Stockport. 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 4 Health protection Page Healthcare and premature mortality Page 6 Tartan Rugs Overarching indicators Page 9 Wider determinants of health Page 1 Health improvement Page 13 Health protection Page 16 Healthcare and premature mortality Page 18 Gatley Cheadle Romiley Marple Summary Charts Overarching indicators Page Wider determinants of health Page 4 Health improvement Page 8 Health protection Page 33 Healthcare and premature mortality Page 36 Cheadle Hulme Bramhall Hazel Grove Definitions Page 4 miles Produced by Public Health England. Crown Copyright and database rights 13, Ordnance Survey OpenStreetMap contributors ODbL For enquiries please contact phof.enquiries@phe.gov.uk or call us on E87 Crown Copyright Updated 3 February 1 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).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) E87 Crown Copyright Updated 3 February 1

3 Wider determinants of health Local value value worst Range best 1.1i - Children in poverty (all dependent children under ) ii - Children in poverty (under 16s) i - School Readiness: The percentage of children achieving a good level of development at the end of reception 1.i - School Readiness: The percentage of children with free school meal status achieving a good level of development at the end of reception 1.ii - School Readiness: The percentage of Year 1 pupils achieving the expected level in the phonics screening check 1.ii - School Readiness: The percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check 13/ / / / 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 - % of adults in contact with secondary mental health services who live in stable and appropriate accommodation (Persons) 1.6ii - % of adults in contact with secondary mental health services who live in stable and appropriate accommodation (Male) 1.6ii - % of 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 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 1.8iii - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate 1.9i - Sickness absence - The percentage of employees who had at least one day off in the previous week 1.9ii - Sickness absence - The percent of working days lost due to sickness absence 13/ / / / / / / / / / Killed and seriously injured (KSI) casualties on England's roads Domestic Abuse 1/ 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 1/11-1/ / / i - Re-offending levels - percentage of offenders who re-offend ii - Re-offending levels - average number of re-offences per offender i - The rate of complaints about noise 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 E87 Crown Copyright Updated 3 February 1 3

4 Wider determinants of health continued Local value value worst Range best 1.1i - Statutory homelessness - homelessness acceptances 13/ ii - Statutory homelessness - households in temporary accommodation 13/ Utilisation of outdoor space for exercise/health reasons Mar 13 - Feb Fuel Poverty i - Social Isolation: % of adult social care users who have as much social contact as they would like 1.18ii - Social Isolation: % of adult carers who have as much social contact as they would like 1.19i - Older people's perception of community safety - safe in local area during the day 1.19ii - Older people's perception of community safety - safe in local area after dark 1.19iii - Older people's perception of community safety - safe in own home at night 13/ / / / / Health improvement Local value value worst Range best.1 - Low birth weight of term babies i - Breastfeeding - Breastfeeding initiation 13/ ii - Breastfeeding - Breastfeeding prevalence at 6-8 weeks after birth 13/14 - x Smoking status at time of delivery 13/ Under 18 conceptions Under 18 conceptions: conceptions in those aged under i - Excess weight in 4- and 1-11 year olds - 4- year olds 13/ ii - Excess weight in 4- and 1-11 year olds year olds 13/ i - 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) 1/ / / Emotional well-being of looked after children 13/ ii - Smoking prevalence age 1 years - regular smokers iii - Smoking prevalence age 1 years - occasional smokers Excess Weight in Adults i - Percentage of physically active and inactive adults - active adults ii - Percentage of active and inactive adults - inactive adults Smoking Prevalence Smoking prevalence - routine & manual i - Successful completion of drug treatment - opiate users ii - Successful completion of drug treatment - non-opiate users People entering prison with substance dependence issues who are previously not known to community treatment 1/ Recorded diabetes 13/ E87 Crown Copyright Updated 3 February 1 Note: x - Value Missing 4

5 Health improvement continued Local value value worst Range best.18 - Alcohol related admissions to hospital - narrow definition (Persons) 1/ Alcohol related admissions to hospital - narrow definition (Male) 1/ Alcohol related admissions to hospital - narrow definition (Female) 1/ Cancer diagnosed at early stage (Experimental Statistics) i - Cancer screening coverage - breast cancer ii - Cancer screening coverage - cervical cancer i - Antenatal infectious disease screening HIV coverage 13/ iii - Antenatal Sickle Cell and Thalassaemia Screening - coverage 13/ iv - Newborn bloodspot screening - coverage 13/ ^ v - Newborn Hearing screening - Coverage 13/ vii - Access to non-cancer screening programmes - diabetic retinopathy 1/ ^ viii - Abdominal Aortic Aneurysm Screening 13/ iii - Cumulative % of the eligible population aged 4-74 offered an NHS Health Check.iv - Cumulative % of the eligible population aged 4-74 offered an NHS Health Check who received an NHS Health Check.v - Cumulative % of the eligible population aged 4-74 who received an NHS Health check 13/ / / i - Self-reported well-being - people with a low satisfaction score 13/ ii - Self-reported well-being - people with a low worthwhile score 13/14 - * iii - Self-reported well-being - people with a low happiness score 13/ iv - Self-reported well-being - people with a high anxiety score 13/ v - Average Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) score i - Injuries due to falls in people aged 6 and over (Persons) 1/ i - Injuries due to falls in people aged 6 and over (males/females) (Male).4i - Injuries due to falls in people aged 6 and over (males/females) (Female) 1/ / ii - Injuries due to falls in people aged 6 and over - aged / iii - Injuries due to falls in people aged 6 and over - aged 8+ 1/ Health protection Local value value worst Range best Fraction of mortality attributable to particulate air pollution i - Chlamydia detection rate (1-4 year olds) - Old NCSP data < to 4 > 4 3.ii - Chlamydia detection rate (1-4 year olds) - CTAD < to 3 > ii - Chlamydia detection rate (1-4 year olds) - CTAD (Male) ii - Chlamydia detection rate (1-4 year olds) - CTAD (Female) i - Population vaccination coverage - Hepatitis B (1 year old) 13/14 - ^ i - Population vaccination coverage - Hepatitis B ( years old) 13/14 - * iii - Population vaccination coverage - Dtap / IPV / Hib (1 year old) < 9 > 9 13/ ^ Note: * - Disclosure control applied, ^ - Value estimated E87 Crown Copyright Updated 3 February 1

6 Health protection continued Local value value worst Range best 3.3iii - Population vaccination coverage - Dtap / IPV / Hib ( years old) < 9 > 9 3.3iv - Population vaccination coverage - MenC < 9 > 9 3.3v - Population vaccination coverage - PCV < 9 > 9 3.3vi - Population vaccination coverage - Hib / MenC booster ( years old) < 9 > 9 3.3vi - Population vaccination coverage - Hib / Men C booster ( years) < 9 > 9 3.3vii - Population vaccination coverage - PCV booster < 9 > 9 3.3viii - Population vaccination coverage - MMR for one dose ( years old) < 9 > 9 3.3ix - Population vaccination coverage - MMR for one dose ( years old) < 9 > 9 3.3x - Population vaccination coverage - MMR for two doses ( years old) < 9 > 9 3.3xii - Population vaccination coverage - HPV < previous years England average > previous years England average 3.3xiii - Population vaccination coverage - PPV < previous years England average > previous years England average 3.3xiv - Population vaccination coverage - Flu (aged 6+) < 7 > 7 3.3xv - Population vaccination coverage - Flu (at risk individuals) < 7 > People presenting with HIV at a late stage of infection < to > 3.i - Treatment completion for TB < 8 > 8 13/ ^ / ^ /14 9. ^ / / ^ / ^ / ^ / ^ / ^ / / ^ / / x ii - Incidence of TB NHS organisations with a board approved sustainable development management plan Comprehensive, agreed inter-agency plans for responding to health protection incidents and emergencies 13/ / Healthcare and premature mortality Local value value worst Range best Infant mortality Tooth decay in children aged 11/ 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) Note: ^ - Value estimated, x - Value Missing E87 Crown Copyright Updated 3 February 1 6

7 Healthcare and premature mortality continued Local value value worst Range best 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) i - 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 from communicable diseases (Persons) Mortality from communicable diseases (Male) Mortality from communicable diseases (Female) Excess under 7 mortality rate in adults with serious mental illness 1/ Suicide rate (Persons) Suicide rate (Male) Suicide rate (Female) x 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/ E87 Crown Copyright Updated 3 February 1 Note: x - Value Missing 7

8 Healthcare and premature mortality continued Local value value worst Range best Health related quality of life for older people 1/ i - Hip fractures in people aged 6 and over 1/ ii - Hip fractures in people aged 6 and over - aged / iii - Hip fractures in people aged 6 and over - aged 8+ 1/ i - Excess Winter Deaths Index (Single year, all ages) Aug 1 - Jul ii - Excess Winter Deaths Index (single year, ages 8+) 4.1iii - Excess Winter Deaths Index (3 years, all ages) 4.1iv - Excess Winter Deaths Index (3 years, ages 8+) Aug 1 - Jul 13 Aug 1 - Jul 13 Aug 1 - Jul Estimated diagnosis rate for people with dementia 1/ E87 Crown Copyright Updated 3 February 1 8

9 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 Tameside 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.iv 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) Gap in life expectancy at birth between each local authority and England as a whole (Male) Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 9

10 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 Tameside Trafford Warrington Wigan Wirral.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) vii.vii 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 poverty (all dependent children under ) ii Children in poverty (under 16s) i School Readiness: The percentage of children achieving a good level of development at the end of reception 1.i School Readiness: The percentage of children with free school meal status achieving a good level of development at the end of reception 13/ / ii 1.ii School Readiness: The percentage of Year 1 pupils achieving the expected level in the phonics screening check School Readiness: The percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check 13/ / Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 1

11 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 Tameside 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 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) 13/ / / ii 1.6ii 1.6ii % of adults in contact with secondary mental health services who live in stable and appropriate accommodation (Persons) % of adults in contact with secondary mental health services who live in stable and appropriate accommodation (Male) % of adults in contact with secondary mental health services who live in stable and appropriate accommodation (Female) 13/ / / People in prison who have a mental illness or a significant mental illness 1.8i Gap in the employment rate between those with a longterm health condition and the overall employment rate 1/ / ii 1.8iii Gap in the employment rate between those with a learning disability and the overall employment rate Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate 13/ * / i Sickness absence - The percentage of employees who had at least one day off in the previous week Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: * - Disclosure control applied 11

12 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 Tameside Trafford Warrington Wigan Wirral 1.9ii Sickness absence - The percent of working days lost due to sickness absence Killed and seriously injured (KSI) casualties on England's roads Domestic Abuse 1/ i Violent crime (including sexual violence) - hospital admissions for violence 1/11-1/ ii 1.1iii Violent crime (including sexual violence) - violence offences per 1, population - Violent crime (including sexual violence) - Rate of sexual offences per 1, population 13/ / i Re-offending levels - percentage of offenders who reoffend ii Re-offending levels - average number of re-offences per offender i The rate of complaints about noise 1/13 7. ^ ^ 4. ^ 4.9 ^ 3.. ^ 3.8 ^ ^ ^ 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 nighttime i Statutory homelessness - homelessness acceptances 13/ ^ ii Statutory homelessness - households in temporary accommodation 13/ Utilisation of outdoor space for exercise/health reasons Mar 13 - Feb $ $ $ 9. $ $.7 $ 1.17 Fuel Poverty Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: ^ - Value estimated, $ - Data quality note 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 Tameside Trafford Warrington Wigan Wirral 1.18i Social Isolation: % of adult social care users who have as much social contact as they would like 13/ ii Social Isolation: % of adult carers who have as much social contact as they would like 1/ $ $ i Older people's perception of community safety - safe in local area during the day 1/ ii 1.19iii Older people's perception of community safety - safe in local area after dark Older people's perception of community safety - safe in own home at night 1/ / Health improvement.1 Low birth weight of term babies i Breastfeeding - Breastfeeding initiation 13/ x x.ii Breastfeeding - Breastfeeding prevalence at 6-8 weeks after birth 13/14 - x - x - x x - x x x x x - x - x - x Smoking status at time of delivery 13/14 1. $ x x.4 Under 18 conceptions Under 18 conceptions: conceptions in those aged under i Excess weight in 4- and 1-11 year olds - 4- year olds 13/ ii Excess weight in 4- and 1-11 year olds year olds 13/ i 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/ / Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: x - Value Missing, $ - Data quality note 13

14 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 Tameside Trafford Warrington Wigan Wirral.7ii Hospital admissions caused by unintentional and deliberate injuries in young people (aged 1-4) 1/ Emotional well-being of looked after children 13/ ii Smoking prevalence age 1 years - regular smokers iii Smoking prevalence age 1 years - occasional smokers Excess Weight in Adults i Percentage of physically active and inactive adults - active adults ii Percentage of active and inactive adults - inactive adults Smoking Prevalence Smoking prevalence - routine & manual i Successful completion of drug treatment - opiate users ii Successful completion of drug treatment - non-opiate users People entering prison with substance dependence issues who are previously not known to community treatment 1/ * 1.7 * Recorded diabetes 13/ Alcohol related admissions to hospital - narrow definition (Persons).18 Alcohol related admissions to hospital - narrow definition (Male).18 Alcohol related admissions to hospital - narrow definition (Female) 1/ / / Cancer diagnosed at early stage (Experimental Statistics) Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: * - Disclosure control applied 14

15 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 Tameside Trafford Warrington Wigan Wirral.i Cancer screening coverage - breast cancer ii Cancer screening coverage - cervical cancer i Antenatal infectious disease screening HIV coverage 13/ iii Antenatal Sickle Cell and Thalassaemia Screening - coverage 13/ iv - Newborn bloodspot screening - coverage 13/ x 9.6 ^ 98.7 ^ 98.6 ^ - x - x - x 9.9 ^ 89. ^ - x 98.9 ^ - x 99. ^ 99. ^ - x 98.4 ^ 9.9 ^ 9.7 ^ 98.4 ^ - x - x 9. ^ - x.1v Newborn Hearing screening - Coverage 13/ vii Access to non-cancer screening programmes - diabetic retinopathy 1/ ^ 7.4 ^ 83.7 ^ 84.9 ^ 81.4 ^ 78.3 ^ 7.8 ^ 79.8 ^ 77. ^ 76.8 ^ - x 73.4 ^ 81. ^ 8. ^ 7.6 ^ - x 79.8 ^ 8.1 ^ 77. ^ 77.6 ^ 77. ^ 89.1 ^ 81.1 ^.1viii Abdominal Aortic Aneurysm Screening 13/ iii.iv Cumulative % of the eligible population aged 4-74 offered an NHS Health Check Cumulative % of the eligible population aged 4-74 offered an NHS Health Check who received an NHS Health Check 13/ / $ v Cumulative % of the eligible population aged 4-74 who received an NHS Health check.3i Self-reported well-being - people with a low satisfaction score 13/ / * - * ii.3iii Self-reported well-being - people with a low worthwhile score Self-reported well-being - people with a low happiness score 13/ * - * - * * * / iv Self-reported well-being - people with a high anxiety score 13/ v Average Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) score i Injuries due to falls in people aged 6 and over (Persons) 1/ Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: * - Disclosure control applied, ^ - Value estimated, x - Value Missing, $ - Data quality note 1

16 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 Tameside Trafford Warrington Wigan Wirral.4i Injuries due to falls in people aged 6 and over (males/females) (Male).4i Injuries due to falls in people aged 6 and over (males/females) (Female) 1/ / ii Injuries due to falls in people aged 6 and over - aged / iii Injuries due to falls in people aged 6 and over - aged 8+ 1/ Health protection 3.1 Fraction of mortality attributable to particulate air pollution i Chlamydia detection rate (1-4 year olds) - Old NCSP data < to 4 > ii Chlamydia detection rate (1-4 year olds) - CTAD < to 3 > ii Chlamydia detection rate (1-4 year olds) - CTAD (Male) ii Chlamydia detection rate (1-4 year olds) - CTAD (Female) i Population vaccination coverage - Hepatitis B (1 year old) 13/ * - x 4.9 ^ 13.6 ^ 1 ^ 1 ^ - ^ - * - * - x 66.7 ^ 9.6 ^ 1 ^ 44.3 ^ 1 ^ - * - * - ^ - * 1 ^ - x 1 ^ 1 ^ 3.3i Population vaccination coverage - Hepatitis B ( years old) 13/ ^ - x 4. ^ 9.6 ^ 1 ^ 1 ^ - * - ^ - x - x 66.7 ^ 88. ^ 48.6 ^ 17.4 ^ 1 ^ - ^ - ^ - * - * 1 ^ - x - * 1 ^ 3.3iii Population vaccination coverage - Dtap / IPV / Hib (1 year old) < 9 > 9 3.3iii Population vaccination coverage - Dtap / IPV / Hib ( years old) < 9 > 9 13/ ^ 94.8 ^ 9.8 ^ 96.3 ^ 9.9 ^ 97. ^ 96.9 ^ 97.3 ^ 9.8 ^ 96. ^ 9.7 ^ 9.6 ^ 9.4 ^ 97.1 ^ 96.3 ^ 97.7 ^ 96.3 ^ 9.8 ^ 9.9 ^ 96. ^ 97.7 ^ 96. ^ 96.7 ^ 96.8 ^ 13/ ^ 9.9 ^ 96.9 ^ 98. ^ 96. ^ 97.7 ^ 97.4 ^ 98.1 ^ 97.7 ^ 97.3 ^ 96.4 ^ 97.4 ^ 96. ^ 96.9 ^ 97. ^ 99.1 ^ 97. ^ 97.7 ^ 97.7 ^ 97.8 ^ 98.7 ^ 98.3 ^ 97.6 ^ 97.8 ^ Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: * - Disclosure control applied, ^ - Value estimated, x - Value Missing 16

17 Health protection continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Tameside Trafford Warrington Wigan Wirral 3.3iv < 9 > 9 Population vaccination coverage - MenC 3.3v Population vaccination coverage - PCV < 9 > 9 3.3vi Population vaccination coverage - Hib / MenC booster ( years old) < 9 > 9 3.3vi Population vaccination coverage - Hib / Men C booster ( years) < 9 > 9 3.3vii < 9 > 9 Population vaccination coverage - PCV booster 3.3viii Population vaccination coverage - MMR for one dose ( years old) < 9 > 9 3.3ix Population vaccination coverage - MMR for one dose ( years old) < 9 > 9 3.3x Population vaccination coverage - MMR for two doses ( years old) < 9 > 9 3.3xii Population vaccination coverage - HPV < previous years England average > previous years England average 3.3xiii Population vaccination coverage - PPV < previous years England average > previous years England average 3.3xiv Population vaccination coverage - Flu (aged 6+) < 7 > 7 3.3xv Population vaccination coverage - Flu (at risk individuals) < 7 > 7 1/ ^ 94. ^ 9. ^ 9.8 ^ 94. ^ 97. ^ 97.3 ^ 96. ^ 93.8 ^ 97. ^ 93.7 ^ 9.9 ^ 94. ^ 97.1 ^ 96.8 ^ 96.1 ^ 9. ^ 93.8 ^ 96.3 ^ 9.6 ^ 96.3 ^ 96.1 ^ 97. ^ 9.8 ^ 13/ ^ 94. ^ 9.9 ^ 96. ^ 9.6 ^ 97. ^ 96.8 ^ 97.3 ^ 94. ^ 96. ^ 91.4 ^ 9. ^ 94.3 ^ 96. ^ 9.9 ^ 96.3 ^ 96. ^ 94. ^ 9. ^ 96.3 ^ 97.1 ^ 96. ^ 96.8 ^ 96.6 ^ 13/ / ^ 94. ^ 9.9 ^ 89.4 ^ 93. ^ 9.4 ^ 9.4 ^ 9.8 ^ 96.7 ^ 97. ^ 94. ^ 9.8 ^ 87.7 ^ 9.7 ^ 91.9 ^ 97.7 ^ 91.7 ^ 96.7 ^ 91.3 ^ 94. ^ 9.7 ^ 9.3 ^ 9. ^ 93.1 ^ 13/ ^ 94. ^ 91.9 ^ 96. ^ 93.9 ^ 94.9 ^ 96. ^ 9. ^ 96. ^ 96.7 ^ 91.1 ^ 9. ^ 9. ^ 9.7 ^ 9. ^ 97.8 ^ 9. ^ 96. ^ 93. ^ 9. ^ 96.4 ^ 9.1 ^ 9.6 ^ 93. ^ 13/ ^ 94. ^ 91. ^ 96.4 ^ 9.1 ^ 9.1 ^ 9.4 ^ 96.7 ^ 96.3 ^ 9. ^ 93.7 ^ 94.7 ^ 9.9 ^ 96.1 ^ 9.7 ^ 98.3 ^ 94.7 ^ 96.3 ^ 93.7 ^ 93.9 ^ 96.8 ^ 94.7 ^ 9.3 ^ 9.1 ^ 13/ ^ 96.7 ^ 94. ^ 96. ^ 9.6 ^ 9. ^ 94. ^ 96.7 ^ 97.4 ^ 97.8 ^ 96. ^ 96.8 ^ 94.7 ^ 94.9 ^ 9. ^ 98.6 ^ 96.3 ^ 97.4 ^ 97. ^ 96.7 ^ 9.4 ^ 96. ^ 9.4 ^ 97. ^ 13/ ^ 89.3 ^ 8.1 ^ 91.8 ^ 9.4 ^ 9.1 ^ 9.7 ^ 93.7 ^ 93.1 ^ 94.1 ^ 9. ^ 9.9 ^ 9. ^ 93. ^ 9.7 ^ 97.4 ^ 9.3 ^ 93.1 ^ 9.7 ^ 9.3 ^ 9.4 ^ 9.8 ^ 91. ^ 9. ^ 13/ / ^ 7. ^ 68. ^ 71.1 ^ 6. ^ 7.9 ^ 73.1 ^ 66.4 ^ 73.1 ^ 77. ^ 7.8 ^ 69.4 ^ 67.7 ^ 67. ^ 66. ^ 67.4 ^ 69.6 ^ 73.1 ^ 73.4 ^ 69.4 ^ 71.8 ^ 68. ^ 6.7 ^ 7.7 ^ 13/ / Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: ^ - Value estimated 17

18 Health protection continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Tameside Trafford Warrington Wigan Wirral 3.4 People presenting with HIV at a late stage of infection < to > 3.i Treatment completion for TB < 8 > x - x - x - x - x - x x - x - x x - x - x 3.ii Incidence of TB NHS organisations with a board approved sustainable development management plan 3.7 Comprehensive, agreed inter-agency plans for responding to health protection incidents and emergencies 13/ / x Healthcare and premature mortality 4.1 Infant mortality Tooth decay in children aged 11/ Mortality rate from causes considered preventable (Persons) Mortality rate from causes considered preventable (Male) Mortality rate from causes considered preventable (Female) 4.4i Under 7 mortality rate from all cardiovascular diseases (Persons) 4.4i Under 7 mortality rate from all cardiovascular diseases (Male) 4.4i Under 7 mortality rate from all cardiovascular diseases (Female) ii Under 7 mortality rate from cardiovascular diseases considered preventable (Persons) Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: x - Value Missing 18

19 Healthcare and premature mortality continued Indicator England Blackburn Blackpool Bolton Bury Chesh East Ch W & Ches Cumbria Halton Knowsley Lancs Liverpool Manchester Oldham Rochdale Salford Sefton St. Helens Tameside Trafford Warrington Wigan Wirral 4.4ii 4.4ii Under 7 mortality rate from cardiovascular diseases considered preventable (Male) 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 4.ii 4.ii Under 7 mortality rate from cancer considered preventable (Persons) Under 7 mortality rate from cancer considered preventable (Male) Under 7 mortality rate from cancer considered preventable (Female) i Under 7 mortality rate from liver disease (Persons) i Under 7 mortality rate from liver disease (Male) i Under 7 mortality rate from liver disease (Female) x ii 4.6ii 4.6ii Under 7 mortality rate from liver disease considered preventable (Persons) Under 7 mortality rate from liver disease considered preventable (Male) Under 7 mortality rate from liver disease considered preventable (Female) x 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) Comparison with respect to England value / goal Lower Similar Higher Better Similar Worse Not compared E87 Crown Copyright Updated 3 February 1 Note: x - Value Missing 19