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HEALTH AND WELLBEING OUTCOMES REPORT7TH NOVEMBER 2013
DEVON HEALTH AND WELLBEING BOARDFULL VERSION
The Joint Health and Wellbeing Strategy has four priority areas and the selected indicators in this report align to these. Further to this, there are three types of indicators reflecting how the board will address the issue in question. These three types are:
Challenge Indicators – these cover areas where outcomes are poor, where inequalities are widening locally, or areas which are critical to future plans to improve health and wellbeing. The board will monitor these indicators and challenge current processes and practices in lead organisations in these areas.
Monitoring ‘Watching Brief’ Indicators – these cover areas where local outcomes are positive or where improvements have been made. The role of the board will be to monitor these indicators and intervene should outcomes deteriorate.
Commissioning Improvement Indicators – these are indicators for areas where joint working is required to improve outcomes and where the board will need to play a more active role in coordinating local commissioning.
Joint Health and Wellbeing Strategy indicators are set out in the grid on the next page, grouped against the four Joint Health and Wellbeing Strategy priorities and three indicator types. The outcomes framework they align to is identified within brackets. Given the remit of the board, the Public Health Outcomes Framework, Adult Social Care Outcomes Framework and NHS Outcomes Framework all figure prominently.
There are six main analyses in each individual indicator report:
South West Benchmarking – showing the position of Devon relative to other upper tier or unitary authorities in the South West, the South West rate and the national rate.
Local Authority District – highlighting differences within Devon between local authority districts.
Local Authority Comparator Group – showing Devon’s position relative to the national family of peer authorities
Clinical Commissioning Group and Locality Comparison – highlighting differences within Devon between the Clinical Commissioning Groups and sub localities.
Trend and Future Trajectory – showing change over time on the selected indicator compared to the South West and England, and where available a future trajectory based on local targets or ambitions.
Inequalities – illustrating the extent of inequalities within Devon for the selected indicator. These will typically focus on social deprivation, but may relate to age, sex or other factors as appropriate.
Indicators which have been updated since the last report are marked as:*UPDATED INDICATOR*
Any queries on this report should be directed to the Devon Public Health Intelligence Team at publichealthintelligence@devon.gov.uk
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Indicator List
Type Trend Dev/SW/Eng
Chall
Chall
Watch
Watch
Improve - -Improve - -
Chall -
Chall
Chall
Watch
Watch
ImproveImprove
Chall
Chall
Chall
Watch
Watch
WatchImprove
Chall
Chall
Chall
Watch -
Watch
Watch -
ImproveImprove
Priority Area Summaries
1. A Focus on Children and Families - An increase in children living in poverty was seen across all areas of
Devon. Recorded levels of emotional development improved in 2011-12 and are now above average. Rates of
smoking at delivery are falling over time and are amongst the lowest in the South West. Conception rates have
fallen over time, although there was a slight increase in the latest available quarter.
2. Healthy Lifestyle Choices - Levels of regular physical activity are above the national average in Devon.
Levels of excess weight in children has not improved in recent years. Devon is significantly below South West
and national rates for alcohol-related admissions. Adult smoking rates are similar to the national average and
have not improved over recent years. Premature mortality rates are falling and are below the national average.
3. Good Health and Wellbeing in Older Age - Clostridium Difficile incidence is above South West and
national rates. Devon is below the South West and national rates for the detection of dementia. Devon is below
the South West and England rates for fall injuries. A higher proportion feel supported to manage their long-term
condition in Devon. Re-ablement service effectiveness is above average, but recorded coverage is low.
Readmission rates are below average, but are increasing over time.
4. Strong and Supportive Communities - Suicide rates in Devon are consistent with the national average.
There is a smaller gap in life expectancy between the most and least deprived communities in Devon. Self-
reported wellbeing in Devon tends to be better than the national average. Lower levels of people in Devon report
having as much social contact as they would like. Quality of life for carers in Devon was broadly in line with the
national average. Levels of stable and appropriate accommodation were above the South West average and
below the England average for persons with learning disabilities and above the South West rate for those with
mental health issues.
IndicatorPriority
1. A Focus on
Children and
Families
2. Healthy Lifestyle
Choices
Self-Reported Wellbeing (low happiness score %)
Social Contentedness
Carer Reported Quality of Life
Stable/Appropriate Accommodation (Learn. Dis.)
Stable/Appropriate Accommodation (Mental Hlth)
Injuries Due to Falls
Dementia Diagnosis Rate
Feel Supported to Manage Own Condition
Re-ablement Services (Effectiveness)
Re-ablement Services (Coverage)Readmissions to Hospital Within 30 Days
Suicide Rate
Male Life Expectancy Gap
Female Life Expectancy Gap
3. Good Health and
Wellbeing in Older
Age
4. Strong and
Supportive
Communities
Incidence of Clostridium Difficile
Children in Poverty
Early Years Foundation Score
Smoking at Time of Delivery
Teenage Conception Rate
Child and Adolescent Mental Health Measure 1
Child and Adolescent Mental Health Measure 2
Proportion of Physically Active Adults
Excess Weight in Four / Five Year Olds
Excess Weight in 10 / 11 Year Olds
Alcohol-Related Admissions
Adult Smoking Prevalence
Under 75 Mortality Rate - All Cancers
Under 75 Mortality Rate - All Circulatory Diseases
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 1: A Focus on Children and Families Challenge
Indicator: Children in Poverty Watching Brief
Period: 2010 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Indicator Type
Overview
17,680 children (14.4%) in Devon live in households dependent on benefits or tax
credits, compared with 16.6% in the South West and 21.1% nationally. Child poverty
rates in Devon fell between 1999 and 2008 and have dropped further from the South
West average over time. Rates increased from 2009, highlighting the impact of the
economic downturn. Rates at a district level range from 11.2% in East Devon to
17.7% in Exeter. Rates in the most deprived areas are five times those in the least.
Equalities
Considerable variation exists across Devon communities. Rates of child poverty are
higher in younger families due to higher benefit claimant rates and lower incomes in
persons in their 20s and 30s. Single parent households, particularly where headed by
a female, are also more likely to experience economic poverty, as are children of
disabled parents. There are no significant variations by ethnic group in Devon.
26.1%
24.0%
22.6%
20.8%
18.5%
17.8%
17.5%
15.4%
15.2%
14.9%
14.4%
13.7%
13.5%
12.2%
12.1%
0% 10% 20% 30%
BristolTorbay
PlymouthBournemouth
CornwallSwindon
PooleGlos
North SomSomerset
DevonDorset
BANESSouth Glos
Wiltshire
Percentage
England South West Devon LA
13.5%
16.9%
14.9%
13.0%
15.2%
12.9%
17.7%
11.2%
0% 5% 10% 15% 20% 25%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
5%
10%
15%
20%
25%
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Percentage
Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
18.7%
18.6%
17.4%
17.3%
15.8%
15.5%
15.4%
14.9%
14.6%
14.4%
13.8%
13.7%
13.4%
12.8%
12.2%
12.1%
0% 10% 20% 30%
East SussexNorfolkEssex
LincolnshireWorcestershire
CumbriaGloucestershire
SomersetWarwickshire
DevonWest Sussex
DorsetCambridgeshire
HampshireLeicestershire
North Yorks
Percentage
England Comp Group Devon LA
25.7%
21.8%
15.9%
15.0%
17.9%
19.9%
11.9%
22.6%
20.1%
15.9%
12.3%
11.0%
13.0%
16.1%
13.7%
16.7%
0% 10% 20% 30%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1: A Focus on Children and Families
Indicator: Children in Poverty
Period: 2010
Update
FrequencyAnnually, around 20 months in arrears (2011 due Autumn 2013)
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.01
Detailed
Specification
Children living in families in receipt of Child Tax Credit (CTC) whose reported income
is less than 60 per cent of the median income or are in receipt of income support (IS)
or Income-Based Jobseeker's Allowance (JSA), as a proportion of the total number of
children in the area.
DescriptionPercentage of children (aged 0 to 15) living in households dependent on benefits or
tax credits.
SourceHM Revenue and Customs (Personal Tax Credits: Related Statistics - Child Poverty
Statistics)
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on the geographic areas defined
at Lower Super Output Area level www.devonhealthandwellbeing.org.uk/library/maps.
Error bar is 95% confidence interval.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is a
'no change' projection from the 2009 baseline.
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 1: A Focus on Children and Families Challenge
Indicator: Early Years Foundation Score Watching Brief
Period: 2011-12 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
In 2011-12 5,072 children (68%) in Devon achieved the expected level in the Early
Years Foundation Stage, compared with 65% in the South West and 64% nationally.
Within Devon this varied from 63% in Torridge to 72% in North Devon. The
percentage achieved in Devon has been steadily increasing since 2006-07.
Equalities The percentage achieved is lower in the more deprived areas in Devon.
75%
71%
70%
68%
68%
66%
64%
64%
63%
63%
63%
62%
61%
61%
56%
0% 20% 40% 60% 80% 100%
DorsetNorth SomSouth Glos
PooleDevon
BournemouthGlos
WiltshireCornwall
SomersetSwindonBANES
BristolPlymouth
Torbay
Percentage
England South West Devon LA
64%
63%
67%
69%
72%
67%
65%
70%
0% 20% 40% 60% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
10%
20%
30%
40%
50%
60%
70%
80%
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
75%
70%
68%
67%
64%
64%
64%
64%
63%
63%
62%
62%
61%
60%
57%
57%
0% 20% 40% 60% 80% 100%
DorsetLincolnshire
DevonWarwickshire
CambridgeshireGloucestershire
HampshireWorcestershireLeicestershire
SomersetNorth Yorks
West SussexCumbria
EssexEast Sussex
Norfolk
Percentage
England Comp Group Devon LA
56%
57%
64%
69%
66%
67%
66%
61%
66%
69%
62%
75%
67%
67%
68%
68%
0% 20% 40% 60% 80% 100%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
60%
62%
67%
72%
73%
0% 20% 40% 60% 80%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1: A Focus on Children and Families
Indicator: Early Years Foundation Score
Period: 2011-12
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
DescriptionPercentage of Children achieving a Early Years Foundation Score indicating a good
level of social and emotional development at school entry.
Source
Department for Education (South West Benchmarking, Trend and Local Authority
Comparator Group). Babcock LDP (Local Authority District, Inequalities and CCG /
Locality Comparison)
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Update
FrequencyAnnually
Outcomes
FrameworkNot Applicable
Detailed
Specification
Achievement of at least 78 points across the Early Years Foundation Stage with at
least 6 in each of the scales in Personal, Social and Emotional Development and
Communication, Language and Literacy
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on the geographic areas defined
at Lower Super Output Area level www.devonhealthandwellbeing.org.uk/library/maps.
Error bar is 95% confidence interval.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 1: A Focus on Children and Families Challenge
Indicator: Smoking at Time of Delivery Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
In the year 2012-13, 718 mothers were smoking at time of delivery in Devon. This
represents 9.9% of all mothers in Devon, compared with 13.3% in the South West,
and 12.7% in England. Devon has on of the lowest smoking at time of delivery rate in
the South West and the local authority comparator group. Within Devon the lowest
rates were in East Devon (6.3%), and the highest in Torridge (13.2%). Rates have
fallen over recent years.
Equalities
Whilst overall rates in Devon are the lowest in the South West, there is a strong
inequalities gradient. Rates in the most deprived areas (25.7%) are almost five times
higher than those in the least deprived areas (5.4%). Smoking at time of delivery
varies by age with younger mothers in their teens and twenties much more likely to
smoke than mothers in their thirties and forties.
17.5%
17.5%
16.7%
16.5%
13.8%
13.8%
13.5%
13.2%
13.0%
12.4%
11.4%
9.9%
9.6%
9.4%
0% 10% 20% 30%
TorbaySomersetPlymouth
DorsetWiltshireCornwall
GlosBourne/Poole
SwindonBristol
North SomDevon
South GlosBANES
Percentage
England South West Devon LA
11.2%
13.2%
11.8%
8.1%
12.0%
9.3%
8.0%
6.3%
0% 5% 10% 15% 20%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
17.6%
17.5%
16.5%
15.6%
15.2%
13.8%
13.8%
13.7%
13.5%
13.4%
13.0%
11.8%
11.5%
11.3%
9.9%
9.7%
0% 10% 20%
WarwickshireSomerset
DorsetCumbria
East SussexWorcestershire
LincolnshireNorth YorkshireGloucestershire
NorfolkCambridgeshire
HampshireEssex
LeicestershireDevon
West Sussex
Percentage
England Comp Group Devon LA
16.2%
17.8%
14.3%
9.9%
11.4%
14.7%
8.9%
18.3%
16.7%
12.5%
6.6%
6.5%
9.3%
7.6%
7.8%
12.4%
0% 10% 20% 30%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
5.4%
7.1%
9.6%
14.9%
25.7%
0% 5% 10% 15% 20% 25% 30%
Least Deprived
Below Average
Average
Above Average
Most Deprived
Percentage
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1: A Focus on Children and Families
Indicator: Smoking at Time of Delivery
Period: 2012-13
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Compares rates in the wards with the highest teenage conception areas with the
Devon average.
Update
Frequency
Quarterly - typically three months in arrears (Q1 2013-14 data was due October 2013,
but delayed until late November 2013)
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.03
Detailed
Specification
Number of women known to smoke at time of delivery. Numerator counts for areas
are based on all women resident within the PCT’s boundary known to smoke.
Denominator counts for areas are based on all women resident within the PCT’s
boundary who gave birth in the period. Data collected from Health and Social Care
Information Centre's return on Smoking Status At Time of Delivery. This information
has been collected using the Health and Social Care Information Centre’s (HSCIC's)
Omnibus system, a web based system set up to collect performance and other
central returns directly from the NHS.
Chart Notes
South West
Compares Primary Care Trust areas in the South West Region. Error bar is 95%
confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Description Number of women who currently smoke at time of delivery per 100 maternities.
Source The Health and Social Care Information Centre, Lifestyle Statistics
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 1: A Focus on Children and Families Challenge
Indicator: Teenage Conception Rate Watching Brief
Period: 2012 Q2 Improvement
South West Benchmarking Local Authority District (2009-11 three year pooled)
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Overview
There were 356 conceptions in Devon between July 2011 and June 2012 for females
aged under 18, with around half leading to a birth. The latest annual conception rate
is 28.0 per 1,000 females compared with 26.4 for the South West and 29.3 for
England. Rates above the national average are seen in Exeter. Rates have generally
fallen over recent years, although greater reductions regionally and nationally mean
the gap has reduced over time. Figures for 2011 show a slight increase in rates.
Equalities
There is a very clear link between area deprivation and teenage conception, with
rates in the most deprived areas around four times higher than the least deprived
areas both locally and nationally. Most teenage conceptions occur at the age of 17,
and there are only a small proportion under the age of 16 (around 60 to 70 per
annum), and less than 10 births per annum to under 16s.
Indicator Type
51.5
40.5
31.5
28.0
28.0
26.7
26.6
26.0
25.1
24.3
23.1
21.7
21.4
18.1
16.7
0 20 40 60
TorbayPlymouth
BristolDevon
CornwallSomerset
BournemouthPoole
SwindonWiltshire
DorsetGlos
North SomBANES
South Glos
Rate per 1,000 females aged 15-17
England South West Devon LA
20.6
29.7
32.2
21.4
23.2
28.7
38.5
27.0
0 20 40 60
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 1,000 females aged 15-17
England South West Devon District
0
5
10
15
20
25
30
35
40
45
50
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Rate per 1,000 females aged 15-
17
Devon South West England
31.3
29.9
28.0
27.4
27.2
27.0
26.7
26.4
25.1
25.0
24.3
23.1
21.7
21.4
20.5
19.4
0 20 40
LincolnshireWorcestershire
DevonNorfolk
East SussexWarwickshire
SomersetCumbria
West SussexEssex
LeicestershireDorset
GloucestershireHampshire
North YorkshireCambridgeshire
Rate per 1,000 females aged 15-17
England Comp Group Devon LA
0 0.5 1 1.5
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Rate per 1,000 females aged 15-17
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
*UPDATED INDICATOR*
0
20
40
60
80
100
120
2007-09 2008-10 2009-11
DASR per 100,000
Devon Wards Ranked 21 to 30
Wards Ranked 11 to 20 Wards Ranked 1 to 10
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1: A Focus on Children and Families
Indicator: Teenage Conception Rate
Period: 2012 Q2 (rolling year)
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is
based on 0.5 fall in rate per annum from 2009 baseline.
Chart Notes
Inequalities
Compares rates in the wards with the highest teenage conception areas with the
Devon average over time.
Update
FrequencyQuarterly - 15 months in arrears (Q3 2012 due December 2013)
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.04
Detailed
Specification
Number of pregnancies that occur to women aged under 18, that result in either one
or more live or still births or a legal abortion under the Abortion Act 1967. Population
aged 15 to 17 derived from Office for National Statistics Mid Year Population
Estimates. Conceptions are divided by population and then multiplied by 1,000.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Description Conceptions in women aged under 18 per 1,000 females aged 15-17.
Source Office for National Statistics
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 1: A Focus on Children and Families Challenge
Indicator: Child and Adolescent Mental Health Measure 1 Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
Equalities
0 1 1
BANESBournemouth
BristolCornwall
DevonDorset
GlosNorth Som
PlymouthPoole
SomersetSouth Glos
SwindonTorbay
Wiltshire
Percentage
England South West Devon LA
0 1 1
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0
0
0
1
1
1
1
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
0 1 1
CambridgeshireCumbria
DevonDorset
East SussexEssex
GloucestershireHampshire
LeicestershireLincolnshire
NorfolkNorth Yorks
SomersetWarwickshireWest Sussex
Worcestershire
Percentage
England Comp Group Devon LA
0 1 1 2
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Percentage
England South West CCG/Locality
0
0
0
1
1
1
1
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
INDICATOR STILL IN DEVELOPMENT
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1: A Focus on Children and Families
Indicator: Child and Adolescent Mental Health Measure 1
Period: 2012-13
Description In Development.
Source In Development.
Update
FrequencyIn Development.
Outcomes
FrameworkNot Applicable
Detailed
SpecificationIn Development.
Not yet available.
Chart Notes
TrendNot yet available.
Chart Notes
South WestNot yet available.
Chart Notes
Local AuthorityNot yet available.
Chart Notes
ComparatorNot yet available.
Chart Notes
CCG/Locality
Chart Notes
InequalitiesNot yet available.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 1: A Focus on Children and Families Challenge
Indicator: Child and Adolescent Mental Health Measure 2 Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
Equalities
0 1 1
BANESBournemouth
BristolCornwall
DevonDorset
GlosNorth Som
PlymouthPoole
SomersetSouth Glos
SwindonTorbay
Wiltshire
DASR per 100,000
England South West Devon LA
0 1 1
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
0
0
1
1
1
1
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
DASR per 100,000
Devon South West England
0 1 1
CambridgeshireCumbria
DevonDorset
East SussexEssex
GloucestershireHampshire
LeicestershireLincolnshire
NorfolkNorth Yorks
SomersetWarwickshireWest Sussex
Worcestershire
DASR per 100,000
England Comp Group Devon LA
0 1 1 2
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
DASR per 100,000
England South West CCG/Locality
0
0
0
1
1
1
1
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
INDICATOR STILL IN DEVELOPMENT
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1: A Focus on Children and Families
Indicator: Child and Adolescent Mental Health Measure 2
Period: 2012-13
Update
FrequencyIn Development.
Outcomes
FrameworkNot Applicable
Detailed
SpecificationIn Development.
Description In Development.
Source In Development.
Chart Notes
InequalitiesNot yet available.
Chart Notes
South WestNot yet available.
Chart Notes
Local AuthorityNot yet available.
Chart Notes
ComparatorNot yet available.
Chart Notes
CCG/LocalityNot yet available.
Chart Notes
TrendNot yet available.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 2: Healthy Lifestyle Choices Challenge
Indicator: Proportion of Physically Active Adults Watching Brief
Period: 2012 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
59.5% of adults in Devon were physically active for at least 150 minutes per week in
2012. This is significantly above the South West (57.2%) and national rate (56.0%),
but not significantly different to the local authority comparison group (58.1%) rate.
Rates were significantly higher in the South Hams (63.4%) and Exeter (62.6%),
although the differences at district level were not statistically significant. Due to a
change in the reporting methodology trend data cannot currently be calculated.
Equalities
Local breakdowns by deprivation or equality characteristics are not available.
National results from the Active People survey highlight that physical activity rates are
higher in less deprived areas and professional groups. Participation is also higher in
males and younger age groups. There are no significant differences by ethnicity.
Activity rates are significantly lower in people with limiting long-term health problems.
64.1
61.3
59.8
59.5
59.2
58.9
57.9
57.6
56.5
56.3
55.4
53.9
52.9
52.4
51.9
0 20 40 60 80
BournemouthBANES
GlosDevon
PlymouthSouth Glos
SomersetWiltshire
North SomDorsetBristol
CornwallSwindon
TorbayPoole
Percentage
England South West Devon LA
61.3
58.3
61.2
63.4
54.3
57.9
62.6
57.1
0 20 40 60 80
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0
0
0
1
1
1
1
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
2012-1
4
Percentage
Devon South West England
00000111111
2006-0
8
2007-0
9
2008-1
0
2009-1
1
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
60.3
60.2
60.2
59.8
59.5
58.9
58.9
58.4
57.9
57.8
57.4
57.1
56.3
55.7
55.3
55.3
0 20 40 60 80
CambridgeshireLeicestershire
East SussexGloucestershire
DevonHampshire
West SussexWorcestershire
SomersetNorth Yorkshire
EssexNorfolkDorset
LincolnshireWarwickshire
Cumbria
Percentage
England Comp Group Devon LA
0 1 1 2
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Percentage
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
Priority 3: HealthChoices Indicator:
Proportion of Physly Active Adults Period:
2009-11
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE DUE TO
CHANGE IN INDICATOR METHODOLOGY
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 2: Healthy Lifestyle Choices
Indicator: Proportion of Physically Active Adults
Period: 2012
SourceSport England’s Active People Survey (APS)
http://www.sportengland.org/research.aspx
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendNot available due to a change in the Active People Survey (APS) methodology.
Chart Notes
InequalitiesRates cannot currently be calculated at a local level.
Update
FrequencyAnnually, around eight months in arrears (2013 update expected August 2014)
Outcomes
Framework
Public Health Outcomes Framework Indicator 2.13 will relate to physical activity /
inactivity - indicator still in development and likely to deviate from this measure.
Detailed
Specification
The number of respondents aged 16 and over, with valid responses to questions on
physical activity, doing at least 150 “equivalent” minutes of at least moderate intensity
physical activity per week in bouts of 10 minutes or more in the previous 28 days
expressed as a percentage of the total number of respondents aged 16.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
DescriptionPercentage of adults achieving at least 150 minutes of physical activity per week in
accordance with UK CMO recommended guidelines on physical activity.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 2: Healthy Lifestyle Choices Challenge
Indicator: Excess Weight in Four / Five Year Olds Watching Brief
Period: 2011-12 (School Year) Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Indicator Type
Overview
This measure of 'excess weight' covers children classified as overweight or obese. In
reception year (aged four or five) 22.6% of pupils in Devon were recorded in the
excess weight category, in line with the South West (22.7%), local authority
comparator group (22.1%) and England (22.6%) rates. Within Devon, West Devon
(28.0%) was significantly above the national rate. Rates have been fairly static over
recent years.
Equalities
Local results by deprivation and other criteria have not yet been released. Previous
results for Devon that whilst obesity rates were significantly higher in more deprived
areas, the difference for the combined excess weight were not statistically signficant.
Levels of excess weight were higher in boys than girls. No significant differences were
observed by ethnic group in Devon.
26.1%
24.0%
24.0%
23.5%
23.5%
23.4%
23.4%
22.9%
22.6%
22.6%
22.5%
22.3%
20.3%
19.2%
19.0%
0% 10% 20% 30%
BANESPlymouthSwindon
GlosCornwall
SomersetBristolPoole
DevonNorth Som
BournemouthDorset
WiltshireTorbay
South Glos
Percentage
England South West Devon LA
28.0%
23.3%
23.2%
20.5%
21.3%
24.5%
20.6%
22.1%
0% 10% 20% 30% 40%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
5%
10%
15%
20%
25%
30%
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
0
0.2
0.4
0.6
0.8
1
1.2
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
Percentage
Male BLANK BLANK
BLANK Female
25.1%
24.2%
24.1%
23.6%
23.5%
23.4%
22.6%
22.4%
22.3%
21.8%
21.2%
20.6%
20.6%
20.5%
20.1%
19.8%
0% 10% 20% 30%
LincolnshireWorcestershire
CumbriaNorfolk
GloucestershireSomerset
DevonCambridgeshire
DorsetEast Sussex
HampshireLeicestershire
EssexWest SussexNorth Yorks
Warwickshire
Percentage
England Comp Group Devon LA
0 0.5 1 1.5
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Percentage
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE FOR
2011-12 AT A LOCAL LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 2: Healthy Lifestyle Choices
Indicator: Excess Weight in Four to Five Year Olds
Period: 2011-12 (School Year)
Description
Update
FrequencyAnnually, four months after end of school year (2012-13 due December 2013).
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.06i
Detailed
Specification
Number of children in Reception (aged 4-5 years) classified as overweight or obese in
the academic year as percentage of all children with height and weight recorded.
Children are classified as overweight (including obese) if their BMI is on or above the
85th centile of the British 1990 growth reference (UK90) according to age and sex.
Results obtained from National Child Measurement Programme (NCMP) covering
children attending participating state maintained schools in England.
Chart Notes
Inequalities
Rates cannot currently be calculated for the year 2011-12 at a local level as the
Health and Social Care Information Centre have not released the validated local data.
Proportion of children aged 4-5 (reception year) classified as overweight or obese.
SourceHealth and Social Care Information Centre and Devon Public Health Intelligence
Team
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is
based on 0.1% per annum fall.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 2: Healthy Lifestyle Choices Challenge
Indicator: Excess Weight in 10 / 11 Year Olds Watching Brief
Period: 2011-12 (School Year) Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Indicator Type
Overview
This measure of 'excess weight' covers children classified as overweight or obese. In
year six (aged 10 or 11) 30.8% of pupils in Devon were recorded in the excess weight
category, which was significantly below the England rate (33.9%), but not significantly
different to the the South West (31.0%), and local authority comparator group (31.6%)
rates. The South Hams (26.5%) was significantly below the South West and national
rates. Rates have been fairly static over recent years.
Equalities
Local results by deprivation and other criteria have not yet been released. Previous
results for Devon that whilst obesity rates were significantly higher in more deprived
areas, the difference for the combined excess weight were not statistically signficant.
Levels of excess weight were higher in boys than girls. No significant differences were
observed by ethnic group in Devon.
35.9%
34.2%
32.7%
31.9%
31.6%
31.4%
30.8%
30.4%
30.0%
29.6%
29.6%
29.3%
29.2%
28.1%
26.8%
0% 20% 40%
SwindonPlymouth
BristolSomerset
GlosCornwall
DevonTorbayDorset
BournemouthWiltshire
North SomSouth Glos
PooleBANES
Percentage
England South West Devon LA
34.2%
30.8%
31.4%
26.5%
31.6%
35.4%
30.2%
28.5%
0% 10% 20% 30% 40% 50%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
5%
10%
15%
20%
25%
30%
35%
40%
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
0
0.2
0.4
0.6
0.8
1
1.2
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
Percentage
Male BLANK BLANK
BLANK Female
35.7%
35.0%
34.1%
33.7%
31.9%
31.9%
31.6%
31.6%
31.0%
30.8%
30.8%
30.6%
30.0%
29.8%
29.3%
0% 20% 40%
CumbriaLincolnshire
NorfolkWorcestershire
EssexSomerset
WarwickshireGloucestershire
LeicestershireEast Sussex
DevonCambridgeshire
DorsetWest SussexNorth Yorks
Percentage
England Comp Group Devon LA
0 0.5 1 1.5
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaI
Percentage
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE FOR
2011-12 AT A LOCAL LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 2: Healthy Lifestyle Choices
Indicator: Excess Weight in 10 / 11 Year Olds
Period: 2011-12 (School Year)
Description Proportion of children aged 10-11 (year) classified as overweight or obese.
SourceHealth and Social Care Information Centre and Devon Public Health Intelligence
Team
Update
FrequencyAnnually, four months after end of school year (2012-13 due December 2013).
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.06ii
Detailed
Specification
Number of children in Year Six (aged 10-11 years) classified as overweight or obese
in the academic year as percentage of all children with height and weight recorded.
Children are classified as overweight (including obese) if their BMI is on or above the
85th centile of the British 1990 growth reference (UK90) according to age and sex.
Results obtained from National Child Measurement Programme (NCMP) covering
children attending participating state maintained schools in England.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is
based on 0.1% per annum fall.
Chart Notes
Inequalities
Rates cannot currently be calculated for the year 2011-12 at a local level as the
Health and Social Care Information Centre have not released the validated local data.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 2: Healthy Lifestyle Choices Challenge
Indicator: Alcohol-Related Admissions Watching Brief
Period: 2012-13 (provisional) Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Overview
There were around 17,715 alcohol-related admissions to hospital for Devon residents
in 2012-13. The Direct Age Standardised Rate of Admissions (1,676.4 per 100,000)
is below the South West and national rate. Rates within Devon are highest in
Northern Devon. Admission rates are signficantly higher in more deprived areas.
Indicator Type
Equalities
Alcohol-Related Admission rates vary by age, with the highest rates in older age
groups, reflecting the long-term effects of alcohol-use through life. Acute admissions
(accidents and poisonings) are most common in young adults, mental health
admissions in persons in their 40s and 50s, and admissions for chronic conditions in
older age groups. Admission rates are higher for males than females.
2,524.6
2,387.3
2,234.8
2,225.8
1,979.3
1,900.4
1,844.6
1,790.0
1,765.3
1,754.1
1,699.1
1,676.4
1,634.7
1,634.7
1,564.6
0 500 1000 1500 2000 2500 3000
BournemouthBristol
PlymouthTorbayPoole
CornwallSomerset
North SomSwindonBANES
GlosDevonDorset
South GlosWiltshire
DASR per 100,000
England South West Devon LA
1,580.6
2,100.4
1,683.8
1,643.9
2,231.8
1,292.6
1,759.7
1,324.1
0 500 1000 1500 2000 2500
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
500
1000
1500
2000
2500
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
DASR per 100,00
Devon South West England
0
500
1000
1500
2000
2500
3000
2005-06
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
2,185.6
1,866.5
1,844.6
1,823.8
1,762.4
1,732.9
1,699.1
1,676.4
1,675.0
1,672.5
1,671.6
1,634.7
1,614.6
1,518.4
1,497.4
1,452.9
0 500 1000 1500 2000 2500
CumbriaCambridgeshire
SomersetNorfolk
WarwickshireLincolnshire
GloucestershireDevon
North YorkshireWest Sussex
WorcestershireDorset
East SussexEssex
HampshireLeicestershire
DASR per 100,000
England Comp Group Devon LA
2,129.1
1,827.1
1,471.4
1,508.3
1,589.9
1,746.3
1,646.1
2,175.4
2,040.0
2,017.0
1,310.1
1,248.5
1,169.1
1,508.3
1,317.7
1,721.1
0 500 1000 1500 2000 2500
TorquayPaignton/Brixham
Newton AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
DASR per 100,000
England South West CCG/Locality
*UPDATED INDICATOR*
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 2: Healthy Lifestyle Choices
Indicator: Alcohol-Related Admissions
Period: 2012-13 (provisional)
Description Direct age-standarised rate of alcohol-related admissions per 100,000 population.
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on the GP registered population
and rates tend to be lower than local authority totals due to higher admission rates in
the unregistered population. Error bar is 95% confidence interval.
Chart Notes
South West
Compares Primary Care Trusts in the South West Region. Will be changed to upper
tier / unitary local authority analysis in 2013-14. Error bar is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is
based on JHWS ambition of growth below national rate (3% per annum).
Update
Frequency
Quarterly - six months in arrears. Annually - nine months in arrears (final 2012-13
due January 2014). Local data feeds two months in arrears.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.18 (updated specification due soon)
Detailed
Specification
Admissions to hospital where the primary diagnosis or any of the secondary
diagnoses within the admission episode contain an alcohol-attributable condition for
the year 2011-12. Admissions of children under 16 were only included if they had an
alcohol-specific diagnosis i.e. where the attributable fraction = 1, meaning that the
admission is treated as being wholly attributable to alcohol. For other conditions,
estimates of the alcohol-attributable fraction were not available for children. A detailed
definition of the numerator data used for this indicator can be found at:
www.lape.org.uk/downloads/Lape_guidance_and_methods.pdf
Source
North West Public Health Observatory (South West Benchmarking, Local Authority
District, Trend and Local Authority Comparator Group). Devon Public Health
Intelligence Team (Inequalities and CCG / Locality Comparison)
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 2: Healthy Lifestyle Choices Challenge
Indicator: Adult Smoking Prevalence Watching Brief
Period: 2011-12 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
The latest figures from the Integrated Household Survey suggest that 20.2% of the
adult population in Devon smoke. This is slightly higher than the South West
(19.2%), local authority comparator group (19.0%) and England rate (20.0%). This is
also above the 2009-10 (18.5%) and 2010-11 (18.1%) although the difference is not
statistically signficant due to a relatively small sample size. Variations observed at a
local authority district level were not statistically significant.
Equalities
Smoking rates in Devon are higher in people working in routine and manual
occupations (34.4%). Levels of smoking are highest in the 16 to 29 age group, and
are higher in males than females, although it should be noted that rates have been
slower to fall in females. Adults smoking in the household greatly increases the
likelihood of children taking up smoking at age 16.
22.1%
21.4%
21.3%
21.2%
21.0%
20.2%
19.2%
19.0%
18.5%
18.3%
17.1%
17.1%
16.5%
16.4%
16.3%
0% 10% 20% 30%
PlymouthCornwall
TorbaySwindon
BristolDevon
SomersetBournemouth
GlosPoole
WiltshireDorset
South GlosBANES
North Som
Percentage
England South West Devon LA
14.7%
20.1%
22.7%
20.8%
22.4%
21.1%
18.7%
19.1%
0% 5% 10% 15% 20% 25% 30%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
5%
10%
15%
20%
25%
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
2015-1
6
Percentage
Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
2009-1
0
2010-1
1
2011-1
2
Percentage
Routine and Manual All Persons
21.7%
21.0%
20.3%
20.2%
19.8%
19.5%
19.2%
19.1%
18.7%
18.5%
18.5%
18.4%
17.5%
17.1%
17.1%
16.7%
0% 10% 20% 30%
CumbriaLincolnshire
NorfolkDevon
East SussexCambridgeshire
SomersetWarwickshire
EssexWest Sussex
GloucestershireWorcestershire
HampshireDorset
LeicestershireNorth Yorks
Percentage
England Comp Group Devon LA
0% 20% 40% 60% 80% 100%120%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 2: Healthy Lifestyle Choices
Indicator: Adult Smoking Prevalence
Period: 2011-12
Description Percentage of adults aged 18 and over who smoke
SourceOffice for National Statistics Integrated Household Survey. Analysed by DH and
published by LHO.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Compares smoking prevalence in routine and manual occupation groups with the
overall prevalence over time.
Update
FrequencyAnnual, next update due early 2014
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.14
Detailed
Specification
The number of persons aged 18+ who are self-reported smokers in the Integrated
Household Survey. The number of respondents has been weighted in order to
improve representativeness of the sample. The weights take into account survey
design and non-response. Denominator is Total number of respondents (with valid
recorded smoking status) aged 18+ in the Integrated Household Survey. The number
of respondents has been weighted in order to improve representativeness of the
sample. The weights take into account survey design and non-response.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 2: Healthy Lifestyle Choices Challenge
Indicator: Under 75 Mortality Rate - All Cancers Watching Brief
Period: 2011 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Indicator Type
Overview
In 2011, there were 974 deaths due to cancer in under 75s, with an direct age
standardised rate of 93.5 per 100,000. The Devon rate in 2010 was below the South
West (100.0) and England (108.0) rates. Within the county, rates are highest in
Exeter (112.1). Mortality rates have fallen from 130.0 per 100,000 in 1993 to 93.5 in
2011. Mortality rates are higher in more deprived areas, although the health
inequality gap has decreased over the last 10 years.
Equalities
Mortality from cancer increases rapidly with age, with the highest mortality rates in
under 75s in the 65 to 74 age group. Mortality rates from cancer are around 20%
higher in males than females in England. In terms of ethnicity, Cancer Reseach UK
suggests higher mortality rates in white groups, although survival rates for breast
cancer are lower in Asian and Black ethnic groups.
124.1
117.7
108.2
107.3
104.8
103.5
103.1
102.2
100.7
100.2
98.6
95.6
91.1
90.1
0 50 100 150
BristolPlymouth
TorbaySwindon
GlosBourne/Poole
CornwallWiltshireBANESDevon
South GlosSomerset
North SomDorset
DASR per 100,000
England South West Devon LA
108.2
97.4
99.8
85.4
105.6
105.1
112.1
97.6
0 50 100 150
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0.00
20.00
40.00
60.00
80.00
100.00
120.00
140.00
160.00
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
DASR per 100,00
Devon South West England
020406080
100120140160180200
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
111.4
109.5
104.8
103.7
103.5
101.7
101.6
100.8
100.4
100.2
100.0
99.4
98.7
95.9
95.6
90.1
0 50 100 150
CumbriaLincolnshire
GloucestershireEast Sussex
EssexNorfolk
WarwickshireLeicestershire
WorcestershireDevon
West SussexNorth YorksHampshire
CambridgeshireSomerset
Dorset
DASR per 100,000
England Comp Group Devon LA
0 0.5 1 1.5
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
DASR per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 2: Healthy Lifestyle Choices
Indicator: Under 75 Mortality Rate - All Cancers
Period: 2011
Update
Frequency
Annually, typically nine months in arrears (2012 results delayed - local results
available December 2013, updated national results available early 2014)
Outcomes
Framework
Public Health Outcomes Framework Indicator 4.05i, NHS Outcomes Framework
Indicator 1.4
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
DescriptionDirect age-standardised rate (DASR) of mortality from all cancers in persons less
than 75 years per 100,000 population
Source
Office for National Statistics annual death extracts (South West Benchmarking, Local
Authority District, Trend and Local Authority Comparator Group). Devon Public Health
Intelligence Team (Inequalities and CCG / Locality Comparison)
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Detailed
Specification
Number of deaths from all cancers (classified by underlying cause of death recorded
as ICD codes C00-C97) registered in the respective calendar years, in people aged
under 75, aggregated into quinary age bands (0-4, 5-9,I, 70-74). Population for
people aged under 75, aggregated into quinary age bands (0-4, 5-9,I, 70-74). Age
specific rates are calculated and multiplied by the standard population for each age
group and aggregated to give the age adjusted count of deaths for the area, and
divided by the total standard population and multiplied by 100,000 to give the age
standardised mortality rate for the area.
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 2: Healthy Lifestyle Choices Challenge
Indicator: Under 75 Mortality Rate - All Circulatory Diseases Watching Brief
Period: 2011 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Equalities
Mortality from circulatory disease increases rapidly with age, with the highest mortality
rates in under 75s in the 65 to 74 age group, and very few deaths in persons aged
under 40. In Devon mortality rates are 2.5 times higher in males than females. In
terms of ethnicity, the British Heart Foundation highlight that whilst risks did not vary
considerably by ethnic group for females, white males were at higher risk.
Indicator Type
Overview
In 2011, there were 487 deaths due to cancer in under 75s, with an direct age
standardised rate of 46.8 per 100,000. The Devon rate in 2010 was below the South
West (55.6) and England (67.3) rates. Within the county, rates are highest in Exeter,
North Devon and Teignbridge. Mortality rates have fallen from 128.4 per 100,000 in
1993 to 46.8 in 2011. Whilst rates have fallen more quickly in areas of above
average deprivation, the gap has persisted for those in the most deprived areas.
80.1
72.9
65.8
65.7
60.6
56.7
53.5
52.7
52.3
52.0
47.7
47.6
47.0
46.2
0 50 100
PlymouthBristol
SwindonTorbay
CornwallBourne/Poole
GlosWiltshire
DevonSomerset
North SomBANES
South GlosDorset
DASR per 100,000
England South West Devon LA
49.8
50.3
57.3
51.4
58.4
52.9
59.2
42.7
0 20 40 60 80
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
20
40
60
80
100
120
140
160
180
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
DASR per 100,00
Devon South West England
0
20
40
60
80
100
120
140
160
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
72.3
67.8
61.4
60.8
57.5
57.3
55.9
54.5
54.4
53.8
53.5
52.3
52.3
52.0
49.2
46.2
0 50 100
CumbriaLincolnshire
WorcestershireNorth Yorks
WarwickshireNorfolkEssex
LeicestershireEast Sussex
CambridgeshireGloucestershire
West SussexDevon
SomersetHampshire
Dorset
DASR per 100,000
England Comp Group Devon LA
0 0.5 1 1.5
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
DASR per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 2: Healthy Lifestyle Choices
Indicator: Under 75 Mortality Rate - All Circulatory Diseases
Period: 2011
Update
FrequencyAnnually, nine months in arrears (2012 results due October 2013)
Outcomes
Framework
Public Health Outcomes Framework Indicator 4.04i, NHS Outcomes Framework
Indicator 1.1
Detailed
Specification
Description
Direct age-standardised rate (DASR) of mortality from all cardiovascular diseases
(including heart disease and stroke) in persons less than 75 years per 100,000
population.
Source
Office for National Statistics annual death extracts (South West Benchmarking, Local
Authority District, Trend and Local Authority Comparator Group). Devon Public Health
Intelligence Team (Inequalities and CCG / Locality Comparison)
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Number of deaths from all cardiovascular diseases (classified by underlying cause of
death recorded as ICD codes I00-I99) registered in the respective calendar years, in
people aged under 75, aggregated into quinary age bands (0-4, 5-9,I, 70-74).
Population for people aged under 75, aggregated into quinary age bands (0-4, 5-9,I,
70-74). Age specific rates are calculated and multiplied by the standard population
for each age group and aggregated to give the age adjusted count of deaths for the
area, and divided by the total standard population and multiplied by 100,000 to give
the age standardised mortality rate for the area.
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 3: Good Health and Wellbeing in Older Age Challenge
Indicator: Incidence of Clostridium Difficile Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Age Group)
Indicator Type
Overview
There were 263 cases of Clostridium Difficile in 2012-13 in Devon. The incidence
rate per 100,000 in Devon (35.2) was above the South West (30.2), nearest
neighbour (28.6) and England (27.7) rates. Reporting processes for Clostridium
Difficile in 2012-13 were standardised allowing for more accurate comparison. This
explains the drop seen locally between 2011-12 and 2012-13, although it should be
noted that infection rates have reduced over time.
Equalities
Incidence of Clostridium Difficile increases significantly with age, with a rate of 9.7 per
100,000 in those aged 40 to 59 compared to 282.0 per 100,000 for those aged 80 and
over. This is a consequence of higher hospital admissions in these age groups, a
greater likelihood of living in a communal establishment (care homes) and poorer
general health. Rates are also higher in females and in more deprived areas.
37.6
37.4
35.9
35.2
35.1
32.7
32.0
30.4
30.0
26.3
26.2
23.0
21.9
18.7
0 20 40 60 80
BANESGlos
North SomDevonTorbay
WiltshireBristol
South GlosDorset
SomersetBourne/Poole
PlymouthSwindonCornwall
Rate per 100,000
England South West Devon LA
34.2
19.1
48.4
28.0
28.3
38.1
33.3
45.1
0 20 40 60 80
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 100,000
England South West Devon District
0
20
40
60
80
100
120
140
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Rate per 100,000
Devon South West England
44.0
37.9
37.4
37.3
35.2
35.2
30.6
30.0
27.7
26.4
26.3
26.2
25.9
21.9
20.4
20.2
0 20 40 60 80
CumbriaWorcestershire
GloucestershireWarwickshireWest Sussex
DevonLeicestershire
DorsetEast Sussex
North YorkshireSomerset
NorfolkLincolnshireHampshire
CambridgeshireEssex
Rate per 100,000
England Comp Group Devon LA
32.6
43.4
33.4
41.7
35.8
27.7
22.6
23.8
23.7
35.6
48.2
42.3
34.5
39.6
30.5
0 20 40 60 80
TorbayN Abbot
Moor to SeaCoastal
SD&T CCGSH&WD
PlymouthWestern LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Rate per 100,000
England South West CCG/Locality
3.1
5.1
9.7
49.4
282.0
0 50 100 150 200 250 300
Aged 00 to 19
Aged 20 to 39
Aged 40 to 59
Aged 60 to 79
Aged 80 and over
Rate per 100,000
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Good Health and Wellbeing in Older Age
Indicator: Incidence of Clostridium Difficile
Period: 2012-13
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on the geographic areas defined
at Lower Super Output Area level www.devonhealthandwellbeing.org.uk/library/maps.
Error bar is 95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
DescriptionTotal number of Clostridium Difficile (acute trust and community attributable) detected
in the period per 100,000 people aged 2 and over.
Source Public Health England HCAI (Health Care Associated Infection) Data Capture System
Update
Frequency
Available monthly around two months in arrears. Further updates temporarily delayed
due to changes to reporting system (local authority breakdowns not currently
available).
Outcomes
FrameworkNHS Outcomes Framework Indicator 5.2ii
Detailed
Specification
Overall number of cases of C. difficile Indicator construction: Based on mandatory
surveillance of C. difficile as reported to the Health Protection Agency Data Capture
System. Denominator from ONS Mid Year Population Estimates (persons aged 2 and
over). In line with national reporting processes, the rate is a crude rate and is not
standardised by age group.
Chart Notes
South West
Compares Former Primary Care Trusts in the South West Region. Error bar is 95%
confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
InequalitiesCompares broad age groups in Devon.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 3: Good Health and Wellbeing in Older Age Challenge
Indicator: Injuries Due to Falls Watching Brief
Period: 2012-13 Improvement
South West Benchmarking (2011-12) Local Authority District
Local Authority Comparator Group (2011-12) CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
There were 3,260 admissions due to falls in 2012-13 in Devon for people aged 65 and
over. The age standardised rate per 100,000 was 1348.9 in Devon, which is below
the South West (1446.5), local authority comparator group (1419.1) and England
(1664.8) rates. The rate is Devon is the second lowest in the South West. Within
Devon rates were significantly lower in Mid Devon (1119.9). Whilst rates increased
between 2007-08 and 2010-11 they have stabilised in recent years.
Equalities
Age standardised admission rates have remained consistently higher in the most
deprived deprivation quintile. Whilst the gap narrowed in 2012-13, the rate is the
most deprived areas (1703.2) was still 47% higher than the least deprived areas
(1161.2). Rates increase sharply with age with an age-specific rate of 477.1 for
persons aged 65 to 69, compared with 6165.7 for those aged 85 and over.
1,993.4
1,754.2
1,751.8
1,747.3
1,710.2
1,631.6
1,617.2
1,568.6
1,563.0
1,550.5
1,506.2
1,382.0
1,360.2
1,347.0
1,265.2
0 500 1,000 1,500 2,000 2,500
BristolPoole
BournemouthPlymouthSwindonBANES
CornwallSomerset
TorbayWiltshire
South GlosDorset
GlosDevon
North Som
DASR per 100,000
England South West Devon LA
1,259.6
1,352.6
1,443.4
1,436.9
1,406.8
1,119.9
1,430.9
1,263.7
0 500 1,000 1,500 2,000
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
DASR per 100,000
Devon South West England
1,766.4
1,587.4
1,569.2
1,568.6
1,565.0
1,556.8
1,532.1
1,527.2
1,454.3
1,382.0
1,381.5
1,363.9
1,360.2
1,347.0
1,250.7
1,186.8
0 500 1,000 1,500 2,000
LincolnshireWest Sussex
CambridgeshireSomerset
HampshireEast Sussex
WarwickshireEssex
NorfolkDorset
WorcestershireCumbria
GloucestershireDevon
North YorksLeicestershire
DASR per 100,000
England Comp Group Devon LA
1,565.4
1,410.4
1,467.2
1,460.1
1,563.8
1,483.7
1,351.0
1,692.8
1,598.1
1,385.7
1,416.8
1,191.9
1,136.8
1,392.6
1,273.1
1,407.1
0 500 1,000 1,500 2,000
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
DASR per 100,000
England South West CCG/Locality
0200400600800
1,0001,2001,4001,6001,8002,000
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Good Health and Wellbeing in Older Age
Indicator: Injuries Due to Falls
Period: 2012-13
Update
Frequency
Annually, local update available two months after year end, national comparator data
available around six months after year end (2012-13 national comparators due
Autumn 2013).
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.24
Detailed
Specification
Emergency admissions for falls injuries classified by primary diagnosis code (ICD10
code S00-T98) and external cause (ICD10 code W00-W19) and an emergency
admission code. Age at admission 65 and over.Counted by first finished consultant
episode (excluding regular and day attenders) in financial year in which episode
ended, by local authority and region of residence from the HES data. Population
based on Local Authority estimates of resident population produced by ONS. Analysis
uses the quinary age bands 65-69, 70-74, 75-79, 80-84 and 85+, by sex.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
DescriptionEmergency hospital admissions for falls injuries in persons aged 65 and over, directly
age-sex standardised rate per 100,000.
Source
Hospital Episode Statistics (HES), Health and Social Care Information Centre:
analysed nationally by West Midlands Knowledge and Information Team, and locally
by Devon Public Health Intelligence Team
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on GP practice attributions.
Error bar is 95% confidence interval.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is
projection to reach the national target of 67% by 2015.
Chart Notes
Inequalities
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 3: Good Health and Wellbeing in Older Age Challenge
Indicator: Dementia Diagnosis Rate Watching Brief
Period: 2011-12 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Indicator Type
Overview
In 2011-12, 4,848 people in Devon were on a GP register for dementia, compared
with an expected prevalence of 13,075, this is a diagnosis rate of 37.1%. This is the
third lowest ratio in the South West, and is below the South West (42.6%) and
England (45.0%) rates. Diagnosis rates have improved in recent years, increasing
from 28.0% in 2006-07, however national ratios have increased at the same rate.
The highest rates in Devon are seen in Teignbridge (42.8%) and Torridge (41.4%).
Equalities
There are no significant differences in Devon based on area deprivation. Dementia
prevalence rates are higher in females. This, coupled with longer life expectancy,
means females with dementia outnumber males by more than two to one.
Prevalence rates for dementia increase rapidly with age, with one in 1400 affected
under the age of 65, compared with more than one in five in those aged 85 and over.
54.0%
51.4%
48.9%
47.4%
47.1%
45.7%
45.3%
42.8%
42.7%
40.5%
37.2%
37.1%
36.0%
33.1%
0% 20% 40% 60%
Bourne/PooleTorbay
CornwallGlos
BristolPlymouthSwindon
North SomSomerset
BANESSouth Glos
DevonWiltshire
Dorset
Percentage
England South West Devon LA
34.9%
43.1%
44.0%
34.5%
39.2%
34.1%
40.1%
35.4%
0% 10% 20% 30% 40% 50%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
10%
20%
30%
40%
50%
60%
70%
80%
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
2015-1
6
Percentage
Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
52.7%
48.5%
47.4%
47.1%
44.7%
44.6%
43.4%
42.7%
42.4%
42.0%
40.7%
40.3%
37.1%
36.2%
33.9%
33.1%
0% 20% 40% 60%
CumbriaEssex
GloucestershireHampshire
North YorksLincolnshire
WarwickshireSomerset
CambridgeshireEast SussexWest Sussex
WorcestershireDevon
LeicestershireNorfolkDorset
Percentage
England Comp Group Devon LA
54.8%
46.2%
51.9%
30.5%
45.0%
46.1%
39.3%
46.1%
44.3%
40.9%
38.0%
33.9%
32.7%
39.4%
35.7%
39.5%
0% 20% 40% 60% 80%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Good Health and Wellbeing in Older Age
Indicator: Dementia Diagnosis Rate
Period: 2011-12
Chart Notes
Comparator
DescriptionNumber of persons recorded on a GP Dementia Disease Register as a % of those in
the area predicted to have dementia (using age and sex based estimates)
SourceNHS Dementia Prevalence Calculator, Devon Public Health Intelligence Team (Local
GP Practice Deprivation Quintiles)
Update
Frequency
Annually (financial year based), seven months in arrears (2012-13 due November
2013).
Outcomes
Framework
NHS Outcomes Framework Indicator 2.6i, Public Health Outcomes Framework
Indicator 4.11 - not yet finalised as new dementia prevalence estimates are currently
being devised to inform the frameworks.
Detailed
Specification
Numerator is the number of people on a GP practice dementia disease register at the
end of the given period and reported through the Quality and Outcomes Framework.
Numbers predicted to have dementia apply local GP practice population in quinary
age bands to age and sex specific dementia prevalence rates from the 2007
Dementia UK prevalence study. Rate divides the number on the QOF register by the
predicted number with dementia to give the percentage diagnosed. GP practice
numerators and denominators are aggregated to areas based on location of practice.
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
Chart Notes
South West
Compares Former Primary Care Trusts in the South West Region. Error bar is 95%
confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on GP practice attributions.
Error bar is 95% confidence interval.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is
projection to reach the national target of 67% by 2015.
Chart Notes
Inequalities
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 3: Good Health and Wellbeing in Older Age Challenge
Indicator: Feel Supported to Manage Own Condition Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
In Devon in 2012-13, 67.5% of people with a long-term condition in the GP survey, felt
they had enough support to manage their own condition. This is significantly higher
than the national (64.0%), South West (65.9%) and local authority comparator group
(64.7%). Rates in NEW Devon CCG (66.8%) and South Devon and Torbay CCG
(67.3%) were similar, and highest in the Exeter sub-locality (69.6%). Rates have also
increased slightly on 2011-12 levels.
Equalities
There was no clear relationship between feeling supported to manage their own
condition and deprivation. National results reveal the older age groups (85 and over,
69.6%) feel better supported than younger age groups (18 to 24, 58.1%), males
(65.4%) feel better supported than females (62.6%), and minority ethnic groups feel
less well supported.
67.9%
67.5%
67.4%
67.3%
66.2%
66.0%
66.0%
65.5%
65.2%
64.9%
64.9%
64.4%
63.1%
62.4%
40% 60% 80%
CornwallDevonTorbayBANES
GlosSomerset
DorsetBourne/Poole
BristolPlymouth
South GlosNorth Som
WiltshireSwindon
Percentage
England South West Devon LA
67.7%
66.4%
67.6%
67.6%
66.7%
67.2%
69.3%
66.5%
40% 50% 60% 70% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
40%
45%
50%
55%
60%
65%
70%
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
67.5%
67.3%
67.1%
67.0%
66.2%
66.0%
66.0%
65.8%
64.3%
64.3%
64.0%
63.5%
63.0%
62.9%
62.8%
62.4%
40% 60% 80%
DevonNorth Yorks
CumbriaCambridgeshireGloucestershire
SomersetDorset
WorcestershireNorfolk
HampshireLincolnshireEast SussexWest SussexWarwickshire
LeicestershireEssex
Percentage
England Comp Group Devon LA
69.9%
65.3%
68.5%
67.5%
65.1%
67.3%
68.7%
64.9%
65.8%
66.9%
64.0%
68.3%
66.0%
69.6%
67.5%
66.8%
40% 50% 60% 70% 80%
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Percentage
England South West CCG/Locality
67.5%
64.0%
68.3%
68.2%
68.8%
40% 50% 60% 70% 80%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Good Health and Wellbeing in Older Age
Indicator: Feel Supported to Manage Own Condition
Period: 2012-13
Chart Notes
South West
Compares Former Primary Care Trusts in the South West Region. Error bar is 95%
confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Description Weighted percentage of people feeling supported to manage their condition.
Source NHS GP Patient Survey
Update
FrequencyAnnually and Quarterly, around six months in arrears.
Outcomes
FrameworkNHS Outcomes Framework Indicator 2.1
Detailed
Specification
Numerator: For people who answer yes to the Question 30 “Do you have a long-
standing health condition”, the numerator is the total number of ‘Yes, definitely’ or
‘Yes, to some extent’ answers to GPPS Question 32: In the last 6 months, have you
had enough support from local services or organisations to help you manage your
long-term condition(s)? Please think about all services and organisations, not just
health services • Yes, definitely • Yes, to some extent • No • I have not needed such
support • Don’t know/can’t say. Responses weighted according to the following 0-100
scale: “No” = 0 “Yes, to some extent” = 50 “Yes, definitely” = 100.
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on GP practice attributions.
Error bar is 95% confidence interval.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 3: Good Health and Wellbeing in Older Age Challenge
Indicator: Re-ablement Services (Effectiveness) Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
In 2010 Devon implemented a countywide in-house social care re-ablement service
for older people. The service works with people who would normally receive long-
term personal care to get back on their feet as quickly as possible and help them to
stay independent for longer. In 2012-13, reablement services were effective for 87%
of older people who received the service in Devon, compared with 81% in the South
West and 81% nationally.
EqualitiesThere is no significant link between effectiveness of reablement services and
deprivation levels in Devon.
89.3%
87.9%
86.0%
85.7%
84.2%
84.2%
83.4%
83.3%
82.4%
80.6%
78.6%
77.8%
76.2%
74.1%
71.1%
0% 20% 40% 60% 80% 100%
PlymouthDevon
SomersetBANES
BristolSouth Glos
WiltshireCornwall
North SomTorbay
SwindonPoole
DorsetBournemouth
Glos
Percentage
England South West Devon LA
87.5%
80.8%
84.1%
94.0%
91.3%
84.6%
82.6%
95.8%
0% 20% 40% 60% 80% 100%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%10%20%30%40%50%60%70%80%90%
100%
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
89.9%
89.1%
88.4%
87.9%
86.0%
85.9%
83.8%
82.7%
82.2%
81.7%
81.5%
78.2%
77.5%
76.2%
72.8%
71.1%
0% 20% 40% 60% 80% 100%
West SussexEast Sussex
NorfolkDevon
SomersetNorth Yorks
CumbriaCambridgeshire
WarwickshireEssex
HampshireLeicestershire
WorcestershireDorset
LincolnshireGloucestershire
Percentage
England Comp Group Devon LA
80.6%
80.6%
81.8%
96.7%
83.3%
83.1%
86.3%
89.3%
86.5%
87.5%
95.5%
96.0%
87.7%
82.7%
87.7%
87.5%
0% 20% 40% 60% 80% 100%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
92.3%
86.6%
87.7%
84.5%
97.6%
0% 20% 40% 60% 80% 100%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Good Health and Wellbeing in Older Age
Indicator: Re-ablement Services (Effectiveness)
Period: 2012-13
DescriptionProportion of older people (65 and over) who were still at home 91 days after
discharge from hospital into reablement/rehabilitation services.
Source
Adult Social Care Combined Activity Return. National Adult Social Care Intelligence
Service (SW Benchmarking, Trend and Comparator Group) DCC Management
Information Team (District, Inequalities and CCG / Locality Comparison)
Update
FrequencyAnnually around four months in arrears.
Outcomes
FrameworkAdult Social Care Outcomes Framework Indicator 2B Part 1
Detailed
Specification
The proportion of older people aged 65 and over discharged from hospital to their
own home or to a residential or nursing care home or extra care housing for
rehabilitation, with a clear intention that they will move on/back to their own home
(including a place in extra care housing or an adult placement scheme setting), who
are at home or in extra care housing or an adult placement scheme setting 91 days
after the date of their discharge from hospital
Chart Notes
Local AuthorityRates cannot currently be calculated at a local level.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendTrend data not currently available.
Chart Notes
InequalitiesRates cannot currently be calculated at a local level.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 3: Good Health and Wellbeing in Older Age Challenge
Indicator: Re-ablement Services (Coverage) Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
OverviewIn 2012-13 1.7% of older people discharged from hospital in Devon were offered
reablement services, compared with 3.1% in the South West and 3.3% nationally.
Equalities Not currently available at a local level.
10.8%
6.7%
6.3%
3.9%
3.8%
3.4%
3.3%
3.0%
1.8%
1.7%
1.6%
1.4%
1.4%
1.1%
0.4%
0% 5% 10% 15%
WiltshireBournemouth
PlymouthGlos
DorsetTorbayBANES
South GlosPoole
DevonSwindon
SomersetNorth Som
BristolCornwall
Percentage
England South West Devon LA
0% 1% 2% 3% 4%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3.5%
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
6.0%
4.1%
3.9%
3.8%
3.4%
3.3%
3.2%
2.9%
2.6%
2.4%
2.4%
2.4%
2.3%
1.7%
1.5%
1.4%
0% 5% 10%
WarwickshireLincolnshire
GloucestershireDorset
HampshireWorcestershire
East SussexLeicestershire
CambridgeshireNorth Yorks
NorfolkEssex
CumbriaDevon
West SussexSomerset
Percentage
England Comp Group Devon LA
3% 3% 3% 3%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
0% 20% 40% 60% 80% 100%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE AT A
LOCAL LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Good Health and Wellbeing in Older Age
Indicator: Re-ablement Services (Coverage)
Period: 2012-13
DescriptionProportion of older people (65 and over) offered reablement services following
discharge from hospital.
Source
Adult Social Care Combined Activity Return and Hospital Episode Statistics. National
Adult Social Care Intelligence Service (South West Benchmarking, Trend and Local
Authority Comparator Group)
Update
FrequencyAnnually around four months in arrears.
Outcomes
FrameworkAdult Social Care Outcomes Framework Indicator 2B Part 2
Detailed
Specification
The number of older people (65 and over) offered reablement services as a
proportion of the total number of older people discharged from hospitals based on
Hospital Episode Statitstics (HES)
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 3: Good Health and Wellbeing in Older Age Challenge
Indicator: Readmissions to Hospital Within 30 Days Watching Brief
Period: 2010-11 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
In Devon in 2010-11, 10.2% of patients discharged after an emergency admission
were readmitted within 30 days. This is significantly below the South West (10.8%),
local authority comparator group (10.8%) and England (11.8%) rates. The rate in
Devon was the second lowest in the South West and the lowest in the local authority
comparator group. Exeter (11.7%) had a readmission rate above the South West and
Devon rate. Readmission rates have increased over time.
Equalities
There is no local data currently available on the pattern by deprivation, age, sex and
other factors, although reports are in development. National data highlights higher
readmission rates in more deprived areas, ranging from 13.1% in the most deprived
group to 10.6% in the least deprived group. Readmission rates are higher amongst
males (12.1%, compared with 11.4% for females).
12.0
11.9
11.8
11.4
11.2
11.1
10.8
10.7
10.7
10.5
10.5
10.3
10.2
9.0
0 5 10 15
Bourne/PooleBristol
SwindonTorbay
SomersetBANES
CornwallWiltshire
GlosPlymouth
DorsetSouth Glos
DevonNorth Som
Percentage
England South West Devon LA
9.9
9.3
10.5
9.9
10.3
9.5
11.7
9.6
0 5 10 15
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0
2
4
6
8
10
12
14
2001-0
2
2002-0
3
2003-0
4
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
11.5
11.4
11.2
11.1
11.1
11.1
11.0
10.8
10.7
10.7
10.7
10.7
10.5
10.5
10.5
10.2
0 5 10 15
East SussexLeicestershire
SomersetNorth Yorks
West SussexWorcestershire
HampshireWarwickshire
EssexCambridgeshireGloucestershire
NorfolkDorset
CumbriaLincolnshire
Devon
Percentage
England Comp Group Devon LA
0 1 1 2
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
DASR per 100,000
England South West CCG/Locality
0
0
0
1
1
1
1
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Good Health and Wellbeing in Older Age
Indicator: Readmissions to Hospital Within 30 Days
Period: 2010-11
DescriptionPercentage of emergency admissions occurring within 30 days of the last, previous
discharge after admission
SourceHealth and Social Care Information Centre (Hospital Episode Statistics (HES) and the
Compendium of population health indicators)
Update
Frequency
Annually, around 18 months in arrears (2011-12 due October 2013), more timely local
performance reporting currently being developed by NEW Devon CCG Business
Intelligence Team
Outcomes
Framework
NHS Outcomes Framework Indicator 3b, Public Health Outcomes Framework
Indicator 4.11
Detailed
Specification
Percentage of emergency admissions occurring within 30 days of the last, previous
discharge after admission, Indirectly standardised rate (excludes cancer and
obstetrics)
Chart Notes
South West
Compares Former Primary Care Trusts in the South West Region. Error bar is 95%
confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Rates cannot currently be calculated at a local level as this is a new survey with no
previous trend information available.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Suicide Rate Watching Brief
Period: 2011 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Indicator Type
Overview
In 2011, 76 deaths were registered as suicide or injury undetermined (open verdict),
with an direct age standardised rate of 8.2 per 100,000. The Devon rate in 2010 was
above the national rate but below the South West rate. Within the county, rates are
similar between districts, with no significantly higher rates. Whilst year-on-year
variations are seen, mostly due to the relatively small numbers involved, rates in
Devon have typically remained around or slightly above the national rate.
Equalities
There are no significant differences in suicide rates based on area deprivation in
Devon. Differences by sex are notable, and tend to be low and stable for females
(around 4 per 100,000) and higher and more variable in males. Suicide rates are
highest for people in the 40s and 50s and are relatively low for persons in their teens
and 20s.
11.91
10.61
10.50
10.36
10.20
9.85
9.50
9.15
8.42
8.42
7.67
7.26
6.55
5.88
0 5 10 15 20
North SomBourne/Poole
PlymouthTorbay
GlosCornwall
DorsetBristolDevon
SomersetWiltshireSwindonBANES
South Glos
DASR per 100,000
England South West Devon LA
9.61
8.24
10.83
8.18
6.63
7.85
7.75
7.95
0 5 10 15 20
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
2
4
6
8
10
12
14
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
DASR per 100,00
Devon South West England
0
2
4
6
8
10
12
14
16
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
DASR per 100,000
Female Male
10.20
9.73
9.50
9.44
9.05
8.67
8.56
8.42
8.42
8.14
7.98
7.55
7.34
7.09
6.55
5.51
0 5 10 15
GloucestershireLincolnshire
DorsetEast Sussex
CumbriaNorth Yorks
WorcestershireDevon
SomersetWarwickshire
HampshireNorfolk
CambridgeshireEssex
West SussexLeicestershire
DASR per 100,000
England Comp Group Devon LA
0 0.5 1 1.5
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
DASR per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Suicide Rate
Period: 2011
Number of deaths from suicide and injury of undetermined intent (classified by
underlying cause of death recorded as ICD10 codes X60-X84 (all ages), Y10-Y34
(ages 15+ only) registered in the respective calendar years, aggregated into quinary
age bands (0-4, 5-9,I, 80-84, 85+), with corresponding mid-year population totals.
Age specific rates are calculated and multiplied by the standard population for each
age group and aggregated to give the age adjusted count of deaths for the area, and
divided by the total standard population and multiplied by 100,000 to give the age
standardised mortality rate for the area.
DescriptionDirect age-standardised mortality rate (DASR) from suicide and injury of
undetermined intent per 100,000 population
Source
Office for National Statistics annual death extracts (South West Benchmarking, Local
Authority District, Trend and Local Authority Comparator Group). Devon Public Health
Intelligence Team (Inequalities and CCG / Locality Comparison)
Update
FrequencyAnnually, nine months in arrears (2012 results due October 2013)
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.10
Detailed
Specification
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Male Life Expectancy Gap Watching Brief
Period: 2006 to 2010 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Average Life Expectancy)
Indicator Type
Overview
The Slope Index of Inequality compares life expectancy in the most deprived 10% of
an area's population with the least deprived 10%, producing the gap in life expectancy
in years. For males in Devon the gap is 5.4 years which is significantly lower than the
gaps for the South West (7.6), the local authority comparator group (6.9), and
England (8.9). Gaps were significantly below the national average in East Devon, Mid
Devon, the South Hams and Torridge. The gap has increased slightly over time.
Equalities
As the slope index of inequality compare the most and least deprived 10% of a
defined area, the smaller gap seen is partly a product of less severe social
inequalities compared to other areas. The gap is more notable at the extremes with a
12.5 year gap in life expectancy at an electoral ward level. The life expectancy gap is
much larger for males than females.
10.7
10.3
9.5
9.4
8.9
8.8
8.1
7.0
6.6
6.4
6.2
5.9
5.7
5.4
5.4
0 10 20
North SomBournemouth
PlymouthBristol
SwindonTorbayPooleGlos
WiltshireDorset
South GlosCornwallBANESDevon
Somerset
Life Expectancy Gap (Years)
England South West Devon LA
2.2
4.6
6.1
1.5
6.2
4.9
7.5
5.2
0 5 10 15
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Life Expectancy Gap (Years)
England South West Devon District
0123456789
10
2001-2
005
2002-2
006
2003-2
007
2004-2
008
2005-2
009
2006-2
010
2007-2
011
2008-2
012
2009-2
013
2010-2
014
Life Expectancy (Years)
Devon South West England
70
72
74
76
78
80
82
84
2001-
2005
2002-
2006
2003-
2007
2004-
2008
2005-
2009
2006-
2010
Life Expectancy (Years)
Q1 - Most Dep Above Average
Average Below Average
Q10 - Least Dep
8.7
8.3
8.2
7.8
7.3
7.3
7.2
7.2
7.0
6.4
6.3
6.2
6.0
5.8
5.4
5.4
0 5 10 15
CumbriaWarwickshireEast Sussex
WorcestershireEssex
LincolnshireCambridgeshire
West SussexGloucestershire
DorsetNorth Yorks
LeicestershireHampshire
NorfolkDevon
Somerset
Life Expectancy Gap (Years)
England Comp Group Devon LA
0 1 1 2
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Life Expectancy Gap (Years)
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Male Life Expectancy Gap
Period: 2006 to 2010
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Shows overall average life expectancy for the most deprived 10% of the population
and least deprived 10% of the population and other groups over time.
Update
Frequency
Annually, typically around 12 months in arrears (2007 to 2011 results delayed to late
2013)
Outcomes
Framework
Public Health Outcomes Framework, Overarching Indicator - still in development,
source is likely to change from or update the existing slope index of inequality.
Detailed
Specification
Local authority populations divided into 10 local deciles using Index of Multiple
Deprivation 2010 at a Lower Super Output Area (LSOA) level. Life expectancy
calculated for each local decile using Office for National Statistics annual mortality
extracts and mid-year population estimates. Regression analysis performed across
10 local deciles to produce estimated gap in life expectancy in years within area.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
DescriptionEstimated gap in male life expectancy in years between the most deprived 10% of an
area with the least deprived
SourceSlope Index of Inequality, Association of Public Health Observatories, London and
East Midlands Public Health Observatories (now Public Health England)
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Female Life Expectancy Gap Watching Brief
Period: 2006 to 2010 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Average Life Expectancy)
Indicator Type
Overview
The Slope Index of Inequality compares life expectancy in the most deprived 10% of
an area's population with the least deprived 10%, producing the gap in life expectancy
in years. For females in Devon the gap is 2.8 years which is significantly lower than
the gaps for the South West (5.0), the local authority comparator group (4.9), and
England (5.9). The gap was also significantly below the national average in East
Devon. The gap has decreased slightly over time.
Equalities
As the slope index of inequality compare the most and least deprived 10% of a
defined area, the smaller gap seen is partly a product of less severe social
inequalities compared to other areas. The gap is more notable at the extremes with a
12.5 year gap in life expectancy at an electoral ward level. The life expectancy gap is
much larger for males than females.
7.5
6.7
6.5
5.8
5.5
5.4
5.2
5.0
4.8
4.8
4.5
4.0
3.8
2.8
2.7
0 5 10 15
North SomTorbay
SwindonBristolDorset
BournemouthCornwall
PooleGlos
South GlosBANES
PlymouthWiltshire
DevonSomerset
Life Expectancy Gap (Years)
England South West Devon LA
1.8
2.3
2.9
3.4
3.0
4.3
4.4
2.8
0 5 10
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Life Expectancy Gap (Years)
England South West Devon District
0
1
2
3
4
5
6
7
2001-2
005
2002-2
006
2003-2
007
2004-2
008
2005-2
009
2006-2
010
2007-2
011
2008-2
012
2009-2
013
2010-2
014
Life Expectancy (Years)
Devon South West England
7677787980818283848586
2001-
2005
2002-
2006
2003-
2007
2004-
2008
2005-
2009
2006-
2010
Life Expectancy (Years)
Q1 - Most Dep Above Average
Average Below Average
Q10 - Least Dep
7.6
6.8
6.2
5.7
5.5
5.4
5.3
5.3
4.9
4.9
4.8
4.6
4.1
2.8
2.7
1.9
0 5 10 15
WarwickshireCumbria
East SussexLeicestershire
DorsetWorcestershire
CambridgeshireWest Sussex
EssexLincolnshire
GloucestershireNorth YorksHampshire
DevonSomerset
Norfolk
Life Expectancy Gap (Years)
England Comp Group Devon LA
0 1 1 2
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Life Expectancy Gap (Years)
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Female Life Expectancy Gap
Period: 2006 to 2010
Chart Notes
Inequalities
Shows overall average life expectancy for the most deprived 10% of the population
and least deprived 10% of the population and other groups over time.
DescriptionEstimated gap in female life expectancy in years between the most deprived 10% of
an area with the least deprived
SourceSlope Index of Inequality, Association of Public Health Observatories, London and
East Midlands Public Health Observatories (now Public Health England)
Update
Frequency
Annually, typically around 12 months in arrears (2007 to 2011 results delayed to late
2013)
Outcomes
Framework
Public Health Outcomes Framework, Overarching Indicator - still in development,
source is likely to change from or update the existing slope index of inequality.
Detailed
Specification
Local authority populations divided into 10 local deciles using Index of Multiple
Deprivation 2010 at a Lower Super Output Area (LSOA) level. Life expectancy
calculated for each local decile using Office for National Statistics annual mortality
extracts and mid-year population estimates. Regression analysis performed across
10 local deciles to produce estimated gap in life expectancy in years within area.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Self-Reported Wellbeing (low happiness score %) Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
Low happiness score is one of four self-reported wellbeing measures in the Public
Health Outcomes Framework, with others covering life satisfaction, feeling worthwhile
and anxiety. Within Devon, 26.7% of the population had a low happiness score on
the index compared with 27.7% for the South West, 27.3% in the local authority
comparator group and 28.7% in England overall.
Equalities
No local information is available based on area deprivation or other characteristics.
National findings highlight that self-reported wellbeing tends to be poorer in more
deprived areas. There is a notable pattern by age with younger people and older
people with higher levels of wellbeing than people in their 40s and 50s (known as the
U shaped curve of happiness).
31.3%
30.2%
29.9%
28.4%
28.4%
28.3%
27.7%
27.7%
27.4%
27.2%
26.7%
26.7%
25.5%
25.3%
22.6%
0% 20% 40%
BristolGlos
North SomSomerset
BournemouthPoole
SwindonTorbay
South GlosWiltshire
DorsetDevon
CornwallPlymouth
BANES
Percentage
England South West Devon LA
0% 10% 20% 30% 40%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
5%
10%
15%
20%
25%
30%
35%
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
30.2%
29.4%
29.3%
28.4%
28.0%
27.9%
27.7%
27.7%
27.6%
26.7%
26.7%
26.6%
25.5%
25.2%
25.0%
24.8%
0% 20% 40%
GloucestershireCumbria
EssexSomerset
LeicestershireNorth YorkshireCambridgeshire
East SussexWorcestershire
DorsetDevon
West SussexWarwickshireLincolnshire
NorfolkHampshire
Percentage
England Comp Group Devon LA
27% 28% 28% 29% 29% 30%
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Percentage
England South West CCG/Locality
0% 20% 40% 60% 80% 100% 120%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
*UPDATED INDICATOR*
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Self-Reported Wellbeing
Period: 2012-13
Update
FrequencyAnnually, six to eight months in arrears (2013/14 update due Autumn 2014)
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.23iii
Detailed
Specification
The percentage of respondents who answered 0-6 to the question "Overall, how
happy did you feel yesterday?"ONS are currently measuring individual/subjective well-
being based on four questions included on the Integrated Household Survey.
Responses are given on a scale of 0-10 (where 0 is “not at all happy” and 10 is
“completely happy”)The first full year data from these questions was published by
ONS in July 2012 and are being treated as experimental statistics. In the ONS report,
the percentage of people scoring 0-6 and 7-10 have been calculated for this indicator.
Description Self-reported well-being - percentage of people with a low happiness score
SourceOffice for National Statistics Integrated Household Survey. Experimental Statistics
from 2011 onwards.
Chart Notes
Inequalities
Rates cannot currently be calculated at a local level as this is a new survey with no
previous trend information available.
Chart Notes
Local AuthorityRates cannot currently be calculated at a local level.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendTrend data not currently available.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Social Isolation Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
41% of social care users surveyed in Devon in 2012-13 reported being satisfied with
their social situation, this is slightly below the south west and national response at
43% and 44% respectively. Within Devon whilst there is some variation in responses
at district level, smaller sample sizes mean the differences are not statistically
significant.
Equalities
Social care users living in the more deprived areas reported lower levels of social
isolation. Female social care users in Devon reported being more satisfied with their
social situation than male social care users. Social care users with Learning
Disabilities reported being the most satisfied with their level of social contact
compared with other client groups.
50.1%
49.7%
47.8%
47.5%
47.2%
43.9%
43.2%
42.8%
42.3%
41.1%
40.7%
40.3%
40.1%
40.0%
39.7%
0% 20% 40% 60%
GlosSouth Glos
SomersetPlymouth
North SomBANESTorbayBristol
CornwallPoole
DevonSwindonWiltshire
BournemouthDorset
Percentage
England South West Devon LA
44.0%
43.8%
42.0%
37.6%
46.4%
43.7%
41.2%
39.2%
0% 10% 20% 30% 40% 50% 60%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%5%
10%15%20%25%30%35%40%45%50%
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
50.1%
48.8%
47.8%
47.6%
47.2%
46.9%
45.9%
45.9%
44.3%
44.2%
43.2%
43.0%
43.0%
40.7%
39.7%
37.4%
0% 20% 40% 60%
GloucestershireCumbria
SomersetNorfolk
LeicestershireNorth Yorks
West SussexWorcestershire
WarwickshireHampshire
East SussexEssex
CambridgeshireDevonDorset
Lincolnshire
Percentage
England Comp Group Devon LA
43.2%
43.2%
41.0%
36.7%
47.3%
43.2%
44.1%
47.5%
44.9%
45.2%
42.2%
38.8%
40.6%
40.2%
40.3%
42.4%
0% 20% 40% 60% 80%
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Percentage
England South West CCG/Locality
52.2%
44.9%
43.4%
39.5%
41.8%
0% 10% 20% 30% 40% 50% 60%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Social Isolation
Period: 2012-13
Update
Frequency
Annually for social care users, around four months in arrears.
Bi-annually for Carers, around four months in arrears.
Outcomes
Framework
Adult Social Care Outcomes Framework Indicator 1i, Public Health Outcomes
Framework Indicator 1.18
Detailed
Specification
The percentage of users responding "I have as much contact as I want with people I
like" and carers choosing "I have as much contact as I want" to questions based on
their social situation in the Adult Social Care Survey and Carers Survey. Currently
just measuring social care users. Measures for users and carers will be presented
separately
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
DescriptionProportion of people who use services who reported that they had as much social
contact as they would like.
Source
Adult Social Care Survey and Carers Survey. National Adult Social Care Intelligence
Service (SW Benchmarking, Trend and Comparator Group) DCC Management
Information Team (District, Inequalities and CCG / Locality Comparison)
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Carer Reported Quality of Life Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
This measure gives an overarching view of the quality of life of carers based on
outcomes identified through research by the Personal Social Services Research Unit.
This is the only current measure related to quality of life for carers available, and
supports a number of the most important outcomes identified by carers themselves to
which adult social care contributes. The carer reported quality of life in Devon is in
line with both the South West and national average.
Equalities Not currently available at a local level.
8.58
8.55
8.49
8.37
8.35
8.23
8.22
8.17
8.13
8.09
8.09
7.95
7.71
7.69
7.64
0.0 5.0 10.0
North SomPoole
BANESBristol
SomersetSouth Glos
TorbayDevon
SwindonDorset
CornwallPlymouth
BournemouthGlos
Wiltshire
Score
England South West Devon LA
0% 20% 40% 60% 80% 100%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
60%
62%
64%
66%
68%
70%
72%
74%
76%
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
8.39
8.35
8.32
8.21
8.20
8.17
8.15
8.12
8.10
8.09
7.99
7.98
7.76
7.69
7.64
7.14
0.0 5.0 10.0
WorcestershireSomerset
CambridgeshireCumbria
North YorksDevon
East SussexWarwickshire
NorfolkDorsetEssex
LeicestershireWest Sussex
GloucestershireLincolnshireHampshire
Score
England Comp Group Devon LA
0% 20% 40% 60% 80% 100%120%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
0% 20% 40% 60% 80% 100%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
NOT CURRENTLY AVAILABLE
NOT CURRENTLY AVAILABLE
NOT CURRENTLY AVAILABLE
NOT CURRENTLY AVAILABLE
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Carer Reported Quality of Life
Period: 2012-13
Description Carer Reported Quality of Life
Source
Carers Survey. National Adult Social Care Intelligence Service (SW Benchmarking,
Trend and Comparator Group) DCC Management Information Team (Local Authority
District, Inequalities and CCG / Locality Comparison)
Update
FrequencyBi-annually, around four months in arrears after year end. 2014-15 due July 2015.
Outcomes
FrameworkAdult Social Care Outcomes Framework Indicator 1D
Detailed
Specification
This is a composite measure which combines individual responses to six questions
measuring different outcomes related to overall quality of life. These outcomes are
mapped to six domains (occupation, control, personal care, safety, social participation
and encouragement and support). Responses to the questions indicate whether the
carer has unmet needs in any of the six areas. The measure gives an overall score
based on repondents' self-reported quality of life across the six questions. All six
questions are given equal weight.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
not calculable.
Chart Notes
Local AuthorityNot yet available.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar not calculable.
Chart Notes
CCG/LocalityNot yet available.
Chart Notes
TrendFirst year reported so not available.
Chart Notes
InequalitiesNot yet available.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Stable/Appropriate Accommodation (Learning Dis.) Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
The nature of accommodation for people with learning disabilities has a strong impact
on their safety and overall quality of life and the risk of social exclusion. In 2012-13
69% of adults with a learning disability in Devon (known to the council) were living in
their own home or with their family, compared with 66% in the South West and 73%
nationally. This varied within Devon from 62% in Teignbridge to 84% in North Devon.
Equalities
There are no significant differences in Devon based on area deprivation. A higher
proportion of younger adults (18-30) with a learning disability are in stable and
suitable accommodation in Devon, compared to 31-64 year olds.
79.6%
72.9%
72.0%
71.8%
71.7%
71.1%
71.0%
70.3%
69.1%
65.2%
64.8%
63.1%
61.7%
61.7%
42.9%
0% 20% 40% 60% 80% 100%
SomersetBournemouth
PooleTorbay
PlymouthDorset
GlosSouth Glos
DevonNorth Som
BANESSwindonWiltshire
BristolCornwall
Percentage
England South West Devon LA
64.2%
69.8%
62.5%
74.6%
83.5%
79.0%
79.3%
74.8%
0% 20% 40% 60% 80% 100%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
10%
20%
30%
40%
50%
60%
70%
80%
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
80.4%
79.8%
79.6%
75.5%
74.5%
72.9%
72.6%
72.4%
72.1%
72.0%
71.1%
71.0%
70.5%
69.1%
61.7%
60.3%
0% 20% 40% 60% 80% 100%
CumbriaNorth Yorks
SomersetCambridgeshire
LincolnshireWorcestershire
WarwickshireEssex
NorfolkHampshire
DorsetGloucestershire
West SussexDevon
LeicestershireEast Sussex
Percentage
England Comp Group Devon LA
71.8%
71.8%
70.4%
65.2%
52.0%
66.9%
74.5%
71.7%
71.4%
75.9%
65.0%
82.2%
76.9%
78.3%
76.5%
75.6%
0% 20% 40% 60% 80% 100%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
England South West CCG/Locality
69.6%
74.7%
70.9%
69.1%
70.6%
0% 20% 40% 60% 80%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Stable/Appropriate Accommodation (Learning Dis.)
Period: 2012-13
DescriptionProportion of adults with a learning disability who live in their own home or with their
family.
Source
Adult Social Care Combined Activity Return. National Adult Social Care Intelligence
Service (SW Benchmarking, Trend and Comparator Group) DCC Management
Information Team (District, Inequalities and CCG / Locality Comparison)
Update
FrequencyAnnually, around four months in arrears.
Outcomes
Framework
Adult Social Care Outcomes Framework Indicator 1G, Public Health Outcomes
Framework Indicator 1.6
Detailed
Specification
The proportion of all adults with a learning disability who are known to the council,
who are recorded as living in their own home or with their family. The definition of
individuals 'known to the council' is currently restricted to those adults with a learning
disability (with a primary client group of LD) who have been assessed or reviewed by
the council during the year (irrespective of whether or not they receive a service) or
who should have been reviewed but were not.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Displays rates for the two Clinical Commissioning Groups in the wider Devon area,
their localities, and their sub-localities. This is based on the geographic areas defined
at Lower Super Output Area level www.devonhealthandwellbeing.org.uk/library/maps.
Error bar is 95% confidence interval.
Chart Notes
TrendTrend data not currently available.
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
Priority 4: Strong and Supportive Communities Challenge
Indicator: Stable/Appropriate Accommodation (Mental Health) Watching Brief
Period: 2012-13 Improvement
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Indicator Type
Overview
Stable and appropriate accommodation is closely linked to improving safety and
reducing the risk of social exclusion. In 2012-13 58% of adults in contact with a
secondary mental health service in Devon were in stable and suitable
accommodation. This is higher than both the South West (at 51%) and our Local
Authority comparator group (at 55%) and is in line with the national figure (59%).
Equalities Not currently available at a local level.
78.4%
78.4%
76.1%
66.9%
66.4%
58.3%
57.4%
57.0%
53.1%
51.0%
34.5%
34.0%
22.8%
18.9%
12.3%
0% 20% 40% 60% 80% 100%
South GlosSwindonBANES
North SomWiltshire
DevonCornwall
BristolPlymouth
TorbayPooleGlos
BournemouthSomerset
Dorset
Percentage
England South West Devon LA
0% 20% 40% 60% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0%
10%
20%
30%
40%
50%
60%
70%
80%
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
79.9%
79.8%
75.2%
65.7%
62.4%
58.5%
58.3%
44.9%
38.9%
34.5%
34.0%
32.7%
28.5%
18.9%
13.5%
12.3%
0% 20% 40% 60% 80% 100%
EssexWarwickshire
WorcestershireWest Sussex
CumbriaNorth Yorks
DevonLeicestershire
NorfolkEast Sussex
GloucestershireCambridgeshire
HampshireSomerset
LincolnshireDorset
Percentage
England Comp Group Devon LA
45% 50% 55% 60%
ToIPaiI
NIMoICoISDISHIPlyIWI
NoIWEB
WIMiIExIEaINEI
Percentage
England South West CCG/Locality
0% 20% 40% 60% 80% 100%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
DEVON HEALTH AND WELLBEING OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Strong and Supportive Communities
Indicator: Stable/Appropriate Accommodation (Mental Health)
Period: 2012-13
DescriptionProportion of adults in contact with secondary mental health services living
independently, with or without support.
SourceMental Health Minimum Data Set v4. National Adult Social Care Intelligence Service
(South West Benchmarking, Trend and Local Authority Comparator Group)
Update
FrequencyAnnually, around four months in arrears.
Outcomes
Framework
Adult Social Care Outcomes Framework Indicator 1H, Public Health Outcomes
Framework Indicator 1.6
Detailed
Specification
The percentage of adults receiving secondary mental health services living
independently at the time of their most recent assessment, formal review or other
multi-disciplinary care planning meeting
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local AuthorityRates cannot currently be calculated at a local level.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendTrend data not currently available.
Chart Notes
InequalitiesRates cannot currently be calculated at a local level.
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