have a particular condition (2013/14)

LIFE EXPECTANCY Life Expectancy at birth by sex PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A MID-YEAR POPULATION ESTIMATES

UNDER 75 ALL-CAUSE MORTALITY RATES Mortality Rate for all causes in residents aged under 75 by PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A sex. Directly standardised rate per 100,000 population MID-YEAR POPULATION ESTIMATES (2011-2013)

UNDER 75 CVD MORTALITY RATES Mortality Rate for CVD in residents aged under 75 by sex. PUBLIC HEALTH MORTALITY FILES (PHMF) and ONS N/A Directly standardised rate per 100,000 population (2011- MID-YEAR POPULATION ESTIMATES 2013) Wellbeing Acorn is a geodemographic segmentation tool that profiles the population in terms of health and wellbeing attributes. These include existing medical conditions, prescribed medica- tion, life-style behaviours such as smoking and alcohol consumption, and self-perceived health status. There are four overarching groups to the segmentation, Health Challenges, At Risk, Cau- tion and Healthy. Each of these Wellbeing Acorn groups are further divided into a number of types, of which there are 25 in total. Each Wellbeing Acorn type has a particular profile of demo- graphic and health factors that give an overview of the state of health of the population living in an area. Note that in Tameside non of the population is represented by the Acorn Type ‘Cultural Concerns’ and therefore this group is excluded from these profiles. For a full overview of the features of each of the Wellbeing Acorn groups and types please see the Wellbeing Acorn user guide, available at :- www.caci.co.uk/sites/default/files/resources/Wellbeing_Acorn_UG.pdf