Tameside. Produced by Public Health England. Public Health Outcomes Framework. Introduction. Contents

Transcription

1 Introduction The Public Health Outcomes Framework Healthy lives, healthy people: Improving outcomes and supporting transparency sets out a vision for public health, desired outcomes and the indicators that will help us understand how well public health is being improved and protected. The framework concentrates on two high-level outcomes to be achieved across the public health system, and groups further indicators into four 'domains' that cover the full spectrum of public health. The outcomes reflect a focus not only on how long people live, but on how well they live at all stages of life. This profile currently presents data for the first set of indicators at England and upper tier local authority levels, collated by Public Health England. The profile allows you to: Compare your local authority against other authorities in the region Benchmark your local authority against the England value Public Health Outcomes Framework baseline data will be revised and corrected in accordance with the general DH statistical policy on revisions and corrections. Contents Spine Charts Overarching indicators Page Wider determinants of health Page 3 Health improvement Page Health protection Page 7 Healthcare and premature mortality Page 8 Supporting information Page 1 Tartan Rugs Overarching indicators Page 11 Wider determinants of health Page 1 Health improvement Page 16 Health protection Page 1 Healthcare and premature mortality Page 4 Supporting information Page 8 Droylsden Mossley Ashton-Under-Lyne Stalybridge Dukinfield Summary Charts Overarching indicators Page 9 Wider determinants of health Page 31 Health improvement Page 37 Health protection Page 4 Healthcare and premature mortality Page 48 Supporting information Page Definitions Produced by Public Health England. Page 6 Denton Hyde miles Crown Copyright and database rights 17, Ordnance Survey For enquiries please contact phof.enquiries@phe.gov.uk or call us on E88 Crown Copyright Updated 7 November 17 1

2 Spine Charts Key Significance compared to goal / England average: Significantly worse Not significantly different Significantly better Significantly lower Significantly higher Significance not tested England worst / lowest Regional average th percentile England Average 7th percentile England best / highest Overarching indicators Local value value worst Range best.1i - Healthy life expectancy at birth (Male) i - Healthy life expectancy at birth (Female) ii - Life expectancy at birth (Male) ii - Life expectancy at birth (Female) ii - Life expectancy at 6 (Male) ii - Life expectancy at 6 (Female) i - Slope index of inequality in life expectancy at birth based on national deprivation deciles within England (Male).i - Slope index of inequality in life expectancy at birth based on national deprivation deciles within England (Female).ii - Number of upper tier local authorities for which the local slope index of inequality in life expectancy (as defined in.iii) has decreased (Male).ii - Number of upper tier local authorities for which the local slope index of inequality in life expectancy (as defined in.iii) has decreased (Female).iii - Slope index of inequality in life expectancy at birth within English local authorities, based on local deprivation deciles within each area (Male).iii - Slope index of inequality in life expectancy at birth within English local authorities, based on local deprivation deciles within each area (Female).iv - Gap in life expectancy at birth between each local authority and England as a whole (Male).iv - Gap in life expectancy at birth between each local authority and England as a whole (Female).v - Slope index of inequality in healthy life expectancy at birth based on national deprivation deciles within England (Male).v - Slope index of inequality in healthy life expectancy at birth based on national deprivation deciles within England (Female).vi - SII in healthy life expectancy based within local authorities, based on deprivation within Middle Super Output Areas (Male).vi - SII in healthy life expectancy based within local authorities, based on deprivation within Middle Super Output Areas (Female).vii - Slope index of inequality in life expectancy at birth within English regions, based on regional deprivation deciles within each area (Male).vii - Slope index of inequality in life expectancy at birth within English regions, based on regional deprivation deciles within each area (Female) E88 Crown Copyright Updated 7 November 17

3 Wider determinants of health Local value value worst Range best 1.1i - Children in low income families (all dependent children under ) ii - Children in low income families (under 16s) i - School Readiness: the percentage of children achieving a good level of development at the end of reception (Persons) 1.i - School Readiness: the percentage of children achieving a good level of development at the end of reception (Male) 1.i - School Readiness: the percentage of children achieving a good level of development at the end of reception (Female) 1.i - School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception (Persons) 1.i - School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception (Male) 1.i - School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception (Female) 1.ii - School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check (Persons) 1.ii - School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check (Male) 1.ii - School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check (Female) 1.ii - School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check (Persons) 1.ii - School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check (Male) 1.ii - School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check (Female) 1/ / / / / / / / / / / / Pupil absence 1/ First time entrants to the youth justice system year olds not in education employment or training i - Adults with a learning disability who live in stable and appropriate accommodation (Persons) 1.6i - Adults with a learning disability who live in stable and appropriate accommodation (Male) 1.6i - Adults with a learning disability who live in stable and appropriate accommodation (Female) 1.6ii - Adults in contact with secondary mental health services who live in stable and appropriate accommodation (Persons) 1.6ii - Adults in contact with secondary mental health services who live in stable and appropriate accommodation (Male) 1.6ii - Adults in contact with secondary mental health services who live in stable and appropriate accommodation (Female) People in prison who have a mental illness or a significant mental illness - current method People in prison who have a mental illness or a significant mental illness - historic method 1.8i - Gap in the employment rate between those with a long-term health condition and the overall employment rate 1.8ii - Gap in the employment rate between those with a learning disability and the overall employment rate (Persons) 1/ / / / / / / /14. 16/ / E88 Crown Copyright Updated 7 November 17 3

4 Wider determinants of health continued Local value value worst Range best 1.8ii - Gap in the employment rate between those with a learning disability and the overall employment rate (Male) 1.8ii - Gap in the employment rate between those with a learning disability and the overall employment rate (Female) 1.8iii - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (Persons) 1.8iii - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (Male) 1.8iii - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (Female) 1/ / /16 - * /16 - * /16 - * iv - Percentage of people aged in employment (Persons) 16/ iv - Percentage of people aged in employment (Male) 16/ iv - Percentage of people aged in employment (Female) 16/ i - Sickness absence - the percentage of employees who had at least one day off in the previous week 1.9ii - Sickness absence - the percentage of working days lost due to sickness absence Killed and seriously injured (KSI) casualties on England's roads Domestic abuse-related incidents and crimes - current method 1/ Domestic abuse - historic method 14/ i - Violent crime (including sexual violence) - hospital admissions for violence 1.1ii - Violent crime (including sexual violence) - violence offences per 1, population 1.1iii- Violent crime (including sexual violence) - rate of sexual offences per 1, population 13/14-1/ / / i - Re-offending levels - percentage of offenders who re-offend ii - Re-offending levels - average number of re-offences per offender iii - First time offenders i - The rate of complaints about noise 14/1 4.8 ^ 7.1 ^ ii - The percentage of the population exposed to road, rail and air transport noise of 6dB(A) or more, during the daytime 1.14iii - The percentage of the population exposed to road, rail and air transport noise of db(a) or more during the night-time 1.1i - Statutory homelessness - Eligible homeless people not in priority need 1.1ii - Statutory homelessness - households in temporary accommodation / / Utilisation of outdoor space for exercise/health reasons Mar 1 - Feb Fuel poverty i - Social Isolation: percentage of adult social care users who have as much social contact as they would like 1.18ii - Social Isolation: percentage of adult carers who have as much social contact as they would like 16/ / Note: * - Disclosure control applied, ^ - Value estimated E88 Crown Copyright Updated 7 November 17 4

5 Health improvement Local value value worst Range best.1 - Low birth weight of term babies i - Breastfeeding - breastfeeding initiation 14/ ii - Breastfeeding - breastfeeding prevalence at 6-8 weeks after birth - current method.ii - Breastfeeding - breastfeeding prevalence at 6-8 weeks after birth - historical method 1/ ^ /1 - x Smoking status at time of delivery - current method 16/ Smoking status at time of delivery - historical method 16/ Under 18 conceptions Under 18 conceptions: conceptions in those aged under ii - Proportion of children aged -½yrs offered ASQ-3 as part of the Healthy Child Programme or integrated review 1/ ^ 81.3 ^.6i - Child excess weight in 4- and 1-11 year olds - 4- year olds 1/ ii - Child excess weight in 4- and 1-11 year olds year olds.7i - Hospital admissions caused by unintentional and deliberate injuries in children (aged -14 years).7i - Hospital admissions caused by unintentional and deliberate injuries in children (aged -4 years).7ii - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 1-4 years).8i - Average difficulties score for all looked after children aged -16 who have been in care for at least 1 months on 31st March 1/ / / / / ii - Percentage of children where there is a cause for concern 1/ i - Smoking prevalence at age 1 - current smokers (WAY survey) 14/ ii - Smoking prevalence at age 1 - regular smokers (WAY survey) 14/ iii - Smoking prevalence at age 1 - occasional smokers (WAY survey).9iv - Smoking prevalence at age 1 years - regular smokers (SDD survey).9v - Smoking prevalence at age 1 years - occasional smokers (SDD survey) 14/ ii - Emergency Hospital Admissions for Intentional Self-Harm 1/ i - Proportion of the population meeting the recommended '-aday' on a 'usual day' (adults) - current method.11i - Proportion of the population meeting the recommended '-aday' on a 'usual day' (adults) - historical method.11ii - Average number of portions of fruit consumed daily (adults) - current method.11ii - Average number of portions of fruit consumed daily (adults) - historical method.11iii - Average number of portions of vegetables consumed daily (adults) - current method.11iii - Average number of portions of vegetables consumed daily (adults) - historical method.11iv - Proportion of the population meeting the recommended "-aday" at age 1.11v - Average number of portions of fruit consumed daily at age 1 (WAY survey).11vi - Average number of portions of vegetables consumed daily at age 1 (WAY survey).1 - Percentage of adults (aged 18+) classified as overweight or obese - current method 1/ / / / / / / Note: ^ - Value estimated, x - Value Missing E88 Crown Copyright Updated 7 November 17

6 Health improvement continued Local value value worst Range best.1 - Percentage of adults (aged 16+) classified as overweight or obese - historical method i - Percentage of physically active adults - current method 1/ i - Percentage of physically active adults - historical method ii - Percentage of physically inactive adults - current method 1/ ii - Percentage of physically inactive adults - historical method Smoking Prevalence in adults - current smokers (APS) i - Successful completion of drug treatment - opiate users ii - Successful completion of drug treatment - non-opiate users iii - Successful completion of alcohol treatment iv - Deaths from drug misuse Adults with substance misuse treatment need who successfully engage in community-based structured treatment following release from prison 16/ Recorded diabetes 14/ Admission episodes for alcohol-related conditions - narrow definition (Persons).18 - Admission episodes for alcohol-related conditions - narrow definition (Male).18 - Admission episodes for alcohol-related conditions - narrow definition (Female) 1/ , / ,47 9 1/ Cancer diagnosed at early stage (experimental statistics) i - Cancer screening coverage - breast cancer ii - Cancer screening coverage - cervical cancer iii - Cancer screening coverage - bowel cancer iv - Abdominal Aortic Aneurysm Screening - Coverage 1/ v - Diabetic eye screening - uptake 1/ vii - Infectious Diseases in Pregnancy Screening - HIV Coverage 1/ viii - Infectious Diseases in Pregnancy Screening - Syphilis Coverage.ix - Infectious Diseases in Pregnancy Screening - Hepatitis B Coverage x - Sickle Cell and Thalassaemia Screening - Coverage 1/ xi - Newborn Blood Spot Screening - Coverage 1/16 - x 9.6 ~ xii - Newborn Hearing Screening - Coverage 1/ xiii - Newborn and Infant Physical Examination Screening - Coverage.iii - Cumulative percentage of the eligible population aged 4-74 offered an NHS Health Check.iv - Cumulative percentage of the eligible population aged 4-74 offered an NHS Health Check who received an NHS Health Check.v - Cumulative percentage of the eligible population aged 4-74 who received an NHS Health check 1/ /14-16/ /14-16/ /14-16/ i - Self-reported wellbeing - people with a low satisfaction score 1/ ii - Self-reported wellbeing - people with a low worthwhile score 1/ iii - Self-reported wellbeing - people with a low happiness score 1/ iv - Self-reported wellbeing - people with a high anxiety score 1/ i - Emergency hospital admissions due to falls in people aged 6 and over (Persons).4i - Emergency hospital admissions due to falls in people aged 6 and over (Male) 1/ ,46 1,37 1/ ,116 8 Note: x - Value Missing, ~ - Aggregated from all known lower geography values E88 Crown Copyright Updated 7 November 17 6

7 Health improvement continued Local value value worst Range best.4i - Emergency hospital admissions due to falls in people aged 6 and over (Female).4ii - Emergency hospital admissions due to falls in people aged 6 and over - aged 6-79 (Persons).4ii - Emergency hospital admissions due to falls in people aged 6 and over - aged 6-79 (Male).4ii - Emergency hospital admissions due to falls in people aged 6 and over - aged 6-79 (Female).4iii - Emergency hospital admissions due to falls in people aged 6 and over - aged 8+ (Persons).4iii - Emergency hospital admissions due to falls in people aged 6 and over - aged 8+ (Male).4iii - Emergency hospital admissions due to falls in people aged 6 and over - aged 8+ (Female) 1/ ,89 1,3 1/ , / , / , / ,33 3,16 1/ ,719,14 1/ ,83 3,664 Health protection Local value value worst Range best Fraction of mortality attributable to particulate air pollution Chlamydia detection rate (1-4 year olds) < to 3 > , Chlamydia detection rate (1-4 year olds) (Male) , Chlamydia detection rate (1-4 year olds) (Female) ,116,8 3.3i - Population vaccination coverage - Hepatitis B (1 year old) 1/ x i - Population vaccination coverage - Hepatitis B ( years old) 1/16 1 * - x 3.3ii - Population vaccination coverage - BCG - areas offering universal BCG only 3.3iii - Population vaccination coverage - Dtap / IPV / Hib (1 year old) < 9 9 to 9 > 9 3.3iii - Population vaccination coverage - Dtap / IPV / Hib ( years old) < 9 9 to 9 > 9 3.3iv - Population vaccination coverage - MenC < 9 9 to 9 > 9 3.3v - Population vaccination coverage - PCV < 9 9 to 9 > 9 3.3vi - Population vaccination coverage - Hib / MenC booster ( years old) < 9 9 to 9 > 9 3.3vi - Population vaccination coverage - Hib / Men C booster ( years old) < 9 9 to 9 > 9 3.3vii - Population vaccination coverage - PCV booster < 9 9 to 9 > 9 3.3viii - Population vaccination coverage - MMR for one dose ( years old) < 9 9 to 9 > 9 3.3ix - Population vaccination coverage - MMR for one dose ( years old) < 9 9 to 9 > 9 3.3x - Population vaccination coverage - MMR for two doses ( years old) < 9 9 to 9 > 9 3.3xii - Population vaccination coverage - HPV vaccination coverage for one dose (females 1-13 years old) < 8 8 to 9 > 9 1/16 - x - x 1/ / / x / / / / / / / / Note: * - Disclosure control applied, x - Value Missing E88 Crown Copyright Updated 7 November 17 7

8 Health protection continued Local value value worst Range best 3.3xiii - Population vaccination coverage - PPV < 6 6 to 7 > 7 3.3xiv - Population vaccination coverage - Flu (aged 6+) < 7 > 7 3.3xv - Population vaccination coverage - Flu (at risk individuals) < > 3.3xvi - Population vaccination coverage - HPV vaccination coverage for two doses (females years old) < 8 8 to 9 > 9 3.3xvii - Population vaccination coverage - Shingles vaccination coverage (7 years old) < to 6 > 6 3.3xviii - Population vaccination coverage - Flu (-4 years old) < 4 4 to 6 > HIV late diagnosis < to > 16/ / / / / / i - Treatment completion for TB ii - Incidence of TB NHS organisations with a board approved sustainable development management plan Adjusted antibiotic prescribing in primary care by the NHS < mean England prescribing (13/14) > mean England prescribing (13/14) 1/ Healthcare and premature mortality Local value value worst Range best Infant mortality Proportion of five year old children free from dental decay 14/ Mortality rate from causes considered preventable (Persons) Mortality rate from causes considered preventable (Male) Mortality rate from causes considered preventable (Female) i - Under 7 mortality rate from all cardiovascular diseases (Persons) i - Under 7 mortality rate from all cardiovascular diseases (Male) i - Under 7 mortality rate from all cardiovascular diseases (Female) 4.4ii - Under 7 mortality rate from cardiovascular diseases considered preventable (Persons) 4.4ii - Under 7 mortality rate from cardiovascular diseases considered preventable (Male) 4.4ii - Under 7 mortality rate from cardiovascular diseases considered preventable (Female) i - Under 7 mortality rate from cancer (Persons) i - Under 7 mortality rate from cancer (Male) i - Under 7 mortality rate from cancer (Female) ii - Under 7 mortality rate from cancer considered preventable (Persons) 4.ii - Under 7 mortality rate from cancer considered preventable (Male) 4.ii - Under 7 mortality rate from cancer considered preventable (Female) i - Under 7 mortality rate from liver disease (Persons) E88 Crown Copyright Updated 7 November 17 8

9 Healthcare and premature mortality continued Local value value worst Range best 4.6i - Under 7 mortality rate from liver disease (Male) i - Under 7 mortality rate from liver disease (Female) ii - Under 7 mortality rate from liver disease considered preventable (Persons) 4.6ii - Under 7 mortality rate from liver disease considered preventable (Male) 4.6ii - Under 7 mortality rate from liver disease considered preventable (Female) i - Under 7 mortality rate from respiratory disease (Persons) i - Under 7 mortality rate from respiratory disease (Male) i - Under 7 mortality rate from respiratory disease (Female) ii - Under 7 mortality rate from respiratory disease considered preventable (Persons) 4.7ii - Under 7 mortality rate from respiratory disease considered preventable (Male) 4.7ii - Under 7 mortality rate from respiratory disease considered preventable (Female) Mortality rate from a range of specified communicable diseases, including influenza (Persons) Mortality rate from a range of specified communicable diseases, including influenza (Male) Mortality rate from a range of specified communicable diseases, including influenza (Female) 4.9i - Excess under 7 mortality rate in adults with serious mental illness 4.9ii - Proportion of adults in the population in contact with secondary mental health services / / Suicide rate (Persons) Suicide rate (Male) Suicide rate (Female) Emergency readmissions within 3 days of discharge from hospital (Persons) Emergency readmissions within 3 days of discharge from hospital (Male) Emergency readmissions within 3 days of discharge from hospital (Female) 4.1i - Preventable sight loss - age related macular degeneration (AMD) 11/ / / / ii - Preventable sight loss - glaucoma 1/ iii - Preventable sight loss - diabetic eye disease 1/ iv - Preventable sight loss - sight loss certifications 1/ Health related quality of life for older people 1/ i - Hip fractures in people aged 6 and over (Persons) 1/ i - Hip fractures in people aged 6 and over (Male) 1/ i - Hip fractures in people aged 6 and over (Female) 1/ ii - Hip fractures in people aged 6 and over - aged 6-79 (Persons) 1/ ii - Hip fractures in people aged 6 and over - aged 6-79 (Male) 1/ ii - Hip fractures in people aged 6 and over - aged 6-79 (Female) 1/ iii - Hip fractures in people aged 6 and over - aged 8+ (Persons) 1/ , iii - Hip fractures in people aged 6 and over - aged 8+ (Male) 1/ , E88 Crown Copyright Updated 7 November 17 9

10 Healthcare and premature mortality continued Local value value worst Range best 4.14iii - Hip fractures in people aged 6 and over - aged 8+ (Female) 1/ ,611 1,17 4.1i - Excess winter deaths index (single year, all ages) (Persons) Aug 1 - Jul i - Excess winter deaths index (single year, all ages) (Male) Aug 1 - Jul i - Excess winter deaths index (single year, all ages) (Female) Aug 1 - Jul ii - Excess winter deaths index (single year, age 8+) (Persons) 4.1ii - Excess winter deaths index (single year, age 8+) (Male) 4.1ii - Excess winter deaths index (single year, age 8+) (Female) 4.1iii - Excess winter deaths index (3 years, all ages) (Persons) 4.1iii - Excess winter deaths index (3 years, all ages) (Male) 4.1iii - Excess winter deaths index (3 years, all ages) (Female) 4.1iv - Excess winter deaths index (3 years, age 8+) (Persons) 4.1iv - Excess winter deaths index (3 years, age 8+) (Male) 4.1iv - Excess winter deaths index (3 years, age 8+) (Female) Aug 1 - Jul 16 Aug 1 - Jul 16 Aug 1 - Jul 16 Aug 13 - Jul 16 Aug 13 - Jul 16 Aug 13 - Jul 16 Aug 13 - Jul 16 Aug 13 - Jul 16 Aug 13 - Jul Estimated dementia diagnosis rate (aged 6+) > 66.7% (significantly) similar to 66.7% &lt 66.7% (significantly) Supporting information Local value value worst Range best Supporting Information - Deprivation score (IMD 1) Supporting information - Deprivation score (IMD 1) Supporting information - % population aged Supporting information - % population aged Supporting information - % population from Black and Minority Ethnic (BME) groups E88 Crown Copyright Updated 7 November 17 1

11 Tartan Rugs Overarching indicators Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral.1i Healthy life expectancy at birth (Male) i Healthy life expectancy at birth (Female) ii Life expectancy at birth (Male) ii Life expectancy at birth (Female) ii Life expectancy at 6 (Male) ii Life expectancy at 6 (Female) i Slope index of inequality in life expectancy at birth based on national deprivation deciles within England (Male).i Slope index of inequality in life expectancy at birth based on national deprivation deciles within England (Female) ii.ii.iii.iii Number of upper tier local authorities for which the local slope index of inequality in life expectancy (as defined in.iii) has decreased (Male) Number of upper tier local authorities for which the local slope index of inequality in life expectancy (as defined in.iii) has decreased (Female) Slope index of inequality in life expectancy at birth within English local authorities, based on local deprivation deciles within each area (Male) Slope index of inequality in life expectancy at birth within English local authorities, based on local deprivation deciles within each area (Female) Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E88 Crown Copyright Updated 7 November 17 11

12 Overarching indicators continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral.iv.iv Gap in life expectancy at birth between each local authority and England as a whole (Male) Gap in life expectancy at birth between each local authority and England as a whole (Female) v Slope index of inequality in healthy life expectancy at birth based on national deprivation deciles within England (Male).v Slope index of inequality in healthy life expectancy at birth based on national deprivation deciles within England (Female) vi.vi.vii.vii SII in healthy life expectancy based within local authorities, based on deprivation within Middle Super Output Areas (Male) SII in healthy life expectancy based within local authorities, based on deprivation within Middle Super Output Areas (Female) Slope index of inequality in life expectancy at birth within English regions, based on regional deprivation deciles within each area (Male) Slope index of inequality in life expectancy at birth within English regions, based on regional deprivation deciles within each area (Female) Wider determinants of health 1.1i Children in low income families (all dependent children under ) ii Children in low income families (under 16s) i School Readiness: the percentage of children achieving a good level of development at the end of reception (Persons) 1/ Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E88 Crown Copyright Updated 7 November 17 1

13 Wider determinants of health continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral 1.i School Readiness: the percentage of children achieving a good level of development at the end of reception (Male) 1.i School Readiness: the percentage of children achieving a good level of development at the end of reception (Female) 1.i School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception (Persons) 1.i School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception (Male) 1.i School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception (Female) 1/ / / / / ii 1.ii 1.ii 1.ii 1.ii 1.ii School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check (Persons) School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check (Male) School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check (Female) School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check (Persons) School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check (Male) School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check (Female) 1/ / / / / / Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E88 Crown Copyright Updated 7 November 17 13

14 Wider determinants of health continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral 1.3 Pupil absence 1/ First time entrants to the youth justice system year olds not in education employment or training 1.6i Adults with a learning disability who live in stable and appropriate accommodation (Persons) 1.6i Adults with a learning disability who live in stable and appropriate accommodation (Male) 1.6i Adults with a learning disability who live in stable and appropriate accommodation (Female) $ $ $ 6. $ $ $ / / / ii 1.6ii 1.6ii Adults in contact with secondary mental health services who live in stable and appropriate accommodation (Persons) Adults in contact with secondary mental health services who live in stable and appropriate accommodation (Male) Adults in contact with secondary mental health services who live in stable and appropriate accommodation (Female) 1/ / x / x People in prison who have a mental illness or a significant mental illness - current method 1.7 People in prison who have a mental illness or a significant mental illness - historic method 1.8i Gap in the employment rate between those with a longterm health condition and the overall employment rate 16/ /14. 16/ ii 1.8ii Gap in the employment rate between those with a learning disability and the overall employment rate (Persons) Gap in the employment rate between those with a learning disability and the overall employment rate (Male) 1/ / Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E88 Crown Copyright Updated 7 November 17 Note: x - Value Missing, $ - Data quality note 14

15 Wider determinants of health continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral 1.8ii 1.8iii 1.8iii 1.8iii 1.8iv 1.8iv 1.8iv Gap in the employment rate between those with a learning disability and the overall employment rate (Female) Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (Persons) Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (Male) Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (Female) Percentage of people aged in employment (Persons) Percentage of people aged in employment (Male) Percentage of people aged in employment (Female) 1/ * / * * - * * - * / * * - * * - * / * * - * * - * / / / i Sickness absence - the percentage of employees who had at least one day off in the previous week ii Sickness absence - the percentage of working days lost due to sickness absence Killed and seriously injured (KSI) casualties on England's roads 1.11 Domestic abuse-related incidents and crimes - current method / Domestic abuse - historic method 14/ i Violent crime (including sexual violence) - hospital admissions for violence 13/14-1/ ii Violent crime (including sexual violence) - violence offences per 1, population 1/ Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E88 Crown Copyright Updated 7 November 17 Note: * - Disclosure control applied 1

16 Wider determinants of health continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral 1.1iii - Violent crime (including sexual violence) - rate of sexual offences per 1, population 1/ i Re-offending levels - percentage of offenders who reoffend ii Re-offending levels - average number of re-offences per offender iii First time offenders i The rate of complaints about noise 14/1 7.1 ^ 4.1 ^ 4. ^ 3.7 ^ 4.7 ^ ^ 4.4 ^. 3. ^.1 ^ 6.1 ^ 3. ^ ^ ^. ^ ii 1.14iii The percentage of the population exposed to road, rail and air transport noise of 6dB(A) or more, during the daytime The percentage of the population exposed to road, rail and air transport noise of db(a) or more during the night-time i Statutory homelessness - Eligible homeless people not in priority need 16/ * ~ ~ * ii Statutory homelessness - households in temporary accommodation 16/ ~... ~ Utilisation of outdoor space for exercise/health reasons Mar 1 - Feb x $ $ $ 3.4 $ 1.17 Fuel poverty i Social Isolation: percentage of adult social care users who have as much social contact as they would like 16/ ii Social Isolation: percentage of adult carers who have as much social contact as they would like 16/ Health improvement.1 Low birth weight of term babies Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared Note: * - Disclosure control applied, ^ - Value estimated, x - Value Missing, $ - Data quality note, ~ - Aggregated from all known lower geography values E88 Crown Copyright Updated 7 November 17 16

17 Health improvement continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral.i Breastfeeding - breastfeeding initiation 14/ ii.ii Breastfeeding - breastfeeding prevalence at 6-8 weeks after birth - current method Breastfeeding - breastfeeding prevalence at 6-8 weeks after birth - historical method 1/ ^ - x - x x - x x 31. ^ - x x x / x - x x x - x x x - x - x x x - x Smoking status at time of delivery - current method 16/ $ $ $.3 Smoking status at time of delivery - historical method 16/ ~ x x x.4 Under 18 conceptions Under 18 conceptions: conceptions in those aged under ii Proportion of children aged -½yrs offered ASQ-3 as part of the Healthy Child Programme or integrated review.6i - Child excess weight in 4- and 1-11 year olds - 4- year olds 1/ ^ x ^ - x ^ x x 7.6 ^ / ii Child excess weight in 4- and 1-11 year olds year olds.7i Hospital admissions caused by unintentional and deliberate injuries in children (aged -14 years).7i Hospital admissions caused by unintentional and deliberate injuries in children (aged -4 years) 1/ / / ii Hospital admissions caused by unintentional and deliberate injuries in young people (aged 1-4 years) 1/ i Average difficulties score for all looked after children aged -16 who have been in care for at least 1 months on 31st March 1/ ii Percentage of children where there is a cause for concern 1/ Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared Note: ^ - Value estimated, x - Value Missing, $ - Data quality note, ~ - Aggregated from all known lower geography values E88 Crown Copyright Updated 7 November 17 17

18 Health improvement continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Stockport Trafford Warrington Wigan Wirral.9i Smoking prevalence at age 1 - current smokers (WAY survey) 14/ ii.9iii.9iv Smoking prevalence at age 1 - regular smokers (WAY survey) Smoking prevalence at age 1 - occasional smokers (WAY survey) Smoking prevalence at age 1 years - regular smokers (SDD survey) 14/ / v Smoking prevalence at age 1 years - occasional smokers (SDD survey) ii Emergency Hospital Admissions for Intentional Self- Harm 1/ i Proportion of the population meeting the recommended '-a-day' on a 'usual day' (adults) - current method.11i Proportion of the population meeting the recommended '-a-day' on a 'usual day' (adults) - historical method 1/ ii.11ii.11iii.11iii Average number of portions of fruit consumed daily (adults) - current method Average number of portions of fruit consumed daily (adults) - historical method Average number of portions of vegetables consumed daily (adults) - current method Average number of portions of vegetables consumed daily (adults) - historical method.11iv - Proportion of the population meeting the recommended "-a-day" at age 1.11v - Average number of portions of fruit consumed daily at age 1 (WAY survey) 1/ / / / Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E88 Crown Copyright Updated 7 November 17 18