PUBLIC HEALTH DEVON OUTCOMES REPORT 9TH ......Public Health Devon Outcomes Report: Indicator List and Summary Domain RAG Indicator Type Trend Dev/SW/Eng G 0.01 Healthy Life Expectancy
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PUBLIC HEALTH DEVON OUTCOMES REPORT 9TH SEPTEMBER 2014
DEVON COUNTY COUNCIL FULL VERSION
The public health outcomes framework sets the context and 'strategic direction' for the new public health system with the vision of 'improving and protecting the nation's health while improving the health of the poorest fastest'. There are two overarching indicators concerning healthy life expectancy and life expectancy, and four domains with 66 further indicators, and around 130 sub-indicators. The domains are improving the wider determinants of health, health improvment, health protection, and healthcare public health. A prioritisation exercise was completed in September 2013 which looked at performance, human impact, and financial costs for these indicators and the prioritisation grid which lists out all indicators is available at www.devonhealthandwellbeing.org.uk/jsna/performance/phof Three types of indicators were identified from this exercise: Core Indicators – these are indicators which have a large impact in terms of numbers affected and impact, or which are high spend areas for Public Health Devon. These indicators are covered by this report.
Improvement Indicators – these are indicators for areas where performance is poorer than expected or deteriorating and improvements to outcomes are required. These indicators are covered by this report. Monitoring Indicators – these cover areas where local outcomes are positive and the scale, human impact and cost are not high. These indicators can be monitored through the Public Health Outcomes Tool: www.phoutcomes.info and other sources. 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
Public Health Devon Outcomes Report: Indicator List and Summary
Domain RAG Indicator Type Trend Dev/SW/Eng
G 0.01 Healthy Life Expectancy Male * Core
G 0.01 Healthy Life Expectancy Female * Core
G 0.02 Gap in Life Expectancy Male Core
G 0.02 Gap in Life Expectancy Female Core
A 1.01 Children in Poverty Core
G 1.10 Killed or Seriously Injured on Roads * Core
A 1.11 Domestic Violence * Core
A 1.17 Fuel Poverty * Improve
G 1.18 Social Contentedness * Improve
G 2.03 Smoking at Time of Delivery Core
A 2.04 Under 18 Conception Rate * Core
A 2.06 Excess Weight in Four / Five Year Olds Core
A 2.06 Excess Weight in 10 / 11 Year Olds Core
G 2.07 Hospital Admissions for Injury, 0 to 14 Core
R 2.08 Emotional difficulties in looked after children Improve
- 2.09 Smoking at Age 15 Core - -
R 2.10 Hospital Admissions Self-Harm, 10 to 24 Improve
- 2.11 Diet Core - -
G 2.12 Excess Weight Adults Core -
G 2.13 Proportion of Physically Active Adults * Core
A 2.14 Adult Smoking Prevalence Core
A 2.15 Drug Treatment Completion, Opiates Core
A 2.15 Drug Treatment Completion, Non-Opiates Core
A 2.18 Alcohol-Related Admissions * Core
G 2.19 Cancer Diagnosed at Stage 1 or 2 Core -
A 2.22 Percentage offered a NHS health check * Improve
A 2.22 Percentage receiving a NHS health check * Improve
G 2.23 Self-Reported Wellbeing (% low happiness) Core
G 2.24 Injuries Due to Falls Core
G 3.02 Chlamydia Diagnosis Rate * Core
A 3.03 Population Vaccination (MMR Aged 5) * Improve
G 4.03 Mortality Rate from Preventable Causes Core
G 4.04 Under 75 Mortality Rate Circulatory Disease Core
G 4.05 Under 75 Mortality Rate All Cancers Core
A 4.10 Suicide Rate Improve
A 4.12 Preventable Sight Loss (Registrations) * Improve
- 4.13 Health-Related Quality of Life Core - -
R 4.16 Dementia Diagnosis Rate Improve
RAG Ratings
Red R
Amber A
Green G
4. Healthcare
Public Health
3. Health
Protection
2. Health
Improvement
1. Wider
Determinants
of Health
Overarching
Indicators
Major cause for concern in Devon, benchmarking poor / off-target
Possible cause for concern in Devon, benchmarking average / target at risk
No major cause for concern in Devon, benchmarking good / on-target
PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.01: Healthy Life Expectancy Male Amber
Period: 2010-12 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
Males in Devon can expect to live for 65.8 years in good health, compared with 63.4
years in England, 65.2 years in the South West, and 65.2 years in the local authority
comparator group. Healthy Life expectancy for males ranged from 52.5 (Tower
Hamlets) to 70.0 (Richmond) nationally, ranged from 60.5 (Plymouth) to 67.7 (South
Glos) within the South West, and from 61.9 (Cumbria) to 67.0 (Hampshire) within the
local authority comparator group.
Equalities
No local breakdowns by equality characteristics are currently available. Males in
Devon spend one year less in good health than females, which is much smaller than
the gap in life expectancy (3.7 years). Nationally, more deprived areas have lower
healthy life expectancy.
67.7
67.3
67.0
65.9
65.8
65.6
65.4
65.0
64.9
64.1
64.0
63.7
63.7
62.6
60.5
55 65 75
South GlosWiltshire
DorsetSomerset
DevonNorth Som
PooleBANES
GlosTorbay
SwindonCornwall
BournemouthBristol
Plymouth
Healthy Life Expectancy (Years)
England South West Devon LA
0 1 1
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Healthy Life Expectancy (Years)
England South West Devon District
5557596163656769717375
200
9-1
1
201
0-1
2
Healt
hy
Lif
e E
xp
ecta
ncy
(Y
ears
)
Devon South West England
0
0
0
1
1
1
1
200
1-
200
5
200
2-
200
6
200
3-
200
7
200
4-
200
8
200
5-
200
9
200
6-
201
0
Healt
hy
Lif
e E
xp
ecta
ncy
(Y
ears
)
Most Deprived Above AverageAverage Below AverageLeast Deprived
67.0
66.8
66.6
65.9
65.8
65.4
65.2
65.2
65.0
64.9
64.9
64.9
64.6
64.0
63.1
61.9
55 65 75
DorsetWest Sussex
HampshireSomerset
DevonWorcestershire
WarwickshireNorth Yorks
CambridgeshireLeicestershire
GloucestershireEssex
LincolnshireNorfolk
East SussexCumbria
Healthy Life Expectancy (Years)
England Comp Group Devon LA
0 1 1 2
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Healthy Life Expectancy (Years)
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT LOCAL AUTHORITY DISTRICT LEVEL
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Male
Period: 2010-12
Update
FrequencyAnnually, around 18 months in arrears
Outcomes
FrameworkPublic Health Outcomes Framework, Overarching Indicator 0.1
Chart Notes
Local AuthorityFigures are not currently available at a local authority district level.
Office for National Statistics (Annual Population Survey and Mid-Year Population
estimates)
Detailed
Specification
The prevalence of ‘Good’ general health among males and females resident in
private households by local authority used from Annual Population Survey. HLE
was then calculated using the Sullivan method which combines prevalence data with
mortality and mid-year population estimates (MYPE) over the same period and
geographical coverage to calculate estimates of LE and HLE at birth by sex. The
age band structure used for calculating HLE was the traditional age band structure of
<1, 1-4, 5-9, 10-14, 15-19……85+.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
Description The average number of years males can expect to be in good general health
Source
Chart Notes
CCG/Locality
Figures are not currently available at a Clinical Commissioning Group and locality
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.01: Healthy Life Expectancy Female Amber
Period: 2010-12 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
Females in Devon can expect to live for 66.8 years in good health, compared with
64.1 years in England, 66.0 years in the South West, and 66.4 years in the local
authority comparator group. Healthy Life expectancy for females ranged from 55.5
(Manchester) to 71.0 (Wokingham) nationally, ranged from 60.5 (Plymouth) to 69.0
(BANES) within the South West, and from 64.5 (Norfolk) to 67.9 (Gloucestershire)
within the local authority comparator group.
Equalities
No local breakdowns by equality characteristics are currently available. Females in
Devon spend one year longer in good health than males, which is much smaller than
the gap in life expectancy (3.7 years). Nationally, more deprived areas have lower
healthy life expectancy.
69.0
67.9
67.9
67.9
67.7
66.8
66.7
66.2
64.9
64.8
64.2
64.0
63.0
62.1
60.5
55 65 75
BANESSouth Glos
WiltshireGlos
SomersetDevonPoole
DorsetTorbay
CornwallSwindon
North SomBournemouth
BristolPlymouth
Healthy Life Expectancy (Years)
England South West Devon LA
0 1 1
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Healthy Life Expectancy (Years)
England South West Devon District
6363646465656666676768
200
9-1
1
201
0-1
2
Healt
hy
Lif
e E
xp
ecta
ncy
(Y
ears
)
Devon South West England
0
0
0
1
1
1
1
200
1-
200
5
200
2-
200
6
200
3-
200
7
200
4-
200
8
200
5-
200
9
200
6-
201
0
Healt
hy
Lif
e E
xp
ecta
ncy
(Y
ears
)
Most Deprived Above AverageAverage Below AverageLeast Deprived
67.9
67.7
67.4
67.3
67.2
66.8
66.8
66.7
66.3
66.3
66.2
65.9
65.4
65.2
64.6
64.5
55 65 75
GloucestershireSomerset
West SussexNorth YorksHampshire
DevonCambridgeshire
LeicestershireWarwickshire
EssexDorset
CumbriaWorcestershire
East SussexLincolnshire
Norfolk
Healthy Life Expectancy (Years)
England Comp Group Devon LA
0 1 1 2
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Healthy Life Expectancy (Years)
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT LOCAL AUTHORITY DISTRICT LEVEL
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Female
Period: 2010-12
Description The average number of years females can expect to be in good general health
SourceOffice for National Statistics (Annual Population Survey and Mid-Year Population
estimates)
Outcomes
FrameworkPublic Health Outcomes Framework, Overarching Indicator 0.1
Detailed
Specification
The prevalence of ‘Good’ general health among males and females resident in
private households by local authority used from Annual Population Survey. HLE
was then calculated using the Sullivan method which combines prevalence data with
mortality and mid-year population estimates (MYPE) over the same period and
geographical coverage to calculate estimates of LE and HLE at birth by sex. The
age band structure used for calculating HLE was the traditional age band structure of
<1, 1-4, 5-9, 10-14, 15-19……85+.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Chart Notes
Local AuthorityFigures are not currently available at a local authority district level.
Update
FrequencyAnnually, around 18 months in arrears
Chart Notes
CCG/Locality
Figures 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
InequalitiesFigures are not currently available for an inequalities analysis 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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.02: Male Life Expectancy Gap Amber
Period: 2010 to 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison (2007-11)
Trend and Future Trajectory Inequalities (Sex)
RAG Rating
Overview
The Slope Index of Inequality compares life expectancy in the most deprived and
least deprived communities within an area's population, revealing the gap in life
expectancy in years. For males in Devon the gap is 4.9 years which is significantly
lower than the gaps for the South West (7.1), the local authority comparator group
(7.1), and England (9.2). Gaps were significantly below the national average in all
Devon districts except North Devon. The gap has decreased slightly recently.
Equalities
As the slope index of inequality compare the most and least deprived communities
within an area's population, 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.
10.0
9.8
8.3
8.2
7.9
7.9
7.5
7.2
6.8
6.7
5.9
5.7
5.2
4.9
4.3
0 10 20
BournemouthNorth Som
TorbayBristol
PlymouthGlos
BANESSwindon
PooleDorset
SomersetWiltshire
South GlosDevon
Cornwall
Life Expectancy Gap (Years)
England South West Devon LA
0.0
4.0
6.1
3.2
5.6
5.6
4.1
4.5
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
0
2
4
6
8
10
12
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
Lif
e E
xp
ecta
ncy
(Y
ears
)
Devon South West England
0
1
2
3
4
5
6
7
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
Lif
e E
xp
ecta
ncy
(Y
ears
)
Female Male
9.6
8.2
8.0
8.0
7.9
7.8
7.4
7.1
7.0
6.7
6.7
6.7
6.4
6.1
5.9
4.9
0 5 10 15
CumbriaEast Sussex
West SussexWorcestershire
GloucestershireWarwickshire
EssexCambridgeshire
LincolnshireDorset
North YorksHampshire
NorfolkLeicestershire
SomersetDevon
Life Expectancy Gap (Years)
England Comp Group Devon LA
10.4
9.9
6.7
1.7
11.0
8.1
3.3
9.1
9.0
5.3
6.5
5.3
4.8
6.6
5.9
7.5
0 10 20
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Life Expectancy Gap (Years)
England South West CCG/Locality
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.02: Male Life Expectancy Gap
Period: 2010 to 2012
Estimated gap in male life expectancy in years between the most and least deprived
communities in a given area
Update
FrequencyAnnually, typically around 12 months in arrears
Slope Index of Inequality, Association of Public Health Observatories, London and
East Midlands Public Health Observatories (now Public Health England), CCG
figures derived by Devon Public Health Intelligence Team
Source
Description
Outcomes
Framework
Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to
cover three year period)
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
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.
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.
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.02 Female Life Expectancy Gap Amber
Period: 2010 to 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison (2007-11)
Trend and Future Trajectory Inequalities (Sex)
Equalities
RAG Rating
Overview
The Slope Index of Inequality compares life expectancy in the most deprived and
least deprived communities within an area's population, revealing the gap in life
expectancy in years. For females in Devon the gap is 3.2 years which is lower than
the gaps for the South West (4.8), the local authority comparator group (5.1), and
England (6.8). The gap was also significantly below the national average in East
Devon, Torridge and West Devon. The gap has decreased slightly over time.
As the slope index of inequality compare the most and least deprived communities
within an area's population, 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.
6.6
6.3
6.1
5.8
5.8
5.7
4.7
4.7
4.4
4.2
3.9
3.7
3.7
3.2
2.4
0 5 10 15
North SomTorbayBristol
GlosPlymouth
PooleDorset
BANESBournemouth
South GlosCornwallSwindon
SomersetDevon
Wiltshire
Life Expectancy Gap (Years)
England South West Devon LA
0.4
1.8
2.9
4.2
2.8
5.3
4.1
4.0
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
8
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
Lif
e E
xp
ecta
ncy
(Y
ears
)
Devon South West England
0
1
2
3
4
5
6
7
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
Lif
e E
xp
ecta
ncy
(Y
ears
)
Female Male
7.4
6.7
6.4
6.0
5.8
5.4
5.4
5.3
5.2
5.0
4.8
4.8
4.7
3.7
3.2
2.2
0 5 10 15
WarwickshireWest Sussex
CumbriaEssex
GloucestershireEast SussexNorth Yorks
WorcestershireLeicestershire
CambridgeshireHampshire
LincolnshireDorset
SomersetDevon
Norfolk
Life Expectancy Gap (Years)
England Comp Group Devon LA
9.0
6.0
5.2
2.1
4.6
5.9
2.8
4.8
5.1
3.1
8.1
1.3
2.3
3.4
2.9
4.1
0 5 10 15
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Life Expectancy Gap (Years)
England South West CCG/Locality
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.02 Female Life Expectancy Gap
Period: 2010 to 2012
DescriptionEstimated gap in female life expectancy in years between the most and least
deprived communities in a given area
Update
Frequency
Source
Slope Index of Inequality, Association of Public Health Observatories, London and
East Midlands Public Health Observatories (now Public Health England), CCG
figures derived by Devon Public Health Intelligence Team
Annually, typically around 12 months in arrears
Outcomes
Framework
Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to
cover three year period)
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.
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
CCG/Locality
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.
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 1. Improving the Wider Determinants of Health Green
Indicator 1.01 Children in Poverty A Amber
Period: 2011 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Overview
16,760 children (13.6%) in Devon live in households dependent on benefits or tax
credits, compared with 16.2% in the South West and 20.6% nationally. Child
poverty rates in Devon fell between 1999 and 2008 and have dropped further from
the South West average over time. Rates increased in 2009 and 2010 before falling
slightly in 2011. Rates at a district level range from 10.6% in East Devon to 16.8%
in Torridge. Rates in the most deprived areas are five times those in the least.
RAG Rating
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.
25.3%
23.8%
22.4%
19.7%
18.1%
17.3%
16.5%
14.9%
14.9%
14.7%
13.6%
13.2%
13.1%
11.9%
11.9%
0% 10% 20% 30%
BristolTorbay
PlymouthBournemouth
CornwallSwindon
PooleGlos
North SomSomerset
DevonDorset
BANESSouth Glos
Wiltshire
Percentage
England South West Devon LA
12.8%
16.8%
14.1%
12.3%
14.5%
12.5%
16.2%
10.6%
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%
199
9
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
201
0
201
1
201
2
201
3
201
4
Perc
en
tag
e
Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
199
9
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
201
0
201
1
Perc
en
tag
e
Most Deprived Above AverageAverage Below AverageLeast Deprived
18.1%
18.1%
17.2%
16.8%
15.7%
15.4%
14.9%
14.7%
14.1%
13.6%
13.5%
13.2%
13.1%
12.4%
12.1%
11.9%
0% 10% 20% 30%
NorfolkEast SussexLincolnshire
EssexWorcestershire
CumbriaSomerset
GloucestershireWarwickshire
DevonWest Sussex
DorsetCambridgeshire
HampshireLeicestershire
North Yorks
Percentage
England Comp Group Devon LA
25.7%
21.5%
14.7%
14.4%
16.5%
19.3%
11.3%
22.4%
19.8%
15.3%
11.4%
10.5%
12.8%
14.7%
12.9%
16.2%
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 1. Improving the Wider Determinants of Health
Indicator 1.01 Children in Poverty
Period: 2011
SourceHM Revenue and Customs (Personal Tax Credits: Related Statistics - Child Poverty
Statistics)
DescriptionPercentage of children (aged 0 to 15) living in households dependent on benefits or
tax credits.
Update
FrequencyAnnually, around 20 months in arrears (2012 due Autumn 2014)
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.01
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
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.
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.
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Priority 1. Improving the Wider Determinants of Health G Green
Indicator 1.10 Killed and Seriously Injured (KSI) on roads Amber
Period: 2011-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Rurality and Deprivation)
RAG Rating
Overview
852 people were killed or seriously injured on Devon's roads between 2011 and
2013, an average of 284 per year, with an average of just over five cases per week.
The KSI rate in Devon (37.7 per 100,000) was in line with the South West rate
(37.5), signficantly below the local authority comparator group (48.1), and below the
England rate (39.7). Within Devon rates were highest in West Devon (55.7) and
lowest in Exeter (26.5). By CCG Locality they are lowest in Coastal (Dawlish and
Equalities
Males are more likely to be killed or seriously injured than females. The likelihood is
also greater in younger adults (16 to 24), and reduces through adult life with the
lowest rates in over 65s. An analysis by rurality and deprivation reveals that more
deprived rural areas have higher KSI rates (69.7) than less deprived areas (57.8),
which the inverse is true in urban areas (more deprived 17.1, less deprived 23.3).
51.7
47.0
45.2
42.2
40.8
40.7
39.4
37.7
34.4
31.7
30.9
27.7
25.7
20.1
17.9
0 20 40 60
DorsetWiltshire
BournemouthPoole
SomersetCornwall
GlosDevon
SwindonBristol
TorbayNorth Som
PlymouthBANES
South Glos
Rate per 100,000
England South West Devon LA
55.7
35.0
38.9
41.9
48.0
29.4
26.5
35.7
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
10
20
30
40
50
60
70
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
201
1-1
3
Rate
per
100,0
00
Devon South West England
77.6
61.5
59.3
54.7
54.0
53.7
51.7
49.8
45.7
42.8
42.3
40.8
39.4
37.7
31.4
30.6
0 20 40 60 80
North YorksLincolnshireEast Sussex
WarwickshireHampshire
West SussexDorset
CambridgeshireCumbria
EssexNorfolk
SomersetGloucestershire
DevonLeicestershire
Worcestershire
Rate per 100,000
England Comp Group Devon LA
30.9
30.9
38.6
41.7
16.1
32.8
46.8
25.7
30.8
42.7
22.5
38.1
37.4
35.2
34.8
34.7
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
Rate per 100,000
England South West CCG/Locality
0
10
20
30
40
50
60
70
80
90
100
2008-10 2009-11 2010-12 2011-13
Rate
per
100,0
00
Urban Deprived Urban Less DeprivedDevon Rural Less DeprivedRural Deprived
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of Health
Indicator 1.10 Killed and Seriously Injured (KSI) on roads
Period: 2011-13
DescriptionNumber of people reported killed or seriously injured on the roads, all ages, per
100,000 resident population.
Source Department for Transport
Update
FrequencyAnnually, next update due summer 2015
Detailed
Specification
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.01
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Local Authority
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Numerator was The number of people of all ages reported killed or seriously injured
on the roads in the three year period. Denominator was 2011 Census based mid-
year resident population estimate for the year 2012 multiplied by three. Crude rate
per 100,000 population. The number of events observed over the three year period
was divided by the mid-period population multiplied by 3, and the resulting rate
multiplied by 100,000.
Chart Notes
Comparator
Compares areas according 2010 Indices of Deprivation (Index of Multiple
Deprivation) and 2004 Urban Rural Classification groupings.
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Priority 1. Improving the Wider Determinants of Health Green
Indicator 1.11 Domestic Violence A Amber
Period: 2012-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Overview
RAG Rating
Domestic Violence incidents recorded by police are reported by Police Force through
the Public Health Outcomes Framework. However, Devon breakdowns are possible
through local sources and have been added. Devon has a rate of 12.26 per 1,000,
above the South West (14.25), comparator group (16.06) and England (18.77) rates.
Within Devon rates are highest in Exeter (17.94). Local trend infromation, including
provisional figures for 2013-14 highlight increases over time.
Equalities
Domestic violence is more common in females with 7.3% women and 5.0% of men
having been a victim of domestic abuse past year and 31.0% of women and 17.8%
of men have been victims at some point since the age of 16 (British Crime Survey).
Younger persons (18 to 29) are more likely to report domestic violence. Incident
rates also tend to be higher in more deprived areas.
19.35
19.35
19.35
13.49
13.49
13.49
12.26
12.01
12.01
12.01
12.01
12.01
11.87
9.63
0.0 10.0 20.0 30.0
PlymouthTorbay
CornwallBournemouth
PooleDorsetDevon
South GlosSomerset
BristolBANES
North SomGlos
Wiltshire
Rate per 1,000
England South West Devon LA
9.86
12.59
12.50
7.90
14.18
11.45
17.94
9.65
0.0 5.0 10.0 15.0 20.0
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 1,000
England South West Devon District
0.02.04.06.08.0
10.012.014.016.018.020.0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Rate
per
1,0
00
Devon South West England
22.30
19.83
17.77
17.35
17.10
16.68
16.23
15.92
14.82
14.76
13.74
13.74
13.49
12.26
12.01
0.0 10.0 20.0 30.0
LeicestershireEssex
CambridgeshireLincolnshire
WarwickshireHampshire
CumbriaWorcestershire
NorfolkNorth Yorks
West SussexEast Sussex
DorsetDevon
Somerset
Rate per 1,000
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% 120%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of Health
Indicator 1.11 Domestic Violence
Period: 2012-13
Description Domestic abuse incidents recorded by the police, crude rate per 1,000 population
SourceCrime Statistics, Focus on: Violent Crime and Sexual Offences
(Office for National Statistics)
Update
FrequencyAnnually, timing to be determined
Outcomes
Framework
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval. Figures relate to police force area (Devon &
Chart Notes
Local AuthorityFigures are not currently available at a local authority district level.
Detailed
Specification
Numerator is the number of incidents of domestic violence recorded by the police.
Denominator is the over 18 rounded mid-year population of the area. Rate is
numerator divided by denominator multiplied by 1,000.
Public Health Outcomes Framework Indicator 1.11
Compares Devon rate (Devon and Cornwall) with South West region and England
over time.
Chart Notes
CCG/Locality
Figures are not currently available at a Clinical Commissioning Group and locality
level.
Chart Notes
Trend
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis 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. Figures relate to police force area.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Priority 1. Improving the Wider Determinants of Health Green
Indicator 1.17 Fuel Poverty A Amber
Period: 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Overview
Just over 1 in 10 households in Devon are in fuel poverty (10.26%), which is above
the South West (9.39%) and local authority comparator group (9.24%) rates but
below the England (10.41%) rates. Within Devon the highest levels of fuel poverty
were seen in West Devon (11.63%) and the lowest were seen in East Devon
(9.14%). Levels of fuel poverty increased between 2011 and 2012 in Devon but fell
in many other areas of the country.
RAG Rating
Equalities
Fuel poverty in more prevalent in groups with low household incomes, including
pensioners, persons on benefits, and working families with below average incomes.
The low wage economy, particularly in North and West Devon and higher living
costs contribute to levels of fuel poverty locally.
11.39%
11.06%
10.28%
10.26%
9.87%
9.84%
9.51%
9.19%
8.94%
8.10%
7.94%
7.63%
7.34%
7.27%
6.75%
0% 5% 10% 15%
CornwallBristol
PlymouthDevon
BournemouthTorbay
BANESSomerset
GlosDorset
WiltshireSwindon
PooleNorth SomSouth Glos
Percentage
England South West Devon LA
11.63%
11.44%
9.29%
10.18%
11.01%
10.48%
10.69%
9.14%
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%
2011 2012
Perc
en
tag
e
Devon South West England
12.51%
12.22%
12.03%
11.58%
11.33%
10.26%
9.99%
9.52%
9.19%
8.94%
8.42%
8.26%
8.10%
7.57%
7.06%
6.33%
0% 5% 10% 15%
WorcestershireLincolnshire
WarwickshireCumbria
LeicestershireDevon
North YorksNorfolk
SomersetGloucestershire
East SussexCambridgeshire
DorsetEssex
West SussexHampshire
Percentage
England Comp Group Devon LA
10.73%
8.95%
8.42%
11.47%
9.24%
9.84%
9.75%
10.28%
10.15%
11.19%
8.90%
9.12%
10.98%
10.57%
10.15%
10.34%
0% 5% 10% 15%
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
*UPDATED INDICATOR*
0%
2%
4%
6%
8%
10%
12%
14%
201
1
201
2
Perc
en
tag
e
Most Deprived Above AverageAverage Below AverageLeast Deprived
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of Health
Indicator 1.17 Fuel Poverty
Period: 2012
Source
DescriptionThe percentage of households that experience fuel poverty based on the "Low
income, high cost" methodology
Department of Energy and Climate Change (DECC)
https://www.gov.uk/government/publications/2012-sub-regional-fuel-poverty-data-low-
income-high-costs-indicator
Update
FrequencyAnnually, around 18 months in arrears
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 1.17
Under the "Low Income, High Cost" measure, houeholds are considered to be fuel
poor where:
1.They have required fuel costs that are above average (the national median level)
2.Were they to spend that amount, they would be left with a residual income below
the official fuel poverty line.
The key elements in determining whether a household is fuel poor or not are income,
fuel prices, fuel consumption (which is dependent on the dwelling characteristics and
the lifestyle of the household)
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
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
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.
Compares Devon rate with South West region and England over time.
Detailed
Specification
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Priority 1. Improving the Wider Determinants of Health Green
Indicator 1.18 Social Contentedness A Amber
Period: 2013-14 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
47.5% of social care users surveyed in Devon in 2013-14 reported being satisfied
with their social situation. This was significantly above South West (44.3%), local
authority comparator group (45.2%) and England (44.2%) rates. Within Devon
whilst there is some variation in responses at district level, smaller sample sizes
mean the differences are not statistically significant. Rates increased significantly
on 2012-13 levels.
Equalities
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.
47.9%
47.5%
47.1%
45.6%
45.4%
44.5%
44.0%
43.9%
43.8%
43.0%
42.9%
40.1%
37.9%
37.6%
35.3%
0% 20% 40% 60%
WiltshireDevonTorbay
BANESPoole
CornwallSouth GlosNorth Som
PlymouthBournemouth
SomersetGlos
SwindonDorsetBristol
Percentage
England South West Devon LA
63.9%
47.1%
40.9%
62.2%
42.0%
50.0%
45.5%
50.9%
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%5%
10%15%20%25%30%35%40%45%50%
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
48.8%
47.9%
47.5%
45.8%
45.6%
45.5%
45.4%
45.3%
45.3%
44.9%
44.6%
44.4%
42.9%
42.3%
40.1%
37.6%
0% 20% 40% 60%
NorfolkCumbria
DevonCambridgeshire
HampshireWarwickshireWest SussexEast Sussex
WorcestershireLincolnshire
LeicestershireEssex
SomersetNorth Yorks
GloucestershireDorset
Percentage
England Comp Group Devon LA
47.1%
47.1%
45.5%
61.3%
31.0%
47.1%
60.5%
43.8%
44.1%
44.0%
62.5%
43.8%
56.5%
42.2%
49.4%
44.3%
0% 20% 40% 60%
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
37.5%
49.1%
54.7%
39.3%
62.5%
0% 20% 40% 60% 80%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of Health
Indicator 1.18 Social Contentedness
Period: 2013-14
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
Source
DescriptionProportion of people who use services who reported that they had as much social
contact as they would like.
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
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
Detailed
Specification
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.
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.
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
Inequalities
Chart Notes
Comparator
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.03 Smoking at Time of Delivery Amber
Period: 2012-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
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%
17.4%
16.7%
16.7%
13.8%
13.5%
13.3%
13.2%
13.2%
13.0%
12.3%
11.3%
9.9%
9.7%
9.4%
0% 10% 20% 30%
TorbaySomersetPlymouth
DorsetCornwall
GlosWiltshire
BournemouthPoole
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%
200
4-0
5
200
5-0
6
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
17.6%
17.4%
16.7%
15.6%
15.2%
14.3%
13.8%
13.8%
13.7%
13.5%
13.0%
11.8%
11.5%
11.3%
9.9%
9.7%
0% 10% 20%
WarwickshireSomerset
DorsetCumbria
East SussexNorfolk
LincolnshireWorcestershire
North YorksGloucestershireCambridgeshire
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.03 Smoking at Time of Delivery
Period: 2012-13
Source The Health and Social Care Information Centre, Lifestyle Statistics
Description Number of women who currently smoke at time of delivery per 100 maternities.
Update
FrequencyAnnually - Future timescales for local authority data to be determined
Public Health Outcomes Framework Indicator 2.03Outcomes
Framework
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.
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.
Compares rates in the wards with the highest teenage conception areas with the
Devon average.
Compares Devon rate with South West region and England over time.Chart Notes
Trend
Chart Notes
Inequalities
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
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.04 Teenage Conception Rate A Amber
Period: 2013 Q2 (rolling year) Red
South West Benchmarking Local Authority District (2012)
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
There were 303 conceptions in Devon between July 2012 and June 2013 for females
aged under 18, with around half leading to a birth. The latest annual conception rate
is 24.1 per 1,000 females compared with 22.5 for the South West, 22.2 for the local
authority comparator group and 25.7 for England. Higher rates are seen in Exeter,
Mid Devon and Teignbridge but the difference is not statistically signficant. Stronger
decreases in the national rate mean the gap has narrowed.
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.
34.3
34.0
27.7
27.3
24.6
24.3
24.1
21.7
20.1
19.7
19.4
19.0
17.5
17.5
16.0
0 20 40 60
TorbayPlymouthSwindon
BristolCornwall
BournemouthDevonPoole
SomersetWiltshire
GlosDorsetBANES
North SomSouth Glos
Rate per 1,000 females aged 15-17
England South West Devon LA
28.2
20.2
35.4
26.2
25.4
33.5
32.7
18.0
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
199
8
199
9
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
201
0
201
1
201
2
201
3
Rate
per
1,0
00 f
em
ale
s a
ged
15
-
17
Devon South West England
27.4
27.4
25.4
24.3
24.1
23.3
22.5
21.3
21.1
21.0
20.7
20.1
19.4
19.0
18.9
16.2
0 20 40
WorcestershireLincolnshireEast Sussex
EssexDevon
NorfolkWarwickshire
HampshireCumbria
LeicestershireWest Sussex
SomersetGloucestershire
DorsetNorth Yorks
Cambridgeshire
Rate per 1,000 females aged 15-17
England Comp Group Devon LA
0 0.5 1 1.5
To…Pai…
N…Mo…Co…SD…SH…Ply…W…
No…WEB
W…Mi…Ex…Ea…NE…
Rate per 1,000 females aged 15-17
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
0
20
40
60
80
100
120
2007-09 2008-10 2009-11
Rate
per
1,0
00 f
em
ale
s a
ged
15
-
17
Devon Wards Ranked 21 to 30
Wards Ranked 11 to 20 Wards Ranked 1 to 10
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.04 Teenage Conception Rate
Period: 2013 Q2 (rolling year)
Office for National StatisticsSource
Description Conceptions in women aged under 18 per 1,000 females aged 15-17.
Update
FrequencyQuarterly - 15 months in arrears (Q3 2013 due December 2014)
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.04
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.
Chart Notes
CCG/Locality
Rates are not currently available at a Clinical Commissioning Group and locality
level.
Chart Notes
Inequalities
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.
Compares rates in the wards with the highest teenage conception areas with the
Devon average over time.
Detailed
Specification
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.06 Excess Weight in Four / Five Year Olds A Amber
Period: 2012-13 (School Year) Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
This measure of 'excess weight' covers children classified as overweight or very
overweight. In reception year (aged four or five) 24.9% of pupils in Devon were
recorded in the excess weight category, which was significantly above the South
West (22.9%), local authority comparator group (21.8%) and England (22.2%) rates.
Within Devon, Torridge (27.4%), Teignbridge (27.1%), and Exeter (26.2%) were
significantly above the national rate. Rates have increased on 2011-12 levels.
Equalities
Local results by deprivation and other criteria have not yet been released. National
results for 2012-13 reveal 18.2% of pupils in the excess weight category in the least
deprived decile compared with 25.9% in the most deprived decile. Levels of excess
weight were higher in boys than girls. No significant differences were observed by
ethnic group in Devon.
28.0%
24.9%
24.8%
24.6%
24.3%
24.1%
23.3%
23.2%
23.2%
23.2%
21.9%
21.4%
21.3%
19.9%
16.7%
0% 20% 40%
TorbayDevon
PlymouthGlos
North SomCornwall
SomersetSwindonBANES
PooleBristol
BournemouthWiltshire
DorsetSouth Glos
Percentage
England South West Devon LA
26.3%
27.4%
27.1%
21.9%
24.0%
24.9%
26.2%
22.2%
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%
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
25.6%
24.9%
24.6%
23.3%
23.0%
23.0%
22.9%
21.3%
21.0%
20.9%
20.7%
20.4%
20.2%
20.1%
20.0%
19.9%
0% 10% 20% 30%
LincolnshireDevon
GloucestershireSomerset
WorcestershireNorfolk
CumbriaNorth Yorks
LeicestershireEast Sussex
West SussexEssex
CambridgeshireHampshire
WarwickshireDorset
Percentage
England Comp Group Devon LA
28.0%
28.0%
31.3%
25.5%
22.6%
27.6%
23.7%
24.8%
24.6%
24.7%
23.1%
22.7%
25.6%
24.7%
24.4%
24.5%
0% 10% 20% 30% 40%
To…Pai…
N…Mo…Co…SD…SH…Ply…W…
No…WEB
W…Mi…Ex…Ea…NE…
Percentage
England South West CCG/Locality
28.8%
29.1%
23.7%
22.9%
23.1%
0% 10% 20% 30% 40%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.06 Excess Weight in Four / Five Year Olds
Period: 2012-13 (School Year)
SourceHealth and Social Care Information Centre and Devon Public Health Intelligence
Team
Annually, four months after end of school year (2013-14 due December 2014).
DescriptionProportion of children aged 4-5 (reception year) classified as overweight or very
overweight.
Update
Frequency
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.06i
Detailed
Specification
Number of children in Reception (aged 4-5 years) classified as overweight or very
overweight in the academic year as percentage of all children with height and weight
recorded. Children are classified as overweight (including very overweight) 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.
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Chart Notes
South West
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.
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
CCG/Locality
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
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.06 Excess Weight in 10 / 11 Year Olds A Amber
Period: 2012-13 (School Year) Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
This measure of 'excess weight' covers children classified as overweight or very
overweight. In year six (aged 10 or 11) 29.7% of pupils in Devon were recorded in
the excess weight category, which was below the South West (30.9%), local
authority comparator group (30.7%), and England (33.3%) rates. The rates in the
South Hams, West Devon, Teignbridge, and East Devon were significantly below the
South West and national rates. Rates decreased on 2011-12 levels.
Equalities
Local results by deprivation and other criteria have not yet been released. National
results for 2012-13 reveal 26.1% of pupils in the excess weight category in the least
deprived decile compared with 38.1% in the most deprived decile. Levels of excess
weight were higher in boys than girls. No significant differences were observed by
ethnic group in Devon.
38.5%
33.9%
32.9%
32.8%
32.1%
31.5%
31.2%
31.0%
30.3%
29.7%
29.4%
29.4%
29.2%
28.3%
26.4%
0% 20% 40% 60%
TorbayBristol
GlosSwindon
PlymouthBournemouth
North SomCornwall
South GlosDevon
WiltshireSomerset
DorsetPoole
BANES
Percentage
England South West Devon LA
26.8%
33.5%
28.9%
26.8%
31.1%
29.5%
31.8%
29.3%
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%
40%
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
36.6%
34.8%
32.9%
32.1%
31.9%
31.3%
30.9%
30.8%
29.9%
29.7%
29.4%
29.2%
29.0%
28.4%
28.4%
0% 20% 40%
CumbriaLincolnshire
GloucestershireNorfolk
WorcestershireLeicestershireWarwickshire
EssexEast Sussex
DevonSomerset
DorsetCambridgeshire
North YorksWest Sussex
Percentage
England Comp Group Devon LA
38.5%
38.5%
31.2%
27.3%
26.7%
33.3%
26.2%
32.1%
30.8%
32.1%
31.6%
29.9%
29.9%
29.8%
30.1%
30.7%
0% 10% 20% 30% 40% 50%
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
32.4%
32.3%
29.2%
29.6%
25.8%
0% 10% 20% 30% 40%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.06 Excess Weight in 10 / 11 Year Olds
Period: 2012-13 (School Year)
SourceHealth and Social Care Information Centre and Devon Public Health Intelligence
Team
Update
FrequencyAnnually, four months after end of school year (2013-14 due December 2014).
DescriptionProportion of children aged 10-11 (year six) classified as overweight or very
overweight.
Public Health Outcomes Framework Indicator 2.06iiOutcomes
Framework
Detailed
Specification
Number of children in Year Six (aged 10-11 years) classified as overweight or very
overweight in the academic year as percentage of all children with height and weight
recorded. Children are classified as overweight (including very overweight) 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
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Local Authority
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.
Compares Devon rate with South West region and England over time. Trajectory is
based on 0.1% per annum fall.
Chart Notes
Trend
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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.07 Hospital Admissions for injuries, aged 0 to 14 Amber
Period: 2012-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
1,193 persons aged 0 to 14 were admitted to hospital due to accidental and
deliberate injuries in 2012-13. The standardised rate per 10,000 in Devon was
103.8, which is broadly in line with the South West (103.9), local authority
comparator group (101.8), and England (103.8) rates. Within Devon the highest
admission rates were seen in North Devon (142.6) and the lowest in Mid Devon
(78.2). Admission rates have been stable over recent years, whilst South West and
Equalities
Admissions for injuries are significantly higher in males than females. Higher
admission levels are seen in very young children (0 to 5) and those aged 13 or 14.
Admission rates are also typically higher in more deprived areas.
153.3
131.3
120.0
116.6
116.3
114.2
105.5
104.2
103.8
96.8
94.0
91.8
81.2
80.6
80.4
0 100 200
PlymouthPoole
BANESBournemouth
DorsetSomersetCornwall
BristolDevon
SwindonWiltshire
South GlosTorbay
North SomGlos
Rate per 10,000
England South West Devon LA
104.4
138.0
97.1
99.4
142.6
78.2
101.9
84.7
0 50 100 150 200
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 10,000
England South West Devon District
0
20
40
60
80
100
120
140
201
0-1
1
201
1-1
2
201
2-1
3
Rate
per
10,0
00
Devon South West England
119.0
116.3
115.8
114.2
112.5
111.2
108.1
107.7
107.6
103.8
96.6
89.8
87.4
85.8
80.4
72.4
0 50 100 150
CumbriaDorset
East SussexSomerset
LincolnshireNorth Yorks
WarwickshireNorfolk
West SussexDevon
HampshireWorcestershire
CambridgeshireEssex
GloucestershireLeicestershire
Rate per 10,000
England Comp Group Devon LA
0 1 1 2
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
0
0
0
1
1
1
1
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
DA
SR
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE FOR 2011-12 AT A LOCAL LEVEL
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.07 Hospital Admissions for injuries, aged 0 to 14
Period: 2012-13
Update
FrequencyAnnual
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.07
Detailed
Specification
Chart Notes
CCG/Locality
Rates 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
InequalitiesRates are not currently available by inequality characteristics within Devon.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Description
Crude rate of hospital emergency admissions caused by unintentional and deliberate
injuries in children and young people aged 0-14 years, per 10,000 resident
population
Source Public Health England Knowledge and Information Team (South West)
Numerator is the number of finished emergency admissions (episode number = 1,
admission method = 21 to 28), with one or more codes for injuries and other adverse
effects of external causes (ICD 10: S00-T79 and/or V01-Y36) in any diagnostic field
position, in children (aged 0-14 years). Admissions that only include T80-98 or Y40-
98, quality of care issues, in any field are excluded. Denominator is mid-year
population estimate for the relevant year for children aged 0-14 years, unrounded
populations. The numerator is divided by the denominator; the resulting value is then
multiplied by 10,000 to a give a crude rate per 10,000 population.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. 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.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.08 Emotional Wellbeing of Looked After Children Amber
Period: 2012-13 R Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
The difficulties score is collected through a strengths and difficulties questionnaire,
with higher scores (on a scale of 0 to 40) highlighting greater difficulties. The
average difficulty score in Devon was 15.9 compared which is higher than the South
West (15.2), local authority comparator group (14.4) and England (14.0) averages.
Devon was the highest in the comparator group, and fourth highest in the South
West, and the average score has decreased on the 2011-12 level (16.7).
Detailed local breakdowns by equalities characteristics are not currently available.
Nationally the difficulties score tends to increase with age with teenagers having
higher difficulties scores. The older age profile of children in care in Devon may well
influence the higher average scores observed.
Equalities
17.1
17.0
16.0
15.9
15.6
15.6
15.1
15.0
14.8
14.8
14.6
14.0
13.7
13.5
12.8
0 10 20
BANESPlymouthWiltshire
DevonSomerset
BristolTorbay
North SomCornwall
South GlosDorset
GlosSwindon
BournemouthPoole
Difficulties Score
England South West Devon LA
0 1 1
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Difficulties Score
England South West Devon District
0
2
4
6
8
10
12
14
16
18
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Dif
ficu
ltie
s S
co
re
Devon South West England
15.9
15.6
14.8
14.6
14.6
14.5
14.5
14.4
14.3
14.2
14.1
14.0
13.8
13.3
0 10 20
DevonSomerset
WorcestershireCumbria
DorsetCambridgeshire
NorfolkLincolnshireEast SussexNorth Yorks
EssexGloucestershire
HampshireWarwickshire
Difficulties Score
England Comp Group Devon LA
0 1 1 2
To…Pai…
N…Mo…Co…SD…SH…Ply…W…
No…WEB
W…Mi…Ex…Ea…NE…
Difficulties Score
England South West CCG/Locality
0 0 0 1 1 1 1
Most Deprived
Above Average
Average
Below Average
Least Deprived
Difficulties Score
NOT CURRENTLY AVAILABLE AT LOCAL AUTHORITY DISTRICT LEVEL
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.08 Emotional Wellbeing of Looked After Children
Period: 2012-13
AnnualUpdate
Frequency
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.08
Data is collected by local authorities through the SDQ. A single summary figure for
each child (the total difficulties score), ranging from 0 to 40, is submitted to the
Department for Education through the SSDA903 data return. A higher score
indicates greater difficulties.The mean of total difficulties score for all looked after
children aged between 4 and 16 (inclusive) at the date of their latest assessment,
who have been in care for at least 12 months on 31st March is calculated. Average
scores have been rounded to one decimal place and have been derived from
unrounded numerator and denominator values.
Compares Upper Tier / Unitary Local Authorities in the South West Region. 95%
confidence interval are not calculable.
Chart Notes
South West
Detailed
Specification
Chart Notes
Local AuthorityRates are not currently available at a local authority district level.
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
95% confidence interval are not calculable.
Chart Notes
Comparator
Chart Notes
CCG/Locality
Rates 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
InequalitiesRates are not currently available by inequality characteristics within Devon.
Description
Average of total difficulties score for all looked after children aged between four and
16 (inclusive) at the date of their latest assessment, who have been in care for at
least 12 months on 31 March.
Source Department for Education (Strengths and Difficulties Questionnaire - SDQ)
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.09 Smoking at Age 15 Amber
Period: TBC Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview Not yet available.
Equalities Not yet available.
0% 20% 40% 60% 80% 100%
BANESBournemouth
BristolCornwall
DevonDorset
GlosNorth Som
PlymouthPoole
SomersetSouth Glos
SwindonTorbay
Wiltshire
Percentage
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
0%
20%
40%
60%
80%
100%
120%
200
4-0
5
200
5-0
6
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
0% 20% 40% 60% 80% 100%
CambridgeshireCumbria
DevonDorset
East SussexEssex
GloucestershireHampshire
LeicestershireLincolnshire
NorfolkNorth Yorks
SomersetWarwickshireWest Sussex
Worcestershire
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
0% 20% 40% 60% 80% 100% 120%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
INDICATOR STILL IN DEVELOPMENT
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.09 Smoking at Age 15
Period: TBC
Description Indicator still in development.
Source Indicator still in development.
Update
FrequencyIndicator still in development.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.09
Detailed
SpecificationIndicator still in development.
Chart Notes
South WestIndicator still in development.
Chart Notes
Local AuthorityIndicator still in development.
Chart Notes
ComparatorIndicator still in development.
Chart Notes
CCG/LocalityIndicator still in development.
Chart Notes
TrendIndicator still in development.
Chart Notes
InequalitiesIndicator still in development.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.10 Hospital Admissions for Self-Harm (10 to 24) Amber
Period: 2012-13 R Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
There were 548 hospital admissions for self-harm in persons aged 10 to 24 in Devon
in 2012-13. The rate per 100,000 in Devon was 419.5, which is below the South
West rate (442.5), but above the local authority comparator group (388.8) and
England (346.3) rates. Admission rates increased from 376.6 in 2007-08 to 419.5 in
2012-13. Within Devon rates were highest in North Devon, and lowest in the South
Hams and Torridge.
Equalities
Rates of hospital admission for self-harm are three times higher in females than
males and the gap has widened in recent years. Within the 10 to 24 age group
admission rates were highest in those aged 15 to 19 (625.4). Admission rates also
are higher in more deprived areas, with a rate of 1034.0 in the most deprived areas
compared with 308.6 in the least deprived areas in 2012-13.
638.9
567.4
555.9
522.8
521.8
497.7
456.1
439.5
430.2
425.5
422.1
419.5
407.0
294.1
239.2
0 200 400 600 800
PooleSwindon
BournemouthTorbay
WiltshireSomerset
BANESGlos
BristolPlymouthCornwall
DevonDorset
South GlosNorth Som
Rate per 100,000
England South West Devon LA
471.8
282.4
460.3
325.5
518.1
426.4
472.7
421.5
0 200 400 600 800
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 100,000
England South West Devon District
0
50
100
150
200
250
300
350
400
450
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
Rate
per
100,0
00
Devon South West England
497.7
479.8
458.7
439.5
420.5
419.5
416.3
407.0
396.2
395.5
368.1
356.7
322.9
287.3
222.4
203.2
0 200 400 600
SomersetWest Sussex
CumbriaGloucestershire
WarwickshireDevon
WorcestershireDorset
CambridgeshireHampshire
NorfolkLincolnshire
North YorkshireEast Sussex
EssexLeicestershire
Rate per 100,000
England Comp Group Devon LA
420.5
641.3
462.0
217.0
603.6
467.9
398.4
425.5
422.2
424.5
478.7
377.5
436.6
470.5
440.2
427.6
0 200 400 600 800 1,000
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Rate per 100,000
England South West CCG/Locality
0
100
200
300
400
500
600
700
200
7-
08
200
8-
09
200
9-
10
201
0-
11
201
1-
12
201
2-
13
DA
SR
per
100,0
00
Female Male
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.10 Hospital Admissions for Self-Harm (10 to 24)
Period: 2012-13
Compares rates within Devon by sex.
DescriptionDirect Age Standardised Rate of finished admission episodes for self-harm per
100,000 population aged 10 to 24 years
Update
FrequencyAnnual, 2013-14 due late 2014
SourceSource: CHIMAT Child Health Profiles http://www.chimat.org.uk/profiles
Uses Hospital Episode Statistics from Health and Social Care Information Centre
Outcomes
Framework
Local Proxy Indicator based on 2014 Child Health Profiles. Full Indicator will appear
as: Public Health Outcomes Framework Indicator 2.10 when finalised.
Detailed
Specification
Numerator is number of finished admission episodes in children aged between 10
and 24 years where the main recorded cause is between ‘X60’ and ‘X84’ (Intentional
self-harm). Population for people aged 10 to 24, aggregated into quinary age bands.
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. The 2013 revision to the European
Standard Population has been 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
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 over time. South West region and England rates not
available as historical information has been been published for the indicator.
Chart Notes
Inequalities
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.11 Diet Amber
Period: TBC Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview Not yet available.
Equalities Not yet available.
0% 20% 40% 60% 80% 100%
BANESBournemouth
BristolCornwall
DevonDorset
GlosNorth Som
PlymouthPoole
SomersetSouth Glos
SwindonTorbay
Wiltshire
Percentage
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
0%
20%
40%
60%
80%
100%
120%
200
4-0
5
200
5-0
6
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
0% 20% 40% 60% 80% 100%
CambridgeshireCumbria
DevonDorset
East SussexEssex
GloucestershireHampshire
LeicestershireLincolnshire
NorfolkNorth Yorks
SomersetWarwickshireWest Sussex
Worcestershire
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
0% 20% 40% 60% 80% 100% 120%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
INDICATOR STILL IN DEVELOPMENT
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.11 Diet
Period: TBC
Description Indicator still in development.
Source Indicator still in development.
Update
FrequencyIndicator still in development.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.11
Detailed
SpecificationIndicator still in development.
Chart Notes
South West
Chart Notes
Local AuthorityIndicator still in development.
Chart Notes
ComparatorIndicator still in development.
Chart Notes
CCG/LocalityIndicator still in development.
Chart Notes
TrendIndicator still in development.
Indicator still in development.Chart Notes
Inequalities
Indicator still in development.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.12 Excess Weight in Adults Amber
Period: 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
In Devon in 2012, 60.6% of the population had a BMI in excess of 25 (overweight or
obese). This was significantly below the South West (63.8%), local authority
comparator group (65.3%) and England (63.8%) rates, with Devon ranked lowest in
the local authority comparator group. Within Devon the lowest rates of excess
weight were seen in Exeter (52.8%) which also reflects the younger age profile in the
city.
Equalities
Rates vary by age, with the lowest rates in younger age groups, and the highest
rates for 45 to 64 year olds in males, and 65 to 74 year olds in females. Levels of
excess weight are higher in males than females (66.5% vs 57.8% nationally),
although levels of obesity are slightly higher in females (24.7% vs 25.7% nationally).
0% 20% 40% 60% 80% 100%
BANESBournemouth
BristolCornwall
DevonDorset
GlosNorth Som
PlymouthPoole
SomersetSouth Glos
SwindonTorbay
Wiltshire
Percentage
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
0%
20%
40%
60%
80%
100%
120%
200
4-0
5
200
5-0
6
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
0% 20% 40% 60% 80% 100%
CambridgeshireCumbria
DevonDorset
East SussexEssex
GloucestershireHampshire
LeicestershireLincolnshire
NorfolkNorth Yorks
SomersetWarwickshireWest Sussex
Worcestershire
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
0% 20% 40% 60% 80% 100% 120%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
70.4%
69.8%
66.8%
65.5%
63.8%
62.4%
61.9%
61.6%
60.6%
60.0%
59.2%
59.1%
58.7%
57.6%
55.7%
0% 20% 40% 60% 80%
SwindonCornwall
TorbaySomerset
GlosDorset
North SomWiltshire
DevonPlymouth
South GlosBristol
BournemouthPoole
BANES
Percentage
England South West Devon LA
63.5%
63.4%
59.5%
60.9%
64.1%
64.1%
52.8%
61.3%
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%
20%
40%
60%
80%
100%
120%
200
4-0
5
200
5-0
6
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
tag
e
Devon South West England
68.3%
68.2%
67.9%
67.3%
65.7%
65.5%
65.5%
65.4%
65.1%
65.0%
65.0%
64.8%
64.4%
63.8%
62.4%
60.6%
0% 20% 40% 60% 80%
CumbriaLincolnshire
North YorkshireEssex
NorfolkWorcestershire
SomersetLeicestershire
HampshireEast Sussex
CambridgeshireWarwickshireWest Sussex
GloucestershireDorsetDevon
Percentage
England Comp Group Devon LA
0% 20% 40% 60% 80% 100% 120%
Most Deprived
Above Average
Average
Below Average
Least Deprived
Percentage
Priority 3: HealthChoices Indicator: Proportion of Physly Active Adults Period:
2009-11 NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE (ONLY 2012 DATA IS AVAILABLE)
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.12 Excess Weight in Adults
Period: 2012
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
TrendFigures only available for 2009-11 so trend analysis not possible.
Source Active People Survey, Sport England
Update
FrequencyAnnually, timings to be decided
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.12
Detailed
Specification
Number of adults with a BMI classified as overweight (including obese), calculated
from the adjusted height and weight variables. Data are from APS6 quarters 2-4 and
APS7 quarter 1 (mid-Jan 2012 to mid-Jan 2013). Adults are defined as overweight
(including obese) if their body mass index (BMI) is greater than or equal to 25kg/m2.
Denominator is number of adults with valid height and weight recorded. Data are
from APS6 quarters 2-4 and APS7 quarter 1 (mid-Jan 2012 to mid-Jan 2013).
Height and weight is self-reported but is adjusted by age and sex using Health
Survey for England data to adjust for differences between self-reports and actual
Description Percentage of adults classified as overweight or obese.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Local Authority
Chart Notes
InequalitiesRates cannot currently be calculated at a local level.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.13 Proportion of Physically Active Adults Amber
Period: 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
60.9% of adults in Devon were physically active for at least 150 minutes per week in
2013. This is significantly above the South West (57.7%), comparator group
(57.9%) and national (55.6%) rates. Rates in Devon were the highest in the local
authority comparator group. Rates were significantly higher in West Devon (68.3%),
although the differences between the districts themselves were not statistically
significant. Levels of physical activity increased from 59.5% in 2012 to 60.9% in
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
61.6%
61.4%
60.9%
60.6%
59.5%
58.6%
58.1%
57.6%
57.1%
57.0%
56.5%
55.8%
51.4%
50.1%
49.5%
0.0% 20.0% 40.0% 60.0% 80.0%
PooleBANESDevon
CornwallSomerset
South GlosWiltshire
North SomBournemouth
GlosDorsetBristol
TorbaySwindon
Plymouth
Percentage
England South West Devon LA
68.3%
60.5%
61.4%
63.5%
59.5%
60.2%
56.1%
61.0%
0.0% 20.0% 40.0% 60.0% 80.0%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
2012 2013
Perc
en
tag
e
Devon South West England
0
0
0
0
0
1
1
1
1
1
1
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
Perc
en
tag
e
Most Deprived Above AverageAverage Below AverageLeast Deprived
60.9%
59.9%
59.5%
59.3%
58.0%
58.0%
57.7%
57.6%
57.5%
57.4%
57.1%
57.0%
56.9%
56.5%
56.5%
56.3%
0.0% 20.0% 40.0% 60.0% 80.0%
DevonCambridgeshire
SomersetNorth Yorks
West SussexWorcestershire
NorfolkHampshire
EssexWarwickshire
LeicestershireGloucestershire
LincolnshireDorset
East SussexCumbria
Percentage
England Comp Group Devon LA
0 1 1 2
To…Pai…
N…Mo…Co…SD…SH…Ply…W…
No…WEB
W…Mi…Ex…Ea…NE…
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
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.13 Proportion of Physically Active Adults
Period: 2013
SourceSport England’s Active People Survey (APS)
http://www.sportengland.org/research.aspx
Update
Frequency
DescriptionPercentage of adults achieving at least 150 minutes of physical activity per week in
accordance with UK CMO recommended guidelines on physical activity.
Annually, around eight months in arrears (2014 update expected August 2015)
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.
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. This
includes physical activity as a mode of transportation to work, as well as direct
leisure activities.
Detailed
Specification
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
Chart Notes
CCG/Locality
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.
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Rates cannot currently be calculated at a local level.Chart Notes
Inequalities
Chart Notes
TrendCompares Devon rate with South West region and England over time.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.14 Adult Smoking Prevalence A Amber
Period: 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
The latest figures from the Integrated Household Survey suggest that 16.8% of the
adult population in Devon smoke. This is below the South West (18.5%), local
authority comparator group (18.2%) and England rate (19.5%). This is also below
the 2010 (17.7%) and 2011 (19.5%) 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 (27.4%). 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.
24.0%
21.5%
21.3%
21.1%
20.3%
19.5%
19.5%
17.5%
17.5%
17.5%
17.2%
16.8%
16.7%
16.5%
14.8%
0% 10% 20% 30%
PlymouthSwindon
BristolTorbay
CornwallPoole
BournemouthSouth Glos
GlosSomersetWiltshire
DevonBANESDorset
North Som
Percentage
England South West Devon LA
15.1%
18.8%
18.0%
20.3%
17.6%
23.6%
12.4%
13.0%
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%
201
0
201
1
201
2
201
3
201
4
201
5
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Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
201
1
201
2
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Routine and Manual All Persons
20.9%
20.9%
19.1%
19.1%
18.9%
18.8%
18.3%
17.9%
17.9%
17.7%
17.7%
17.5%
17.5%
16.8%
16.5%
16.4%
0% 10% 20% 30%
CumbriaLincolnshire
NorfolkWest Sussex
North YorksLeicestershire
EssexWarwickshire
CambridgeshireWorcestershire
East SussexGloucestershire
SomersetDevonDorset
Hampshire
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.14 Adult Smoking Prevalence
Period: 2011-12
Compares Devon rate with South West region and England over time.
SourceOffice for National Statistics Integrated Household Survey. Analysed by DH and
published by LHO.
Annually, next update due late 2014/early 2015Update
Frequency
Description Percentage of adults aged 18 and over who smoke
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.
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Chart Notes
South West
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
CCG/Locality
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
Trend
Chart Notes
Inequalities
Compares smoking prevalence in routine and manual occupation groups with the
overall prevalence over time.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.15 Successful Drug Treatment Comp Opiate A Amber
Period: 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
7.6% of opiate users who left drug treatment successfully in Devon did not re-
present to treatment within six months. This is below the South West (9.8%), local
authority comparator group (8.4%) and England (8.2%) rates, but not significantly so.
Rates increased between 2010 and 2011 but stayed stable between 2011 and 2012.
Equalities
The peak ages for drug treatment are for people in the 40s, with higher levels of
males than females. People living in more deprived areas are more likely to be in
drug treatment.
13.9%
12.9%
12.4%
12.2%
12.1%
11.7%
11.5%
10.6%
10.2%
9.1%
8.0%
7.8%
7.8%
7.6%
6.7%
0% 10% 20%
South GlosPoole
WiltshireSomerset
DorsetCornwall
North SomGlos
TorbayBristol
SwindonBournemouth
BANESDevon
Plymouth
Percentage
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
0%
2%
4%
6%
8%
10%
12%
201
0
201
1
201
2
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Devon South West England
12.2%
12.1%
10.6%
10.3%
9.9%
9.5%
8.8%
8.5%
7.8%
7.6%
7.6%
7.5%
6.9%
6.7%
6.4%
5.2%
0% 10% 20%
SomersetDorset
GloucestershireWest Sussex
HampshireEast Sussex
LeicestershireEssex
NorfolkNorth Yorks
DevonCambridgeshire
LincolnshireWorcestershire
WarwickshireCumbria
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
0%
20%
40%
60%
80%
100%
120%
200
8
200
9
201
0
201
1
201
2
Perc
en
tag
e
Most Deprived Above AverageAverage Below AverageLeast Deprived
NOT CURRENTLY AVAILABLE AT LOCAL AUTHORITY DISTRICT LEVEL
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.15 Successful Drug Treatment Comp Opiate
Period: 2012
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. 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
Figures are not currently available at a Clinical Commissioning Group and locality
level.
Chart Notes
Local AuthorityFigures are not currently available at a local authority district level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
DescriptionPercentage of opiate drug users that left drug treatment successfully who do not re-
present to treatment within six months
Source National Drug Treatment Monitoring System
Update
FrequencyAnnual, 2013 due summer 2014
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.15
Detailed
Specification
Numerator is the number of adults that successfully complete treatment for opiates
in a year and who do not re-present to treatment within six months. Denominator is
the total number of adults in treatment for opiate use in a year. Age group is 18 to
75.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.15 Successful Drug Treatment Comp Non-Opiate A Amber
Period: 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
41.1% of non-opiate users who left drug treatment successfully in Devon did not re-
present to treatment within six months. This is broadly in line with the South West
(39.5%), local authority comparator group (41.5%) and England (40.2%) rates.
Rates have decreased between 2010 and 2012.
Equalities
The peak ages for drug treatment are for people in the 40s, with higher levels of
males than females. People living in more deprived areas are more likely to be in
drug treatment.
54.8%
45.4%
45.3%
41.6%
41.1%
39.3%
39.2%
39.1%
39.0%
38.7%
36.2%
36.0%
35.0%
33.5%
33.5%
0% 20% 40% 60% 80%
PooleTorbayDorset
BournemouthDevon
South GlosSwindon
North SomCornwall
BristolSomersetPlymouthWiltshire
GloucestershireBANES
Percentage
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
0%
10%
20%
30%
40%
50%
60%
201
0
201
1
201
2
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Devon South West England
68.4%
49.3%
45.8%
45.8%
45.5%
45.3%
41.1%
40.8%
40.1%
36.2%
33.5%
32.9%
29.9%
27.9%
27.2%
23.6%
0% 20% 40% 60% 80%
East SussexNorth YorksLincolnshire
EssexHampshire
DorsetDevon
NorfolkWest Sussex
SomersetGloucestershire
LeicestershireWarwickshire
CumbriaCambridgeshireWorcestershire
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
0%
20%
40%
60%
80%
100%
120%
200
8
200
9
201
0
201
1
201
2
Perc
en
tag
e
Most Deprived Above AverageAverage Below AverageLeast Deprived
NOT CURRENTLY AVAILABLE AT LOCAL AUTHORITY DISTRICT LEVEL
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.15 Successful Drug Treatment Comp Non-Opiate
Period: 2012
Detailed
Specification
Numerator is the number of adults that successfully complete treatment for non-
opiates in a year and who do not re-present to treatment within six months.
Denominator is the total number of adults in treatment for non-opiate use in a year.
Age group is 18 to 75.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
DescriptionPercentage of non-opiate drug users that left drug treatment successfully who do not
re-present to treatment within six months
Source National Drug Treatment Monitoring System
Update
FrequencyAnnual, 2013 due summer 2014
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.15
Chart Notes
Local Authority
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
Comparator
Chart Notes
CCG/Locality
Figures 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.
Figures are not currently available at a local authority district level.
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator: Alcohol-Related Admissions (narrow definition) A Amber
Period: 2013-14 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation - England)
Overview
Using the new narrow definition, there were around 4,957 alcohol-related admissions
to hospital for Devon residents in 2013-14. The Direct Age Standardised Rate of
Admissions (633.8 per 100,000) is broadly in line with the South West and national
rates but significantly above the local authority comparator group rate. Rates within
Devon are highest in Exeter and Northern Devon. Admission rates are signficantly
higher in more deprived areas.
RAG Rating
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.
851.1
765.9
670.9
665.6
657.2
649.6
633.8
619.7
619.3
596.1
582.9
534.6
532.9
513.9
498.1
0 500 1000
TorbayBristol
CornwallBournemouth
PlymouthGlos
DevonNorth SomSomersetSwindonBANES
PooleWiltshire
South GlosDorset
DASR per 100,000
England South West Devon LA
570.9
685.2
612.6
581.9
690.9
613.2
722.4
599.1
0 500 1000
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
100
200
300
400
500
600
700
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
DA
SR
per
100,0
0
Devon South West England
0
500
1000
2009-10 2010-11 2011-12 2012-13 2013-14
DA
SR
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
733.4
685.5
649.6
633.8
619.8
619.3
613.9
589.8
589.7
588.7
574.1
565.7
538.3
498.1
480.9
424.2
0 500 1000
CumbriaNorfolk
GloucestershireDevon
LincolnshireSomerset
CambridgeshireNorth Yorks
LeicestershireWorcestershire
East SussexEssex
West SussexDorset
HampshireWarwickshire
DASR per 100,000
England Comp Group Devon LA
500 1000
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*
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator: Alcohol-Related Admissions (narrow definition)
Period: 2013-14
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)
Source
Update
Frequency
Quarterly - typically six months in arrears, Annually - typically nine months in
arrears. Local data feeds typically two months in arrears.
DescriptionDirect age-standarised rate of hospital admissions involving an alcohol-related
primary diagnosis or an alcohol-related external cause per 100,000 population.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.18
Admissions to hospital involving an alcohol-related primary diagnosis or an alcohol-
related external cause. 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
Detailed
Specification
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
Chart Notes
CCG/Locality
Rates are not currently available at a Clinical Commissioning Group and locality
level.
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
TrendCompares Devon rate with South West region and England over time.
Compares areas within England based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
Inequalities
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.19 Cancer Diagnosed at Stage One and Two Amber
Period: 2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Breakdowns by equality characteristics are not yet available for this indicator.
RAG Rating
Overview
In 2012, 50.8% of diagnoses for selected cancers were diagnosed at an early stage
(one or two). This is above the South West (47.8%), local authority comparator
group (49.2%) and England (41.6%) rates. Within Devon the highest rates were
seen in North Devon (58.0%) and Teignbridge (56.5%). These are experimental
statistics, with poor data quality in some areas meaning data are not available.
Differences between areas may relate to better coding as well as earlier diagnosis.
Equalities
57.1%
50.8%
50.7%
50.0%
48.9%
48.3%
47.9%
46.8%
46.3%
45.6%
45.3%
44.6%
43.8%
41.3%
0% 20% 40% 60% 80%
BANESDevon
North SomWiltshire
DorsetSomerset
PooleGlos
BristolCornwallSwindon
TorbaySouth Glos
PlymouthBournemouth
Percentage
England South West Devon LA
Not currently available
41.3%
51.5%
56.5%
46.8%
58.0%
48.5%
45.4%
50.2%
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%
20%
40%
60%
80%
100%
120%
200
4-0
5
200
5-0
6
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
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Devon South West England
57.5%
55.4%
53.5%
50.8%
48.9%
48.3%
46.8%
46.1%
45.3%
43.7%
37.6%
0% 20% 40% 60% 80%
CambridgeshireNorfolkEssexDevonDorset
SomersetGloucestershire
HampshireWorcestershire
CumbriaEast SussexLincolnshire
WarwickshireWest Sussex
LeicestershireNorth Yorks
Percentage
England Comp Group Devon LA
Not currently available
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% 120%
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 (ONLY 2012 DATA IS AVAILABLE)
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.19 Cancer Diagnosed at Stage One and Two
Period: 2012
Chart Notes
South West
Description
The proportion of invasive malignancies of breast, prostate, colorectal, lung,
bladder, kidney, ovary and uterus, non-Hodgkin lymphomas, and melanomas of
skin, diagnosed at stage 1 or 2.
Source National Cancer Registry, Public Health England
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Update
FrequencyAnnual, exact timings to be determined
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.19
Detailed
Specification
New cases of cancer diagnosed at stage 1 and 2 as a proportion of all new cases of
cancer diagnosed (specific cancer sites, morphologies and behaviour: invasive
malignancies of breast, prostate, colorectal, lung, bladder, kidney, ovary , uterus,
non-Hodgkin lymphomas, and invasive melanomas of skin). This indicator is
labelled as experimental statistics because of the variation in data quality: the
indicator values primarily represent variation in completeness of staging information.
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
Chart Notes
TrendTrend data not currently available.
Rates are not currently available at a Clinical Commissioning Group and locality
level.
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.22 Percentage Offered an NHS Health Check A Amber
Period: 2014-15 Q1 cumulative Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
45,148 people in Devon have been offered a health check since April 2013. This
represents 18.43% of the eligible population (244,934), which is below the South
West (20.66%), comparator group (23.61%) and England (23.35%) rates. Within
Devon rates are highest in Torridge, Teignbridge, Exeter, and the Newton Abbot
area. Within local CCGs, rates are highest in the South Devon and Torbay
localities. The percentage offered continued to rise in Q1 narrowing the gap to other
Equalities
Whilst practices covering areas with below average deprivation have the lowest
offered rates, the pattern by deprivation is not clear at present, with high rates in
practices with above average levels of deprivation highlighting that the programme
is more established in Torridge, Teignbridge, Exeter and the Exmouth area and also
in the least deprived practices.
34.80%
29.50%
27.93%
26.93%
25.49%
25.37%
22.21%
21.50%
19.97%
19.70%
18.61%
18.43%
13.82%
13.47%
10.08%
0% 20% 40%
BANESWiltshire
PooleGlos
SwindonBournemouth
South GlosTorbay
SomersetNorth Som
BristolDevon
PlymouthCornwall
Dorset
Percentage
England South West Devon LA
20.88%
24.29%
22.24%
13.68%
18.19%
8.96%
21.30%
17.55%
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%
Q1 2
013
-1
4
Q2 2
013
-1
4
Q3 2
013
-1
4
Q4 2
013
-1
4
Q1 2
014
-1
5
Perc
en
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Devon South WestEngland Future
31.02%
30.33%
29.57%
28.09%
26.93%
26.17%
25.44%
24.84%
24.42%
23.06%
21.91%
19.97%
18.43%
18.08%
17.73%
10.08%
0% 20% 40%
LeicestershireCumbria
CambridgeshireWorcestershire
GloucestershireWarwickshire
LincolnshireHampshire
EssexEast Sussex
NorfolkSomerset
DevonWest Sussex
North YorksDorset
Percentage
England Comp Group Devon LA
21.50%
21.50%
23.98%
21.35%
19.62%
21.67%
11.98%
13.82%
13.31%
20.67%
18.85%
16.71%
13.18%
21.68%
17.48%
16.59%
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
21.76%
11.55%
16.60%
27.89%
15.49%
0% 5% 10% 15% 20% 25% 30%
Least Deprived
Below Average
Average
Above Average
Most Deprived
Percentage
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.22 Percentage Offered an NHS Health Check
Period: 2014-15 Q1 cumulative
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Description Percentage of eligible population aged 40-74 offered an NHS Health Check
Source Public Health England: NHS Health Check website
Update
FrequencyQuarterly, Q2 2014-15 data update due late November 2014
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.22
Detailed
Specification
Numerator is number of people aged 40-74 eligible for an NHS Health Check who
were offered an NHS Health Check in the financial year. Denominator is number of
people aged 40-74 eligible for an NHS Health Check in the financial year.
Percentage of eligible population aged 40-74 offered an NHS Health Check: the
number of eligible people aged 40-74 who were offered an NHS Health Check is
divided by the number of eligible people aged 40-74 and multiplied by 100.
Chart Notes
South West
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 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).
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.22 Percentage Receiving an NHS Health Check A Amber
Period: 2014-15 Q1 cumulative Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
Equalities
The pattern by deprivation is not clear at present, with high rates in areas with above
average levels of deprivation highlighting that the programme is more established in
Torridge. Rates were also higher in the least deprived practices, whereas rates in
the other three practice deprivation quintiles were broadly similar.
20,635 people in Devon received a health check in the first three quarters of 2013-
14. This represents 8.42% of the eligible population (244,934), which is below the
South West (9.18%), comparator group (10.54%) and England (11.21%) rates.
Within Devon rates are highest in Torridge and Teignbridge. Within local CCGs,
rates are highest in the South Devon and Torbay localities. The percentage
receiving a health check continued to rise in Q1, narrowing the gap to other areas.
15.22%
14.45%
13.57%
12.20%
10.83%
10.63%
10.52%
10.48%
10.26%
9.81%
8.42%
6.77%
6.63%
5.57%
4.96%
0% 10% 20%
BANESPoole
South GlosWiltshire
TorbaySwindon
North SomBournemouth
GlosSomerset
DevonPlymouth
BristolCornwall
Dorset
Percentage
England South West Devon LA
6.64%
12.41%
10.98%
8.93%
8.41%
4.78%
5.98%
8.83%
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%
Q1 2
013
-1
4
Q2 2
013
-1
4
Q3 2
013
-1
4
Q4 2
013
-1
4
Q1 2
014
-1
5
Perc
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Devon South West
England Future
14.87%
13.96%
13.63%
13.38%
13.09%
12.58%
12.12%
10.88%
10.26%
9.81%
8.42%
8.17%
8.11%
8.00%
6.46%
4.96%
0% 10% 20%
LeicestershireLincolnshire
EssexCumbria
WorcestershireEast Sussex
CambridgeshireNorfolk
GloucestershireSomerset
DevonNorth Yorks
West SussexWarwickshire
HampshireDorset
Percentage
England Comp Group Devon LA
10.83%
10.83%
7.85%
13.40%
12.04%
10.98%
5.95%
6.77%
6.54%
10.10%
8.60%
8.98%
6.22%
6.19%
7.11%
7.50%
0% 5% 10% 15%
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
10.17%
6.35%
7.38%
11.24%
7.68%
0% 2% 4% 6% 8% 10% 12%
Least Deprived
Below Average
Average
Above Average
Most Deprived
Percentage
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.22 Percentage Receiving an NHS Health Check
Period: 2014-15 Q1 cumulative
Compares Devon rate with South West region and England over time.
Detailed
Specification
Numerator is number of people aged 40-74 eligible for an NHS Health Check who
received an NHS Health Check in the financial year. Denominator is number of
people aged 40-74 eligible for an NHS Health Check in the financial year.
Percentage of eligible population aged 40-74 receiving an NHS Health Check: the
number of eligible people aged 40-74 who received an NHS Health Check is divided
by the number of eligible people aged 40-74 and multiplied by 100.
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
Chart Notes
Trend
DescriptionPercentage of eligible population aged 40-74 receiving an NHS Health Check who
received an NHS Health Check
Source Public Health England: NHS Health Check website
Update
FrequencyQuarterly, Q2 2014-15 data update due late November 2014
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.22
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
Inequalities
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.23 Self-Reported Wellbeing (low happiness score) Amber
Period: 2012-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
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, 9.2% of the population had a low happiness
score (ranked 0-4 on a scale of 10) on the index compared with 10.4% for the South
West, 9.4% in the local authority comparator group and 10.4% 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).
12.1%
11.8%
11.5%
11.0%
10.4%
10.4%
10.4%
10.1%
10.0%
9.9%
9.8%
9.6%
9.2%
8.5%
6.9%
0% 10% 20%
GlosBristol
SomersetTorbay
PooleCornwall
PlymouthBournemouth
South GlosSwindon
North SomWiltshire
DevonDorset
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%
2%
4%
6%
8%
10%
12%
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
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tag
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Devon South West England
12.1%
11.5%
10.3%
10.2%
10.2%
9.8%
9.7%
9.5%
9.3%
9.2%
8.9%
8.5%
8.5%
8.5%
8.4%
7.8%
0% 10% 20%
GloucestershireSomerset
East SussexWest SussexLincolnshire
CambridgeshireCumbria
EssexNorth Yorks
DevonLeicestershire
NorfolkDorset
WorcestershireHampshire
Warwickshire
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
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.23 Self-Reported Wellbeing (low happiness score)
Period: 2012-13
Self-reported well-being - percentage of people with a low happiness scoreDescription
SourceOffice for National Statistics Integrated Household Survey. Experimental Statistics
from 2011 onwards.
Update
FrequencyAnnually, six to eight months in arrears (2013/14 update due Autumn 2014)
Public Health Outcomes Framework Indicator 2.23iiiOutcomes
Framework
Detailed
Specification
The percentage of respondents who answered 0-4 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.
Chart Notes
Local Authority
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Rates 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/Locality
Rates are not currently available at a Clinical Commissioning Group and locality
level.
Trend data not currently available.Chart Notes
Trend
Chart Notes
Inequalities
Rates cannot currently be calculated at a local level as this is a new survey with no
previous trend information available.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.24 Injuries Due to Falls Amber
Period: 2012-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
There were 3,259 admissions due to falls in 2012-13 in Devon for people aged 65
and over. The age standardised rate per 100,000 was 1672.8 in Devon, which is
below the South West (1875.6), local authority comparator group (1809.9) and
England (2011.0) rates. The rate is Devon is the second lowest in the South West.
Within Devon rates were significantly lower in Mid Devon (1363.2). Rates have
fallen on 2010-11 levels (1737.6).
RAG Rating
Overview
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 (2233.1) was still 47% higher than the least deprived areas
(1523.9). Rates increase sharply with age with an age-specific rate of 484.2 for
persons aged 65 to 69, compared with 6146.8 for those aged 85 and over.
2,421.9
2,105.9
2,100.5
2,093.3
2,047.3
2,032.3
1,941.0
1,936.1
1,864.1
1,830.6
1,794.6
1,706.8
1,678.9
1,672.8
1,616.0
0 1,000 2,000 3,000
BristolBANES
PooleBournemouth
SomersetPlymouthCornwallWiltshireSwindon
TorbaySouth Glos
GlosDorsetDevon
North Som
DASR per 100,000
England South West Devon LA
1,556.6
1,710.7
1,834.9
1,747.9
1,724.7
1,363.2
1,804.7
1,563.2
0 500 1,000 1,500 2,000 2,500
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
500
1,000
1,500
2,000
2,500
201
0-1
1
201
1-1
2
201
2-1
3
DA
SR
per
100,0
00
Devon South West England
2,085.8
2,047.3
2,028.1
2,020.1
1,907.4
1,904.0
1,899.1
1,747.2
1,706.8
1,697.4
1,695.9
1,683.7
1,680.1
1,678.9
1,672.8
1,504.1
0 500 1,000 1,500 2,000 2,500
West SussexSomerset
LincolnshireCambridgeshire
HampshireEssex
WarwickshireEast Sussex
GlosNorfolk
North YorksWorcestershire
CumbriaDorsetDevon
Leicestershire
DASR per 100,000
England Comp Group Devon LA
1,891.0
1,770.2
1,950.6
1,906.3
2,036.9
1,931.6
1,697.2
2,032.3
2,008.5
1,765.9
1,785.5
1,567.8
1,441.2
1,808.4
1,641.8
1,791.8
0 500 1,000 1,500 2,000 2,500
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
0
500
1,000
1,500
2,000
2,500
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
DA
SR
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health Improvement
Indicator 2.24 Injuries Due to Falls
Period: 2012-13
Emergency 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
Description
Update
Frequency
Annually, local update available two months after year end, national comparator
data available around six months after year end (2013-14 national comparators due
Autumn 2014).
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.
Calculated using the 2013 European Standard Population.
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
Trend
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.
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).
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 3. Health Protection G Green
Indicator 3.02 Chlamydia Diagnosis Rate (Aged 15 to 24) Amber
Period: 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Sex)
RAG Rating
Overview
There is a national aim to increase the detection and diagnosis of Chlamydia with a
target level of 2,400 diagnoses per 100,000 population in the 15 to 24 age group.
Devon has a diagnosis rate of 2059.8 which is above the South West (1906.9),
comparator group (1692.2) and England (2015.6) rates and the highest in the local
authority comparator group. Within Devon, diagnosis rates are much higher in
Exeter (3502.9) and are lowest in the South Hams (1326.7).
Equalities
Females are more likely to present for Chlamydia screening than males, although
the gap narrowed between 2012 and 2013. Access to services is an important
factor, with people living in urban areas such as Exeter and Torbay more likely to
access services, with lower levels of usage in rural areas, which also influences
higher rates in more deprived areas.
2,598.1
2,323.7
2,312.3
2,302.5
2,091.6
2,081.8
2,059.8
1,942.9
1,847.8
1,837.2
1,731.0
1,728.5
1,724.9
1,607.4
0 500 1,0001,5002,0002,5003,000
TorbayNorth Som
BournemouthSwindon
BristolPoole
DevonPlymouthCornwallWiltshire
DorsetGloucestershire
South GlosBANES
Rate per 100,000
England South West Devon LA
1,525.6
1,388.9
1,912.6
1,326.7
1,347.4
1,369.2
3,502.9
1,590.8
0 1,000 2,000 3,000 4,000
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 100,000
England South West Devon District
0
500
1,000
1,500
2,000
2,500
2012 2013
Rate
per
100,0
00
Devon South West England
2,059.8
1,983.4
1,808.5
1,761.1
1,739.7
1,731.0
1,728.5
1,710.3
1,701.8
1,687.4
1,556.0
1,535.4
1,525.8
1,519.9
1,387.0
0 500 1,000 1,500 2,000 2,500
DevonLincolnshire
West SussexEast Sussex
EssexDorset
GloucestershireWorcestershireLeicestershire
North YorksHampshire
WarwickshireCumbria
CambridgeshireNorfolk
Rate per 100,000
England Comp Group Devon LA
0 1 1 2
To…Pai…
N…Mo…Co…SD…SH…Ply…W…
No…WEB
W…Mi…Ex…Ea…NE…
Rate per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
*UPDATED INDICATOR*
0
500
1000
1500
2000
2500
3000
2012 2013
Rate
per
100,0
00
Female Male
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 3. Health Protection
Indicator 3.02 Chlamydia Diagnosis Rate (Aged 15 to 24)
Period: 2013
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Public Health England, using Chlamydia Testing Activity Database (CTAD) data
Chart Notes
CCG/Locality
Rates 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.
DescriptionCrude rate of chlamydia diagnoses per 100,000 young adults aged 15-24 using
CTAD data
Source
Update
FrequencyAnnually, around eight months in arrears
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 3.02
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
InequalitiesCompares diagnosis rates by sex over time.
Detailed
Specification
Numerator is the number of people aged 15-24 diagnosed with chlamydia.
Denominator is the resident population aged 15-24. Crude rate per 100,000
population. The number of diagnoses made divided by the population aged 15-24
and multiplied by 100,000.
Chart Notes
South West
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 3. Health Protection Green
Indicator 3.03 Population Vaccination (MMR Aged 5) A Amber
Period: 2013-14 (provisional) Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Of the 7,726 reaching the age of five in Devon in 2013-14, 6,959 were fully MMR
immunised, meaning 767 were not. The uptake rate of 90.1% in Devon was
comparable to the South West (90.2%) and local authority comparator group
(90.1%), and slightly above the England rate (88.4%). The highest uptake rates
were in Torridge and the lowest in the South Hams. Whilst uptake has improved
locally, the increase has been slower than England as a whole.
There is no clear relationship between area deprivation, age of parent(s), martial
status of parent(s), other socio-economic factors and MMR uptake in Devon.
However differences exist between communities based on local factors. The lowest
uptake levels are seen in the Totnes area (74.3%), although rates have improved
over recent years and the gap between Totnes and other areas has reduced.
Equalities
Overview
92.7%
92.7%
92.5%
91.7%
91.6%
91.4%
91.0%
90.4%
90.1%
89.4%
89.3%
89.0%
87.1%
87.1%
86.8%
50% 60% 70% 80% 90% 100%
SwindonSouth GlosNorth Som
DorsetBANES
CornwallSomersetWiltshire
DevonPlymouth
GlosTorbay
BournemouthPooleBristol
Percentage
England South West Devon LA
85.4%
93.6%
89.8%
81.7%
91.9%
92.6%
91.2%
92.6%
50% 60% 70% 80% 90% 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%
200
4-0
5
200
5-0
6
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
201
4-1
5
Perc
en
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Devon South West England
96.3%
94.5%
93.9%
91.7%
91.3%
91.1%
91.0%
90.6%
90.1%
89.3%
89.3%
89.0%
87.2%
86.9%
86.5%
86.4%
50% 60% 70% 80% 90% 100%
WarwickshireLeicestershire
CumbriaDorset
WorcestershireEssex
SomersetHampshire
DevonNorth Yorks
GloucestershireNorfolk
East SussexCambridgeshire
West SussexLincolnshire
Percentage
England Comp Group Devon LA
85.6%
90.8%
90.9%
80.5%
91.5%
87.6%
83.1%
87.9%
86.9%
92.7%
92.8%
92.4%
92.1%
91.4%
91.9%
90.0%
50% 60% 70% 80% 90% 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
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
201
3-1
4
Perc
en
tag
e
Totnes Devon
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 3. Health Protection
Indicator 3.03 Population Vaccination (MMR Aged 5)
Period: 2013-14 (provisional)
DescriptionPercentage of eligible children who have received two doses of MMR vaccine on or
after their 1st birthday and at any time up to their 5th birthday
SourceCover of Vaccination Evaluated Rapidly (COVER) data collected by Public Health
England (PHE). Available from The Health and Social Care Information Centre (IC).
Update
Frequency
Quarterly, three months in arrears (Q4 2013-14 due end June 2014), final annual
figures due September 2014
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 3.03
Compares Devon rate with South West region and England over time.
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 GP practice attributions.
Error bar is 95% confidence interval.
Chart Notes
Trend
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
InequalitiesCompares Devon rate with town with lowest uptake rate (Totnes) over time.
Detailed
Specification
Numerator is the total number of children who received two doses of MMR on or
after their first birthday and at any time up to their fifth birthday. Denominator is the
total number of children whose fifth birthday falls within the time period. Crude
percentage: numerator is divided by denominator and then multiplied by 100.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health G Green
Indicator 4.03 Mortality Rate from preventable causes Amber
Period: 2010-2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
The mortality rate from causes considered preventable in Devon is 157.6 per
100,000, which is significantly below the South West (167.7), local authority
comparator group (165.6) and England (187.8) rates. Within Devon rates were
highest in Exeter (182.1) and lowest in East Devon (144.3). The rate has fallen over
time from 204.5 in 2001-03 to 157.6 in 2010-12.
EqualitiesMortality rates from preventable causes tend to be higher in males than females.
Preventable mortality rates are higher in more deprived areas across all age groups.
217.2
208.4
200.9
191.8
175.4
174.9
173.1
167.0
160.0
157.6
157.3
155.6
151.5
146.6
140.4
0 100 200 300
PlymouthBristol
BournemouthTorbay
SwindonGlos
CornwallNorth Som
PooleDevon
SomersetWiltshireBANESDorset
South Glos
DASR per 100,000
England South West Devon LA
148.4
171.7
154.9
145.7
172.7
151.7
182.1
144.3
0 100 200 300
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
50
100
150
200
250
300
200
1-0
3
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
DA
SR
per
100,0
0
Devon South West England
0
50
100
150
200
250
300
350
400
200
1-0
3
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
201
1-1
3
DA
SR
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
196.9
181.8
174.9
173.5
168.4
168.0
167.0
166.9
166.8
165.2
160.0
157.6
157.3
149.4
148.8
146.6
0 100 200 300
CumbriaLincolnshire
GloucestershireEast SussexNorth Yorks
NorfolkEssex
WarwickshireLeicestershire
WorcestershireWest Sussex
DevonSomerset
CambridgeshireHampshire
Dorset
DASR per 100,000
England Comp Group Devon LA
204.5
174.8
145.0
163.4
166.0
172.6
145.2
216.7
194.8
171.6
149.6
142.5
147.7
172.4
154.3
172.5
0 100 200 300
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public Health
Indicator 4.03 Mortality Rate from preventable causes
Period: 2010-2012
Chart Notes
Local AuthorityRates cannot currently be calculated at a local authority district 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/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.
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
FrequencyAnnual, exact timings to be confirmed
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.03
Detailed
Specification
Numerator is number of deaths that are considered preventable (classified by
underlying cause of death recorded as ICD codes A15-A19, B17.1, B18.2, B20-B24,
B90, C00-C16, C18-C22, C33-C34, C43, C45, C50, C53, E10-E14, F10-F16, F18-
F19, G31.2, G62.1, I20-I26, I42.6, I71, I80.1-I80.3, I80.9, I82.9, J09-J11, J40-J44,
K29.2, K70, K73-K74 (excl. K74.3-K74.5), K86.0, U50.9, V01-Y34, Y60-Y69, Y83-
Y84) registered in the respective calendar years, aggregated into quinary age bands
(0-4, 5-9,…, 80-84, 85+). The 2013 revision to the European Standard Population
has been used for this measure.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
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).
DescriptionAge-standardised mortality rate from causes considered preventable per 100,000
population
Source
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health G Green
Indicator 4.04 Under 75 Mortality Rate - Circulatory Diseases Amber
Period: 2010-2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory (annual) Inequalities (Deprivation)
RAG Rating
Overview
In 2012, there were 455 circulatory deaths in under 75s, with an direct age
standardised rate of 62.7 per 100,000 for 2010-12. The Devon rate in 2010-12 was
below the South West (67.9), local authority comparator group (69.0) and England
(81.1) rates. Within the county, rates are highest in North Devon. Mortality rates fell
from 107.7 in 2001-03. Whilst rates have fallen more quickly in areas of above
average deprivation, the gap persisted for those in the most deprived areas.
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
86.3
86.1
82.4
81.7
77.7
72.4
71.8
68.2
68.0
62.7
62.7
60.6
59.6
57.6
55.7
0 50 100
PlymouthBristol
BournemouthTorbay
SwindonNorth Som
CornwallGlos
WiltshireDevon
BANESSomerset
PooleSouth Glos
Dorset
DASR per 100,000
England South West Devon LA
65.0
69.1
64.9
58.1
70.7
64.3
65.9
52.4
0 50 100
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
200
3
200
4
200
5
200
6
200
7
200
8
200
9
201
0
201
1
201
2
DA
SR
per
100,0
0
Devon South West England
0
50
100
150
200
250
200
1-0
3
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
201
1-1
3
DA
SR
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
83.4
82.3
74.9
73.8
73.5
71.5
71.2
70.4
68.2
67.7
65.7
62.7
62.7
60.6
59.4
55.7
0 50 100
CumbriaLincolnshireNorth Yorks
WorcestershireNorfolk
WarwickshireLeicestershire
EssexGloucestershire
East SussexWest Sussex
CambridgeshireDevon
SomersetHampshire
Dorset
DASR per 100,000
England Comp Group Devon LA
94.5
70.7
63.5
63.2
78.8
74.0
62.0
87.7
80.2
71.0
59.0
49.6
63.9
64.5
59.6
69.4
0 50 100 150
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public Health
Indicator 4.04 Under 75 Mortality Rate - Circulatory Diseases
Period: 2010-2012
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)
Source
Update
FrequencyAnnually, nine months in arrears (2013 results due October 2014)
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.
Outcomes
Framework
Public Health Outcomes Framework Indicator 4.04i, NHS Outcomes Framework
Indicator 1.1
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. Population for people
aged under 75, aggregated into quinary age bands. 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. The 2013 revision to the European Standard Population
Detailed
Specification
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
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.
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
Comparator
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
Chart Notes
Inequalities
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health G Green
Indicator 4.05 Under 75 Mortality Rate - All Cancers Amber
Period: 2010-2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Overview
In 2012, there were 1,058 deaths due to cancer in under 75s, with an direct age
standardised rate of 132.9 per 100,000 for 2010-12. The Devon rate in 2010-12 was
below the South West (136.8), local authority comparator group (135.2), and
England (146.5) rates. Within the county, rates are highest in Exeter (150.4).
Mortality rates by year have fallen from 157.2 in 2001-03. Mortality rates are higher
in more deprived areas, although the health inequality gap has decreased over the
RAG Rating
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.
166.1
157.7
147.4
146.2
143.6
140.3
135.9
135.7
132.9
132.5
131.7
130.5
130.0
128.2
124.2
0 100 200
PlymouthBristol
TorbaySwindon
BournemouthCornwallWiltshire
SomersetDevonPooleGlos
North SomBANES
South GlosDorset
DASR per 100,000
England South West Devon LA
137.7
132.6
133.6
113.3
146.7
132.3
150.4
124.6
0 50 100 150 200
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
180.00
199
31
99
41
99
51
99
61
99
71
99
81
99
92
00
02
00
12
00
22
00
32
00
42
00
52
00
62
00
72
00
82
00
92
01
02
01
12
01
22
01
32
01
4
DA
SR
per
100,0
0
Devon South West England
0
50
100
150
200
250
300
200
1-0
3
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
201
0-1
2
201
1-1
3
DA
SR
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
147.9
144.7
142.0
141.2
135.8
135.7
135.1
134.8
134.4
132.9
132.8
131.7
130.8
130.6
128.5
124.2
0 100 200
CumbriaLincolnshireEast Sussex
EssexLeicestershire
SomersetWorcestershire
West SussexNorth Yorks
DevonNorfolk
GloucestershireWarwickshire
CambridgeshireHampshire
Dorset
DASR per 100,000
England Comp Group Devon LA
141.4
149.2
122.2
141.4
124.4
138.0
115.5
166.1
150.9
140.6
129.7
118.8
134.5
150.2
134.9
141.9
0 100 200
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public Health
Indicator 4.05 Under 75 Mortality Rate - All Cancers
Period: 2010-2012
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 (2013 results due October 2014)
Description
Public Health Outcomes Framework Indicator 4.05i, NHS Outcomes Framework
Indicator 1.4
Outcomes
Framework
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. Population for people aged under 75,
aggregated into quinary age bands. 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.
The 2013 revision to the European Standard Population has been used for this
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Local Authority
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.
Compares 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).
Chart Notes
Trend
Direct age-standardised rate (DASR) of mortality from all cancers in persons less
than 75 years per 100,000 population
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health Green
Indicator 4.10 Suicide Rate A Amber
Period: 2010-2012 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Sex)
RAG Rating
Around 75 deaths per annum are registered as suicide or injury undetermined (open
verdict), with an direct age standardised rate of 10.1 per 100,000. This was above
the South West (9.8), local authority comparator group (9.2) and England (8.5) rates.
Within the county, rates are similar between districts, with no significantly higher
rates. Whilst year-on-year variations are seen due to the small numbers involved,
rates in Devon have typically remained around or slightly above the national rate.
Overview
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
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.
12.6
11.9
11.0
10.8
10.1
10.0
10.0
9.6
9.3
9.2
8.8
8.8
8.7
7.1
7.0
0 5 10 15 20
North SomGlos
CornwallPlymouth
DevonBristolPoole
DorsetBournemouth
TorbaySwindon
SomersetBANES
WiltshireSouth Glos
DASR per 100,000
England South West Devon LA
14.5
12.0
10.1
9.9
9.3
8.5
0 10 20 30
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
200
3
200
4
200
5
200
6
200
7
200
8
200
9
201
0
201
1
201
2
DA
SR
per
100,0
0
Devon South West England
02468
101214161820
200
1-0
3
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
DA
SR
per
100,0
00
Female Male
11.9
11.2
10.3
10.1
9.6
9.6
9.6
9.4
9.4
9.1
8.8
8.1
8.0
7.8
7.4
7.0
0 5 10 15
GloucestershireEast Sussex
CumbriaDevon
WarwickshireDorset
North YorksEssex
LincolnshireWorcestershire
SomersetHampshire
NorfolkWest Sussex
LeicestershireCambridgeshire
DASR per 100,000
England Comp Group Devon LA
13.4
5.7
11.2
7.8
8.6
9.4
7.9
8.8
8.5
6.8
9.4
6.4
8.6
8.3
8.3
8.1
0 10 20
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Social Capital and Building Communities
Indicator: Suicide Rate
Period: 2010-2012
Direct age-standardised mortality rate (DASR) from suicide and injury of
undetermined intent per 100,000 populationDescription
Source
Annually, nine months in arrears (2012 results due October 2013)
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
Frequency
Public Health Outcomes Framework Indicator 4.10Outcomes
Framework
Detailed
Specification
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, 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. New 2013 European Standard population used.
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Chart Notes
Local Authority
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.
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
CCG/Locality
Compares Devon rate with South West region and England over time.Chart Notes
Trend
Chart Notes
InequalitiesCompares rates within Devon by sex.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health Green
Indicator 4.12 Preventable Sight Loss (Registrations) A Amber
Period: 2012-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
There were 487 sight loss registrations in Devon in 2012-13. The rate per 100,000
population was 64.7 which is above the South West (45.1), local authority
comparator group (45.2) and England (42.3) rates. The registration rate increased
from 54.7 in 2011-12 and remains above South West and England levels. The
measure is influenced by the age structure of the population and detection rates as
well as underlying rates of sight loss.
EqualitiesSight loss registrations increase significantly with age and are highest in those aged
85 and older.
64.7
55.2
51.2
49.4
44.8
44.4
43.8
42.3
41.1
39.4
39.0
37.7
31.9
27.4
25.5
0 50 100
DevonDorset
SomersetTorbay
CornwallBournemouth
PlymouthGlos
BANESWiltshire
PooleNorth Som
BristolSwindon
South Glos
Rate per 100,000
England South West Devon LA
0 0.5 1 1.5
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 100,000
England South West Devon District
0
10
20
30
40
50
60
70
2010-11 2011-12 2012-13
Rate
per
100,0
0
Devon South West England
0
0.2
0.4
0.6
0.8
1
1.2
200
1-0
3
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
Rate
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
79.8
64.7
56.7
55.2
51.2
51.2
48.5
45.4
44.2
42.3
40.8
40.1
35.5
34.6
24.6
23.9
0 50 100
East SussexDevon
CumbriaDorset
SomersetHampshire
NorfolkLincolnshire
LeicestershireGloucestershire
North YorksWorcestershire
CambridgeshireEssex
WarwickshireWest Sussex
Rate per 100,000
England Comp Group Devon LA
0 0.5 1 1.5
To…Pai…
N…Mo…Co…SD…SH…Ply…W…
No…WEB
W…Mi…Ex…Ea…NE…
Rate per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG / LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL LEVEL
*UPDATED INDICATOR*
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public Health
Indicator 4.12 Preventable Sight Loss (Registrations)
Period: 2012-13
Chart Notes
Local AuthorityRates cannot currently be calculated at a local authority district 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/Locality
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Description Crude rate of sight loss certifications per 100,000 population
Source
Calculated by Public Health England Knowledge and Intelligence Team (West
Midlands) from data provided by Moorfields Eye Hospital and Office for National
Statistics
Update
FrequencyAnnual, around 16 months in arrears
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.12
Detailed
Specification
New Certifications of Visual Impairment (CVI), rate per 100,000 population. The
indicator relates completions of CVI (all causes - preventable and non-preventable)
by a consultant ophthalmologist, this initiates the process of registration with a local
authority and leads to access to services. Taken from The Database for
Epidemiological data on Visual Impairment Certificates (DEVICE), the Certifications
Office, the Royal College of Ophthalmologists, at Moorfields Eye Hospital NHS
Foundation Trust, supported by a grant from RNIB. Denominator are ONS Mid-Year
Population Estimates.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error
bar is 95% confidence interval.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
InequalitiesRates cannot currently be calculated by inequality characteristics at a local level.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health Green
Indicator 4.13 Health-Related Quality of Life Amber
Period: TBC Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview Not yet available.
Equalities Not yet available.
0 0.5 1
BANESBournemouth
BristolCornwall
DevonDorset
GlosNorth Som
PlymouthPoole
SomersetSouth Glos
SwindonTorbay
Wiltshire
DASR per 100,000
England South West Devon LA
0 0.5 1 1.5
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
England South West Devon District
0
0.2
0.4
0.6
0.8
1
1.2
199
31
99
41
99
51
99
61
99
71
99
81
99
92
00
02
00
12
00
22
00
32
00
42
00
52
00
62
00
72
00
82
00
92
01
02
01
12
01
22
01
32
01
4
DA
SR
per
100,0
0
Devon South West England
0
0.2
0.4
0.6
0.8
1
1.2
200
1-0
3
200
2-0
4
200
3-0
5
200
4-0
6
200
5-0
7
200
6-0
8
200
7-0
9
200
8-1
0
200
9-1
1
DA
SR
per
100,0
00
Most Deprived Above AverageAverage Below AverageLeast Deprived
0 0.5 1
CambridgeshireCumbria
DevonDorset
East SussexEssex
GloucestershireHampshire
LeicestershireLincolnshire
NorfolkNorth Yorks
SomersetWarwickshireWest Sussex
Worcestershire
DASR per 100,000
England Comp Group Devon LA
0 0.5 1 1.5
To…Pai…
N…Mo…Co…SD…SH…Ply…W…
No…WEB
W…Mi…Ex…Ea…NE…
DASR per 100,000
England South West CCG/Locality
INDICATOR STILL IN DEVELOPMENT
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public Health
Indicator 4.13 Health-Related Quality of Life
Period: TBC
Update
FrequencyIndicator still in development.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.13
Description Indicator still in development.
Source Indicator still in development.
Chart Notes
ComparatorIndicator still in development.
Chart Notes
CCG/LocalityIndicator still in development.
Chart Notes
TrendIndicator still in development.
Chart Notes
InequalitiesIndicator still in development.
Detailed
SpecificationIndicator still in development.
Chart Notes
South WestIndicator still in development.
Chart Notes
Local AuthorityIndicator still in development.
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health Green
Indicator 4.16 Dementia Diagnosis Rate Amber
Period: 2012-13 R Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Overview
In 2012-13, 5,483 people in Devon were on a GP register for dementia, compared
with an expected prevalence of 13,093, this is a diagnosis rate of 41.9%. This is the
third lowest ratio in the South West, and is below the South West (46.5%) and
England (48.1%) rates. Diagnosis rates have improved in recent years, increasing
from 28.0% in 2006-07, however national ratios have increased at similar rates. The
highest rates in Devon are seen in Teignbridge (47.2%) and Torridge (47.9%).
RAG Rating
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
58.2%
51.5%
51.2%
50.3%
49.6%
49.3%
48.6%
47.8%
46.9%
46.3%
44.3%
42.6%
41.9%
41.1%
37.5%
0% 20% 40% 60% 80%
BournemouthCornwall
GlosBristolPoole
SomersetPlymouth
South GlosSwindon
TorbayNorth Som
BANESDevonDorset
Wiltshire
Percentage
England South West Devon LA
40.6%
47.9%
47.2%
34.8%
44.1%
38.9%
39.5%
40.2%
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%
10%
20%
30%
40%
50%
60%
200
6-0
7
200
7-0
8
200
8-0
9
200
9-1
0
201
0-1
1
201
1-1
2
201
2-1
3
Perc
en
tag
e
Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2006-07
2007-08
2008-09
2009-10
2010-11
2011-12
2012-13
Perc
en
tag
e
Most Deprived Above AverageAverage Below AverageLeast Deprived
55.3%
51.2%
49.3%
47.2%
46.5%
45.9%
45.6%
45.5%
45.2%
45.1%
44.8%
43.8%
42.0%
41.9%
41.1%
41.0%
0% 20% 40% 60%
CumbriaGloucestershire
SomersetNorth Yorks
CambridgeshireHampshire
LeicestershireWarwickshire
LincolnshireEast Sussex
West SussexWorcestershire
EssexDevonDorsetNorfolk
Percentage
England Comp Group Devon LA
48.3%
44.5%
50.2%
33.6%
49.3%
45.3%
41.2%
48.6%
46.4%
45.6%
39.6%
40.6%
38.3%
39.4%
39.5%
43.0%
0% 20% 40% 60%
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
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Independence in Older Age
Indicator: Dementia Diagnosis Rate
Period: 2012-13
NHS Dementia Prevalence Calculator, Devon Public Health Intelligence Team
(Local GP Practice Deprivation Quintiles)Source
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)
Annually (financial year based), typically seven months in arrears (2012-13 delayed
until early April 2014 due to revisions to reporting processes).
Update
Frequency
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.
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.
Detailed
Specification
Compares Former Primary Care Trusts in the South West Region. Error bar is 95%
confidence interval.
Chart Notes
South West
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
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.
Compares Devon rate with South West region and England over time.
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
Comparator
Chart Notes
Trend
Chart Notes
CCG/Locality
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
Chart Notes
Inequalities
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