Page 1
PUBLIC HEALTH DEVON OUTCOMES REPORT16TH JUNE 2015
DEVON COUNTY COUNCILFULL 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 improvement, 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/phofThree 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 [email protected]
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Public Health Devon Outcomes Report: Indicator List and Summary
Domain RAG Indicator Value Trend Dev/SW/Eng
G 0.01 Healthy Life Expectancy Male 66.0
G 0.01 Healthy Life Expectancy Female 67.7
G 0.02 Gap in Life Expectancy Male 5.2
G 0.02 Gap in Life Expectancy Female 3.3
A 1.01 Children in Poverty 12.7%
G 1.10 Killed or Seriously Injured on Roads 37.7
A 1.11 Domestic Violence 13.5
A 1.17 Fuel Poverty * 12.5%
G 1.18 Social Contentedness 47.5%
G 2.03 Smoking at Time of Delivery 12.2%
A 2.04 Under 18 Conception Rate * 20.7
A 2.06 Excess Weight in Four / Five Year Olds 23.4%
A 2.06 Excess Weight in 10 / 11 Year Olds 30.3%
G 2.07 Hospital Admissions for Injury, 0 to 14 103.2
A 2.08 Emotional difficulties in looked after children 15.2
- 2.09 Smoking at Age 15 - - -
R 2.10 Hospital Admissions Self-Harm, 10 to 24 419.5
G 2.11 Diet - Fruit and Veg '5-a-day' 64.5% -
G 2.12 Excess Weight Adults 60.6% -
G 2.13 Proportion of Physically Active Adults 60.9%
G 2.14 Adult Smoking Prevalence 16.4%
A 2.15 Drug Treatment Completion, Opiates 9.5%
A 2.15 Drug Treatment Completion, Non-Opiates 46.0%
A 2.18 Alcohol-Related Admissions 639.7
G 2.19 Cancer Diagnosed at Stage 1 or 2 48.4%
A 2.22 Percentage offered a NHS health check * 32.4%
A 2.22 Percentage receiving a NHS health check * 16.1%
A 2.22 NHS health check uptake rate * 49.6%
G 2.23 Self-Reported Wellbeing (% low happiness) 8.5%G 2.24 Injuries Due to Falls 1766.1
G 3.02 Chlamydia Diagnosis Rate 2059.8A 3.03 Population Vaccination (MMR Aged 5) 90.0%
G 4.03 Mortality Rate from Preventable Causes 156.6
G 4.04 Under 75 Mortality Rate Circulatory Disease 63.8
G 4.05 Under 75 Mortality Rate All Cancers 130.9
A 4.10 Suicide Rate 10.4
A 4.12 Preventable Sight Loss (Registrations) 64.7
G 4.13 Health-Related Quality of Life 0.761
A 4.16 Dementia Diagnosis Rate 56.5%
RAG Ratings
Red R
Amber A
Green G No major cause for concern in Devon, benchmarking good / on-target
2. Health
Improvement
3. Health
Protection
4. Healthcare
Public Health
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
Page 3
Devon compared with the Local Authority Comparator Group for Public Health Devon outcomes
Devon LACG England LACG England Rank
Fruit and Veg 5-a-day 64.5% 59.3% 56.3% Better Better 1 / 16 Y
Physical Activity (%) 60.9% 57.9% 55.6% Better Better 1 / 16 Y
Adults Excess Weight (%) 60.6% 65.3% 63.8% Better Better 1 / 16 Y
Life Expectancy Gap in Years (Male) 5.2 7.2 8.4 Better Better 1 / 16 Y
Chlamydia Diagnosis Rate 2059.8 1692.2 2015.6 Better Similar 1 / 15 Y X
Domestic Violence 13.5 16.3 19.4 Better Better 2 / 16 Y
Life Expectancy Gap in Years (Female) 3.3 5.4 6.2 Better Better 2 / 16 Y
Drug Treatment Success Non-Opiates 46.0% 38.9% 37.7% Better Better 3 / 16 Y
Healthy Life Expectancy (Female) 67.7 66.1 63.9 Better Better 3 / 16 Y
Social Connectedness 47.5% 45.2% 44.2% Better Better 3 / 16 Y
Killed or Seriously Injured on Roads 37.7 48.1 39.7 Better Similar 3 / 16 Y
Health-Related Quality of Life 0.761 0.751 0.726 Better Better 4 / 16 Y
Cancer Deaths, under 75 130.9 134.3 144.4 Similar Better 5 / 16 Y
Drug Treatment Success Opiates 9.5% 8.1% 7.8% Similar Better 6 / 16 Y
Healthy Life Expectancy (Male) 66.0 65.2 63.3 Similar Better 6 / 16 Y
Circulatory Disease Deaths, under 75 63.8 66.7 78.2 Similar Better 6 / 16 Y
Admission Rate for Accidental Falls 1766.1 1809.9 2011.0 Similar Better 6 / 16 Y
Preventable Deaths, under 75 156.6 163.2 183.9 Better Better 6 / 16 Y
Under 18 injuries 103.2 112.0 112.2 Better Better 6 / 16 Y
Smoking at Time of Delivery (%) 12.2% 12.3% 12.0% Similar Similar 6 / 15 Y X
NHS Health Checks Uptake (%) 49.6% 45.9% 48.9% Better Better 7 / 16 Y
Child Poverty (%) 12.7% 13.9% 19.2% Better Better 7 / 16 Y
Excess Weight in Year Six (%) 30.3% 30.8% 33.5% Similar Better 7 / 16 Y
Adult Smoking Rate (%) 16.4% 16.7% 18.4% Similar Better 7 / 16 Y
Cancer Early Diagnosis 48.4% 48.9% 45.7% Similar Better 8 / 13 Y X X X
Dementia Diagnosis Rate (%) 56.5% 56.5% 60.8% Similar Worse 9 / 16 Y
Low Happiness Score (%) 8.5% 8.6% 9.7% Similar Similar 9 / 16 Y
Teen Conception Rate per 1,000 20.7 20.3 23.9 Similar Better 9 / 16 Y
NHS Health Checks received (%) 16.1% 18.1% 18.6% Worse Worse 10 / 16 Y
Excess Weight in Reception Year (%) 23.4% 22.3% 22.5% Worse Similar 10 / 16 Y
Hospital Admission Rate for Self-Harm 419.5 388.8 346.3 Similar Worse 11 / 16 Y
NHS Health Checks Offered (%) 32.4% 39.4% 37.9% Worse Worse 12 / 16 Y
Mental Health Looked After Children 15.2 14.3 13.9 - - 12 / 14 Y X X
MMR Vaccination Uptake at Age 5 (%) 90.0% 91.3% 88.5% Similar Better 13 / 16 Y
Alcohol Admission Rate (Narrow) 639.7 597.2 636.1 Worse Similar 13 / 16 Y
Suicide Rate 10.4 9.5 8.8 Similar Worse 13 / 16 Y
Fuel Poverty (%) 12.5% 9.3% 10.4% Worse Worse 16 / 16 Y
Measure
Rates Significance LACG Rank / Position
Position
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PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.01: Healthy Life Expectancy Male Amber
Period: 2011-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
Males in Devon can expect to live for 66.0 years in good health, compared with 63.3
years in England, 65.3 years in the South West, and 65.2 years in the local authority
comparator group. Healthy Life expectancy for males ranged from 53.6 (Tower
Hamlets) to 71.4 (Wokingham) nationally, ranged from 58.3 (Plymouth) to 68.5
(Wiltshire) within the South West, and from 62.7 (Cumbria) to 67.5 (Somerset) within
the local authority comparator group.
Equalities
No local breakdowns by equality characteristics are currently available. Males in
Devon spend 1.7 years 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.
68.5
67.8
67.5
67.0
66.4
66.0
66.0
65.5
64.2
63.9
63.7
63.6
63.0
62.4
58.3
55 65 75
WiltshireSouth Glos
SomersetDorset
North SomDevon
BANESPooleGlos
SwindonCornwall
BournemouthBristol
TorbayPlymouth
Healthy Life Expectancy (Years)
Devon LA South West England
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
55
57
59
61
63
65
67
69
71
73
75
2009-11 2010-12 2011-13
Healthy Life Expectancy (Years)
Devon South West England
0
0
0
1
1
1
1
2001-
2005
2002-
2006
2003-
2007
2004-
2008
2005-
2009
2006-
2010
Healthy Life Expectancy (Years)
Most Deprived Above Average
Average Below Average
Least Deprived
67.5
67.0
67.0
66.9
66.4
66.0
66.0
65.6
64.6
64.2
64.2
64.1
63.9
63.6
63.5
62.7
55 65 75
SomersetDorset
WarwickshireWest Sussex
CambridgeshireDevon
WorcestershireHampshire
EssexLincolnshire
GlosLeicestershire
NorfolkNorth Yorkshire
East SussexCumbria
Healthy Life Expectancy (Years)
Devon LA LACG England
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
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PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Male
Period: 2011-13
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.
Description The average number of years males can expect to be in good general health
Source
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
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, 15-19BB85+.
Office for National Statistics (Annual Population Survey and Mid-Year Population
estimates)
Outcomes
FrameworkPublic Health Outcomes Framework, Overarching Indicator 0.1
Chart Notes
Local AuthorityFigures are not currently available at a local authority district level.
Update
FrequencyAnnually, around 18 months in arrears
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PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.01: Healthy Life Expectancy Female Amber
Period: 2011-13 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
RAG Rating
Overview
Females in Devon can expect to live for 67.7 years in good health, compared with
63.9 years in England, 65.5 years in the South West, and 66.1 years in the local
authority comparator group. Healthy life expectancy for females ranged from 55.5
(Barking and Dagenham) to 71.3 (Rutland) nationally, ranged from 59.4 (Plymouth) to
68.5 (BANES) within the South West, and from 63.6 (Cumbria) to 68.1 (Somerset)
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.
68.5
68.1
67.7
66.8
66.8
66.7
66.6
65.2
64.1
64.0
63.9
62.8
62.6
62.6
59.4
55 65 75
BANESSomerset
DevonSouth Glos
GlosWiltshire
PooleDorset
CornwallTorbay
BournemouthSwindon
BristolNorth Som
Plymouth
Healthy Life Expectancy (Years)
Devon LA South West England
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
2009-1
1
2010-1
2
2011-1
3
Healthy Life Expectancy (Years)
Devon South West England
0
0
0
1
1
1
1
2001-
2005
2002-
2006
2003-
2007
2004-
2008
2005-
2009
2006-
2010
Healthy Life Expectancy (Years)
Most Deprived Above Average
Average Below Average
Least Deprived
68.1
67.8
67.7
66.8
66.4
66.3
66.3
66.2
66.1
65.8
65.6
65.5
65.3
65.2
64.7
63.6
55 65 75
SomersetWest Sussex
DevonGlos
WorcestershireWarwickshire
HampshireNorth Yorkshire
LincolnshireNorfolk
East SussexCambridgeshire
EssexDorset
LeicestershireCumbria
Healthy Life Expectancy (Years)
Devon LA LACG England
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
Page 7
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.01: Healthy Life Expectancy Female
Period: 2011-13
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
CCG/Locality
Figures 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.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Update
FrequencyAnnually, around 18 months in arrears
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.
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, 15-19BB85+.
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)
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PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.02: Male Life Expectancy Gap Amber
Period: 2011 to 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Period: 2011 to 2013 Inequalities (Sex)
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 15 year gap in life expectancy at an electoral ward level. The life expectancy
gap is much larger for males than females.
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 5.2 years which is significantly
lower than the gaps for the South West (7.5), the local authority comparator group
(7.2), and England (8.4).
RAG Rating
10.5
9.0
9.0
8.9
8.6
7.9
7.9
7.8
7.8
6.9
6.4
6.3
5.3
5.2
5.1
0 10 20
BournemouthSwindon
North SomBristol
BANESPoole
TorbayGlos
PlymouthSomerset
DorsetSouth Glos
CornwallDevon
Wiltshire
Life Expectancy Gap (Years)
Devon LA South West England
0 1 1
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Life Expectancy Gap (Years)
District Devon South West England
0
2
4
6
8
10
12
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
Life Expectancy (Years)
Devon South West England
0
1
2
3
4
5
6
7
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
Life Expectancy (Years)
Female Male
9.5
8.2
8.1
7.9
7.8
7.7
7.2
6.9
6.9
6.8
6.8
6.7
6.4
6.4
6.2
5.2
0 5 10 15
CumbriaEast Sussex
WorcestershireWarwickshire
GloucestershireWest Sussex
EssexHampshireSomerset
North YorksCambridgeshire
LincolnshireDorsetNorfolk
LeicestershireDevon
Life Expectancy Gap (Years)
Devon LA LACG England
0 1 1
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)
CCG/Locality South West England
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
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PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.02: Male Life Expectancy Gap
Period: 2011 to 2013
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
Local AuthorityNo longer available at local authority district level.
Chart Notes
CCG/LocalityNot available at CCG or locality level.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Detailed
Specification
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
TrendCompares Devon rate with South West region and England over time.
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.
Outcomes
Framework
Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to
cover three year period)
Source
Description
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
Estimated gap in male life expectancy in years between the most and least deprived
communities in a given area
Page 10
PUBLIC HEALTH DEVON OUTCOMES REPORT
Overarching Indicators G Green
Indicator 0.02 Female Life Expectancy Gap Amber
Period: 2011 to 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Sex)
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 15 year gap in life expectancy at an electoral ward level. The life expectancy
gap is much larger for males than females.
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 3.3 years which is significantly
lower than the gaps for the South West (5.0), the local authority comparator group
(5.4), and England (6.2).
Equalities
RAG Rating
6.6
6.5
6.4
6.3
6.3
5.6
5.5
5.4
5.1
4.7
4.2
3.7
3.3
2.9
2.7
0 5 10 15
BristolNorth Som
PooleTorbay
GlosBournemouth
DorsetPlymouth
South GlosBANES
CornwallSomerset
DevonSwindonWiltshire
Life Expectancy Gap (Years)
Devon LA South West England
0 1 1
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Life Expectancy Gap (Years)
District Devon South West England
0
1
2
3
4
5
6
7
8
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
Life Expectancy (Years)
Devon South West England
0
1
2
3
4
5
6
7
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
Life Expectancy (Years)
Female Male
7.3
7.1
6.6
6.3
6.0
6.0
5.8
5.5
5.5
5.0
5.0
5.0
4.8
3.7
3.3
3.0
0 5 10 15
CumbriaWarwickshireWest Sussex
GloucestershireEssex
East SussexWorcestershire
North YorksDorset
LincolnshireCambridgeshire
LeicestershireHampshireSomerset
DevonNorfolk
Life Expectancy Gap (Years)
Devon LA LACG England
0 1 1
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)
CCG/Locality South West England
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
Page 11
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Overarching IndicatorsIndicator 0.02 Female Life Expectancy Gap
Period: 2011 to 2013
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
Local AuthorityNo longer available at local authority district level.
Not available at CCG or locality level.Chart Notes
CCG/Locality
Chart Notes
South West
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
TrendCompares Devon rate with South West region and England over time.
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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.
Outcomes
Framework
Public Health Outcomes Framework, Overarching Indicator 0.2 (indicator altered to
cover three year period)
Annually, typically around 12 months in arrearsUpdate
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
DescriptionEstimated gap in female life expectancy in years between the most and least deprived
communities in a given area
Page 12
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 1. Improving the Wider Determinants of Health Green
Indicator 1.01 Children in 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
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.
RAG Rating
Overview
15,615 children (12.7%) in Devon live in households dependent on benefits or tax
credits, compared with 15.1% in the South West and 19.2% 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 and 2012. Rates at a district level range from 10.3% in East Devon to 16.0% in
Torridge. Rates in the most deprived areas are five times those in the least.
23.6%
22.1%
20.8%
18.3%
16.9%
15.9%
15.3%
14.1%
14.0%
13.8%
12.7%
12.3%
12.0%
11.4%
11.2%
0% 10% 20% 30%
BristolTorbay
PlymouthBournemouth
CornwallSwindon
PooleNorth SomSomerset
GlosDevonDorset
BANESSouth Glos
Wiltshire
Percentage
Devon LA South West England
11.9%
16.0%
13.0%
11.1%
13.5%
11.6%
14.7%
10.3%
0% 5% 10% 15% 20% 25%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
5%
10%
15%
20%
25%
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Percentage
Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
17.2%
17.1%
16.5%
16.1%
14.9%
14.7%
14.0%
13.8%
13.2%
12.7%
12.5%
12.4%
12.3%
11.5%
11.5%
11.0%
0% 10% 20% 30%
East SussexNorfolk
LincolnshireEssex
WorcestershireCumbria
SomersetGloucestershire
WarwickshireDevon
CambridgeshireWest Sussex
DorsetLeicestershire
HampshireNorth Yorks
Percentage
Devon LA LACG England
23.1%
20.5%
13.8%
12.8%
15.4%
17.8%
10.5%
20.8%
18.5%
14.5%
11.0%
10.2%
11.7%
13.7%
12.1%
15.1%
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
CCG/Locality South West England
Page 13
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 1. Improving the Wider Determinants of HealthIndicator 1.01 Children in Poverty
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.
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
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is a
'no change' projection from the 2009 baseline.
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
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.01
Update
FrequencyAnnually, around 20 months in arrears (2013 due Autumn 2015)
DescriptionPercentage of children (aged 0 to 15) living in households dependent on benefits or
tax credits.
HM Revenue and Customs (Personal Tax Credits: Related Statistics - Child Poverty
Statistics)Source
Page 14
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)
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).
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 Teignmouth).
RAG Rating
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
Devon LA South West England
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
District Devon South West England
0
10
20
30
40
50
60
70
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
Rate per 100,000
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
Devon LA LACG England
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
CCG/Locality South West England
0
10
20
30
40
50
60
70
80
90
100
2008-10 2009-11 2010-12 2011-13
Rate per 100,000
Urban Deprived Urban Less Deprived
Devon Rural Less Deprived
Rural Deprived
Page 15
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of HealthIndicator 1.10 Killed and Seriously Injured (KSI) on roads
Period: 2011-13
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.
Chart Notes
Comparator
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
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Inequalities
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Detailed
Specification
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.01
Update
FrequencyAnnually, next update due summer 2015
Source Department for Transport
DescriptionNumber of people reported killed or seriously injured on the roads, all ages, per
100,000 resident population.
Page 16
PUBLIC HEALTH DEVON OUTCOMES REPORT
Priority 1. Improving the Wider Determinants of Health Green
Indicator 1.11 Domestic Violence 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
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.
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 13.49 per 1,000,
below the South West (15.25), comparator group (16.30) and England (19.37) rates.
Within Devon rates are highest in Exeter (17.94). Local trend infromation, including
provisional figures for 2013-14 highlight increases over time.
RAG Rating
Overview
21.14
21.14
21.14
14.10
14.10
14.10
14.10
14.10
13.52
13.52
13.52
13.49
9.91
9.91
0.0 10.0 20.0 30.0
PlymouthTorbay
CornwallSouth Glos
SomersetBANES
BristolNorth Som
PooleDorset
BournemouthDevon
SwindonWiltshire
Rate per 1,000
Devon LA South West England
10.89
15.13
13.41
9.64
15.10
12.72
17.56
11.83
0.0 5.0 10.0 15.0 20.0 25.0
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 1,000
District Devon South West England
0.0
5.0
10.0
15.0
20.0
25.0
2010-11 2011-12 2012-13 2013-14
Rate per 1,000
Devon South West England
22.01
19.97
17.81
17.17
17.01
16.65
15.75
15.48
15.30
15.07
15.07
14.94
14.10
13.52
13.49
9.83
0.0 10.0 20.0 30.0
LeicestershireEssex
CambridgeshireLincolnshireHampshire
CumbriaWarwickshire
WorcestershireNorth Yorks
West SussexEast Sussex
NorfolkSomerset
DorsetDevon
Gloucestershire
Rate per 1,000
Devon LA LACG England
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
Page 17
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of HealthIndicator 1.11 Domestic Violence
Period: 2013-14
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.
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
Chart Notes
CCG/Locality
Figures are not currently available at a Clinical Commissioning Group and locality
level.
Chart Notes
Trend
Compares Devon rate (Devon and Cornwall) with South West region and England
over time.
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
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 & Cornwall)
Chart Notes
Local AuthorityFigures are not currently available at a local authority district level.
Page 18
PUBLIC HEALTH DEVON OUTCOMES REPORT
Priority 1. Improving the Wider Determinants of Health Green
Indicator 1.17 Fuel Poverty A Amber
Period: 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
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. Fuel poverty is highest and has increased
fastest in the most deprived areas.
RAG Rating
Overview
Just over one in eight households in Devon are in fuel poverty (12.55%), which is
above the South West (11.54%), local authority comparator group (9.27%), and
England (10.39%) rates. Within Devon the highest levels of fuel poverty were seen in
Torridge (14.02%) and the lowest were seen in East Devon (11.02%). Levels of fuel
poverty increased between 2011 and 2013 in Devon but fell in many other areas of
the country.
14.47%
13.40%
13.23%
12.78%
12.55%
12.08%
11.51%
11.18%
10.70%
10.04%
9.94%
9.79%
9.54%
9.08%
9.06%
0% 10% 20%
CornwallPlymouth
BristolTorbayDevon
BANESBournemouth
SomersetGlos
WiltshireDorset
SwindonNorth Som
PooleSouth Glos
Percentage
Devon LA South West England
13.75%
14.02%
11.80%
12.15%
13.57%
12.76%
13.12%
11.02%
0% 5% 10% 15% 20%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
2%
4%
6%
8%
10%
12%
14%
2011 2012 2013
Percentage
Devon South West England
12.55%
11.18%
11.18%
10.90%
10.89%
10.70%
9.94%
9.57%
9.42%
9.35%
8.89%
8.72%
8.15%
7.96%
7.39%
6.68%
0% 5% 10% 15%
DevonSomerset
WorcestershireWarwickshire
CumbriaGloucestershire
DorsetLincolnshireNorth Yorks
NorfolkLeicestershire
East SussexCambridgeshire
EssexWest Sussex
Hampshire
Percentage
Devon LA LACG England
13.56%
11.97%
10.94%
13.14%
12.27%
12.45%
11.84%
13.40%
13.02%
13.75%
11.17%
10.67%
13.29%
13.03%
12.34%
12.87%
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
CCG/Locality South West England
0%
2%
4%
6%
8%
10%
12%
14%
16%
2011 2012 2013
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
*UPDATED INDICATOR*
Page 19
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of HealthIndicator 1.17 Fuel Poverty
Period: 2013
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Detailed
Specification
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
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
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.
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
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 1.17
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
DescriptionThe percentage of households that experience fuel poverty based on the "Low
income, high cost" methodology
Source
Page 20
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
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.
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.
RAG Rating
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%
WiltshireDevonTorbayBANES
PooleCornwall
South GlosNorth Som
PlymouthBournemouth
SomersetGlos
SwindonDorsetBristol
Percentage
Devon LA South West England
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
District Devon South West England
0%5%
10%15%20%25%30%35%40%45%50%
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
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
Devon LA LACG England
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% 80% 100%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
CCG/Locality South West England
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
Page 21
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 1. Improving the Wider Determinants of HealthIndicator 1.18 Social Contentedness
Period: 2013-14
Chart Notes
Comparator
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 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
TrendCompares Devon rate with South West region and England over time.
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
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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
Outcomes
Framework
Adult Social Care Outcomes Framework Indicator 1i, Public Health Outcomes
Framework Indicator 1.18
Update
Frequency
Annually for social care users, around four months in arrears.
Bi-annually for Carers, around four months in arrears.
DescriptionProportion of people who use services who reported that they had as much social
contact as they would like.
Adult Social Care Survey and Carers Survey. National Adult Social Care Intelligence
Service (SW Benchmarking, Trend and Comparator Group) DCC Management
Information Team (District, Inequalities and CCG / Locality Comparison)
Source
Page 22
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.03 Smoking at Time of Delivery Amber
Period: 2013-14 Red
South West Benchmarking Local Authority District (2012-13)
Local Authority Comparator Group CCG and Locality Comparison (2012-13)
Trend and Future Trajectory Inequalities (2012-13)
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.
Overview
In the year 2013-14, 847 mothers were smoking at time of delivery in Devon. This
represents 12.2% of all mothers in Devon, compared with 13.0% in the South West,
and 12.0% in England. Nationally data are no longer reported on a local authority
basis but on a CCG basis. The higher Devon rate in 2013-14 is influenced by higher
rates in Torbay and Plymouth. Within Devon the lowest rates were in East Devon
(6.3%), and the highest in Torridge (13.2%). Rates have fallen over recent years.
RAG Rating
18.6
16.8
15.2
14.1
13.6
12.7
12.3
12.3
12.3
12.2
11.8
11.4
11.3
10.1
9.3
0 10 20 30
WiltshireTorbay
SomersetSwindonCornwall
BristolPoole
BournemouthDorsetDevon
North SomGloucestershire
PlymouthBANES
South Glos
Percentage
Devon LA South West England
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
District Devon South West England
02468
101214161820
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
15.2
14.9
14.3
13.8
13.6
13.1
12.9
12.9
12.3
12.2
11.4
11.2
10.7
10.6
8.7
0 10 20
SomersetLincolnshire
WorcestershireCumbria
East SussexWarwickshire
North YorksNorfolkDorsetDevon
GloucestershireHampshire
LeicestershireCambridgeshire
West SussexEssex
Percentage
Devon LA LACG England
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
CCG/Locality South West England
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
Page 23
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.03 Smoking at Time of Delivery
Period: 2013-14
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Detailed
Specification
Number of 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
Inequalities
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
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 Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Local Authority
Chart Notes
South West
Compares Primary Care Trust areas in the South West Region. Error bar is 95%
confidence interval.
Public Health Outcomes Framework Indicator 2.03Outcomes
Framework
Update
FrequencyAnnually - typically three months in arrears (2014-15 data is due July 2015)
Number of women who currently smoke at time of delivery per 100 maternities.Description
Source The Health and Social Care Information Centre, Lifestyle Statistics
Page 24
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.04 Teenage Conception Rate A Amber
Period: 2014 Q1 Rolling Year Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
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 50 to 60 per
annum), and less than 10 births per annum to under 16s.
Overview
There were 256 conceptions in Devon between April 2013 and March 2014 for
females aged under 18, with around half leading to a birth. The latest annual
conception rate is 20.7 per 1,000 females compared with 20.0 for the South West,
20.3 for the local authority comparator group and 23.9 for England. Higher rates are
seen in Exeter, Mid Devon and Teignbridge but the differences are not statistically
signficant. Stronger decreases in the national rate mean the gap has narrowed.
RAG Rating
29.9
27.0
24.7
23.8
22.7
20.7
20.7
20.6
18.9
18.2
18.1
17.5
17.4
14.7
14.6
0 20 40 60
TorbayPlymouth
BristolSwindon
PooleDevon
SomersetBournemouth
DorsetCornwall
GlosWiltshire
North SomBANES
South Glos
Rate per 1,000 females aged 15-17
Devon LA South West England
20.5
24.0
25.8
16.6
18.6
20.5
28.6
19.8
0 10 20 30 40
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 1,000 females aged 15-17
District Devon South West England
0
5
10
15
20
25
30
35
40
45
50
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Rate per 1,000 females aged 15-
17
Devon South West England
25.7
24.0
23.8
23.1
21.6
21.2
20.7
20.7
20.7
20.0
18.9
18.1
17.7
17.7
17.3
15.7
0 20 40
LincolnshireWorcestershire
WarwickshireNorfolk
LeicestershireCumbria
EssexDevon
SomersetEast Sussex
DorsetGloucestershireNorth Yorkshire
HampshireWest Sussex
Cambridgeshire
Rate per 1,000 females aged 15-17
Devon LA LACG England
0 0.5 1 1.5
ToBPaiB
NBMoBCoBSDBSHBPlyBWB
NoBWEB
WBMiBExBEaBNEB
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 1,000 females aged 15-
17
Devon Wards Ranked 21 to 30
Wards Ranked 11 to 20 Wards Ranked 1 to 10
*UPDATED INDICATOR*
Page 25
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.04 Teenage Conception Rate
Period: 2014 Q1 Rolling Year
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Detailed
Specification
Compares rates in the wards with the highest teenage conception areas with the
Devon average over time.
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.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.04
Update
FrequencyQuarterly - 15 months in arrears (Q2 2014 due September 2015)
Description Conceptions in women aged under 18 per 1,000 females aged 15-17.
Source Office for National Statistics
Page 26
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.06 Excess Weight in Four / Five Year Olds A Amber
Period: 2013-14 (School Year) Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison (2012-13)
Trend and Future Trajectory Inequalities (Deprivation) (2012-13)
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.
Overview
This measure of 'excess weight' covers children classified as overweight or very
overweight. In reception year (aged four or five) 23.4% of pupils in Devon were
recorded in the excess weight category, compared to 23.5% for the South West
(22.9%), 22.3% for the local authority comparator group, and 22.5% for England.
Within Devon, Exeter (27.0%), and Torridge (25.6%) were significantly above the
national rate. Rates decreased on 2013-14 levels.
RAG Rating
26.5%
25.3%
25.3%
25.0%
24.7%
24.1%
23.9%
23.5%
23.4%
23.1%
23.0%
22.1%
21.8%
21.2%
18.2%
0% 10% 20% 30%
North SomCornwall
TorbayPlymouth
GlosSwindon
DorsetSomerset
DevonBANES
BristolWiltshire
BournemouthPoole
South Glos
Percentage
Devon LA South West England
22.7%
25.6%
22.9%
20.7%
23.3%
23.2%
27.0%
21.2%
0% 10% 20% 30% 40%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
5%
10%
15%
20%
25%
30%
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
25.1%
24.7%
24.2%
24.0%
23.9%
23.5%
23.4%
22.3%
22.0%
21.8%
21.8%
21.2%
20.9%
20.8%
20.8%
20.6%
0% 10% 20% 30%
CumbriaGloucestershireWorcestershire
LincolnshireDorset
SomersetDevonNorfolk
North YorksEast SussexWest Sussex
EssexCambridgeshire
LeicestershireHampshire
Warwickshire
Percentage
Devon LA LACG England
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% 20% 40%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
CCG/Locality South West England
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
Page 27
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.06 Excess Weight in Four / Five Year Olds
Period: 2013-14 (School Year)
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
Trend
Compares Devon rate with South West region and England over time. Trajectory is
based on 0.1% per annum fall.
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.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.06i
Update
FrequencyAnnually, four months after end of school year (2014-15 due December 2015).
Proportion of children aged 4-5 (reception year) classified as overweight or very
overweight.
SourceHealth and Social Care Information Centre and Devon Public Health Intelligence
Team
Description
Page 28
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.06 Excess Weight in 10 / 11 Year Olds A Amber
Period: 2013-14 (School Year) Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison (2012-13)
Trend and Future Trajectory Inequalities (Deprivation) (2012-13)
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.
Overview
This measure of 'excess weight' covers children classified as overweight or very
overweight. In year six (aged 10 or 11) 30.3% of pupils in Devon were recorded in the
excess weight category, which was below the South West (31.0%), local authority
comparator group (30.8%), and England (33.5%) rates. The rates in the East Devon,
North Devon and the South Hams were significantly below the South West and
national rates. Rates have remained fairly level over recent years.
RAG Rating
35.5%
34.8%
33.3%
33.1%
32.1%
31.0%
30.9%
30.9%
30.3%
30.2%
30.1%
29.7%
29.2%
28.6%
27.7%
0% 20% 40% 60%
TorbayBristol
PlymouthSwindon
GlosSomerset
North SomCornwall
DevonBournemouth
PooleWiltshireBANESDorset
South Glos
Percentage
Devon LA South West England
32.0%
32.1%
32.3%
27.0%
29.4%
30.5%
32.8%
27.9%
0% 10% 20% 30% 40%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
33.4%
33.4%
33.2%
32.2%
32.1%
31.0%
30.7%
30.7%
30.7%
30.3%
30.3%
30.1%
29.3%
29.0%
28.9%
0% 20% 40%
LincolnshireCumbria
WorcestershireNorfolk
GloucestershireSomerset
EssexNorth Yorks
East SussexDevon
WarwickshireLeicestershireWest Sussex
CambridgeshireHampshire
Percentage
Devon LA LACG England
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
CCG/Locality South West England
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
Page 29
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.06 Excess Weight in 10 / 11 Year Olds
Period: 2013-14 (School Year)
Chart Notes
Inequalities
Compares areas within Devon based on area deprivation. National deprivation
quintiles from the 2010 Indices of Deprivation (Index of Multiple Deprivation) used.
Chart Notes
Trend
Chart Notes
CCG/Locality
Compares Devon rate with South West region and England over time. Trajectory is
based on 0.1% per annum fall.
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.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.06ii
Update
FrequencyAnnually, four months after end of school year (2014-15 due December 2015).
DescriptionProportion of children aged 10-11 (year six) classified as overweight or very
overweight.
SourceHealth and Social Care Information Centre and Devon Public Health Intelligence
Team
Page 30
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.07 Hospital Admissions for injuries, aged 0 to 14 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
1,193 persons aged 0 to 14 were admitted to hospital due to accidental and deliberate
injuries in 2013-14. The standardised rate per 10,000 in Devon was 103.2, which is
below the South West (110.6), local authority comparator group (112.0), and England
(112.2) rates. Within Devon the highest admission rates were seen in North Devon
(122.3) and the lowest in East Devon (87.5). Admission rates have been stable over
recent years in Devon.
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.
144.3
141.7
129.5
126.3
123.5
119.5
109.7
103.7
103.3
103.2
103.1
100.4
100.1
98.1
94.3
0 100 200
PlymouthPoole
BANESSomerset
DorsetBournemouth
BristolCornwall
North SomDevon
SwindonTorbay
WiltshireGlos
South Glos
Rate per 10,000
Devon LA South West England
103.0
118.6
98.2
89.2
122.3
100.2
112.7
87.5
0 50 100 150
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Rate per 10,000
District Devon South West England
0
20
40
60
80
100
120
140
2010-11 2011-12 2012-13 2013-14
Rate per 10,000
Devon South West England
133.7
126.5
126.3
125.3
125.2
123.5
122.1
121.7
113.8
105.5
103.2
100.5
98.5
98.1
92.3
76.2
0 50 100 150
CumbriaNorth Yorkshire
SomersetWarwickshireEast Sussex
DorsetNorfolk
LincolnshireWest Sussex
HampshireDevon
CambridgeshireWorcestershire
GloucestershireEssex
Leicestershire
Rate per 10,000
Devon LA LACG England
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
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL
LEVEL
Page 31
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.07 Hospital Admissions for injuries, aged 0 to 14
Period: 2013-14
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.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
DescriptionCrude 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)
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
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Detailed
Specification
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.07
Update
FrequencyAnnual
Page 32
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.08 Emotional Wellbeing of Looked After Children 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
Equalities
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.
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 15.2 compared which is higher than the South West
(14.8), local authority comparator group (14.3) and England (13.8) averages. The
average score has decreased since 2011-12 level and the gap to the regional and
national average scores has lowered.
16.6
15.7
15.5
15.2
15.2
15.1
15.1
14.7
14.7
14.6
14.6
14.3
14.1
13.9
13.9
0 10 20
PlymouthNorth Som
TorbaySomerset
DevonSouth Glos
BANESWiltshire
PooleSwindonCornwall
BristolDorset
GlosBournemouth
Difficulties Score
Devon LA South West England
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
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Difficulties Score
Devon South West England
15.2
15.2
15.2
15.1
14.7
14.5
14.4
14.1
13.9
13.9
13.9
13.6
13.6
13.1
0 10 20
SomersetWorcestershire
DevonEast SussexLincolnshire
NorfolkCumbria
DorsetEssex
GlosHampshire
CambridgeshireNorth Yorks
Warwickshire
Difficulties Score
Devon LA LACG England
0 1 1 2
ToBPaiB
NBMoBCoBSDBSHBPlyBWB
NoBWEB
WBMiBExBEaBNEB
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
Page 33
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.08 Emotional Wellbeing of Looked After Children
Period: 2013-14
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)
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.
Rates are not currently available at a Clinical Commissioning Group and locality level.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.
95% confidence interval are not calculable.
Chart Notes
Comparator
Chart Notes
Local AuthorityRates are not currently available at a local authority district level.
Chart Notes
South West
Detailed
Specification
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.08
Update
FrequencyAnnual
Page 34
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
Equalities Not yet available.
Overview Not yet available.
RAG Rating
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%
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
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
Page 35
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.09 Smoking at Age 15
Period: TBC
Chart Notes
InequalitiesIndicator still in development.
Chart Notes
TrendIndicator still in development.
Chart Notes
CCG/LocalityIndicator still in development.
Chart Notes
ComparatorIndicator still in development.
Chart Notes
Local AuthorityIndicator still in development.
Chart Notes
South WestIndicator still in development.
Indicator still in development.Detailed
Specification
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.09
Update
FrequencyIndicator still in development.
Description Indicator still in development.
Source Indicator still in development.
Page 36
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
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.
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.
RAG Rating
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
Devon LA South West England
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
District Devon South West England
0
50
100
150
200
250
300
350
400
450
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
Rate per 100,000
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
Devon LA LACG England
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
CCG/Locality South West England
0
100
200
300
400
500
600
700
2007-
08
2008-
09
2009-
10
2010-
11
2011-
12
2012-
13
DASR per 100,000
Female Male
Page 37
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.10 Hospital Admissions for Self-Harm (10 to 24)
Period: 2012-13
Chart Notes
Inequalities
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
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.
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Chart Notes
Local Authority
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.
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.
SourceSource: CHIMAT Child Health Profiles http://www.chimat.org.uk/profiles
Uses Hospital Episode Statistics from Health and Social Care Information Centre
Update
FrequencyAnnual, 2013-14 due late 2014
DescriptionDirect Age Standardised Rate of finished admission episodes for self-harm per
100,000 population aged 10 to 24 years
Compares rates within Devon by sex.
Page 38
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.11 Diet - Fruit and Veg '5-a-day' Amber
Period: 2014 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 2014, 64.5% of the adult population consumed five or more portions of
fruit and vegetables per day. This was significantly above the South West (61.2%),
local authority comparator group (59.3%) and England (56.3%) rates. Devon had the
highest rates in both the South West and the local authority comparator group.
Within Devon the lowest rates of excess weight were seen in North Devon (59.3%),
and the highest in East Devon (68.5%).
Equalities
Local breakdowns are not currently available. Fruit and vegetable consumption tends
to be lower in areas with higher levels of deprivation. Women are more like to
consume five or more portions of fruit and vegetables per day than men.
64.5%
62.8%
62.8%
62.5%
62.3%
61.2%
60.5%
60.4%
59.2%
59.0%
58.1%
58.1%
57.4%
54.8%
54.0%
0% 20% 40% 60% 80%
DevonBANES
WiltshireNorth Som
DorsetSomerset
South GlosPooleGlos
TorbayPlymouthCornwall
BournemouthSwindon
Bristol
Percentage
Devon LA South West England
64.3%
62.5%
64.5%
68.2%
59.3%
65.3%
63.2%
68.5%
0% 20% 40% 60% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
52%
54%
56%
58%
60%
62%
64%
66%
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
64.5%
62.3%
61.2%
60.6%
60.4%
59.3%
59.2%
59.1%
59.1%
59.0%
58.8%
58.8%
57.5%
57.5%
56.8%
55.4%
0% 20% 40% 60% 80%
DevonDorset
SomersetEast Sussex
North YorkshireCambridgeshireGloucestershire
NorfolkHampshire
CumbriaWorcestershire
West SussexLincolnshire
LeicestershireWarwickshire
Essex
Percentage
Devon LA LACG England
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
Priority 3: HealthChoices Indicator:
Proportion of Physly Active Adults Period:
2009-11
NOT CURRENTLY AVAILABLE
AT A LOCAL LEVEL
NOT CURRENTLY AVAILABLE (ONLY 2014
DATA IS AVAILABLE)
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
Page 39
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.11 Diet - Fruit and Veg '5-a-day'
Period: TBC
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
Inequalities
Chart Notes
TrendFigures only available for 2014 so trend analysis not possible.
Chart Notes
CCG/Locality
Rates cannot currently be calculated 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.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
DescriptionProportion of the adult population (aged 16 and over) meeting the recommended '5-a-
day’
Source Sports England Active People Survey
Update
FrequencyAnnually, timings to be decided
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.11
Detailed
Specification
Proportion of the population who, when surveyed, reported that they had eaten the
recommended 5 portions of fruit and vegetables on the previous day. All respondents
to the Active People Survey who answered both of the following questions were
included:
1) How many portions of fruit did you eat yesterday? Please include all fruit, including
fresh, frozen dried or tinned fruit, stewed fruit or fruit juices and smoothies.
2) How many portions of vegetables did you eat yesterday? Please include fresh,
frozen, raw or tinned vegetables, but do not include any potatoes you ate.
Page 40
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
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).
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.
RAG Rating
0% 20% 40% 60% 80%
DevonBANES
WiltshireNorth Som
DorsetSomerset
South GlosPooleGlos
TorbayPlymouthCornwall
BournemouthSwindon
Bristol
Percentage
England South West Devon LA
0% 20% 40% 60% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
England South West Devon District
52%
54%
56%
58%
60%
62%
64%
66%
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
0% 20% 40% 60% 80%
DevonDorset
SomersetEast Sussex
North YorkshireCambridgeshireGloucestershire
NorfolkHampshire
CumbriaWorcestershire
West SussexLincolnshire
LeicestershireWarwickshire
Essex
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
Devon LA South West England
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
District Devon South West England
0%
20%
40%
60%
80%
100%
120%
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
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
Devon LA LACG England
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
Page 41
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.12 Excess Weight in Adults
Period: 2012
Chart Notes
InequalitiesRates cannot currently be calculated at a local level.
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.
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
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Source Active People Survey, Sport England
Update
Frequency
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 BMI.
Description Percentage of adults classified as overweight or obese.
Annually, timings to be decided
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.12
Detailed
Specification
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Page 42
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
Equalities
Local breakdowns by deprivation or equality characteristics are not available.
National results from the Active People survey highlight that physical activity rates are
higher in less deprived areas and professional groups. Participation is also higher in
males and younger age groups. There are no significant differences by ethnicity.
Activity rates are significantly lower in people with limiting long-term health problems.
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 2013.
RAG Rating
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
Devon LA South West England
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
District Devon South West England
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
2012 2013
Percentage
Devon South West England
00000111111
2006-0
8
2007-0
9
2008-1
0
2009-1
1
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
60.9%
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
Devon LA LACG England
0 1 1 2
ToBPaiB
NBMoBCoBSDBSHBPlyBWB
NoBWEB
WBMiBExBEaBNEB
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
Page 43
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.13 Proportion of Physically Active Adults
Period: 2013
Rates cannot currently be calculated at a Clinical Commissioning Group and locality
level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Rates cannot currently be calculated at a local level.Chart Notes
Inequalities
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
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
South West
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
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.
Annually, around eight months in arrears (2014 update expected August 2015)
DescriptionPercentage of adults achieving at least 150 minutes of physical activity per week in
accordance with UK CMO recommended guidelines on physical activity.
Update
Frequency
Sport England’s Active People Survey (APS)
http://www.sportengland.org/research.aspx Source
Page 44
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.14 Adult Smoking Prevalence Amber
Period: 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Equalities
Smoking rates in Devon are higher in people working in routine and manual
occupations (24.6%). 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.
Overview
The latest figures from the Integrated Household Survey suggest that 16.4% of the
adult population in Devon smoke. This is below the South West (17.3%), local
authority comparator group (16.7%) and England rate (18.4%). This is also below the
2011 (19.5%) and 2012 (16.8%) 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.
RAG Rating
24.5%
20.2%
19.4%
18.6%
18.3%
18.2%
17.5%
16.7%
16.7%
16.6%
16.4%
16.0%
15.6%
14.5%
14.3%
0% 10% 20% 30%
PlymouthPoole
SwindonCornwall
SomersetBristol
TorbaySouth Glos
WiltshireBournemouth
DevonGloucestershire
North SomBANESDorset
Percentage
Devon LA South West England
12.0%
21.6%
17.4%
18.0%
19.9%
18.2%
14.5%
12.1%
0% 5% 10% 15% 20% 25% 30%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
5%
10%
15%
20%
25%
2010
2011
2012
2013
2014
2015
Percentage
Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
2011
2012
2013
Percentage
Routine and Manual All Persons
19.1%
18.9%
18.4%
18.3%
18.1%
18.0%
18.0%
17.2%
16.5%
16.4%
16.0%
15.4%
14.7%
14.5%
14.3%
13.5%
0% 10% 20% 30%
LincolnshireEssex
East SussexSomersetCumbria
LeicestershireNorfolk
West SussexNorth Yorks
DevonGloucestershire
HampshireWorcestershire
WarwickshireDorset
Cambridgeshire
Percentage
Devon LA LACG England
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
Page 45
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.14 Adult Smoking Prevalence
Period: 2013
Chart Notes
Inequalities
Compares smoking prevalence in routine and manual occupation groups with the
overall prevalence over time.
Chart Notes
Trend
Chart Notes
CCG/Locality
Rates cannot currently be calculated 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.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
South West
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.14
Description Percentage of adults aged 18 and over who smoke
Update
Frequency
SourceOffice for National Statistics Integrated Household Survey. Analysed by DH and
published by LHO.
Annually, next update due late 2015
Compares Devon rate with South West region and England over time.
Page 46
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.15 Successful Drug Treatment Comp Opiate A Amber
Period: 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
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.
RAG Rating
Overview
9.5% of opiate users who left drug treatment successfully in Devon did not re-present
to treatment within six months. This is above the South West (8.1%), local authority
comparator group (8.5%) and England (7.8%) rates, but not significantly so. Rates
increased on 2012 levels.
15.3%
12.1%
10.6%
10.1%
9.5%
9.5%
9.3%
8.7%
8.4%
7.7%
7.2%
6.5%
6.1%
5.7%
5.0%
0% 10% 20% 30%
PooleDorset
CornwallSomerset
DevonNorth SomSouth Glos
BristolTorbayBANES
PlymouthBournemouth
WiltshireGloucestershire
Swindon
Percentage
Devon LA South West England
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%
2010
2011
2012
2013
Percentage
Devon South West England
12.1%
11.5%
10.7%
10.6%
10.1%
9.5%
9.2%
8.4%
8.1%
8.0%
7.3%
6.5%
6.2%
5.7%
5.1%
4.8%
0% 10% 20%
DorsetCumbria
LeicestershireHampshireSomerset
DevonWest SussexWarwickshireEast Sussex
CambridgeshireLincolnshireNorth Yorks
NorfolkGloucestershire
EssexWorcestershire
Percentage
Devon LA LACG England
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%
2008
2009
2010
2011
2012
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
NOT CURRENTLY AVAILABLE AT LOCAL
AUTHORITY DISTRICT LEVEL
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL
LEVEL
Page 47
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.15 Successful Drug Treatment Comp Opiate
Period: 2013
Description
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.
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
Local AuthorityFigures are not currently available at a local authority district level.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.15
Percentage 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, 2014 due summer 2015
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
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Comparator
Page 48
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.15 Successful Drug Treatment Comp Non-Opiate A Amber
Period: 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
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.
RAG Rating
Overview
46.0% of non-opiate users who left drug treatment successfully in Devon did not re-
present to treatment within six months. This is significantly higher than the South
West (37.6%), local authority comparator group (38.9%) and England (37.7%) rates.
Rates have increased from 2012.
47.8%
46.0%
44.7%
43.5%
40.0%
39.8%
36.3%
35.3%
35.0%
34.2%
33.7%
29.7%
28.9%
24.8%
23.0%
0% 20% 40% 60%
BristolDevon
North SomDorset
CornwallPoole
SwindonSomerset
TorbayBournemouth
BANESSouth Glos
PlymouthGloucestershire
Wiltshire
Percentage
Devon LA South West England
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%
2010
2011
2012
2013
Percentage
Devon South West England
54.2%
48.0%
46.0%
46.0%
43.5%
40.1%
39.4%
39.2%
39.0%
36.8%
35.3%
31.3%
29.1%
29.1%
24.8%
23.0%
0% 20% 40% 60% 80%
East SussexWest Sussex
DevonHampshire
DorsetEssex
CumbriaCambridgeshire
LincolnshireLeicestershire
SomersetNorfolk
WarwickshireNorth Yorks
GloucestershireWorcestershire
Percentage
Devon LA LACG England
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%
2008
2009
2010
2011
2012
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
NOT CURRENTLY AVAILABLE AT LOCAL
AUTHORITY DISTRICT LEVEL
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL
LEVEL
Page 49
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.15 Successful Drug Treatment Comp Non-Opiate
Period: 2013
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
Figures are not currently available at a local authority district level.
Compares Devon rate with South West region and England over time.Chart Notes
Trend
Figures 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
Comparator
Chart Notes
Local Authority
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.15
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, 2014 due summer 2015
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.
Chart Notes
CCG/Locality
Page 50
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator: Alcohol-Related Admissions (narrow definition) A Amber
Period: Year to September 2014 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation - England)
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.
RAG Rating
Overview
Using the narrow definition from the Public Health Outcomes Framework, there were
around 5,000 alcohol-related admissions to hospital for Devon residents between
October 2013 and September 2014. The Direct Age Standardised Rate of
admissions (639.7 per 100,000) is broadly in line with the regional and national rates
but significantly above the local authority comparator group rate. Rates within Devon
are highest in Exeter and North Devon. Rates are higher in more deprived areas.
794.3
792.8
746.0
711.6
665.9
661.6
650.1
649.7
639.7
608.1
582.8
571.4
562.6
535.0
507.1
0 200 400 600 800 1000
TorbayBristol
BournemouthCornwall
PlymouthGloucestershire
North SomSwindon
DevonSomerset
South GlosBANES
PooleWiltshire
Dorset
DASR per 100,000
Devon LA South West England
614.6
656.7
636.0
542.9
708.3
642.1
752.2
583.1
0 200 400 600 800 1000
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
District Devon South West England
0
100
200
300
400
500
600
700
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
DASR per 100,00
Devon South West England
0
100
200
300
400
500
600
700
800
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
727.9
685.5
661.6
639.7
622.4
620.7
608.1
601.3
587.6
587.2
579.1
575.4
554.4
528.9
507.1
468.9
0 500 1000
CumbriaNorfolk
GloucestershireDevon
CambridgeshireWorcestershire
SomersetNorth Yorkshire
LincolnshireLeicestershire
East SussexEssex
West SussexWarwickshire
DorsetHampshire
DASR per 100,000
Devon LA LACG England
0 500
ToBPaiBNeBMoBCoBSDBSHBPlyBWB
NoBWEB
WBMiBExBEaBNEB
DASR per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
Page 51
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator: Alcohol-Related Admissions (narrow definition)
Period: Year to September 2014
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
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
CCG/LocalityRates 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.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.18
Update
FrequencyQuarterly - typically three 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.
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
Page 52
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.19 Cancer Diagnosed at Stage One and Two Amber
Period: 2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Equalities
Overview
In 2012, 48.4% of diagnoses for selected cancers were diagnosed at an early stage
(one or two). This compares to 47.1% for the South West, 48.9% for the local
authority comparator group and 45.7% for England. Within Devon the highest rates
were seen in West Devon (45.2%). 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.
RAG Rating
Breakdowns by equality characteristics are not yet available for this indicator.
54.7%
51.6%
50.8%
50.2%
49.7%
48.4%
47.5%
47.1%
46.2%
45.9%
45.0%
44.9%
42.7%
41.2%
38.7%
0% 20% 40% 60% 80%
BANESSouth Glos
WiltshireDorset
SwindonDevon
CornwallTorbay
North SomBristolPoole
SomersetPlymouth
GlosBournemouth
Percentage
Devon LA South West England
54.2%
47.5%
45.5%
42.1%
45.0%
50.4%
49.9%
52.8%
0% 20% 40% 60% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
10%
20%
30%
40%
50%
60%
2012 2013
Percentage
Devon South West England
57.5%
54.9%
54.2%
50.9%
50.2%
49.8%
49.5%
48.4%
46.8%
46.5%
44.9%
41.2%
41.1%
0% 20% 40% 60% 80%
CambridgeshireNorfolkEssex
WorcestershireDorset
North YorkshireCumbria
DevonLeicestershireWest Sussex
SomersetGloucestershire
HampshireWarwickshireEast SussexLincolnshire
Percentage
Devon LA LACG England
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
Page 53
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.19 Cancer Diagnosed at Stage One and Two
Period: 2013
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
InequalitiesFigures are not currently available for an inequalities analysis at a local level.
Rates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendTrend data not currently available.
Chart Notes
CCG/Locality
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.19
Update
FrequencyAnnual, exact timings to be determined
Source National Cancer Registry, Public Health England
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
Chart Notes
South West
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.
Page 54
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.22 Percentage Offered an NHS Health Check A Amber
Period: 2014-15 Q4 cumulative Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Equalities
Whilst practices covering areas with below average deprivation have the lowest
offered rates, the pattern by deprivation is mixed, 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.
Overview
79,999 people in Devon have been offered a health check since April 2013. This
represents 32.37% of the eligible population (247,160), which is below the South
West (33.67%), comparator group (39.42%) and England (37.94%) rates. Within
Devon rates are highest in East Devon, Torridge and West Devon. Within local
CCGs, rates are highest in the South Devon and Torbay localities. The percentage
offered continued to rise in Q4 narrowing the gap to the South West average.
RAG Rating
48.51%
45.73%
44.59%
39.63%
35.83%
35.47%
35.25%
35.24%
34.37%
32.93%
32.37%
28.10%
23.49%
22.89%
21.52%
0% 20% 40% 60%
BANESGlos
WiltshireSwindon
BournemouthPooleBristol
South GlosNorth Som
TorbayDevon
SomersetPlymouth
DorsetCornwall
Percentage
Devon LA South West England
41.23%
37.62%
35.32%
30.46%
28.40%
17.09%
33.54%
38.62%
0% 10% 20% 30% 40% 50%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
5%
10%
15%
20%
25%
30%
35%
40%
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
Q2 2
014-1
5
Q3 2
014-1
5
Q4 2
014-1
5
Percentage
Devon South West England
50.46%
49.02%
47.45%
47.44%
46.34%
45.73%
43.42%
43.25%
41.42%
40.07%
33.81%
32.37%
30.16%
28.80%
28.10%
22.89%
0% 20% 40% 60%
LeicestershireWarwickshire
CumbriaCambridgeshireWorcestershire
GloucestershireEast SussexLincolnshire
EssexHampshire
NorfolkDevon
North YorksWest Sussex
SomersetDorset
Percentage
Devon LA LACG England
32.93%
32.93%
35.75%
42.72%
27.92%
34.87%
28.48%
23.49%
24.76%
32.09%
32.95%
42.26%
23.78%
33.66%
32.14%
29.48%
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
CCG/Locality South West England
40.45%
23.01%
31.44%
40.15%
29.53%
0% 10% 20% 30% 40% 50%
Least Deprived
Below Average
Average
Above Average
Most Deprived
Percentage
*UPDATED INDICATOR*
Page 55
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.22 Percentage Offered an NHS Health Check
Period: 2014-15 Q4 cumulative
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).
Compares Devon rate with South West region and England over time.
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
Local Authority
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
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.22
Update
FrequencyQuarterly, Q1 2015-16 data update due late August 2015
Source Public Health England: NHS Health Check website
Description Percentage of eligible population aged 40-74 offered an NHS Health Check
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.
Page 56
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.22 Percentage Receiving an NHS Health Check A Amber
Period: 2014-15 Q4 cumulative Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
39,685 people in Devon received a health check since April 2013. This represents
16.06% of the eligible population (247,160), which is above the South West (15.70%),
but below the comparator group (18.09%) and England (18.56%) rates. Within Devon
rates are highest in Torridge and Teignbridge. Within local CCGs, rates are highest
in the South Devon and Torbay 'Moor to Sea' locality. The percentage receiving a
health check continued to rise in Q4, narrowing the gap to other South West areas.
Equalities
The pattern by deprivation is mixed at present, with high rates in areas with above
average levels of deprivation and in the least deprived practices, whereas rates in the
other three practice deprivation quintiles were broadly similar.
Overview
RAG Rating
24.46%
21.48%
19.45%
18.74%
18.09%
16.87%
16.84%
16.06%
16.06%
15.53%
15.18%
14.30%
11.42%
11.10%
9.74%
0% 10% 20% 30%
BANESSouth Glos
WiltshirePoole
North SomGlos
TorbayDevon
SwindonBournemouth
SomersetBristolDorset
PlymouthCornwall
Percentage
Devon LA South West England
14.55%
19.63%
21.12%
18.30%
14.38%
10.13%
11.30%
18.16%
0% 5% 10% 15% 20% 25%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%2%4%6%8%
10%12%14%16%18%20%
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
Q2 2
014-1
5
Q3 2
014-1
5
Q4 2
014-1
5
Percentage
Devon South West England
24.34%
23.51%
23.19%
22.15%
21.73%
20.91%
18.92%
17.18%
16.87%
16.06%
15.18%
14.91%
13.97%
13.52%
13.21%
11.42%
0% 10% 20% 30%
LincolnshireLeicestershire
EssexEast Sussex
WorcestershireCumbria
CambridgeshireNorfolk
GloucestershireDevon
SomersetWarwickshire
HampshireWest SussexNorth Yorks
Dorset
Percentage
Devon LA LACG England
16.84%
16.84%
14.51%
29.83%
19.39%
19.55%
13.95%
11.10%
11.83%
16.51%
17.01%
18.90%
12.19%
11.36%
13.97%
13.72%
0% 20% 40%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
CCG/Locality South West England
18.62%
13.79%
15.29%
17.64%
15.43%
0% 5% 10% 15% 20%
Least Deprived
Below Average
Average
Above Average
Most Deprived
Percentage
*UPDATED INDICATOR*
Page 57
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.22 Percentage Receiving an NHS Health Check
Period: 2014-15 Q4 cumulative
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).
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
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
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.22
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, Q1 2015-16 data update due late August 2015
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.
Page 58
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement Green
Indicator 2.22 NHS Health Check Uptake Rate A Amber
Period: 2014-15 Q4 cumulative Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
RAG Rating
Overview
The uptake rate for NHS health checks in Devon current stands at 49.61%, which is
above the South West (46.64%), local authority comparator group (45.89%) rates,
and England (48.93%) rates. Within Devon rates are highest in the South Hams,
Teignbridge and Mid Devon, and lowest in Exeter and West Devon. Within local
CCGs, rates are highest in the South Devon and Torbay 'Moor to Sea' and 'Coastal'
localities. The uptake rate has improved over recent quarters.
Equalities
The pattern by deprivation is mixed at present, with high rates in areas with below
average levels of deprivation and in the most deprived areas, which is more indicative
of variations between different areas of Devon.
60.95%
54.00%
52.83%
52.65%
51.15%
50.43%
49.91%
49.61%
47.26%
45.28%
43.61%
43.33%
40.56%
40.51%
36.90%
0% 20% 40% 60% 80%
South GlosSomerset
PooleNorth Som
TorbayBANESDorsetDevon
PlymouthCornwallWiltshire
BournemouthBristol
SwindonGlos
Percentage
Devon LA South West England
35.29%
52.17%
59.80%
60.07%
50.62%
59.27%
33.70%
47.03%
0% 20% 40% 60% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
10%
20%
30%
40%
50%
60%
Q2 2
013-1
4
Q3 2
013-1
4
Q4 2
013-1
4
Q1 2
014-1
5
Q2 2
014-1
5
Q3 2
014-1
5
Q4 2
014-1
5
Percentage
Devon South West England
56.29%
55.98%
54.00%
51.01%
50.81%
49.91%
49.61%
46.96%
46.89%
46.59%
44.07%
43.79%
39.88%
36.90%
34.86%
30.41%
0% 20% 40% 60%
LincolnshireEssex
SomersetEast Sussex
NorfolkDorsetDevon
West SussexWorcestershireLeicestershire
CumbriaNorth Yorks
CambridgeshireGloucestershire
HampshireWarwickshire
Percentage
Devon LA LACG England
51.15%
51.15%
40.60%
69.83%
69.45%
56.06%
49.00%
47.26%
47.77%
51.45%
51.63%
44.72%
51.27%
33.76%
43.45%
46.55%
0% 20% 40% 60% 80%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
CCG/Locality South West England
46.04%
59.92%
48.62%
43.95%
52.26%
0% 20% 40% 60% 80%
Least Deprived
Below Average
Average
Above Average
Most Deprived
Percentage
*UPDATED INDICATOR*
Page 59
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.22 NHS Health Check Uptake Rate
Period: 2014-15 Q4 cumulative
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
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 areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
DescriptionPersons aged 40 to 74 receiving a health check as a percentage of those offered a
health check
Source Public Health England: NHS Health Check website
Update
FrequencyQuarterly, Q1 2015-16 data update due late August 2015
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
received an NHS Health Check in the period. Denominator is number of people aged
40-74 offered an NHS Health Check in the period. Uptake rate is the number of
eligible people aged 40-74 who received an NHS Health Check is divided by the
number of people aged 40-74 who were offered an NHS Health Check 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.
Compares Devon rate with South West region and England over time.
Chart Notes
Inequalities
Page 60
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.23 Self-Reported Wellbeing (low happiness score) Amber
Period: 2013-14 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
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).
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, 8.51% of the population had a low happiness score
(ranked 0-4 on a scale of 10) on the index compared with 9.71% for the South West,
8.55% in the local authority comparator group and 9.71% in England overall. The
percentage with a low happiness score is falling over time.
RAG Rating
12.78%
11.91%
11.72%
11.50%
11.26%
10.19%
10.08%
9.35%
9.34%
9.21%
8.51%
8.50%
8.43%
8.37%
7.93%
0% 10% 20%
TorbayBristol
SwindonBournemouth
CornwallPlymouthSomerset
North SomPoole
DorsetDevon
GlosBANES
South GlosWiltshire
Percentage
Devon LA South West England
0% 2% 4% 6% 8% 10% 12%
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%
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
10.08%
9.72%
9.48%
9.21%
9.13%
8.87%
8.85%
8.51%
8.50%
8.48%
8.19%
8.11%
7.64%
7.50%
7.36%
7.11%
0% 5% 10% 15%
SomersetCumbria
WarwickshireDorsetEssex
WorcestershireEast Sussex
DevonGlos
LincolnshireCambridgeshire
HampshireWest Sussex
NorfolkNorth Yorks
Leicestershire
Percentage
Devon LA LACG England
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
Page 61
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.23 Self-Reported Wellbeing (low happiness score)
Period: 2013-14
Chart Notes
Inequalities
Rates cannot currently be calculated at a local level as this is a new survey with no
previous trend information available.
Chart Notes
TrendTrend data not currently available.
Chart Notes
CCG/LocalityRates 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.
Rates cannot currently be calculated at a local level.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 2.23iii
Update
FrequencyAnnually, six to eight months in arrears (2014/15 update due Autumn 2015)
SourceOffice for National Statistics Integrated Household Survey. Experimental Statistics
from 2011 onwards.
Self-reported well-being - percentage of people with a low happiness scoreDescription
Chart Notes
Local Authority
Page 62
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 2. Health Improvement G Green
Indicator 2.24 Injuries Due to Falls Amber
Period: 2013-14 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
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.
Overview
RAG Rating
There were 3,518 admissions due to falls in 2013-14 in Devon for people aged 65 and
over. The age standardised rate per 100,000 was 1766.1 in Devon, which is below
the South West (1950.3), local authority comparator group (1905.3) and England
(2064.3) rates. The rate is Devon is the second lowest in the South West. Within
Devon rates were significantly lower in Mid Devon (1520.8). Rates have increased on
2012-13 levels.
2,684.6
2,172.4
2,163.7
2,144.3
2,144.1
2,081.2
2,019.4
1,953.7
1,924.0
1,919.3
1,871.4
1,783.0
1,766.1
1,742.9
1,739.9
0 1,000 2,000 3,000
BristolBANES
BournemouthPoole
SomersetSwindonWiltshire
PlymouthTorbay
South GlosCornwall
DorsetDevon
North SomGlos
DASR per 100,000
Devon LA South West England
1,583.1
1,744.2
1,884.9
1,701.4
1,859.8
1,520.8
1,949.9
1,744.5
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
District Devon South West England
0
500
1,000
1,500
2,000
2,500
2010-11 2011-12 2012-13 2013-14
DASR per 100,000
Devon South West England
2,221.3
2,185.8
2,144.1
2,118.0
2,020.5
2,015.3
1,977.4
1,976.0
1,792.1
1,783.0
1,766.1
1,755.5
1,739.9
1,695.4
1,666.5
1,628.4
0 500 1,000 1,500 2,000 2,500
CambridgeshireEast Sussex
SomersetWarwickshire
EssexWest SussexLincolnshireHampshire
WorcestershireDorsetDevonNorfolk
GloucestershireCumbria
LeicestershireNorth Yorks
DASR per 100,000
Devon LA LACG England
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
CCG/Locality South West England
0
500
1,000
1,500
2,000
2,500
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
Page 63
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 2. Health ImprovementIndicator 2.24 Injuries Due to Falls
Period: 2013-14
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).
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
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.
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
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
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.
Public Health Outcomes Framework Indicator 2.24Outcomes
Framework
Update
Frequency
Annually, around six months after year end (2014-15 national comparators due
Autumn 2014).
Description
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
Emergency hospital admissions for falls injuries in persons aged 65 and over, directly
age-sex standardised rate per 100,000.
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Page 64
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)
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.
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).
RAG Rating
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
Devon LA South West England
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
District Devon South West England
0
500
1,000
1,500
2,000
2,500
2012 2013
Rate per 100,000
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
Devon LA LACG England
0 1 1 2
ToBPaiB
NBMoBCoBSDBSHBPlyBWB
NoBWEB
WBMiBExBEaBNEB
Rate per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
0
500
1000
1500
2000
2500
3000
2012 2013
Rate per 100,000
Female Male
Page 65
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 3. Health ProtectionIndicator 3.02 Chlamydia Diagnosis Rate (Aged 15 to 24)
Period: 2013
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
Chart Notes
InequalitiesCompares diagnosis rates by sex over time.
Chart Notes
CCG/LocalityRates are not currently available at a Clinical Commissioning Group and locality level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Chart Notes
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 3.02
Update
FrequencyAnnually, around eight months in arrears
Public Health England, using Chlamydia Testing Activity Database (CTAD) dataSource
DescriptionCrude rate of chlamydia diagnoses per 100,000 young adults aged 15-24 using CTAD
data
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 Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Page 66
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 3. Health Protection Green
Indicator 3.03 Population Vaccination (MMR Aged 5) A Amber
Period: 2014-15 Q1 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities
Overview
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
RAG Rating
Of the 1,983 reaching the age of five in Devon in 2013-14, 1,785 were fully MMR
immunised, meaning 198 were not. The uptake rate of 90.0% in Devon was below
the South West (90.9%) and local authority comparator group (91.3%), and slightly
above the England rate (88.5%). The highest uptake rates were in Northern and
Eastern Devon and the lowest in the South Hams. Whilst uptake has improved
locally, the increase has been slower than England as a whole.
94.1%
93.6%
93.4%
93.4%
93.2%
92.7%
91.7%
90.9%
90.8%
90.1%
90.0%
88.8%
88.7%
88.7%
85.5%
50% 60% 70% 80% 90% 100%
SwindonDorset
SomersetNorth SomSouth Glos
BANESGlos
WiltshireTorbay
CornwallDevonBristol
BournemouthPoole
Plymouth
Percentage
Devon LA South West England
87.0%
93.8%
88.8%
76.6%
93.5%
93.6%
92.2%
93.1%
50% 60% 70% 80% 90% 100%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%10%20%30%40%50%60%70%80%90%
100%
2004-0
5
2005-0
6
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
96.0%
95.7%
93.8%
93.6%
93.4%
92.8%
91.7%
91.6%
91.3%
90.5%
90.3%
90.2%
90.0%
88.1%
87.1%
85.7%
50% 60% 70% 80% 90% 100%
LeicestershireWarwickshire
CumbriaDorset
SomersetEssex
GloucestershireHampshire
West SussexWorcestershire
NorfolkNorth Yorks
DevonEast SussexLincolnshire
Cambridgeshire
Percentage
Devon LA LACG England
91.1%
90.4%
88.9%
72.0%
95.7%
88.0%
82.1%
85.3%
84.7%
93.6%
91.9%
94.1%
93.2%
92.4%
92.9%
89.7%
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
CCG/Locality South West England
0%10%20%30%40%50%60%70%80%90%
100%
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
Percentage
Totnes Devon
Page 67
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 3. Health ProtectionIndicator 3.03 Population Vaccination (MMR Aged 5)
Period: 2013-14 (provisional)
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.
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
TrendCompares 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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 3.03
SourceCover of Vaccination Evaluated Rapidly (COVER) data collected by Public Health
England (PHE). Available from The Health and Social Care Information Centre (IC).
Update
FrequencyQuarterly, three months in arrears (Q2 2013-14 due end December 2014)
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
Page 68
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health G Green
Indicator 4.03 Mortality Rate from preventable causes Amber
Period: 2011-2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
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.
Overview
The mortality rate from causes considered preventable in Devon is 156.6 per
100,000, which is significantly below the South West (165.2), local authority
comparator group (163.2) and England (183.9) rates. Within Devon rates were
highest in Exeter (180.5) and lowest in Mid Devon (136.2). The rate has fallen over
time from 204.5 in 2001-03 to 156.6 in 2011-13.
RAG Rating
213.3
207.6
195.9
190.2
182.2
173.3
169.6
162.1
158.0
156.6
155.3
148.9
147.3
142.9
141.7
0 100 200 300
PlymouthBristol
BournemouthTorbay
SwindonGloucestershire
CornwallNorth Som
PooleDevon
SomersetWiltshireBANESDorset
South Glos
DASR per 100,000
Devon LA South West England
149.7
175.3
160.7
143.9
170.8
136.2
180.5
144.8
0 100 200 300
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
District Devon South West England
0
50
100
150
200
250
300
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
DASR per 100,00
Devon South West England
0
50
100
150
200
250
300
350
400
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
198.0
181.1
173.3
169.2
167.3
164.0
164.0
162.8
162.3
160.6
156.6
156.6
155.3
149.1
147.6
142.9
0 100 200 300
CumbriaLincolnshire
GloucestershireEast Sussex
WorcestershireNorfolk
WarwickshireLeicestershire
EssexNorth Yorks
DevonWest Sussex
SomersetCambridgeshire
HampshireDorset
DASR per 100,000
Devon LA LACG England
199.3
174.2
164.9
164.4
171.4
175.3
139.8
212.7
190.5
171.6
155.4
138.6
139.5
168.7
149.9
169.1
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
CCG/Locality South West England
Page 69
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public HealthIndicator 4.03 Mortality Rate from preventable causes
Period: 2011-2013
Chart Notes
Inequalities
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
Chart Notes
Comparator
Compares Devon to similar upper tier / unitary local authorities using the 15 closest
comparator councils from the Institute of Public Finance (IPF) statistical neighbours.
Error bar is 95% confidence interval.
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, 2014 data due autumn 2015
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,B, 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.
DescriptionAge-standardised mortality rate from causes considered preventable per 100,000
population
Source
Chart Notes
TrendCompares Devon rate with South West region and England over time.
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
Local AuthorityRates cannot currently be calculated at a local authority district level.
Page 70
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health G Green
Indicator 4.04 Under 75 Mortality Rate - Circulatory Diseases Amber
Period: 2011-2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory (annual) Inequalities (Deprivation)
Equalities
Mortality from circulatory disease increases rapidly with age, with the highest mortality
rates in under 75s in the 65 to 74 age group, and very few deaths in persons aged
under 40. In Devon mortality rates are 2.5 times higher in males than females. In
terms of ethnicity, the British Heart Foundation highlight that whilst risks did not vary
considerably by ethnic group for females, white males were at higher risk.
Overview
In 2013, there were 500 circulatory deaths in under 75s, with an direct age
standardised rate of 63.8 per 100,000 for 2011-13. The Devon rate in 2011-13 was
below the South West (67.1), local authority comparator group (66.7) and England
(78.2) rates. Within the county, rates are highest in Exeter and Torridge. 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.
RAG Rating
88.8
85.4
85.1
83.6
77.3
74.7
70.9
67.2
63.8
62.6
60.3
58.2
57.0
56.9
52.1
0 50 100 150
BristolBournemouth
PlymouthTorbay
SwindonNorth Som
CornwallGloucestershire
DevonWiltshire
SomersetSouth Glos
BANESPoole
Dorset
DASR per 100,000
Devon LA South West England
66.9
72.1
62.7
59.0
71.8
54.9
72.1
57.2
0 50 100
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
District Devon South West England
0
20
40
60
80
100
120
140
160
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
DASR per 100,00
Devon South West England
0
50
100
150
200
250
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
81.6
78.7
71.9
70.8
70.2
69.5
68.5
67.2
66.7
65.1
63.8
63.0
60.3
59.5
58.5
52.1
0 50 100
LincolnshireCumbria
WorcestershireWarwickshire
North YorksNorfolk
LeicestershireGloucestershire
EssexEast Sussex
DevonWest Sussex
SomersetCambridgeshire
HampshireDorset
DASR per 100,000
Devon LA LACG England
91.5
72.8
64.2
60.4
81.7
73.8
58.0
84.9
77.1
71.7
61.4
52.1
58.8
67.8
60.2
68.8
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
CCG/Locality South West England
Page 71
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public HealthIndicator 4.04 Under 75 Mortality Rate - Circulatory Diseases
Period: 2011-2013
Chart Notes
Comparator
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
Chart Notes
TrendCompares Devon rate with South West region and England over time.
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
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
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 has been used for
Detailed
Specification
Outcomes
Framework
Public Health Outcomes Framework Indicator 4.04i, NHS Outcomes Framework
Indicator 1.1
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.
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 (2014 results due October 2015)
Page 72
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health G Green
Indicator 4.05 Under 75 Mortality Rate - All Cancers Amber
Period: 2011-2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
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.
RAG Rating
Overview
In 2013, there were 942 deaths due to cancer in under 75s, with an direct age
standardised rate of 130.9 per 100,000 for 2010-12. The Devon rate in 2011-13 was
below the South West (134.3), local authority comparator group (134.3), and England
(144.4) rates. Within the county, rates are highest in North Devon (147.4). 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 recent years.
164.4
156.9
149.1
137.8
137.6
137.0
134.1
132.4
131.6
130.9
130.9
130.8
125.2
124.8
122.2
0 100 200
PlymouthBristol
SwindonTorbay
BournemouthCornwall
PooleSomerset
North SomDevon
GloucestershireWiltshire
South GlosBANESDorset
DASR per 100,000
Devon LA South West England
128.2
132.2
138.0
119.8
147.4
119.3
135.9
125.1
0 50 100 150 200
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
District Devon South West England
0.00
20.00
40.00
60.00
80.00
100.00
120.00
140.00
160.00
180.00
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
DASR per 100,00
Devon South West England
0
50
100
150
200
250
300
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
148.2
142.6
141.7
141.7
139.2
135.6
132.9
132.4
131.2
131.2
131.1
130.9
130.9
128.4
127.8
122.2
0 100 200
CumbriaEast Sussex
EssexLincolnshire
WorcestershireWest Sussex
NorfolkSomerset
North YorksWarwickshire
LeicestershireDevon
GloucestershireCambridgeshire
HampshireDorset
DASR per 100,000
Devon LA LACG England
140.7
133.5
132.8
147.5
139.1
138.6
112.2
164.2
148.5
140.5
132.6
116.5
122.5
137.2
126.9
137.5
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
CCG/Locality South West England
Page 73
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public HealthIndicator 4.05 Under 75 Mortality Rate - All Cancers
Period: 2011-2013
Chart Notes
Trend
Direct age-standardised rate (DASR) of mortality from all cancers in persons less
than 75 years per 100,000 population
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
Inequalities
Compares areas within Devon based on local GP practice deprivation quintiles.
Calculated using the 2010 Indices of Deprivation (Index of Multiple Deprivation).
Compares Devon rate with South West region and England over time.
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 Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
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.
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
Public Health Outcomes Framework Indicator 4.05i, NHS Outcomes Framework
Indicator 1.4
Outcomes
Framework
Description
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 (2014 results due October 2015)
Page 74
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health Green
Indicator 4.10 Suicide Rate A Amber
Period: 2011-2013 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Sex)
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.
RAG Rating
Around 65 deaths per annum are registered as suicide or injury undetermined (open
verdict), with an direct age standardised rate of 10.4 per 100,000. This was above
the South West (10.1), local authority comparator group (9.5) and England (8.8) 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
11.7
11.7
11.5
11.3
10.4
10.2
10.2
10.0
9.8
9.6
9.6
9.3
8.3
8.0
7.6
0.0 5.0 10.0 15.0 20.0
CornwallTorbay
GloucestersBPlymouth
DevonDorset
BANESBristol
SomersetNorth Som
BournemouthSwindon
PooleWiltshire
South Glos
DASR per 100,000
Devon LA South West England
15.1
10.9
10.9
11.8
9.6
9.9
0 10 20 30
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
DASR per 100,000
District Devon South West England
0
2
4
6
8
10
12
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
DASR per 100,00
Devon South West England
02468
101214161820
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
2010-1
2
2011-1
3
DASR per 100,000
Female Male
11.5
11.0
10.9
10.4
10.2
9.8
9.7
9.5
9.4
9.3
9.1
8.9
8.8
8.3
8.0
7.8
0.0 5.0 10.0 15.0
GloucestershireEast Sussex
CumbriaDevonDorset
SomersetNorth YorksLincolnshire
EssexWarwickshire
WorcestershireNorfolk
LeicestershireWest Sussex
HampshireCambridgeshire
DASR per 100,000
Devon LA LACG England
17.6
9.1
15.6
14.8
11.9
13.8
11.5
13.5
12.9
15.6
12.8
10.4
8.8
8.8
9.8
12.1
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
DASR per 100,000
CCG/Locality South West England
Page 75
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 4: Social Capital and Building CommunitiesIndicator: Suicide Rate
Period: 2011-2013
Chart Notes
InequalitiesCompares rates within Devon by sex.
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Compares Devon rate with South West region and England over time.Chart Notes
Trend
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
Chart Notes
Local Authority
Chart Notes
South West
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.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.10
Update
FrequencyAnnually, nine months in arrears (2014 results due October 2015)
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)
Direct age-standardised mortality rate (DASR) from suicide and injury of
undetermined intent per 100,000 populationDescription
Source
Page 76
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)
EqualitiesSight loss registrations increase significantly with age and are highest in those aged
85 and older.
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.
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
Devon LA South West England
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 100,00
Devon South West England
0
0.2
0.4
0.6
0.8
1
1.2
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
Rate per 100,000
Most Deprived Above Average
Average Below Average
Least 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
Devon LA LACG England
0 0.5 1 1.5
ToBPaiB
NBMoBCoBSDBSHBPlyBWB
NoBWEB
WBMiBExBEaBNEB
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
Page 77
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public HealthIndicator 4.12 Preventable Sight Loss (Registrations)
Period: 2012-13
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.
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
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.
Page 78
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health G Green
Indicator 4.13 Health-Related Quality of Life 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)
Overview
This measure calculates an average health status score for adults aged 65 and over
using data collected in the GP Patient Survey. The average score in Devon (0.761) is
above the South West, Local Authority Comparator Group and England rates. There
are no significant differences between Local Authority Districts within Devon.
Equalities Breakdowns by equality characteristics are not currently available.
RAG Rating
0.761
0.761
0.760
0.757
0.756
0.753
0.751
0.750
0.749
0.741
0.740
0.740
0.737
0.719
0.713
0.000 0.200 0.400 0.600 0.800 1.000
DorsetDevon
BANESSomersetWiltshire
GloucestershireTorbay
South GlosBournemouth
SwindonNorth Som
CornwallPooleBristol
Plymouth
Score
England South West Devon LA
0.766
0.767
0.755
0.766
0.758
0.766
0.752
0.760
0.000 0.200 0.400 0.600 0.800 1.000
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Score
England South West Devon District
0.000
0.100
0.200
0.300
0.400
0.500
0.600
0.700
0.800
0.900
2011-1
2
2012-1
3
Score
Devon South West England
0
0.2
0.4
0.6
0.8
1
1.2
2001-0
3
2002-0
4
2003-0
5
2004-0
6
2005-0
7
2006-0
8
2007-0
9
2008-1
0
2009-1
1
DASR per 100,000
Most Deprived Above Average
Average Below Average
Least Deprived
0.766
0.764
0.761
0.761
0.760
0.757
0.753
0.751
0.750
0.749
0.748
0.747
0.743
0.737
0.735
0.733
0.000 0.200 0.400 0.600 0.800 1.000
North YorksHampshire
DorsetDevon
West SussexSomerset
GloucestershireWorcestershire
CambridgeshireEast Sussex
NorfolkLeicestershire
CumbriaEssex
WarwickshireLincolnshire
Score
England Comp Group Devon LA
0 0.5 1 1.5
ToBPaiB
NBMoBCoBSDBSHBPlyBWB
NoBWEB
WBMiBExBEaBNEB
DASR per 100,000
England South West CCG/Locality
NOT CURRENTLY AVAILABLE AT CCG /
LOCALITY LEVEL
NOT CURRENTLY AVAILABLE AT A LOCAL
LEVEL
Page 79
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Domain 4. Healthcare Public HealthIndicator 4.13 Health-Related Quality of Life
Period: 2012-13
Detailed
Specification
Health status is derived from responses to Q34 on the GP Patient's Survey, which
asks respondents to describe their health status using the five dimensions of the
EuroQuol 5D (EQ-5D) survey instrument (Mobility, Self-care, Usual activities, Pain /
discomfortAnxiety / depression). The result of the patient survey have been
calculated for the different geographies and inequalities dimensions by using an
average of the EQ-5D score where there was a valid response. The England value
excludes results where the geographical area is unknown.
Chart Notes
South West
Compares Upper Tier / Unitary Local Authorities in the South West Region. Error bar
is 95% confidence interval.
Chart Notes
Local AuthorityRates cannot currently be calculated at a local authority district level.
Description Average health status score for adults aged 65 and over
Source GP Patient Survey
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/LocalityIndicator not available at this level.
Chart Notes
InequalitiesIndicator not available at this level.
Chart Notes
TrendCompares Devon rate with South West region and England over time.
Outcomes
FrameworkPublic Health Outcomes Framework Indicator 4.13
Update
FrequencyAnnually, 2013-14 data due 2015
Page 80
PUBLIC HEALTH DEVON OUTCOMES REPORT
Domain 4. Healthcare Public Health Green
Indicator 4.16 Dementia Diagnosis Rate A Amber
Period: 2014-15 Red
South West Benchmarking Local Authority District
Local Authority Comparator Group CCG and Locality Comparison
Trend and Future Trajectory Inequalities (Deprivation)
Overview
In March 2015, 7,838 people in Devon were on a GP register for dementia, compared
with an expected prevalence of 13,864, this is a diagnosis rate of 56.5%. The gap
between Devon and the South West and England has narrowed considerably over the
last two years. Diagnosis rates increased from 28.0% in 2006-07 and 44.9% in March
2014. The highest rates in Devon are seen in Exeter area (62.9%) and are
particularly high in the Coastal locality covering Teignmouth and Dawlish (66.1%).
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 over.
70.7%
68.9%
62.6%
60.6%
59.9%
59.8%
59.5%
59.1%
58.3%
56.7%
56.5%
56.5%
54.1%
53.0%
52.1%
0% 20% 40% 60% 80%
BournemouthPoole
TorbayBristol
GlosBANES
SwindonSomersetCornwall
South GlosDevon
WiltshireDorset
PlymouthNorth Som
Percentage
Devon LA South West England
58.5%
54.3%
61.5%
49.5%
58.4%
47.7%
62.9%
55.9%
0% 20% 40% 60% 80%
West Devon
Torridge
Teignbridge
South Hams
North Devon
Mid Devon
Exeter
East Devon
Percentage
District Devon South West England
0%
10%
20%
30%
40%
50%
60%
70%
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Devon South West England
0%
10%
20%
30%
40%
50%
60%
70%
2006-0
7
2007-0
8
2008-0
9
2009-1
0
2010-1
1
2011-1
2
2012-1
3
2013-1
4
2014-1
5
Percentage
Most Deprived Above Average
Average Below Average
Least Deprived
61.9%
60.6%
59.9%
59.1%
58.4%
57.0%
56.8%
56.7%
56.5%
55.4%
55.0%
54.7%
54.3%
54.1%
53.8%
53.0%
0% 20% 40% 60% 80%
CumbriaNorth Yorks
GloucestershireSomerset
HampshireCambridgeshire
LincolnshireLeicestershire
DevonWest Sussex
WorcestershireEssex
WarwickshireDorset
East SussexNorfolk
Percentage
Devon LA LACG England
62.7%
62.6%
63.7%
49.8%
66.1%
61.2%
56.7%
53.0%
54.3%
56.7%
54.6%
56.8%
47.2%
61.7%
55.1%
55.2%
0% 20% 40% 60% 80%
TorquayPaignton/Brixham
N AbbotMoor to Sea
CoastalSD&T CCG
SH&WDPlymouth
Western LocalityNorthern Locality
WEBWakley
Mid DevonExeter
Eastern LocalityNEW Devon CCG
Percentage
CCG/Locality South West England
Page 81
PUBLIC HEALTH DEVON OUTCOMES REPORT
INDICATOR SPECIFICATION
Priority 3: Independence in Older AgeIndicator: Dementia Diagnosis Rate
Period: 2014-15
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
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.
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
Local Authority
Compares Local Authority Districts in the Devon County Council area. Error bar is
95% confidence interval.
Chart Notes
South West
Compares Former Primary Care Trusts in the South West Region. Error bar is 95%
confidence interval.
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
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.
Update
Frequency
NHS Dementia Prevalence Calculator Primary Care Data Tool, 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)
Quarterly, typically three to four weeks in arrears