Beeston LCP Health and Wellbeing Profile 2018

LCP footprint Beeston LCP population health profile

Beeston LCP Health and Wellbeing profile 2018

Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and the majority of the rest are in areas of high deprivation too, the age structure is similar to Leeds with a slightly small proportion of teenagers, and a larger proportion of young men.

The population of Beeston LCP has seen an increase in the proportion of patients aged 0-9 years old, while the least deprived LCP populations have seen lower increases. The elderly population of Beeston has barely changed since 2015, something not seen in other LCPs.

Asthma in children around average but recent years have seen a steady rise – it was reasonably low before that. Child obesity shows a similar picture – previous low rates have become higher in recent years and it doesn’t appear to be a result of low numbers causing fluctuation. The LCP has a large number of 'Looked after children' and an average success rate of MMR vaccinations. Progress8 scores for clusters in this area are very mixed, from the very best to almost the lowest.

In Leeds ethnicity recording by GPs has been improving steadily; fewer patients have no ethnicity record and accuracy is improving. In this LCP the 'Black Background' category is rising fastest (due to large increases in the 'Black African' ethnic group) while the others are making a slower rise.

Smoking in LCP populations is very strongly linked to deprivation but the good news is the most deprived LCPs that have the highest rates are showing slightly faster declines than the least deprived – smoking cessation efforts are focussed in deprived parts of the city. Smoking rates for this LCP are within the highest in the city, however they are falling steadily and possibly at a faster rate than least deprived LCPs. Adult obesity in Beeston is high, and increasing slowly, the number of obese smokers in Beeston is more or less steady.

Diabetes, Coronary Heart Disease (CHD), and Chronic Obstructive Pulmonary Disease (COPD) rates are all in line with the expected pattern relating rates with population deprivation levels; diabetes is rising steadily, CHD is high and falling more slowly than the Leeds rate, while the COPD rate is very high and rising steadily.

The Leeds cancer rate is rising, likely due to improvements in treatment and survival. It is rising in all LCPs, but the some of the highest rates are found in the least deprived. This is thought to be due to early presentation and treatment in less deprived populations who are perhaps more likely to seek early diagnosis. Beeston has one of the lower rates and is rising at about the same rate as Leeds.

Severe mental health issues such as bipolar disorders, paranoid schizophrenia, and manic episodes are rising slowly in all parts of the city and are generally higher in more deprived areas, Beeston LCP has a high rate but is more or less static over time.

Mortality rates generally are falling across the city, and they are clearly related to deprivation, Beeston LCP is showing high rates but steady decreases for most mortality in this report. Lastly, life expectancy. As expected, the least deprived LCPs have the longest life expectancy, there is some evidence too that the sexes are less different in life expectancy in the least deprived parts of the city. Beeston LCP life expectancy is significantly below many other LCPs in the city.

This report focuses on health indicators for people living in the Beeston LCP footprint. Because Leeds contains such variation the data for all other LCPs is provided as a backdrop.

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Contents Introduction 1 Contents 2 How to read this report 3 Summary of time series data 4-5 Age structure and deprivation compared to Leeds 6 Ethnicity change over time 7 Population change over time 8 Asthma in children 9 Obesity in children 10 Looked After Children / MMR 11 Progress8 / Job seekers 12 Smoking (16+) 13 Obesity 14 Obese smokers 15 Diabetes 16 Coronary Heart Disease 17 Chronic Obstructive Pulmonary Disease 18 Cancer 19 Common mental health issues 20 Severe mental health issues 21 Frailty and 'End of Life' 22 All Cause mortality (under 75s) 23 Cancer mortality (under 75s) 24 Circulatory disease mortality (under 75s) 25 Respiratory disease mortality (under 75s) 26 Life expectancy 27

This map shows the most and least deprived fifths of Leeds in orange and blue. This LCP is shown as a black outline.

LCPs are geographical areas of varying sizes that are created by combining smaller areas called Lower Super Output Areas (LSOAs). LSOAs are used because most data can be accessed at this level, and because of that can be combined into larger geographies.

Much of the data in this profile is produced with the outputs of the quarterly data extraction programme run by the Public Health Intelligence Team on GP practice systems in Leeds. Credits: Quarterly data extraction programme data (populations, ethnicity, mental health, smoking, copd, chd, diabetes, obesity, cancer), supplied by James Womack Public Health Information Manager (Data & Systems). Life expectancy source: ONS deaths extract, GP registered populations by Richard Dixon Public Health Intelligence Manager. Mortality source: ONS and GP registered, by Richard Dixon. Child obesity source: National Child Measurement Programme. Report produced by Adam Taylor - Senior Information Analyst [email protected].

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How to read this report The report highlights a specific LCP throughout while displaying all others for context. Leeds is always represented by a dark grey line, and the most deprived fifth of Leeds as a dotted line.

Most deprived Leeds is split into five areas by deprivation, from the most deprived 5th of Leeds to the least deprived 5th using these colour codes in this report. 2nd most deprived The proportions of each LCP population who live in these areas are shown Mid range below. The LCP classed as the most deprived is 'Harehills' with 100% of its 2nd least deprived population living in the most deprived 5th of Leeds. The least deprived LCP is 'Wetherby' where over 80% of patients live in the least deprived Least deprived fifth of the city.

0% Deprivation distribution100% LCP Most deprived Harehills Burmantofts & Richmond Hill Beeston Chapeltown Armley Seacroft Middleton Bramley LSMP Crossgates Woodsley Pudsey Morley Central Holt Park Garforth Kippax Rothwell Aire Valley Otley Least deprived Wetherby

In this way the LCPs have been ranked in order of deprivation, and in this report always appear in that order - from most to least deprived - to illustrate any relationships with deprivation. The ranking takes into account the number of people as well as their location.

Highlighting this LCP: This LCP is highlighted with markers, they indicate when the LCP is significantly different to Leeds:

Not significantly different to Leeds when hollow.

Significantly different to Leeds when solid.

The LCP will be outlined in any bar charts, and the report text will refer to the LCP.

Deprivation notes: The Index of Multiple Deprivation 2015 was weighted with mid 2015 practice populations to generate the five deprivation areas in Leeds.

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Summary of data in this report All ages unless specified All LCPs are displayed in rank order by rates and this LCP is outlined. If an LCP is significantly different to the Leeds rate it is shaded grey, those that are not significantly different to Leeds are shown in white. All data here is age standardised rates per 100,000

Asthma (children) Smoking (16+) 10K 9K 30K 8K 7K 25K 6K 5K 20K 4K 15K 3K 2K 10K 1K 0 5K 0

Adult obesity Diabetes

30K 12K 25K 10K 20K 8K 15K 6K 10K 4K 5K 2K 0 0

Cancer CHD

4.5K 5.0K 4.0K 4.5K 3.5K 4.0K 3.0K 3.5K 2.5K 3.0K 2.5K 2.0K 2.0K 1.5K 1.5K 1.0K 1.0K 500 500 0 0

COPD Common mental health issues - all ages

25.0K 5.0K 20.0K 4.0K 15.0K 3.0K

2.0K 10.0K

1.0K 5.0K

0 0 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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Summary of data in this report All LCPs are displayed in rank order by rates and this LCP is outlined. If an LCP is significantly different to the Leeds rate it is shaded grey, those that are not significantly different to Leeds are shown in white. Except life expectancy, all data here is age standardised rates per 100,000

Severe mental health issues 18+ End of life and Frailty

3.0K 10K 9K 2.5K 8K 2.0K 7K 6K 1.5K 5K 4K 1.0K 3K 500 2K 1K 0 0

All cause mortality under 75s Cancer mortality under 75s

250 750 200

500 150

100 250 50

0 0

Circulatory mortality under 75s Respiratory mortality under 75s

180 80 160 70 140 60 120 50 100 40 80 60 30 40 20 20 10 0 0

Life expectancy male and female

86 F M

76 Years

66 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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Age structure and deprivation compared to Leeds (January 2018) Generally speaking the most deprived LCPs have younger populations than the least deprived. This LCP has a population size of 42,899.

Age structure of this LCP, compared to Leeds The age and gender proportions of this LCP are shown as shaded areas in 95+ 90 - 94 Females Males colours corresponding to the 85 - 89 deprivation fifths of Leeds in the chart 80 - 84 75 - 79 below. Leeds is overlaid as a black 70 - 74 65 - 69 outline. 60 - 64 55 - 59 50 - 54 45 - 49 Over half of the LCP population live in 40 - 44 35 - 39 the most deprived areas of the city 30 - 34 (orange), and the rest are also in areas 25 - 29 20 - 24 of higher deprivation. Generally the 15 - 19 10 - 14 age structure is similar to Leeds but 05 - 09 0 - 04 with more children and middle aged 10%5%0%5%10%men.

Deprivation in this LCP population Leeds can be divided into five groups, Least deprived 5th of Leeds of most to least deprived. 2nd least In Beeston LCP 52% of the population live in the most deprived fifth of 2nd most Leeds. Most deprived 5th of Leeds

0% 50% 100%

Age structures of each LCP compared This table shows the agebands 80+ contributing the most to each LCP 70-79 population. The most deprived LCPs 60-69 have a more concentrated younger 50-59 population, while less deprived LCPs 40-49 have increasingly older populations. 30-39 20-29 The 30-39 year ageband in Beeston is 10-19 the largest in this LCP. 0-9 greater than or equal to 25% Otley LSMP greater than or equal to 20% Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby greater than or equal to 15% Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown greater than or equal to 11%

Deprivation notes: The Index of Multiple Deprivation 2015 was weighted with mid 2015 practice populations to generate the five deprivation group areas in Leeds.

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LCP ethnicity change over time - categories (mid 2013 to early 2018)

30K

In this LCP the 'Black Background' category is rising 25K fastest (due to large increases in the 'Black African' 20K ethnic group) while the others are making a slower 15K rise. In Leeds only around 12% of patients are without a recorded ethnicity now. 10K 5K

0 The main chart excludes the 'White 7K background' category to expose detail - here it is shown alongside all categories.

Counts of patients of Counts 3K

Asian Background Black Background Blank, not known, not recorded Chinese & Other Background Mixed Background Source: Leeds GPs quarterly data extraction programme

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Population change over time Most LCPs have a larger population than they had in 2015. Generally speaking the least deprived have seen an increase in elderly patients but barely any change in children, while the opposite is likely in more deprived LCPs. Leeds population size change over time - in 10yr age bands

900K The population of Leeds (registered 800K 80+ years 70-79 years with a Leeds GP) over the last four 700K years. The very oldest and youngest age bands are shaded. Overall, Leeds 600K shows a constant increase of around 500K 6% in the time period shown, while the age band to grow the most was 400K the 30-39 year olds. 300K As usual the variations at local level 200K 10-19 years tell a different story. 100K 0-9 years 0 2013-14 2014-15 2015-16 2016-17 2017-18

LCP % change in 0-9 year old population between 2015 and 2018 25% There is a visible pattern in the 20% increase of the proportion of young children in the more deprived LCPs, 15% while the less deprived LCPs have seen smaller increases. 'Harehills' 10% stands out as having by far the largest % change 5% increase in the city.

0% The way the older population of each LCP has changed is slightly different. -5%

LCP % change in the over 70s Very generally speaking (and overlooking the obvious reduction in 20% 'Chapeltown' which is a large change 15% in proportion but quite a small change actual numbers), the least deprived 10% LCPs have seen a larger change in their older populations compared to 5% the more deprived LCPs - 'Bramley' % change 0% and 'Beeston' have barely changed.

-5% The number of children in this LCP increased by almost 500, while the -10% population aged 70+ has barely

Otley changed. Armley Morley Pudsey Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown Source: Leeds GPs quarterly data extraction programme

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Asthma in children Rates are generally falling, and change is happening slowest in the least deprived areas but LCP rates are all quite similar.

Change of rates over time (Age standardised rates per 100,000) 13K In a time series we can see rates have been falling for many years, and the 12K LCPs are falling at more or less the same rate - except the least deprived 11K ones which are dropping more slowly. 10K Most recent data shows this LCP not 9K to be significantly different to Leeds. 8K

6K Leeds range Most deprived 5th

2013-14 2014-15 2015-16 2016-17 2017-18 This LCP Most recent rates compared (Age standardised rates per 100,000) 10K 9K Looking at the most recent data from 8K January 2018 we can see that rates 7K are not really following a relationship 6K with deprivation, most are similar to 5K Leeds. 4K 3K The LCPs are shown in descending 2K order of deprivation and the bars 1K show barely change in size from left to 0 right. However the slightly low rates in Asthma counts per LCP the most deprived LCPs are worth (Counts) investigation. 1,200

1,000 This chart shows the number of patients per LCP. If any LCP patients 800 with this condition live within the 600 most deprived 5th of Leeds they are shown in orange. 400

200 2,658 children living in the most deprived 5th of Leeds are shown in 0 orange, 320 of them are within this

Otley LCP. Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby

Middleton Note that the student medical practice does Aire Valley Crossgates Bt & Rm Hill Chapeltown not contain enough data to be shown here. 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 in children Rates are generally falling in Reception classes, but Year 6 rates are much more variable with changes related to deprivation levels.

Reception - Overweight or very overweight Year 6 - Overweight or very overweight

45%

40%

35%

30%

25%

20%

15% 2012/13 2013/14 2014/15 2015/16 2016/17 2012/13 2013/14 2014/15 2015/16 2016/17

Reception - weight category proportions (16/17) Year 6 - weight category proportions (16/17)

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Otley Otley Armley Armley Pudsey Morley Pudsey Morley Central Central Beeston Beeston Bramley Bramley Seacroft Seacroft Harehills Harehills Holt Park Holt Park Gf/Kp/Rw Gf/Kp/Rw Woodsley Woodsley Wetherby Wetherby Middleton Middleton Aire Valley Aire Valley Crossgates Crossgates Bt & Rm Hill Chapeltown Bt & Rm Hill Chapeltown Underweight Healthy Weight Overweight Very overweight

Leeds shows a slow reduction in the proportion of 'Overweight or Very Overweight' children in year Reception children who are classed as 6 are becoming slowly more prevalent in Leeds. 'Overweight or Very Overweight'. The LCPs again show quite a lot of fluctuation. There is a strong relationship between deprivation The LCPs show some variation as numbers are levels and 'Overweight or Very Overweight' quite low overall. The breakdown of proportions proportions. per LCP shows a slight reduction in 'overweight or very overweight' as deprivation falls. Beeston LCP rates have recently climbed to almost the highest in the city, this does not appear to be fluctuation due to low numbers. Source: National Child Measurement Programme. Note that LSMP is not shown here, the student medical practice does not contain enough data for NCMP. NCMP data is aggregated by LSOA to LCP footprint, not by LCP practice membership.

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Looked after children / MMR

Looked after children Number of looked after children (LAC) in the LCP footprint* from 2016-17. 200 Those living within the most deprived 180 5th of Leeds are shown in orange. 160 140 68 of the 641 looked after children 120 resident inside the most deprived 5th 100 of Leeds are within this LCP footprint. Count 80 60 LCPs are shown ranked by deprivation 40 and despite variations in population 20 sizes the general picture shows larger counts in more deprived areas. 0

MMR vaccinations before age 25 (June 2018)

The data for this LCP shows a gap of 2,469 patients aged under 25 who have not had the second MMR vaccination. This works out as 17% of the under 25 population.

This chart shows the proportion of patients who belong to the LCP (by practice membership) and who have had either one or both of their MMR vaccinations before the age of 25 (as of mid June 2018).

The dark bars show rates of those who have had both. The lighter bars behind them show rates achieved for giving just the one. Ranking the LCPs by deprivation shows a slight improvement in rates as deprivation falls. Overall rates for Leeds are 86% and 66% respectively.

100% 90% Proportion having 1 MMR 80% dose before 25th birthday 70% 60% Proportion having 2 MMR 50% doses before 25th birthday 40% 30% this lcp 20% 10% 0% Otley LSMP Armley Pudsey Central Morley Beeston Bramley Seacroft Harehills Holt Park Holt Woodsley Wetherby Middleton Aire Valley Crossgates Chapeltown Gathforth/Kippax/Rothwell Burmantofts & Richmond Hill

Sources: Looked after children: Intelligence & Policy Service LCC. MMR: Leeds quarterly data extraction programme data. * In this case the footprint is aggregated from MSOAs. Usually LSOAs are used to construct footprint data. Looked after children data uses locations recorded before entering care.

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Progress at school / job seekers

Progress8 scores (School clusters)

Beeston, Cottingley and Middleton Progress8 scores for Leeds Garforth Childrens Clusters (2016-17). Leodis Rothwell Those that overlap Morley significantly with this LCP are 2Gether Headingley - Kirkstall highlighted. Brigshaw Horsforth A School Cluster’s Progress8 Otley/Pool/Bramhope score is usually between -1 Farnley and +1. A score of +1 means Templenewsam Halton that pupils attending schools Aireborough in that cluster achieve one ESNW grade higher in each Bramley qualification than other similar EPOS pupils nationally. Inner East ARM Seacroft Manston A score of -1 means they Pudsey achieve one grade lower. Lantern Learning Trust J.E.S.S ACES

-0.8 -0.5 -0.3 0 0.3 0.5 0.8 Score

Jobseekers by duration receiving JSA benefit

1,000 900 Counts of adults receiving Job 800 Seekers Allowance, by LCP 700 footprint in August 2018. 600 500

Count 400 Despite variations in 300 population size and structure, 200 there is a clear reduction in 100 numbers as deprivation falls. 0 Otley

LSMP Central LCP looks out of place Armley Pudsey Central Morley Beeston Bramley Seacroft

Harehills here, perhaps because it Holt Park Woodsley Wetherby Middleton Aire Valley Crossgates

Chapeltown contains a reasonably large deprived population 52+ weeks compared to neighbours in 13 to 52 weeks the chart.

1 to 13 weeks Garforth/Kippax/Rothwell Burmantofts & Richmond Hill & Richmond Burmantofts

Sources: Progress8 - Children and Young People's Plan Key Indicator Dashboard August. Job Seekers Allowance: LSOA level data from https://www.nomisweb.co.uk/

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Smoking (16+) Rates are generally falling, and change is happening fastest in most deprived areas. Smoking rates are very strongly linked to levels of deprivation still though.

Change of rates over time (Age standardised rates per 100,000) In a time series we can see rates have 30K been falling for many years, and in general the most deprived LCPs are falling at a slightly faster rate than the 25K least deprived ones.

20K Most recent data shows this LCP to be significantly above Leeds. 15K

10K

Leeds range

2013-14 2014-15 2015-16 2016-17 2017-18 Most deprived 5th This LCP Most recent rates compared (Age standardised rates per 100,000) 30K Looking at the most recent data from 25K January 2018 we can see that rates are following a strong relationship 20K with deprivation. 15K The LCPs are shown in descending 10K order of deprivation and the bars 5K show a clear reduction in size from left to right. 0

Smoker counts per LCP (counts) 18,000 This chart shows the number of 16,000 patients per LCP. If any LCP patients 14,000 who smoke live within the most 12,000 deprived 5th of Leeds they are shown 10,000 in orange. 8,000 Count 6,000 40,162 smokers living in the most 4,000 deprived 5th of Leeds are shown in 2,000 orange, 5,438 of them are within this 0 LCP. Otley LSMP Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley

Wetherby Generally speaking the less deprived Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown LCPs have fewer smokers. 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) Rates are generally climbing, although some areas are showing a levelling off and perhaps a decline in recent quarters.

Change of rates over time (Age standardised rates per 100,000) 30K In a time series we can see there doesn’t seem to be a relationship 28K between rate of change and levels of deprivation for this indicator. All LCPs 26K have been slowly rising, perhaps the 24K least deprived are showing more decline recently than others. 22K Most recent data shows this LCP to be 20K significantly above Leeds. 18K

Leeds range

2013-14 2014-15 2015-16 2016-17 2017-18 Most deprived 5th This LCP Most recent rates compared (Age standardised rates per 100,000) 30K Looking at the most recent data from 25K January 2018 we can see that rates are following a clear relationship with 20K deprivation. 15K The LCPs are shown in descending 10K order of deprivation and the bars 5K show a clear reduction in size from left to right. 0

Obesity counts per LCP (counts) 16,000 This chart shows the number of obese 14,000 patients per LCP. If any obese patients 12,000 live within the most deprived 5th of 10,000 Leeds they are shown in orange. 8,000 Count 6,000 30,367 obese patients living in the 4,000 most deprived 5th of Leeds are shown 2,000 in orange, 3,492 of them are within this LCP. 0 Otley LSMP Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

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 (adults for whom both records were updated within 12 months) There are more women than men who have a BMI above 30 and are current smokers. The gender difference is seen in most LCPs and is slightly more pronounced in the most deprived. (recent large changes in the data are due to data collection issues) Obese smokers in Leeds, by gender and deprivation

Females Males In January 2018 there were 9,573 7K patients inside Leeds who smoked and 6K were classified as obese. 5K

4K These charts show the number fluctuating over time, and that there 3K

number have always been large numbers from 2K more deprived areas (orange layer). 1K Women (who are more likely to be clinically obese) outnumber men in 0 this group. 2013-14 2014-15 2015-16 2016-17 2017-18 2013-14 2014-15 2015-16 2016-17 2017-18 Obese smokers in this LCP, by gender and deprivation Beeston LCP Females Males 450 These charts show the number of 400 obese smokers in this LCP, by gender 350 and deprivation. 300 250 Beeston LCP has only slightly more 200 number women than men in this group. The 150 number of female obese smokers in 100 this LCP is falling slowly whereas 50 males are becoming more prevalent. 0 2013-14 2014-15 2015-16 2016-17 2017-18 2013-14 2014-15 2015-16 2016-17 2017-18

LCP Obese smokers by age band (proportions of LCP totals) This table shows the agebands within 80+y each LCP that contribute the most to 70-79y each LCP total. 60-69y 50-59y The largest group in Beeston LCP is 40-49y the 40-49y ageband with 25.5% of the 30-39y LCP total. 20-29y 16-19y greater than or equal to 30% Otley LSMP greater than or equal to 25% Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley

Wetherby greater than or equal to 20% Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown greater than or equal to 15% 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) Diabetes in Leeds is very strongly linked to deprivation with the highest rates and fastest rises in the most deprived LCPs, while rates are almost static in Wetherby.

Change of rates over time (Age standardised rates per 100,000) 12K In a time series we can see in general the most deprived LCPs are rising at a 10K much faster rate than the least deprived ones. In Wetherby LCP the 8K rate is virtually static and perhaps now 6K showing a downward trend.

4K Most recent data shows this LCP to be significantly above Leeds. 2K

Leeds range

2013-14 2014-15 2015-16 2016-17 2017-18 Most deprived 5th This LCP Most recent rates compared (Age standardised rates per 100,000) 12K Looking at the most recent data from 10K January 2018 we can see that rates are following a very strong 8K relationship with deprivation. 6K The LCPs are shown in descending 4K order of deprivation and the bars 2K show a clear reduction in size from left to right. 0

Diabetic patients per LCP (counts) 6,000 This chart shows the number of 5,000 diabetic patients per LCP. If any live within the most deprived 5th of Leeds 4,000 they are shown in orange. 3,000 Count 9,963 diabetic patients living in the 2,000 most deprived 5th of Leeds are shown 1,000 in orange, 1,150 of them are within this LCP. 0 Otley LSMP Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

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CHD (all ages) CHD rates in Leeds are all falling steadily and at the same speed, except for Burmantofts and Richmond Hill which is falling faster than most other LCPs. Rates are generally higher in more deprived areas.

Change of rates over time (Age standardised rates per 100,000) 6.0K In a time series we can see that 5.5K almost all LCPs are falling at an equal rate. 5.0K Most recent data shows this LCP to be 4.5K significantly above Leeds.

4.0K

3.5K

3.0K

Leeds range

2013-14 2014-15 2015-16 2016-17 2017-18 Most deprived 5th This LCP Most recent rates compared (Age standardised rates per 100,000) 5.0K 4.5K Looking at the most recent data from 4.0K January 2018 we can see that rates 3.5K are following a clear relationship with 3.0K deprivation. 2.5K 2.0K The LCPs are shown in descending 1.5K order of deprivation and the bars 1.0K show a large decrease from left to 500 right. 0

CHD patients per LCP (counts) 3,500 This chart shows the number of 3,000 patients with CHD per LCP. If any live 2,500 within the most deprived 5th of Leeds 2,000 they are shown in orange.

Count 1,500 4,425 patients with CHD living in the 1,000 most deprived 5th of Leeds are shown 500 in orange, 485 of them are within this LCP. 0 Otley LSMP Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

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COPD (all ages) COPD rates in Leeds are very strongly linked to deprivation with large differences from most to least deprived. Most LCPs have rates which are increasing slowly.

Change of rates over time (Age standardised rates per 100,000) 5.5K In a time series we can see in general 5.0K the least deprived LCPs are rising 4.5K more slowly than others. 'Harehills' LCP stands out for falling in recent 4.0K years. 3.5K 3.0K Most recent data shows this LCP to be significantly above Leeds. 2.5K 2.0K 1.5K 1.0K Leeds range Most deprived 5th

2013-14 2014-15 2015-16 2016-17 2017-18 This LCP Most recent rates compared (Age standardised rates per 100,000) 5.0K Looking at the most recent data from January 2018 we can see that rates 4.0K are following a very strong relationship with deprivation. 3.0K

2.0K The LCPs are shown in descending order of deprivation and the bars 1.0K show a large fall from left to right.

COPD patients per LCP (counts) 1,800 This chart shows the number of 1,600 patients with COPD per LCP. If any live 1,400 within the most deprived 5th of Leeds 1,200 they are shown in orange. 1,000 800 Count 4,490 patients with COPD living in the 600 most deprived 5th of Leeds are shown 400 in orange, 543 of them are within this 200 LCP. 0 Otley LSMP Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

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Cancer (all ages) Cancer rates in Leeds are linked to deprivation but not in the usual way: the least deprived LCPs have some of the highest rates. This is thought to be due to late diagnosis leading to higher mortality rates in more deprived areas. Change of rates over time (Age standardised rates per 100,000) 4.5K In a time series we can see in general 4.3K all LCPs are growing at about the same 4.1K rate. 3.9K 3.7K Most recent data shows this LCP to be 3.5K significantly below Leeds. 3.3K 3.1K 2.9K 2.7K 2.5K

Leeds range

2013-14 2014-15 2015-16 2016-17 2017-18 Most deprived 5th This LCP Most recent rates compared (Age standardised rates per 100,000) 4.5K Looking at the most recent data from 4.0K January 2018 we can see that rates 3.5K are following an inverse relationship 3.0K with deprivation. 2.5K 2.0K The LCPs are shown in descending 1.5K order of deprivation and the bars 1.0K show a slight increase in size from left 500 to right. 0

Cancer patients per LCP (counts) 4,000 This chart shows the number of 3,500 patients recorded with cancer per LCP. 3,000 Those resident within the most 2,500 deprived 5th of Leeds are shown in 2,000 orange. Count 1,500 1,000 3,577 patients with cancer, in the 500 most deprived 5th of Leeds are shown in orange, 332 of them are within this 0 LCP. The least deprived LCPs have the Otley LSMP greatest cancer counts, an inverted Armley Morley Pudsey Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley

Wetherby relationship to deprivation. Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

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Common mental health issues (all ages) The Leeds rate is slowly rising, but the time series is too short to draw many other conclusions.

Change of rates over time (Age standardised rates per 100,000) 25.0K Due to changes in processes, this is a 23.0K short time series but we can see that 21.0K most LCPs are rising slowly. 19.0K 17.0K Most recent data shows this LCP not to be significantly different to Leeds. 15.0K 13.0K 11.0K 9.0K 7.0K

Leeds range

2017-18 Most deprived 5th Q3 16-17 Q3 17-18 This LCP Most recent rates compared (Age standardised rates per 100,000) 30.0K Looking at the most recent data from 25.0K January 2018 we can see that rates are not varying in a manner related to 20.0K deprivation. 15.0K The LCPs are shown in descending 10.0K order of deprivation and the bars are 5.0K not really varying consistently.

Common mental health issues, counts by LCP (counts 20,000 18,000 This chart shows the number of 16,000 patients recorded with common 14,000 mental health conditions per LCP. If 12,000 any live within the most deprived 5th 10,000 of Leeds they are shown in orange. Count 8,000 6,000 28,271 patients with common mental 4,000 health conditions living in the most 2,000 deprived 5th of Leeds are shown in 0 orange, 3,973 of them are within this Otley LSMP LCP. Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

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Severe mental health issues (18+) Severe mental health rates show a strong link to deprivation except for 'Chapeltown' LCP that has quite a high rate for its position in the deprivation rank.

Change of rates over time (Age standardised rates per 100,000) 3.5K In a time series we can see that all 3.0K LCPs are following a similar very slow rate of increase, 'Harehills' though is 2.5K actually falling over time.

2.0K Most recent data shows this LCP to be significantly above Leeds. 1.5K

1.0K

500

Leeds range

2013-14 2014-15 2015-16 2016-17 2017-18 Most deprived 5th This LCP Most recent rates compared (Age standardised rates per 100,000) 3.5K Looking at the most recent data from 3.0K October 2017 we can see that rates 2.5K are actually quite strongly related to 2.0K deprivation, with some exceptions notably 'LSMP' LCP. 1.5K 1.0K The LCPs are shown in descending 500 order of deprivation and the bars descend clearly. 0

Severe mental health issues, counts by LCP (counts) 1,400 This chart shows the number of 1,200 patients recorded with severe mental 1,000 health conditions per LCP. If any live 800 within the most deprived 5th of Leeds they are shown in orange.

Count 600 400 1,873 patients with severe mental 200 health conditions living in the most deprived 5th of Leeds are shown in 0 orange, 298 of them are within this Otley LSMP LCP. Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Chapeltown Bt & Rm Hill

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People living with Frailty and at the 'End of Life' * People living with Frailty and at the End of Life (PLwF&EoL), this group is defined as anyone on a palliative care register or with a high number health and social problems EOL / frailty populations in this LCP compared to those of Leeds

95+ Females Males 90 to 94 85 to 89 80 to 84 75 to 79 70 to 74 65 to 69 60 to 64 55 to 59 50 to 54 45 to 49 40 to 44 35 to 49 30 to 34 25 to 29 20 to 24 Frailty 15 to 19 10 to 14 End of Life 05 to 09 Leeds 00 to 04 15% 10% 5% 0% 5% 10% 15%

Frailty and End of Life (EOL) data is commonly seen in older agebands. The data for this LCP is shown above for women and men overlaid (shaded areas) with the full EOL and frailty profile for Leeds (black outline).

The Frailty and EOL data for this LCP has an age profile which is much younger than Leeds.

LCPs compared by rates (deprivation ranked order) 10,000 Frailty and EOL combined 9,000 rates are shown here for 8,000 all LCPs. There is a 7,000 reasonably strong 6,000 relationship between the 5,000 deprivation level of an 4,000 LCP and the rate. 3,000 2,000 A rounded count is Age standardised rate per 100,000 Age 1,000 included in the horizontal axis labels. 0 BRH (n=2500) Otley (n=1500) G/K/R (n=4000) Armley (n=2000) Pudsey (n=2000) Central (n=3000) Harehills (n=500) Morley (n=2000) Beeston (n=2000) Bramley (n=1500) Seacroft (n=2000) Holt Park (n=1000)Holt Park Woodsley (n=2000) Wetherby (n=1500) Aire Valley (n=1500) Crossgates (n=1500) Crossgates Middleton (n=1500) Chapeltown (n=1000)

* 'Frailty' and 'End of Life' data from September 2016 is only available by practice, this data has been aggregated from practice level to LCP practice membership (as opposed to the more usual LCP footprint). Source: Leeds Data Model

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All cause mortality (under 75s) Mortality rates show a very strong link to deprivation. Most LCPs are falling steadily, and some of those with the highest rates appear to be dropping slightly faster.

Change of mortality rates over time

800 (Age standardised rates per 100,000)

700

600

500

400

300

200 2006- 2007- 2008- 2009- 2010- 2011- 2012- 2010 2011 2012 2013 2014 2015 2016

Leeds range Most deprived 5th LCP

In a time series we can see that almost all LCPs are decreasing, with slightly faster drops in those with the highest rates.

Most recent data shows the mortality rate at this LCP to be significantly above Leeds.

Most recent mortality rates compared (Age standardised rates per 100,000) 750 Looking at the most recent mortality data, we can see that rates are very strongly related to deprivation. 500 (The LCPs are shown in descending order of deprivation)

250

0 Otley Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

Source: ONS, GP registered

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Cancer mortality (under 75s) Cancer mortality rates show a very strong link to deprivation. LCPs show some variation in change, some rising and some falling.

Change of mortality rates over time

280 (Age standardised rates per 100,000) 260

240

220

200

180

160

140

120

100 2006- 2007- 2008- 2009- 2010- 2011- 2012- 2010 2011 2012 2013 2014 2015 2016

Leeds range Most deprived 5th LCP

In a time series we can see that almost all LCPs are fluctuating, with slightly faster drops in those with the highest rates. However the 'Chapeltown' and 'Burmantofts and Richmond Hill' LCPs stand out for large decreases.

Most recent data shows the mortality rate at this LCP to be significantly above Leeds.

Most recent mortality rates compared (Age standardised rates per 100,000) 250 Looking at the most recent mortality data, we can see that rates are 200 strongly related to deprivation.

150 (The LCPs are shown in descending order of deprivation) 100

0 Otley Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

Source: ONS, GP registered

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Circulatory disease mortality (under 75s) Circulatory mortality rates show an extremely strong link to deprivation. LCPs show some variation in change, some rising and some falling with the most deprived falling slightly faster overall except for the growing Harehills. Change of mortality rates over time

200 (Age standardised rates per 100,000) 180

160

140

120

100

0 2006- 2007- 2008- 2009- 2010- 2011- 2012- 2010 2011 2012 2013 2014 2015 2016

Leeds range Most deprived 5th LCP

In a time series we can see that almost all LCPs are falling slowly, with some recent increases especially 'Harehills' LCP.

Most recent data shows the mortality rate at this LCP to be significantly above Leeds.

Most recent mortality rates compared

200 (Age standardised rates per 100,000) Looking at the most recent mortality 180 data, we can see that rates are 160 extremely strongly related to 140 deprivation. 120 100 (The LCPs are shown in descending 80 order of deprivation) 60 40 20 0 Otley Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

Source: ONS, GP registered

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Respiratory disease mortality (under 75s) Respiratory disease mortality rates show a very strong link to deprivation. There are some stark differences between the most and least deprived LCPs.

Change of mortality rates over time

100 (Age standardised rates per 100,000) 90

0 2006- 2007- 2008- 2009- 2010- 2011- 2012- 2010 2011 2012 2013 2014 2015 2016

Leeds range Most deprived 5th LCP

In a time series we can see that almost all LCPs are changing steadily, those with the highest rates are climbing, while some of the lowest rates are falling.

Most recent data shows the mortality rate at this LCP to be significantly above Leeds.

Most recent mortality rates compared 80 (Age standardised rates per 100,000) Looking at the most recent mortality 70 data, we can see that rates are 60 generally very strongly related to deprivation. 50 40 (The LCPs are shown in descending 30 order of deprivation)

0 Otley Armley Pudsey Morley Central Beeston Bramley Seacroft Harehills Holt Park Gf/Kp/Rw Woodsley Wetherby Middleton Aire Valley Crossgates Bt & Rm Hill Chapeltown

Source: ONS, GP registered

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Life expectancy for women and men, 2014-2016

For both genders there is a clear relationship between deprivation and life expectancy. Male life expectancy is poorer overall and the difference between the sexes is slightly more pronounced in the most deprived LCPs. There is a difference of 3.6 years between the sexes in this LCP.

88y Females Males

86y

84y

82y

80y

78y

76y

74y

Leeds range Most deprived 5th

72y Otley Otley G/K/R G/K/R Armley Armley Pudsey Pudsey Morley Morley Central Central Beeston Beeston Bramley Bramley Seacroft Seacroft Harehills Harehills Holt Park Holt Holt Park Holt Woodsley Woodsley Wetherby Wetherby Bt & R Hill Bt & R Hill Middleton Middleton Aire Valley Aire Valley Crossgates Crossgates Chapeltown Chapeltown 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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