Health and Wellbeing Profiles 2008 Midlothian CHP Population: 79,290 This profile is one of 30 Community Health EDINBURGH PRESTONPANS Partnership (CHP) area profiles compiled M8 by the Scottish Public Health Observatory Governmenth 2007. (ScotPHO) Team at the Information DALKEITH LOANHEAD dnanceSurvey Crown© Copyright 2008. Services Division (ISD) of NHS National Alrights l reserved.Li cenceNum ber 399221. BONNYRIGG Mayfield NEWTONGRANGE Services Scotland. The profiles comprise Roslin 61 indicators of health (e.g. ill-health & Gorebridge PENICUIK injury and mortality) and wider Nine Mile Burn determinants of health (e.g. education, Community© Health Partnershipboundaries – Scottis employment & prosperity and environment). They build on the 2004 Thi s productincludes mappi ngdata licensed fromOr community health profiles previously published by NHS Health Scotland. 01 2 4 Miles Each CHP profile contains: a map of the area, ‘at a glance’ commentary on the findings for that area, a spine chart showing findings for all 61 indicators, trend and rank charts for eight key indicators and a table of ‘definitions and sources’. Note: de tailed profiles for the 10 Community Health and Care Partnership (CHCP) areas in Greater Glasgow & Clyde NHS Board area have been produced separately by the Glasgow Centre for Population Health (GCPH) – www.gcph.co.uk/communityprofiles (with links also from the ScotPHO website). The profiles are designed to: • provide organisations and communities with up-to-date and locally-relevant public health intelligence; • highlight health and social inequalities; • show trends in key indicators; • provide local information for targeting resources and priority-setting; and • develop knowledge of the complex nature of health and its determinants. In addition to the CHP area reports there are: a Scotland level report (including data for NHS boards), a technical report, spine charts for intermediate zones (IZs) and localities, and time trends and rank charts for other indicators and geographies. These are all available from the ScotPHO website at www.scotpho.org.uk/profiles . We aim to update the profiles in future. ScotPHO,is part of the UK & Ireland Association of Public Health Observatories. Midlothian CHP at a Glance Population Profile Midlothian CHP has an estimated total population of 79,290. The population is relatively ‘young’; the percentage of the total population who are aged 0-15 years is the fifth highest of the 40 CHPs in Scotland. Life expectancy is better than the Scotland average for males, and similar to Scotland for females, but has been rising over time for both sexes. Ethnic minority groups account for 0.9% of the population (2001 Census), which is significantly lower than the Scottish average (2. Mortality All-cause mortality (all ages), and mortality rates from heart disease, cancer and stroke (under-75s), are all slightly better (lower) than the Scottish average, but not significantly so. Substance Use An estimated 26.5% of adults smoke, compared to 27.3% in Scotland as a whole. With 95 alcohol related deaths in the last five years, the death rate is significantly better than (below) the Scotland average, as is the proportion of the population hospitalised for alcohol related and attributable causes. The proportion of the population hospitalised for drug related conditions is similar to the Scottish average, and there were 152 such patients over the last three years. Ill Health & Injury and Mental Health & Function For patients with heart disease, and multiple admission patients aged 65 and over, the proportions of the population hospitalised are significantly worse (higher) than the Scottish average. By contrast, the proportion of the population admitted as emergencies is significantly better (lower) than average. Expected years of life in good health are 67.6 for males and 71.1 for females (Scotland 66.3 and 70.2 respectively). The percentage of patients prescribed drugs for anxiety, depression or psychosis is significantly worse (higher) than the Scottish average. However, ‘not good’ self-assessed health and ‘limiting long-term illness’ (2001 Census) are both significantly better (lower) than average, as is the percentage of adults claiming certain disability benefits. Social Care & Housing Midlothian CHP has a significantly lower percentage of lone pensioner households, and a higher percentage of providers of unpaid care for over 20 hours per week, than Scotland as a whole (2001 Census). A significantly lower percentage of older people receive free personal care at home compared to the Scottish average; and 28.7% of older people with intensive care needs are cared for at home, rather than in care homes or geriatric long-stay hospital beds (similar to Scotland at 29.2%). Education, Employment & Prosperity Midlothian CHP has a significantly better (lower) than average percentage of people living in the 15% ‘most deprived’ areas of Scotland (6.8% compared with 15.0% nationally). This is reflected in the other education, employment & prosperity indicators, with the area rating significantly better than, or not significantly different to, the Scottish average. Crime and Environment The crime rate and the rate of assault hospital patients are both significantly better (lower) than the Scotland average. With nearly half the population living within 500 metres of a derelict site, Midlothian CHP is the fifth worst (highest) of all 40 Scottish CHPs. ‘Access deprivation’ is, however, significantly better than average. Child & Maternal Health The CHP ranks sixth worst (highest) for teenage pregnancy rates. However, most other indicators of child and maternal health are significantly better than the Scottish average, including maternal smoking (fourth best CHP), breastfeeding, childhood immunisation uptake (third best CHP), child dental health and unintentional injuries to children in the home. ScotPHO - Health and Wellbeing Profiles 2008 Page 2 of 12 Midlothian CHP Health Summary This chart compares the local value for each indicator to the Scottish average and range for all CHPs. Statistically significantly 'worse' than Scottish average Statistically not significantly different from Scottish average 'Worse' Area Scotland Average 'Better' Area Statistically significantly 'better' than Scottish average 5th Percentile 25th Percentile 75th Percentile 95th Percentile No significance can be calculated Scot. Domain Indicator Number Measure Type 'Worst' Scotland Average 'Best' Average 1 Population 0-15 years 1 15,625 19.7 % 18.0 2 Population 16-64 years 1 51,025 64.4 % 65.6 3 Population 65+ 1 12,640 15.9 % 16.4 4 Life expectancy - males 3 n/a 74.7 yrs 73.9 5 Life expectancy - females 3 n/a 78.9 yrs 79.1 Population Profile Population 6 Live births 1 883 11.1 cr2 10.8 7 Deaths all ages 2 2,462 729.7 sr 745.6 8 Early deaths from heart disease (< 75s) 2 208 77.4 sr 80.3 9 Early deaths from cancer (< 75s) 2 362 133.8 sr 140.8 Mortality 10 Early deaths from stroke (< 75s) 2 27 9.5 sr 12.4 11 Estimated smokers (16+) 16,956 26.5 % 27.3 12 Alcohol related and attributable hospital patients 2 1,889 719.1 sr 859.7 use 13 Alcohol related deaths 3 95 21.3 sr 27.4 Substance Substance 14 Drug related hospital patients 2 152 81.0 sr 77.6 15 Patients registered with cancer 2 1,232 412.9 sr 420.5 16 Heart disease hospital patients 2 2,271 747.5 sr 710.5 17 Stroke hospital patients 2 452 131.3 sr 126.7 18 Emergency admission hospital patients 2 15,287 5,796.5 sr 6,230.6 19 Multiple admission hospital patients aged 65+ 2 1,729 4,440.5 sr 4,173.3 20 Patients prescribed statins 15,470 18.5 % 18.2 Ill Health & Injury & Health Ill 21 Road traffic accident casualties - all ages 2 191 84.2 sr 83.7 22 Unintentional injuries in the home - patients aged 65+ 2 761 2,022.1 cr 2,170.6 23 Expected years of life in good health - males 3 n/a 67.6 yrs 66.3 24 Expected years of life in good health - females 3 n/a 71.1 yrs 70.2 25 Patients prescribed drugs for anxiety/depression/psychosis 7,587 9.1 % 8.1 26 Self-assessed health 'not good' 7,288 9.0 % 10.2 27 Psychiatric hospital patients 2 683 793.6 sr 791.7 Function 28 Deaths from suicide 3 50 13.2 sr 10.9 Mental Health & Health Mental 29 Adults claiming incapacity benefit/severe disability allowance 4,240 6.7 % 7.4 30 Adults with limiting long-term illness 15,521 19.2 % 20.3 31 Lone pensioner households 4,474 13.6 % 15.0 32 Providers of unpaid care > 20 hrs per week 2,953 3.6 % 3.5 33 Older people 65+ receiving free personal care at home 4 517 4.1 % 4.8 34 Older people with intensive care needs cared for at home 4 210 28.7 % 29.2 Housing 35 4 599 1.8 % 1.8 Social Care & Care Social Households assessed as homeless 36 Households in extreme fuel poverty 4 2,000 6.2 % 5.9 37 Average tariff score of all pupils on the S4 roll 1,031 177.7 mean 171.7 38 School children registered for free school meals 1,303 11.1 % 15.8 39 Primary school attendance n/a 95.4 % 95.3 40 Working age adults without educational qualifications 4 n/a 11.7 % 13.8 41 Population income deprived 8,869 11.1 % 13.9 42 Working age population employment deprived 5,218 10.7 % 12.9 Prosperity 43 Working age population claiming Jobseekers allowance 1,000 2.1 % 2.8 44 Lone parents claiming income support 870 17.1 cr2 19.0 Education, Employment & Employment Education, 45 60+ population claiming pension credit 2,685 15.5 % 19.7 46 People living in 15% 'most deprived' areas in Scotland 5,408 6.8 % 15.0 47 Crime 4,106 51.6 cr2 53.5 48 2 Crime Assault patients 105 52.5 sr 112.8 49 Population within 500 metres of derelict site 39,451 49.8