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Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and the majority of the rest are in areas of high deprivation too, the age structure is similar to Leeds with a slightly greater proportion of young men, and fewer teenagers. The population of Beeston LCP has seen a large increase in the proportion of patients aged 0-9 years old, while the least deprived LCP populations have seen much lower increases. The elderly population of Beeston has actually become less prevalent since 2015, something not seen in other LCPs. Asthma in children is average in the city but recent years have seen a steady rise – it was reasonably low before that. Child obesity shows a similar picture – previous low rates have become higher in recent years and it doesn’t appear to be a result of low numbers causing fluctuation. In Leeds ethnicity recording by GPs has been improving steadily; fewer patients have no ethnicity record and accuracy is improving. In this LCP the 'Black Background' category is rising fastest (due to large increases in the 'Black African' ethnic group) while the others are making a slower rise. Smoking in LCP populations is very strongly linked to deprivation but the good news is the most deprived LCPs that have the highest rates are showing slightly faster declines than the least deprived – smoking cessation efforts are focussed in deprived parts of the city. Smoking rates for this LCP are the third highest in the city, however they are falling steadily and possibly at a faster rate than least deprived LCPs. Over a quarter of smokers in Beeston are aged between 30 and 39. Adult obesity in Beeston is very high, and increasing slowly, the number of obese smokers in Beeston is more or less steady. Diabetes, Coronary Heart Disease (CHD), and Chronic Obstructive Pulmonary Disease (COPD) rates are all in line with the expected pattern relating rates with population deprivation levels; diabetes is high and rising steadily, CHD is very high and falling more slowly than the Leeds rate, while the COPD rate is very high as a result of a steady but fast rise – much faster than any other LCP. The Leeds cancer rate is rising, likely due to improvements in treatment and survival. It is rising in all LCPs, but the some of the highest rates are found in the least deprived. This is thought to be due to early presentation and treatment in less deprived populations who are perhaps more likely to seek early diagnosis. Beeston has one of the lower rates and is rising at the same rate as Leeds. Severe mental health issues such as bipolar disorders, paranoid schizophrenia, and manic episodes are rising slowly in all parts of the city and are generally higher in more deprived areas, Beeston LCP has a high rate and is rising slowly. Mortality rates generally are falling across the city, and they are clearly related to deprivation, Beeston LCP is showing high rates but steady decreases for most mortality in this report. Lastly, life expectancy. As expected, the least deprived LCPs have the longest life expectancy, there is some evidence too that the sexes are less different in life expectancy in the least deprived parts of the city. Beeston LCP life expectancy is significantly below many other LCPs in the city. This report focuses on health indicators for patients of the practices that comprise Beeston LCP, because Leeds contains such variation the data for all other LCPs is provided as a backdrop. LCP public health profile Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 1 of 24 Beeston LCP.pdf
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Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Jul 26, 2020

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Page 1: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Beeston LCP Health and Wellbeing profile 2018

Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and the majority of the rest are in areas of high deprivation too, the age structure is similar to Leeds with a slightly greater proportion of young men, and fewer teenagers.

The population of Beeston LCP has seen a large increase in the proportion of patients aged 0-9 years old, while the least deprived LCP populations have seen much lower increases. The elderly population of Beeston has actually become less prevalent since 2015, something not seen in other LCPs.

Asthma in children is average in the city but recent years have seen a steady rise – it was reasonably low before that. Child obesity shows a similar picture – previous low rates have become higher in recent years and it doesn’t appear to be a result of low numbers causing fluctuation.

In Leeds ethnicity recording by GPs has been improving steadily; fewer patients have no ethnicity record and accuracy is improving. In this LCP the 'Black Background' category is rising fastest (due to large increases in the 'Black African' ethnic group) while the others are making a slower rise.

Smoking in LCP populations is very strongly linked to deprivation but the good news is the most deprived LCPs that have the highest rates are showing slightly faster declines than the least deprived – smoking cessation efforts are focussed in deprived parts of the city. Smoking rates for this LCP are the third highest in the city, however they are falling steadily and possibly at a faster rate than least deprived LCPs. Over a quarter of smokers in Beeston are aged between 30 and 39. Adult obesity in Beeston is very high, and increasing slowly, the number of obese smokers in Beeston is more or less steady.

Diabetes, Coronary Heart Disease (CHD), and Chronic Obstructive Pulmonary Disease (COPD) rates are all in line with the expected pattern relating rates with population deprivation levels; diabetes is high and rising steadily, CHD is very high and falling more slowly than the Leeds rate, while the COPD rate is very high as a result of a steady but fast rise – much faster than any other LCP.

The Leeds cancer rate is rising, likely due to improvements in treatment and survival. It is rising in all LCPs, but the some of the highest rates are found in the least deprived. This is thought to be due to early presentation and treatment in less deprived populations who are perhaps more likely to seek early diagnosis. Beeston has one of the lower rates and is rising at the same rate as Leeds.

Severe mental health issues such as bipolar disorders, paranoid schizophrenia, and manic episodes are rising slowly in all parts of the city and are generally higher in more deprived areas, Beeston LCP has a high rate and is rising slowly.

Mortality rates generally are falling across the city, and they are clearly related to deprivation, Beeston LCP is showing high rates but steady decreases for most mortality in this report. Lastly, life expectancy. As expected, the least deprived LCPs have the longest life expectancy, there is some evidence too that the sexes are less different in life expectancy in the least deprived parts of the city. Beeston LCP life expectancy is significantly below many other LCPs in the city.

This report focuses on health indicators for patients of the practices that comprise Beeston LCP, because Leeds contains such variation the data for all other LCPs is provided as a backdrop.

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 1 of 24

Beeston LCP.pdf

Page 2: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Introduction 1Contents 2How to read this report 3Summary of time series data 4-5Age structure and deprivation compared to Leeds 6Ethnicity change over time 7Population change over time 8Asthma in children 9Obesity in children 10Smoking (16+) 11Obesity 12Obese smokers 13Diabetes 14Coronary Heart Disease 15Chronic Obstructive Pulmonary Disease 16Cancer 17Common mental health issues 18Severe mental health issues 19All Cause mortality (under 75s) 20Cancer mortality (under 75s) 21Circulatory disease mortality (under 75s) 22Respiratory disease mortality (under 75s) 23Life expectancy 24

In this report Local Care Partnerships (LCPs) are groups of practices, the patients registered at these practices make up the LCP populations. In a small number of cases branches of a single practice are in more than one LCP, when this happens the practice population of the practice is allocated to the nearest branch to their home address LSOA centroid, and from there attributed to the LCP for that branch. The defintion of LCPs might be switched to a geographical footprint alternative later in 2018, an updated report will be issued should this happen.

Much of the data in this profile is produced with the outputs of the quarterly data extraction programme run by the Public Health Intelligence Team on GP practice systems in Leeds. Credits: Quarterly data extraction programme data (populations, ethnicity, mental health, smoking, copd, chd, diabetes, obesity, cancer), supplied by James Womack Public Health Information Manager (Data & Systems). Life expectancy source: ONS deaths extract, GP registered populations by Richard Dixon Public Health Intelligence Manager. Mortality source: ONS and GP registered, by Richard Dixon. Child obesity source: National Child Measurement Programme. Report produced by Adam Taylor - Senior Information Analyst [email protected].

This map shows the most and least deprived fifths of Leeds in orange and blue.

The populations of these practices (or branches) make up the data for this LCP: B86002, B86005, B86012 Branch, B86012, B86095, B86667, Y00025. They are also shown on the map.

Contents

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 2 of 24

Beeston LCP.pdf

Page 3: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

0%

Not significantly different to Leeds when hollow.

Significantly different to Leeds when solid.

Beeston

The report highlights a specific LCP throughout while displaying all others for context. Leeds is always represented by a dark grey line, and the most deprived fifth of Leeds as a dotted line.

The proportions of each LCP population who live in these areas are shown below. The LCP classed as the most deprived is 'Harehills' and in the chart around 90% of its population are living in the most deprived 5th of Leeds. The least deprived LCP is 'Wetherby' where almost 80% of patients live in the least deprived fifth of the city.

Leeds is split into five areas by deprivation, from the most deprived 5th of Leeds to the least deprived 5th using these colour codes in this report:

How to read this report

100%Deprivation distribution LCP colour codingHarehills

Deprivation notes: The Index of Multiple Deprivation 2015 was weighted with mid 2015 practice populations to generate the five deprivation areas in Leeds.

Most deprived

2nd most deprived

Mid range

2nd least deprived

Least deprived

In this way the LCPs have been ranked in order of deprivation, and in this report always appear in that order - from most to least deprived - to illustrate any relationships with deprivation.

Garforth/Kippax/RothwellHolt Park

Aire Valley

Most deprived

Least deprivedOtley

Wetherby

The LCP name will be highlighted in any ranking charts, the LCP will be outlined in any bar charts, and the report text will refer to the LCP.

Burmantofts & Richmond Hill

Highlighting this LCP: This LCP is highlighted with markers, they also indicate when the LCP is significantly different to Leeds:

Middleton Seacroft

Morley Central

Pudsey

Armley

BramleyChapeltown

WoodsleyLSMP

Crossgates

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 3 of 24

Beeston LCP.pdf

Page 4: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

All ages unless specified

Smoking 16+ Adult obesity

Diabetes Cancer

CHD COPD

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Summary of data in this report

Note: Spikes and drop-outs are commonly the result of incomplete data collections affecting numerators and denominators in certain practices, sometimes due to changeovers in practice software systems.

All LCPs are displayed as thin lines showing the range of data in the city. Leeds is a dark grey line. This LCP is highlighted as a thick line. All data here is age standardised rates per 100,000

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 4 of 24

Beeston LCP.pdf

Page 5: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Common mental health issues - all ages Severe mental health issues 18+

All cause mortality under 75s Cancer mortality under 75s

Circulatory mortality under 75s Respiratory mortality under 75s

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Summary of data in this report

Note: Spikes and drop-outs are commonly the result of incomplete data collections affecting numerators and denominators in certain practices, sometimes due to changeovers in practice software systems.

All LCPs are displayed as thin lines showing the range of data in the city. Leeds is a dark grey line. This LCP is highlighted as a thick line. All data here is age standardised rates per 100,000

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 5 of 24

Beeston LCP.pdf

Page 6: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Age structure and deprivation compared to Leeds (January 2018)

Generally speaking the most deprived LCPs have younger populations than the least deprived.

Age structure of this LCP, compared to Leeds

Females Males

Deprivation in this LCP population

Age structures of each LCP compared

greater than or equal to 25% greater than or equal to 20% greater than or equal to 15% greater than or equal to 11%

The age and gender proportions of this LCP are shown as shaded areas in colours corresponding to the deprivation fifths of Leeds in the chart below. Leeds is overlaid as a black outline.

Over half of the LCP population live in the most deprived areas of the city (orange), and the rest are also in areas of higher deprivation. Generally the age structure is similar to Leeds but with more children and middle aged men.

This table shows the agebands contributing the most to each LCP population. The most deprived LCPs have a more concentrated younger population, while less deprived LCPs have increasingly older populations.

The 30-39 year ageband in Beeston is the largest in this LCP.

The population of this LCP live in areas of Leeds which can be divided into five groups of most to least deprived.

In Beeston LCP 56% of the population live in the most deprived fifth of Leeds.

20-2910-19

0-9

30-39

50-5940-49

80+70-7960-69

Aire

Val

ley

Otle

yW

ethe

rby

Gf/K

p/Rw

Holt

Park

Deprivation notes: The Index of Multiple Deprivation 2015 was weighted with mid 2015 practice populations to generate the five deprivation group areas in Leeds.

Mor

ley

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Seac

roft

Arm

ley

Chap

elto

wn

Bram

ley

Woo

dsle

yLS

MP

Cros

sgat

esPu

dsey

Cent

ral

95+85 - 8975 - 7965 - 6955 - 5945 - 4935 - 3925 - 2915 - 1905 - 09

<1

0% 20% 40% 60%

Most deprived 5th of Leeds

2nd most

2nd least

Least deprived 5th of Leeds

10% 5% 0% 5% 10%

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 6 of 24

Beeston LCP.pdf

Page 7: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Source: Leeds GPs quarterly data extraction programme

In this LCP the 'Black Background' category is rising fastest (due to large increases in the 'Black African' ethnic group) while the others are making a slower rise. In Leeds only around 12% of patients are without a recorded ethnicity now.

The main chart excludes the 'White background' category to expose detail - here it is shown alongside all categories.

LCP ethnicity change over time - categories (mid 2013 to early 2018)

0

1K

2K

3K

4K

5K

6K

7K

8K

2013-14 2014-15 2015-16 2016-17 2017-18

Coun

ts o

f pat

ient

s

Asian Background Black BackgroundBlank, not known, not recorded Chinese & Other BackgroundMixed Background

0

5K

10K

15K

20K

25K

30K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 7 of 24

Beeston LCP.pdf

Page 8: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Leeds population size change over time - in 10yr age bands

LCP % change in 0-9 year old population between 2015 and 2018

Source: Leeds GPs quarterly data extraction programme

Most LCPs have a larger population than they had in 2013. Generally speaking the least deprived have seen an increase in elderly patients but barely any change in children, while the opposite is likely in more deprived LCPs.

Population change over time

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

Puds

ey

There is a visible but weak pattern in the increase of the proportion of young children in the more deprived LCPs, while the less deprived LCPs have seen smaller increases. 'Harehills' stands out as having the largest increases in the city.

The way the older population of each LCP has changed is slightly different.

Very generally speaking (and overlooking the obvious growth in 'Burmantofts and Richmond Hill' which is a large change in proportion but quite low counts), the least deprived LCPs have seen a larger change in their older populations compared to the more deprived LCPs - 'Harehills' and 'Beeston' have barely changed.

The number of children in this LCP changed from 6,218 to 6,864, while the population aged 70+ has increased by around 100.Ha

rehi

llsBt

& R

m H

illBe

esto

n

LCP % change in the over 70s

The population of Leeds (registered with a Leeds GP) over the last four years. The very oldest and youngest age bands are shaded. Overall, Leeds shows a constant increase of around 6% in the time period shown, while the age band to grow the most was the 30-39 year olds.

As usual the variations at local level tell a different story.

Mid

dlet

on

Seac

roft

Arm

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Mor

ley

Chap

elto

wn

Bram

ley

Woo

dsle

yCr

ossg

ates

0

100K

200K

300K

400K

500K

600K

700K

800K

900K

2013-14 2014-15 2015-16 2016-17 2017-18

10-19 years

70-79 years80+ years

0-9 years

-5%

0%

5%

10%

15%

20%

% c

hang

e

-5%

0%

5%

10%

15%

20%

25%

30%

% c

hang

e

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 8 of 24

Beeston LCP.pdf

Page 9: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Asthma in children

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

Asthma counts per LCP(Counts)

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

Bram

ley

Woo

dsle

yCr

ossg

ates

Puds

ey

Hare

hills

Bt &

Rm

Hill

Bees

ton

This chart shows the numbers of patients recorded with childhood asthma in the LCPs. Despite similar rates the differing age structures result in a slight drop as deprivation falls, probably reflecting differences in age structure.

Rates are generally falling, and change is happening slowest in the least deprived areas but LCP rates are all quite similar.

Note that LSMP is not shown here, the student medical practice does not contain enough data.

In a time series we can see rates have been falling for many years, and the LCPs are falling at more or less the same rate - except the least deprived ones which are dropping more slowly.

Most recent data shows this LCP not to be significantly different to Leeds.

Looking at the most recent data from January 2018 we can see that rates are following a very weak relationship with deprivation.

The LCPs are shown in descending order of deprivation and the bars show a slight increase in size from left to right.

Mid

dlet

on

Seac

roft

Arm

ley

Chap

elto

wn

Mor

ley

6K

7K

8K

9K

10K

11K

12K

13K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

01K2K3K4K5K6K7K8K9K

10K

0100200300400500600700800900

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 9 of 24

Beeston LCP.pdf

Page 10: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Obesity in children

Reception - Overweight or very overweight Year 6 - Overweight or very overweight

Reception - weight category proportions (16/17) Year 6 - weight category proportions (16/17)

Cent

ral

Gf/K

p/Rw

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Seac

roft

Arm

ley

Rates are generally falling in Reception classes, but Year 6 rates are much more variable with changes related to deprivation levels.

Source: National Child Measurement Programme. Note that LSMP is not shown here, the student medical practice does not contain enough data for NCMP. NCMP data is aggregated by LSOA to LCP footprint, not by LCP practice membership.

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

Chap

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wn

Bram

ley

Woo

dsle

yCr

ossg

ates

Puds

eyM

orle

y

Chap

elto

wn

Bram

ley

Hare

hills

Leeds shows a slow reduction in the proportion of Reception children who are classed as 'Overweight or Very Overweight'. The LCPs show quite a lot of variation as numbers are quite low overall. The breakdown of proportions per LCP shows a slight reduction in 'overweight or very overweight' as deprivation falls.

'Overweight or Very Overweight' children in year 6 are becoming slowly more prevalent in Leeds. The LCPs again show quite a lot of fluctuation. There is a strong relationship between deprivation levels and 'Overweight or Very Overweight' proportions.

Beeston LCP rates have recently climbed to almost the highest in the city, this does not appear to be fluctuation due to low numbers.

Puds

eyM

orle

y

Cent

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Aire

Val

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Otle

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Bt &

Rm

Hill

Bees

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Mid

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on

Seac

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Holt

Park

2012/13 2013/14 2014/15 2015/16 2016/1715%

20%

25%

30%

35%

40%

45%

2012/13 2013/14 2014/15 2015/16 2016/17

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Very overweight Overweight Healthy Weight Underweight

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 10 of 24

Beeston LCP.pdf

Page 11: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Smoking (16+)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP Smoking populations by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

Bt &

Rm

Hill

Cros

sgat

es

Arm

ley

Seac

roft

Mid

dlet

on

Bees

ton

LSM

PW

oods

ley

Bram

ley

20-29y16-19y

80+y70-79y60-69y50-59y40-49y30-39y

Chap

elto

wn

Mor

ley

Puds

ey

Hare

hills

Looking at the most recent data from January 2018 we can see that rates are following a strong relationship with deprivation.

The LCPs are shown in descending order of deprivation and the bars show a clear reduction in size from left to right.

This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 30-39y ageband with 26.6% of the LCP total.

In a time series we can see rates have been falling for many years, and in general the most deprived LCPs are falling at a slightly faster rate than the least deprived ones.

Most recent data shows this LCP to be significantly above Leeds.

Rates are generally falling, and change is happening fastest in most deprived areas. Smoking is most common in younger age bands in the most deprived areas.

10K

15K

20K

25K

30K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

0

5K

10K

15K

20K

25K

30K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 11 of 24

Beeston LCP.pdf

Page 12: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Obesity (adults)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP Obesity populations by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

16-19y

Hare

hills

In a time series we can see there doesn’t seem to be a relationship between rate of change and levels of deprivation for this indicator. All LCPs are slowly rising, except for Burmantofts and Richmond Hill LCP which is showing a slow but steady fall.

Most recent data shows this LCP to be significantly above Leeds.

Arm

ley

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Rates are generally climbing, although some areas are showing a levelling off and perhaps a decline in recent quarters.

80+y This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 40-49y ageband with 23.0% of the LCP total.

70-79y60-69y50-59y40-49y30-39y

Looking at the most recent data from January 2018 we can see that rates are following a clear relationship with deprivation.

The LCPs are shown in descending order of deprivation and the bars show a clear reduction in size from left to right.

20-29y

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

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ral

Gf/K

p/Rw

Holt

Park

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Val

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Seac

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18K

20K

22K

24K

26K

28K

30K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

0

5K

10K

15K

20K

25K

30K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 12 of 24

Beeston LCP.pdf

Page 13: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Obese smokers in Leeds, by gender and deprivation

Females Males

Obese smokers in this LCP, by gender and deprivationFemales Males

LCP Obese smokers by age band(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Seac

roft

60-69y50-59y

Puds

eyM

orle

y

16-19y

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

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on

Arm

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Wet

herb

y

80+yThis table shows the agebands within each LCP that contribute the most to each LCP total.

The largest group in Beeston LCP is the 40-49y ageband with 24.4% of the LCP total.

LSM

P

Chap

elto

wn

Beeston LCP

There are more women than men who have a BMI above 30 and are current smokers. The gender difference is seen in most LCPs and is slightly more pronounced in the most deprived.(recent large changes in the data are due to data collection issues)

Obese smokers (adults for whom both records were updated within 12 months)

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

y

40-49y30-39y20-29y

In January 2018 there were 9,573 patients inside Leeds who smoked and were classified as obese.

These charts show the number fluctuating over time, and that there have always been large numbers from more deprived areas (orange layer). Women (who are more likely to be clinically obese) outnumber men in this group.

These charts show the number of obese smokers in this LCP, by gender and deprivation.

Beeston LCP has only slightly more women than men in this group and both are only increasing slowly.

Woo

dsle

y

70-79y

Cros

sgat

es

Bram

ley

0

100

200

300

400

500

600

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

num

ber

0

1K

2K

3K

4K

5K

6K

7K

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

num

ber

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 13 of 24

Beeston LCP.pdf

Page 14: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Diabetes (all ages)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP Diabetes populations by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

10-19y

Hare

hills

In a time series we can see in general the most deprived LCPs are rising at a much faster rate than the least deprived ones. In Wetherby LCP the rate is virtually static and perhaps now showing a downward trend.

Most recent data shows this LCP to be significantly above Leeds.

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on 0-9y

Mor

ley

Diabetes in Leeds is very strongly linked to deprivation with the highest rates and fastest rises in the most deprived LCPs, while rates are almost static in Wetherby.

80+y This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 50-59y ageband with 24.8% of the LCP total.

70-79y60-69y50-59y40-49y30-39y

Looking at the most recent data from January 2018 we can see that rates are following a very strong relationship with deprivation.

The LCPs are shown in descending order of deprivation and the bars show a clear reduction in size from left to right.

20-29y

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Seac

roft

Arm

ley

Chap

elto

wn

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

Bram

ley

Woo

dsle

yLS

MP

Cros

sgat

esPu

dsey

0

2K

4K

6K

8K

10K

12K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

0

2K

4K

6K

8K

10K

12K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 14 of 24

Beeston LCP.pdf

Page 15: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

CHD (all ages)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP CHD populations by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

CHD rates in Leeds are all falling steadily and at the same speed, except for Burmantofts and Richmond Hill which is falling much faster than other LCPs. Rates are generally higher in more deprived areas.

In a time series we can see that almost all LCPs are falling at an equal rate, except for 'Harehills' LCP which appears to be making a much slower drop.

Most recent data shows this LCP to be significantly above Leeds.

80+y This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 70-79y ageband with 25.6% of the LCP total.

70-79y60-69y50-59y40-49y30-39y

Looking at the most recent data from January 2018 we can see that rates are following a clear relationship with deprivation.

The LCPs are shown in descending order of deprivation and the bars show a large decrease from left to right.

20-29y10-19y

0-9y

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Seac

roft

Arm

ley

Wet

herb

y

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Chap

elto

wn

Mor

ley

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

y

Bram

ley

Woo

dsle

yLS

MP

Cros

sgat

esPu

dsey

3.0K

3.5K

4.0K

4.5K

5.0K

5.5K

6.0K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

0500

1.0K1.5K2.0K2.5K3.0K3.5K4.0K4.5K5.0K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 15 of 24

Beeston LCP.pdf

Page 16: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

COPD (all ages)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP COPD populations by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

COPD rates in Leeds are very strongly linked to deprivation with large differences from most to least deprived. Many of the most deprived LCPs have rates which are increasing steadily, but interestingly the two most deprived LCPs are the only in the city to have falling rates.

In a time series we can see in general the most deprived LCPs are rising at a faster rate than others, except for 'Burmantofts and Richmond Hill' and 'Harehills' which are notably falling in recent years.

Most recent data shows this LCP to be significantly above Leeds.

80+y This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 60-69y ageband with 28.8% of the LCP total.

70-79y60-69y50-59y40-49y30-39y

Looking at the most recent data from January 2018 we can see that rates are following a very strong relationship with deprivation.

The LCPs are shown in descending order of deprivation and the bars show a large fall from left to right.

20-29y10-19y

0-9y

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Seac

roft

Arm

ley

Wet

herb

y

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Chap

elto

wn

Mor

ley

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

y

Bram

ley

Woo

dsle

yLS

MP

Cros

sgat

esPu

dsey

1.0K

1.5K

2.0K

2.5K

3.0K

3.5K

4.0K

4.5K

5.0K

5.5K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

0

1.0K

2.0K

3.0K

4.0K

5.0K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 16 of 24

Beeston LCP.pdf

Page 17: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Cancer (all ages)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP Cancer populations by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

In a time series we can see in general all LCPs are growing at about the same rate - except for Harehills LCP which until recently has been static.

Most recent data shows this LCP to be significantly below Leeds.

Looking at the most recent data from January 2018 we can see that rates are following a very weak inverse relationship with deprivation.

The LCPs are shown in descending order of deprivation and the bars show a slight increase in size from left to right.

80+y This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 70-79y ageband with 26.3% of the LCP total.

70-79y60-69y50-59y40-49y30-39y20-29y

Arm

ley

Wet

herb

y

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

10-19y0-9y

Hare

hills

Bt &

Rm

Hill

Bees

ton

Cancer rates in Leeds are linked to deprivation but not in the usual way: the least deprived LCPs have some of the highest rates. This is thought to be due to late diagnosis leading to higher mortality rates in more deprived areas.

Mor

ley

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

y

Chap

elto

wn

Bram

ley

Woo

dsle

yLS

MP

Cros

sgat

esPu

dsey

Mid

dlet

on

Seac

roft

2.5K

2.7K

2.9K

3.1K

3.3K

3.5K

3.7K

3.9K

4.1K

4.3K

4.5K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

0500

1.0K1.5K2.0K2.5K3.0K3.5K4.0K4.5K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 17 of 24

Beeston LCP.pdf

Page 18: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Common mental health issues (all ages)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP Common mental health populations by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

Due to changes in processes, this is a short time series but we can see that most LCPs are rising slowly.

Most recent data shows this LCP not to be significantly different to Leeds.

The Leeds rate is slowly rising, but the time series is too short to draw many other conclusions.

80+y This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 30-39y ageband with 21.6% of the LCP total.

70-79y60-69y50-59y40-49y30-39y

Looking at the most recent data from January 2018 we can see that rates are not varying in a manner related to deprivation.

The LCPs are shown in descending order of deprivation and the bars are not really varying consistently.

20-29y10-19y

0-9y

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Seac

roft

Arm

ley

Wet

herb

y

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Chap

elto

wn

Mor

ley

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

y

Bram

ley

Woo

dsle

yLS

MP

Cros

sgat

esPu

dsey

7.0K

9.0K

11.0K

13.0K

15.0K

17.0K

19.0K

21.0K

23.0K

25.0K

Q3

16-1

7

2017

-18

Q3

17-1

8

0

5.0K

10.0K

15.0K

20.0K

25.0K

30.0K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 18 of 24

Beeston LCP.pdf

Page 19: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Severe mental health issues (18+)

Change of rates over time(Age standardised rates per 100,000)

Leeds rangeMost deprived 5th

This LCPMost recent rates compared

(Age standardised rates per 100,000)

LCP populations recorded with severe mh, by ageband(proportions of LCP totals)

greater than or equal to 30% greater than or equal to 25% greater than or equal to 20% greater than or equal to 15%

18-19y

Hare

hills

Bt &

Rm

Hill

Mor

ley

20-29y

Seac

roft

Arm

ley

Chap

elto

wn

Bees

ton

Mid

dlet

on

This data is collected from practices quarterly and therefore only contains records where patients are presenting and have been questioned. Certain population groups are known to visit their GP rarely.

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

Bram

ley

Woo

dsle

yLS

MP

Cros

sgat

esPu

dsey

80+y This table shows the agebands within each LCP that contribute the most to the LCP total.

The largest group in Beeston LCP is the 40-49y ageband with 25.8% of the LCP total.

70-79y60-69y50-59y40-49y30-39y

In a time series we can see that all LCPs are following a similar very slow rate of increase.

Most recent data shows this LCP to be significantly above Leeds.

Looking at the most recent data from October 2017 we can see that rates are actually quite strongly related to deprivation, with some exceptions notably 'Central' LCP.

The LCPs are shown in descending order of deprivation and the bars

Severe mental health rates show a strong link to deprivation except for 'Central' LCP that has quite a high rate for its position in the deprivation rank.

500

700

900

1.1K

1.3K

1.5K

1.7K

1.9K

2.1K

2.3K

2.5K

2012

-13

2013

-14

2014

-15

2015

-16

2016

-17

2017

-18

0

500

1.0K

1.5K

2.0K

2.5K

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 19 of 24

Beeston LCP.pdf

Page 20: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

All cause mortality (under 75s)

Change of mortality rates over time

(Age standardised rates per 100,000)

Leeds range Most deprived 5th LCP

Most recent mortality rates compared

(Age standardised rates per 100,000)

Source: ONS, GP registered

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Seac

roft

Arm

ley

Chap

elto

wn

Bram

ley

Woo

dsle

yCr

ossg

ates

Puds

eyM

orle

y

Wet

herb

y

In a time series we can see that almost all LCPs are decreasing, with slightly faster drops in those with the highest rates. However the Harehills LCP stands out as for its recent increases.

Most recent data shows the mortality rate at this LCP to be significantly above Leeds.

Mortality rates show a very strong link to deprivation. Most LCPs are falling steadily, and some of those with the highest rates appear to be dropping slightly faster.

Looking at the most recent mortality data, we can see that rates are very strongly related to deprivation (except for LSMP which is not shown due to very low rates)

(The LCPs are shown in descending order of deprivation)

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

y0

500

1.0K

1.5K

600

800

1,000

1,200

1,400

1,600

1,800

2,000

2006-2010

2007-2011

2008-2012

2009-2013

2010-2014

2011-2015

2012-2016

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 20 of 24

Beeston LCP.pdf

Page 21: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Cancer mortality (under 75s)

Change of mortality rates over time

(Age standardised rates per 100,000)

Leeds range Most deprived 5th LCP

Most recent mortality rates compared

(Age standardised rates per 100,000)

Cancer mortality rates show a very strong link to deprivation. LCPs show some variation in change, some rising and some falling. The most deprived seem to be falling slightly faster overall.

In a time series we can see that almost all LCPs are fluctuating, with slightly faster drops in those with the highest rates. However the Chapeltown LCP stands out as for its recent steady increases.

Most recent data shows the mortality rate at this LCP not to be significantly different to Leeds.

Looking at the most recent mortality data, we can see that rates are very strongly related to deprivation (except for LSMP which is not shown due to very low rates)

(The LCPs are shown in descending order of deprivation)

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Otle

yW

ethe

rby

Source: ONS, GP registered

Puds

eyM

orle

y Ce

ntra

lGf

/Kp/

RwHo

lt Pa

rkAi

re V

alle

y

Seac

roft

Arm

ley

Chap

elto

wn

Bram

ley

Woo

dsle

yCr

ossg

ates

0

200

400

600

250

300

350

400

450

500

550

600

650

700

750

2006-2010

2007-2011

2008-2012

2009-2013

2010-2014

2011-2015

2012-2016

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 21 of 24

Beeston LCP.pdf

Page 22: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Circulatory disease mortality (under 75s)

Change of mortality rates over time

(Age standardised rates per 100,000)

Leeds range Most deprived 5th LCP

Most recent mortality rates compared

(Age standardised rates per 100,000)

Source: ONS, GP registered

Puds

eyM

orle

y Ce

ntra

lGf

/Kp/

RwHo

lt Pa

rkAi

re V

alle

y

Seac

roft

Arm

ley

Chap

elto

wn

Bram

ley

Woo

dsle

yCr

ossg

ates

Circulatory mortality rates show an extremely strong link to deprivation. LCPs show some variation in change, some rising and some falling with the most deprived falling slightly faster overall except for the growing Harehills.

In a time series we can see that almost all LCPs are falling slowly, with some recent increases especially 'Harehills' LCP.

Most recent data shows the mortality rate at this LCP to be significantly above Leeds.

Looking at the most recent mortality data, we can see that rates are extremely strongly related to deprivation (except for LSMP which is not shown due to very low rates)

(The LCPs are shown in descending order of deprivation)

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Otle

yW

ethe

rby0

200

400

100

150

200

250

300

350

400

450

500

550

600

2006-2010

2007-2011

2008-2012

2009-2013

2010-2014

2011-2015

2012-2016

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 22 of 24

Beeston LCP.pdf

Page 23: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Respiratory disease mortality (under 75s)

Change of mortality rates over time

(Age standardised rates per 100,000)

Leeds range Most deprived 5th LCP

Most recent mortality rates compared

(Age standardised rates per 100,000)

Source: ONS, GP registered

Puds

eyM

orle

y Ce

ntra

lGf

/Kp/

RwHo

lt Pa

rkAi

re V

alle

y

Seac

roft

Arm

ley

Chap

elto

wn

Bram

ley

Woo

dsle

yCr

ossg

ates

Respiratory disease mortality rates show a very strong link to deprivation. There are some stark differences between the most and least deprived LCPs.

In a time series we can see that almost all LCPs are changing steadily, those with the highest rates are climbing fastest.

Most recent data shows the mortality rate at this LCP not to be significantly different to Leeds.

Looking at the most recent mortality data, we can see that rates are very strongly related to deprivation (except for LSMP which is not shown due to very low rates)

(The LCPs are shown in descending order of deprivation)

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

on

Otle

yW

ethe

rby0

50

100

150

200

250

0

50

100

150

200

250

2006-2010

2007-2011

2008-2012

2009-2013

2010-2014

2011-2015

2012-2016

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 23 of 24

Beeston LCP.pdf

Page 24: Beeston LCP Health and Wellbeing profile 2018Beeston LCP Health and Wellbeing profile 2018 Over half of the Beeston LCP population are living in the most deprived fifth of Leeds and

Females Males

Leeds rangeMost deprived 5th

Life expectancy for women and men, 2014-2016

For both genders there is a clear relationship between deprivation and life expectancy. Male life expectancy is poorer overall and the difference between the sexes is slightly more pronounced in the most deprived LCPs. There is a difference of 3.6 years between the sexes in this LCP.

Bars in this chart encompass 95% confidence intervals, Leeds and deprived Leeds have very narrow confidence intervals and can be illustrated with a line. Source: ONS deaths extract, GP registered populations.

72y

74y

76y

78y

80y

82y

84y

86y

88y

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

onSe

acro

ftAr

mle

yCh

apel

tow

nBr

amle

yW

oods

ley

Cros

sgat

esPu

dsey

Mor

ley

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

Hare

hills

Bt &

Rm

Hill

Bees

ton

Mid

dlet

onSe

acro

ftAr

mle

yCh

apel

tow

nBr

amle

yW

oods

ley

Cros

sgat

esPu

dsey

Mor

ley

Cent

ral

Gf/K

p/Rw

Holt

Park

Aire

Val

ley

Otle

yW

ethe

rby

LCP public health profile

Leeds Council & CCG Health and Care hub. Public Health Intelligence. June 2018 Page 24 of 24

Beeston LCP.pdf