East Community Assembly

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1 Health Profile 2011 for East Community Assembly This profile gives a snapshot overview of key Health and Well-being indicators in the chosen Ward or Community Assembly, with comparisons to. It is complemented by other tools available on the web link below:- Map Shows Ward & Community Assembly Boundaries - Ward and Community Assembly Health and Well Being Atlases ( profile and map presentations of data) - Ward Trend Indicator Tool (allows analysis of change over time and correlations between indicators) - Ward Trend Tool Profiles are also available for a variety of other geographical and administrative areas within (Neighbourhoods, Healthy Community Programme Areas, GP Practices and Practice Consortia). This profile may be used for non-commercial purposes provided the source is acknowledged: Source: NHS Ward Profile 2011, Public Health Analysis Team, NHS. Version 1.0: 29th September 2011 Access this health profile together with profiles for other geographical areas, supporting tools and documentation online at: East Community Assembly Some Key Observations in relation to the average Key observations for East Community Assembly Wards comprising the CA: Arbourthorne, Darnall, Manor Castle, and Richmond. Note within the CA there will be variation of achievement levels between these wards. High A&E attendance and CA with the highest emergency admission. High hospital admission related to alcohol. High proportion of children age under 14 years. 67% of the population covered by a Healthy Community Programme Area. The second most deprived CA in the city. High levels of crime. CA with the lowest level of Key stage 4 educational achievement (age 15yrs). Low levels of Y11 (age 15/16) staying in learning. Lower than average life expectancy, and high premature mortality s (under 75 years). CA with the highest premature mortality (under 75 years) due to cancer. High premature mortality s due to circulatory disorders, coronary heart disease and respiratory illnesses. CA with the highest hospital admissions for cancers, Coronary Heart Disease, and Chronic Obstructive Pulmonary Disease. High hospital admission s for diabetes and asthma. High referral to mental health hospital inpatient specialties. Profile for East Community Assembly Registered (April 2011) for East Community Assembly Registered (April 2011) for Age (Years) Age (Years) % of Total % of Total Persons Persons Age Band % % % Age Band % % % , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , All Ages 42, , , All Ages 284, , , Data Source: PHR Snapshot April 2011 Data Source: PHR Snapshot April 2011 Ethnicity of School Children aged 5 to 16 years for East Community Assembly E Sheffi School (5-16 years) by Ethnic Group 2010/11 excluding unknown ethnicity: White & Mixed White Mixed Asian/Asian British Black/Black British Chinese/Other Total with known ethnicity BME (all other than White-British) Unknown Ethnicity Total (including unknown ethnicity) 7, , % of known 66.8% 6.5% 18.8% 2.3% No available % of known 52,439 3,884 7,033 3, % 10.2% 4.8% 2, % 11, % 0% 68, % 49 11, % 4,104 37% % of total % % of total 76.2% 18,209 27% % of total ,202 % of known Data Source: LA Education Department extracted from LASOS. Includes Reception to Year 11 children (age 5 to 16) in LA maintained schools and academies, 2010/11. Black and Minority Ethnic Groups (BME) includes all ethnic groups other than White-British. 0.5% Distribution of School (5-16 yrs) by Ethnicity, 2010/11 0% 20% 40% 60% 80% 100% Percentage of those with known ethnicity Ward and Community Assembly Health Profile 2011 Public Health Analysis team, NHS. V1.0, 29th September 2011 Page 1 of 7

2 Distributions for East Community Assembly By Practice Practice Code Practice Name PBC Consortium Code PBC Consortium Name % of CA Registered with Practice C88069 Clover Group Practice 12.8% C88030 Duke Medical Centre 7.3% C88020 White House Surgery 6.7% C88085 Richmond Medical Centre PBC09 Hallam and South (HASC) PBC Consortium 6.7% C88042 Park Health Centre 6.3% C88090 Manor Park Medical Centre 5.8% C88087 Dovercourt Surgery 5.3% C88088 East Bank Medical Centre 4.7% C88036 Handsworth Medical Practice 4.7% C88006 Norfolk Park Medical Practice 4.1% C88084 Darnall Health Centre (Mehrotra) 3.8% C88022 Stonecroft Medical Centre PBC09 Hallam and South (HASC) PBC Consortium 3.3% C88019 Gleadless Medical Centre 3.2% C88075 Darnall Health Centre (Swinden) 3.1% C88050 Jaunty Springs Health Centre PBC09 Hallam and South (HASC) PBC Consortium 2.5% C88038 The Mathews Practice Belgrave 2.5% C88007 Porter Brook Medical Centre PBC08 West PBC Consortium 2.0% Percentage of Community Assembly Accounted for above 85% Proportion of CA Registered with each Practice and PBC Consortium (as at April 2011) Data Source: Health Register (PHR) Notes: This table aims to cover the entire CA population but is limited to the top 17 practices Practices containing less than 1% of the CA population are grouped into the 'Other Areas' category PBC Consortium Configuration as at July 2011 By Healthy Community Programme Area Distribution of by PBC Consortium 100% 80% 60% 40% 20% 0% Unknown Consortium Registered Outside of No Consortium North HASC West Central HCPA Code Healthy Community Programme Area Name % of CA Resident in HCPA % of HCPA Resident in CA Distribution of by HCPA (blank) Not within a HCPA 33.3% 7.8% HCPA17 Manor, Woodthorpe, Parkhill & Wybourn 28.1% 99.7% HCPA11 Darnall, Tinsley & Acres Hill 21.0% HCPA12 Norfolk Park & Arbourthorne 16.3% 99.6% Other Other Areas 1.3% Percentage of CA Accounted for 100% Proportion of CA Resident in each Healthy Community Programme Area as at April 2011 Data Source: Health Register (PHR) Notes: This table aims to cover the entire CA population but is limited to the top 5 HCPAs If the CA population is distributed across more than 5 HCPAs an 'Other Areas' grouping is used - 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% By Neighbourhood N'hood Code Neighbourhood Name % of CA Resident in Neighbourhood % of Neighbourhood Resident in CA Distribution of by Neighbourhood 50 Manor 36 Darnall 56 Norfolk Park 52 Wybourn Other Other Areas Percentage of CA Accounted for 11.5% 11.0% 8.5% 7.9% 99.2% 61.1% - 100% Proportion of CA Resident in each Neighbourhood as at April 2011 Data Source: Health Register (PHR) Notes: This table aims to cover the entire CA population but is limited to the top 5 Neighbourhoods If the CA population is distributed across more than 5 Neighbourhoods an 'Other Areas' grouping is used 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% By Childrens Centre Childrens Centre Childrens Centre Name % of CA Resident in Childrens Centre % of Childrens Centre Resident in CA Distribution of by Childrens Centre 1 Arbourthorne/Norfolk Park 16.3% 10 Darnall 15.6% 25 Wybourn/Park Hill 14.4% 21 Manor 11.5% Other Other Areas 42.2% Percentage of CA Accounted for 100% 99.5% - Proportion of CA Resident in each Childrens Centre as at April 2011 Data Source: Health Register (PHR) Notes: This table aims to cover the entire CA population but is limited to the top 5 Childrens Centres If the CA population is distributed across more than 5 Childrens Centres an 'Other Areas' grouping is used 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Ward and Community Assembly Health Profile 2011 Public Health Analysis team, NHS. V1.0, 29th September 2011 Page 2 of 7

3 Indicators for East Community Assembly Comparator s Lowest Symbol not in use value Significantly better than Statistically similar to Significantly worse than Statistical Significance not available Highest 1. % aged under 5 years 5, % aged under 20 years 21, % aged 75+ years 5, Ethnicity: % School Children (5 to 16yrs) non-white British 4, PERIODS: (1-3) April 2011, (4) 2010/11. UNITS: (1,2,3) and % of total population, (4) % of school children. See metadata for full indicator definitions and data sources Deprivation Indicators for East Community Assembly Deprivation Comparator s Significantly better than Statistically similar to Symbol not in use Significantly worse than value Statistical Significance not available 5. Index of Multiple Deprivation Overall Score IMD 2010: Income Domain Score IMD 2010: Employment Domain Score IMD 2010: Health & Disability Domain Score IMD 2010: Education, Skills & Training Domain Score IMD 2010: Barriers to Housing & Services Training 10. Domain Score IMD 2010: Crime Domain Score IMD 2010: Living Environment Domain Score Percentage of Households claiming IS/JSA/GPC/ESA 9, (25.7, 26.6) 17.6 (17.5, 17.8) Child Well-being Index 2009 (CWBI 2009): Overall Score CWBI 2009: Material Well-being Domain Score CWBI 2009: Health & Disability Domain Score CWBI 2009: Education Domain Score CWBI 2009: Crime Domain Score CWBI 2009: Housing Domain Score CWBI 2009: Environment Domain Score CWBI 2009: Children in Need Domain Score PERIODS: (5-13) 2010, (14-21) UNITS: (5-12) IMD Score, (13) % of households, (14-21) CWBI Score. See metadata for full indicator definitions and data sources. Wider Determinant Indicators for East Community Assembly Wider Determinants Comparator s Significantly better than Statistically similar to Symbol not in use Significantly worse than value Statistical Significance not available 22. Income: Average household income , , Crime: Total Incidence 8, (105.1, 109.4) 74.9 (74.2, 75.6) Education:Early Years Foundation Stage, % children 24. aged 5 with 78+ points including 6+ in CLL & PSE not available Education: Key stage 2. % YR6 (age 11) children 25. achieving level 4 and above in English & Maths not available 7 Education: Key Stage 4; 5+ GCSEs at Grade A-C 26. including English & Maths (29.4, 35.6) 49.1 (47.8, 50.5) Education: % Year 11 Pupils Staying in Learning (86.3, 90.6) 92.4 (91.7, 93.1) PERIODS: (22, 25) 2010, (23, 26) 2009/10, (24) 2011, (27) UNITS: (22), (23) per 1,000 population, (24-27) %. See metadata for full indicator definitions and data sources Ward and Community Assembly Health Profile 2011 Public Health Analysis team, NHS. V1.0, 29th September 2011 Page 3 of 7

4 Life Expectancy & All Cause Mortality Indicators for East Community Assembly Life Expectancy & All Cause Mortality 28. Male Life Expectancy at Birth 76.5 (75.7, 77.3) Comparator s 78.6 (78.3, 78.8) Symbol not in use value Significantly better than Statistically similar to Significantly worse than Statistical Significance not available Female Life Expectancy at Birth 80.3 (79.5, 81.1) 81.9 (81.6, 82.2) All Cause Mortality (all ages) - Persons 2, (643, 700) 574 (564, 584) All Cause Mortality (all ages) - 1, (739, 831) 669 (653, 685) All Cause Mortality (all ages) - 1, (535, 606) 494 (482, 506) All Cause Mortality (all ages) Excluding Deaths of Care 33. Home Residents - Persons , (560, 614) (469, 488) 34. All Cause Mortality (Age <75) - Persons (351, 401) 286 (278, 295) All Cause Mortality (Age <75) (411, 487) 338 (326, 351) All Cause Mortality (Age <75) A&E Attendances (all ages) 88, (273, 335) 356 (353, 358) 236 (225, 246) 307 (306, 307) PERIODS: (28-32, 34-36) , (33) 2007/ /10. UNITS: (28,29) years, (30-36) DASR per 100,000. See metadata for full indicator definitions and data sources. A&E & Emergency Admission Indicators for East Community Assembly A&E & Emergency Admissions Comparator s Significantly better than Statistically similar to Symbol not in use Significantly worse than value Statistical Significance not available A&E Attendances (age <20) 32, (515, 527) 455 (453, 457) A&E Attendances (age 65+) 14, (346, 358) 311 (309, 313) Emergency Admissions (all ages) 30, (11088, 11348) 9245 (9199, 9291) Emergency Admissions (age <20) 6, (9491, 9982) 8452 (8359, 8547) Emergency Admissions (age 65+) 11, (26710, 27735) (23086, 23450) PERIODS: (37-42) 2008/ /11. UNITS: (37-42) DASR per 100,000. See metadata for full indicator definitions and data sources Lifestyle Indicators for East Community Assembly Lifestyle Alcohol: Harmful/Hazardous Drinking Estimates (age ) 17, Comparator s Significantly better than Statistically similar to Symbol not in use Significantly worse than value Statistical Significance not available 24.8 Alcohol: Hospital Admissions for Alcohol-Specific 44. Conditions Alcohol: Hospital Admissions for Alcohol-Attributable 45. Conditions 46. Alcohol: Alcohol-Attributable Mortality 1,357 4, (523.2, 583.2) (1770.3, ) 30.5 (23.7, 38.1) (466.7, 487.7) (1534.6, ) 23.0 (20.7, 25.3) , , Weight:% Mothers delivering who were 47. Overweight/Obese/Morbidly Obese at booking (53.5, 59.5) 53.8 (52.6, 55.1) Weight: Reception Year (age 4/5) % Overweight and 48. Obese (21.5, 27.1) 20.6 (19.5, 21.7) Weight:Year 6 (age 10/11) % Overweight and Obese (34.3, 40.9) 32.9 (31.7, 34.2) Sexual Health: Selected STI new diagnoses 50. (age16+) (7.0, 8.3) 7.0 (6.8, 7.3) Sexual Health: Chlamydia Programme +ve (age ) (7.2, 9.3) 6.4 (6.1, 6.8) Smoking: Smoking Prevalence estimates (age 16+) 19, (3, 30.6) 24.1 (24.0, 24.2) Smoking: % Mothers recorded as Smokers at Delivery (17.8, 22.4) 13.9 (13.0, 14.8) Smoking: Smoking Cessation % Quit Success 719 (55.7, 61.2) 59.7 (58.4, 60.9) Smoking: Smoking Cessation Quits per 100 Estimated 55. Smokers (3.4, 3.9) 3.1 (3.0, 3.2) Smoking: Mortality attributable to smoking (age 35+) (282.8, 339.8) (219.9, 238.1) PERIODS: (43) April 2011, (44,45) 2008/ /11, (46,56) , (47,53-55) 2010/11, (48,49,52) 2009/10, (50) Oct Sep 2010, (51) 2010/11. UNITS: (43) % population aged 16+, (44-46,56) DASR per 100,000, (47,53) % of mothers, (48,49,52) %, (50) per 1,000 population aged 16+, (51) % postive test results, (54) % of quit dates set, (55) quits per 100 estimated smokers. See metadata for full indicator definitions and data sources. Ward and Community Assembly Health Profile 2011 Public Health Analysis team, NHS. V1.0, 29th September 2011 Page 4 of 7

5 Children & Young People Indicators for East Community Assembly Children & Young People 57. Live Birth Rate 1, (62.3, 70.1) Comparator s 53.4 (52.2, 54.8) 79.0 Significantly better than Statistically similar to Symbol not in use Significantly worse than value Statistical Significance not available Low Birthweight Live Births (7.4, 9.3) 7.3 (6.9, 7.6) Under 18 Conception Rate (52.6, 66.6) 45.5 (43.0, 48.0) Infant Mortality Rate (4.7, 9.1) 5.5 (4.7, 6.4) Decayed, Missing & Filled Teeth - dmft (age 5) (1.7, 2.8) 1.7 (1.5, 1.8) % Mothers Intending to Breastfeed as recorded at 62. Delivery (66.8, 72.2) 77.6 (76.5, 78.6) % Babies being breastfed at 6-8 weeks (41.9, 47.6) 51.1 (49.9, 52.3) PERIODS: (57) 2010, (58) ,(59) (60) , (61) 2008/09, (62.63) 2010/11. UNITS: (57) per 1,000 females aged years, (58) % of live births, (59) per 1,000 females aged years, (60) per 1,000 live births, (61) average, (62) % of mothers, (63) % of babies. See metadata for full indicator definitions and data sources Disease Group Indicators for East Community Assembly Disease Groups 64. Cancer: Mortality Rate (Age <75) Cancer: Hospital Admission Rate (all ages) 7,090 Chronic Disease: Emergency Hospital Admission Rate 66. (all ages) Circulatory: Circulatory Disorders, Mortality Rate (Age 67. <75) 5, (133.4, 164.3) (2525.6, ) (2057.0, 217) 92.6 (81.0, 105.4) Comparator s (109.8, 120.1) (2420.5, ) (1626.1, ) 70.5 (66.5, 74.6) , Significantly better than Statistically similar to Symbol not in use Significantly worse than value Statistical Significance not available , ,12 1, Circulatory: Coronary Heart Disease, Mortality Rate (Age 68. <75) (44.7, 63.5) 41.7 (38.7, 45.0) Circulatory: Coronary Heart Disease, Emergency 69. Hospital Admission Rate (all ages) 1, (413.5, 467.7) (335.9, 353.9) Circulatory: Stroke, Mortality Rate (age <75) (11.7, 21.9) 12.6 (10.9, 14.3) Circulatory: Stroke, Hospital Admission Rate (all ages) (170.2, 200.8) (151.1, 161.8) Diabetes: Hospital Admission Rate (all ages) (104.8, 132.0) 86.1 (81.7, 90.6) Respiratory: Respiratory Diseases, Mortality Rate (Age 73. <75) (27.3, 42.2) 23.9 (21.6, 26.3) Respiratory: COPD, Mortality Rate (Age <75) (13.4, 24.2) 12.4 (10.8, 14.2) Respiratory: COPD, Hospital Admission Rate (all ages) 1, (349.2, 395.0) (218.8, 232.1) Respiratory: Asthma, Hospital Admission Rate (all ages) (138.5, 170.8) (112.3, 123.4) PERIODS: (64,67,68,70,73,74) , (65,66,69,71,72,75,76) 2008/ /11. UNITS: (64-76) DASR per 100,000. See metadata for full indicator definitions and data sources. Mental Health Indicators for East Community Assembly Mental Health Mental Health: Prevalence Estimates: Any Common 77. Mental Disorder in last week (Age 16+) 14, (22.2, 22.8) Comparator s 20.2 (20.1, 20.3) Significantly better than Statistically similar to Symbol not in use Significantly worse than value Statistical Significance not available Mental Health: Prevalence estimates: Psychotic 78. Disorders (Age 16+) Mental Health: Referrals to MH Inpatient Specialties 79. (Age 16-64) Mental Health: Referrals to MH Inpatient Specialties 80. (Age 65+) Mental Health: Hospital Admissions to MH Specialties 81. (Age 16-64) 323 1, (, 0.5) (2542.6, ) (2524.6, ) (196.2, 242.6) (, 0.5) (2107.1, ) (2650.8, ) (189.5, 206.1) 0.5 2, , , , Mental Health: Hospital Admissions to MH Specialties 82. (Age 65+) (113.8, 195.2) (149.9, 182.2) Mental Health: Hospital Admissions for Dementia (Age ) (73.8, 132.6) 85.0 (75.2, 95.8) Mental Health: Mortality from Suicide and Injury of 84. Undetermined Intent (4.0, 9.2) 7.2 (6.2, 8.2) PERIODS: (77,78) 2009/2010, (79,80) 2010/11, (81-83) 2008/ /11, (84) UNITS: (77,78) %, (79-84) DASR per 100,000. See metadata for full indicator definitions and data sources. Ward and Community Assembly Health Profile 2011 Public Health Analysis team, NHS. V1.0, 29th September 2011 Page 5 of 7

6 How to Interpret the Health Profile Indicator Summaries Indicator Domain Selected Area Name Comparator s CA Range Symbol not in use Significantly better than Statistically similar to Significantly worse than Statistical Significance not available Range 1 Indicator Name 2 Indicator Name Brief description of the indicator, Indicator units & periods are detailed beneath each table. See metadata for full details including data sources Actual of events in selected area Comparable of events in selected area and areas, including 95% confidence intervals in brackets & s in for the type of area selected (ward or community assembly), excluding suppressed s. Where a higher is neither good or bad, the lowest & highest s respectively are displayed The grey bar represents the range in s for the type of area selected (ward or CA) from worst (left) to best (right). The red line represents the average. The green/yellow/red/white points show the selected area relative to the red line and grey bar, their colour denoting statistical significance when compared to the. If applicable, a blue diamond shows the community assembly Metadata and Supporting Information Domain Deprivation Profile Indicator Reference 18 Metadata 1 % aged under 5 years (April 2011) expressed as a % of total population. SOURCE: Health Register. 2 % aged under 20 years (April 2011) expressed as a % of total population. SOURCE: Health Register. 3 % aged 75+ years (April 2011) expressed as a % of total population. SOURCE: Health Register. Ethnicity: % School Children (5 to 16yrs) non-white British (2010/11) expressed as a % of school children age 5 to 16 with known ethnicty. SOURCE: LA 4 Education Dept via LASOS. Index of Multiple Deprivation Overall Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, Indices of 5 Deprivation, PHR s. IMD 2010: Income Domain Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, Indices of Deprivation, PHR 6 s. IMD 2010: Employment Domain Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, Indices of Deprivation, PHR 7 s. IMD 2010: Health & Disability Domain Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, Indices of Deprivation, 8 PHR s. IMD 2010: Education, Skills & Training Domain Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, Indices of 9 Deprivation, PHR s. IMD 2010: Barriers to Housing & Services Training Domain Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, 10 Indices of Deprivation, PHR s. IMD 2010: Crime Domain Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, Indices of Deprivation, PHR 11 s. IMD 2010: Living Environment Domain Score (2010) expressed as a IMD Score. SOURCE: Department for Communities and Local Government, Indices of Deprivation, 12 PHR s. Percentage of Households claiming IS/JSA/GPC/ESA (2010) expressed as a % of households. SOURCE: City Council housing benefits extract August IS: 13 Income Support, JSA: Job Seekers Allowance, GPC: Guaranteed Pension Credit, ESA: Employment Support Allowance Child Well-being Index 2009 (CWBI 2009): Overall Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, , PHR. CWBI 2009: Material Well-being Domain Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, 2009, PHR 15. CWBI 2009: Health & Disability Domain Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, 2009, PHR 16. CWBI 2009: Education Domain Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, 2009, PHR 17. CWBI 2009: Crime Domain Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, 2009, PHR. 19 CWBI 2009: Housing Domain Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, 2009, PHR CWBI 2009: Environment Domain Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, 2009, PHR. CWBI 2009: Children in Need Domain Score (2009) expressed as a CWBI Score. SOURCE: Communities and Local Government, Child Well-being Index, 2009, PHR. Income: Average household income (2010) expressed as a. SOURCE: City Council via LASOS. Wider Determinants 23 Crime: Total Incidence (2009/10) expressed as a per 1,000 population. SOURCE: City Council via LASOS Education:Early Years Foundation Stage, % children aged 5 with 78+ points including 6+ in CLL & PSE (2011) expressed as a %. SOURCE: Performance and Analysis Service, Children's Commissioning Services (CYPF), SCC. Education: Key stage 2. % YR6 (age 11) children achieving level 4 and above in English & Maths (2010). Source: LASOS. 26 Education: Key Stage 4; 5+ GCSEs at Grade A-C including English & Maths (2009/10). Source: LASOS. 27 Education: % Year 11 Pupils Staying in Learning (2008). Source: LASOS. Includes pupils going on to further education, employment with training or non-employed training. 28 Male Life Expectancy at Birth ( ). Source: PH Mortality, PH Births, PHR. 29 Female Life Expectancy at Birth ( ). Source: PH Mortality, PH Births, PHR. 30 All Cause Mortality (all ages) - Persons ( ). Source: PH Mortality, PH Births, PHR. Life Expectancy & All Cause Mortality 31 All Cause Mortality (all ages) - ( ). Source: PH Mortality, PH Births, PHR. 32 All Cause Mortality (all ages) - ( ). Source: PH Mortality, PH Births, PHR. 33 All Cause Mortality (all ages) Excluding Deaths of Care Home Residents - Persons (2007/ /10). Source: PH Mortality, PHR. 34 All Cause Mortality (Age <75) - Persons ( ). Source: PH Mortality, PH Births, PHR. 35 All Cause Mortality (Age <75) - ( ). Source: PH Mortality, PH Births, PHR. A&E and Emergency Admissions 36 All Cause Mortality (Age <75) - ( ). Source: PH Mortality, PH Births, PHR A&E Attendances (all ages) (2008/09 to 2010/11 ). Source: A&E datasets, PH Births, PHR. Includes Minor Injuries at RHH, NGH A&E and Childrens Hospital A&E. Exlcudes walk in centre A&E Attendances (age <20) (2008/09 to 2010/11 ). Source: A&E datasets, PH Births, PHR. Includes Minor Injuries at RHH, NGH A&E and Childrens Hospital A&E. Exlcudes walk in centre A&E Attendances (age 65+) (2008/09 to 2010/11 ). Source: A&E datasets, PH Births, PHR. Includes Minor Injuries at RHH, NGH A&E and Childrens Hospital A&E. Exlcudes walk in centre 40 Emergency Admissions (all ages) (2008/09 to 2010/11 ). Source: Inpatient Minimum Dataset, PHR. Includes externals 41 Emergency Admissions (age <20) (2008/09 to 2010/11 ). Source: Inpatient Minimum Dataset, PHR. Includes externals 42 Emergency Admissions (age 65+) (2008/09 to 2010/11 ). Source: Inpatient Minimum Dataset, PHR. Includes externals Ward and Community Assembly Health Profile 2011 Public Health Analysis team, NHS. V1.0, 29th September 2011 Page 6 of 7

7 Metadata and Supporting Information (continued) Domain Lifestyle Profile Indicator Reference Metadata Alcohol: Harmful/Hazardous Drinking Estimates (age 16+) (April 2011). Source: General Household Survery 2006, Health Register Ap Crude estimate based on age,sex distribution. People who drink above the sensible levels who are (a) not yet experiencing harm - Hazardous, (b) are experiencing harm - Harmful Alcohol: Hospital Admissions for Alcohol-Specific Conditions (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR, NWPHO AAFs Nov Alcohol-Specific Hospital admissions are calculated by using published literature to identify the conditions for which hospital admissions are always alcohol-related and extracting these admissions from hospital episode statistics. Alcohol: Hospital Admissions for Alcohol-Attributable Conditions (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR, NWPHO AAFs Nov Hospital admissions for alcohol related harm are calculated using attributable fractions. This methodology uses published literature to identify the proportion of hospital admissions for any particular condition by age and sex that is attributable to alcohol and applies these fractions to hospital episode statistics. Alcohol: Alcohol-Attributable Mortality ( ). Source: PH Mortality, PH Births, PHR, NWPHO AAFs Nov Deaths due to alcohol related harm are calculated using attributable fractions. This methodology uses published literature to identify the proportion of deaths for any particular condition by age and sex that is attributable to alcohol and applies these fractions to death statistics. Weight:% Mothers delivering who were Overweight/Obese/Morbidly Obese at booking (2010/11). Source: Local Protos extract. Includes mothers registered with a GP and delivering at STHT or at home. BMI of 25+. Excludes mothers with unknown BMIs. 48 Weight: Reception Year (age 4/5) % Overweight and Obese (2009/10). Source: National Child Measurement Programme. Excludes children attending special schools. 49 Weight:Year 6 (age 10/11) % Overweight and Obese (2009/10). Source: National Child Measurement Programme. Excludes children attending special schools Sexual Health: Selected STI new diagnoses (age16+) (Oct Sep 2010). Source: GUM clinic, STHT, PHR population 16+ April Sexually Transmitted Infections (STIs) (Chlamydia, Gonorrohea, Herpes, Syphilis, Anogenital warts) Sexual Health: Chlamydia Programme +ve (age 15-24) (2010/11). Source: Chlamydia Screening Programme. Smoking: Smoking Prevalence estimates (age 16+) (2009/10). Source: HSfE 2009, Public Health Register s 09/10, SHAIPS II, City Council Benefits dataset Modelled estimates, adjusted for deprivation Smoking: % Mothers recorded as Smokers at Delivery (2010/11). Source: Local Protos extract. Includes mothers registered with a GP and delivering a live baby at 23 weeks or more gestation at a STHT hospital or at home. Smoking: Smoking Cessation % Quit Success (2010/11). Source: Stop Smoking Service Database. Grouped by the ward in which the stop smoking service client lived, not necessarily where the service was delivered. total excludes non Sheff residents. Smoking: Smoking Cessation Quits per 100 Estimated Smokers (2010/11). Source: Stop Smoking Service Database, HSfE 2009, Public Health Register s 09/10, SHAIPS II, City Council Benefits dataset The ward in which the stop smoking service client lived, not necessarily where the service was delivered. total excludes non Sheff residents. Smoking: Mortality attributable to smoking (age 35+) ( ). Source: Public Health Mortality, Public Health Register, Cause of death relative risks from NHS Information Centre Statistics on Smoking 2010, Locally calculated smoking and ex-smoking prevalence estimated based on HSfE This indicator attributes a fraction of deaths to smoking based on the relative risk (by cause, age and sex) of a death being smoking related and the likelihood that the person was a smoker or ex-smoker. Based on date of death registration. 57 Live Birth Rate (2010). Source: PH Births. 58 Low Birthweight Live Births ( ). Source: PH Births. % of livebirths <2500g Children & Young People Disease Groups 59 Under 18 Conception Rate ( ). Source: Inpatient minimum datasets, Protos births extract. Conceptions occuring during the period 60 Infant Mortality Rate ( ). Source: PH Births, PH Mortality. Deaths to children aged under 1 year Decayed, Missing & Filled Teeth - dmft (age 5) (2007/08). Source: Dental Public Health Unit, 2007/08 School Year. This was a sample survey of school children and based on an opt-in approach to participation, and so should not be compared to previous 5 yr survey data. % Mothers Intending to Breastfeed as recorded at Delivery (2010/11). Source: Local Protos extract. Includes mothers registered with a GP and delivering a live baby at 23 weeks or more gestation at a STHT hospital or at home. % Babies being breastfed at 6-8 weeks (2010/11). Source: Local Protos extract. % of resident babies becoming 8 weeks old in period who are known to have been receiving breastmilk at 6-8 weeks of age. Excludes babies who were not registered with Child Health by 12 weeks of age and those who have died. 64 Cancer: Mortality Rate (Age <75) ( ). Source: PH Mortality, PH Births, PHR. ICD between C00 and C99 67 Circulatory: Circulatory Disorders, Mortality Rate (Age <75) ( ). Source: PH Mortality, PH Births, PHR. ICD between I00 and I99 68 Circulatory: Coronary Heart Disease, Mortality Rate (Age <75) ( ). Source: PH Mortality, PH Births, PHR. ICD between I20 and I Circulatory: Coronary Heart Disease, Emergency Hospital Admission Rate (all ages) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR. ICD between I20 and I25. Includes and external hospitals. 70 Circulatory: Stroke, Mortality Rate (age <75) ( ). Source: PH Mortality, PH Births, PHR. ICD between I60 and I Cancer: Hospital Admission Rate (all ages) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR. ICD between C00 and C99. Includes and external hospitals. Chronic Disease: Emergency Hospital Admission Rate (all ages) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR. Respiratory diseases (including COPD and asthma), Diabetes and CHD. Includes and external hospitals Circulatory: Stroke, Hospital Admission Rate (all ages) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR. ICD between I60 and I69 (excludes TIA). Includes and external hospitals. Diabetes: Hospital Admission Rate (all ages) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR. ICD between E10 and E14. Includes and external hospitals. 73 Respiratory: Respiratory Diseases, Mortality Rate (Age <75) ( ). Source: PH Mortality, PH Births, PHR. ICD between J00 and J Respiratory: COPD, Mortality Rate (Age <75) ( ). Source: PH Mortality, PH Births, PHR. ICD between J40-J44 Mental Health Respiratory: COPD, Hospital Admission Rate (all ages) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR. ICD J40-J44 and J47 (excludes asthma). Includes and external hospitals. Respiratory: Asthma, Hospital Admission Rate (all ages) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PH Births, PHR. ICD between J45 and J46. Includes and external hospitals. Mental Health: Prevalence Estimates: Any Common Mental Disorder in last week (Age 16+) (2009/10). Source: Adult Psychiatric Morbidity Survey (APMS) in England 2007, PHR populations, Income Support Data Dec 2008, NPMS Index. Includes diagnosed and undiagnosed.based on APMS 2007, p40, table 2.3 using NPMSDep Index deprivation weighting in line with IAPT Workforce Capacity Tool, March 2008 methodology. Pops are avg of in year snapshots. Mental Health: Prevalence estimates: Psychotic Disorders (Age 16+) (2009/10). Source: Adult Psychiatric Morbidity Survey (APMS) in England 2007, PHR populations, Income Support Data Dec 2008, MINI2000 Index.Based on APMS 2007, p99, table 5.1 using MINI2000 Index deprivation weighting distributed between wards based on % households claiming income support/ job seekers allowance/ guaranteed pension credit/employment support allowance. Pops are avg of in year snapshots. 79 Mental Health: Referrals to MH Inpatient Specialties (Age 16-64) (2010/11). Source: Referrals & Outpatients datasets. 80 Mental Health: Referrals to MH Inpatient Specialties (Age 65+) (2010/11). Source: Referrals & Outpatients datasets. Mental Health: Hospital Admissions to MH Specialties (Age 16-64) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PHR populations. Includes admissions to specialty codes , excluding learning disabilities code 700 Mental Health: Hospital Admissions to MH Specialties (Age 65+) (2008/09 to 2010/11 ). Source: Inpatient minimum datasets, PHR populations. Includes admissions to specialty codes , excluding learning disabilities code Mental Health: Hospital Admissions for Dementia (Age 65+) (2007/08 to 2009/10). Source: Inpatient minimum datasets, PHR populations. Mental Health: Mortality from Suicide and Injury of Undetermined Intent ( ). Source: PH mortality by date of death registration where underlying cause of death coded as ICD10 X60-X84 or Y10-Y34, PH Births & PHR populations. Ward and Community Assembly Health Profile 2011 Public Health Analysis team, NHS. V1.0, 29th September 2011 Page 7 of 7