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    HealtH Pro iles 2009

    Th Indic t Guid

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    ContentsS ctio 1: I t od ctio

    S ctio 2: O co iti sD p v n nd c 61.

    Ch d n n p v y nd c 122.s u y h m n nd c 183.GCse ch v d (5a*C nc. eng nd M h ) nd c 244.V n C m nd c 315.C b n m n nd c 386.

    S ctio 3: C ild s a d o g p opl s altsm k ng n p gn ncy nd c 447.B d ng n n nd c 528.Phy c y c v ch d n nd c 619.ob ch d n nd c 6810.Ch d n h d c y ( g 5) nd c 7711.t n g p gn ncy (und 18) nd c 8612.

    S ctio 4: Ad lts alt a d li st ladu wh m k nd c 9413.B ng d nk ng du nd c 10814.H h ng du nd c 12415.Phy c y c v du nd c 14116.ob du nd c 14817.

    S ctio 5: Dis as a d poo altov 65 n n g d h h nd c 16518.inc p c y b n m n n nd c 17219.H p y c h d h m nd c 17920.D ug m u nd c 18521.P p d gn d w h d b nd c 19022.N w c ub cu nd c 19823.H p c u n v -65 nd c 20324.

    S ctio 6: Li p cta c a d ca s s o d atexc w n d h nd c 21225.

    l xp c ncy m nd c 22126.l xp c ncy m nd c 22727.in n d h nd c 23328.D h m m k ng nd c 23829.e y d h : h d nd k nd c 24830.e y d h : c nc nd c 25331.r d nju nd d h nd c 25832.

    S ctio 7: C a ts a d t d g ap sD p v n ch 26633.l xp c ncy by d p v n qu n ch 27134.t nd 1: g , c u m y 27635.t nd 2: y d h m h d nd k 28136.t nd 3: y d h m c nc 28637.H h n qu : hn c y ch 29138.

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    HealTH ProfIles 2009 The InDICATOr GuIDe 3

    S ctio 1:I t od ctio

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    Introduction

    th H h P c d u ng n n nd c wh ch c d g v n p h h h n c u h y . th m d h 32 nd c h h v b n c d H

    P 2009 p n d w h n v d m n :

    ou c mmun1.Ch d n nd y ung p p h h2.adu h h nd y3.D nd p h h4.l xp c ncy nd c u d h5.

    th m d h ch nd nd g ph w h n h c n p g h H h P 2009 p n d.

    th ind c Gu d p v d d d n m n b u ch h nd c . th nc ud umm y b w h 10 k y p c b c n m n b u h nd c uch :

    What is being measured? Why is it being measured? How is the indicator de ned?

    nd u h h c n w h m d d n m n:

    The indicator description The indicator speci cation The indicator technical methods

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    HealTH ProfIles 2009 The InDICATOr GuIDe 5

    S ctio 2:O co iti s

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    1. DEPRIVATION INDICATOR

    Basic In ormation

    1. W at is b i g as d? l v d p v n p pu n n n , m u d by h

    p c n g p p n h v ng n h m d p v d h n eng nd.

    2. W is it b i g as d? th d nc n d p v n b w n m jd m n n h h n qu y n h Un d K ngd m.

    3. how is t is i dicatoact all d d?

    iMD 2007 m d m u ng d p v n n n . i und p nn d by p d m n n d p v n; h

    d m n n w gh d nd n v d p v n c g v n.

    4. W o do s it as ? a p n , g n h v n p pu n ( h w kn wn h k p pu n).

    (th h p pu n m u d n h c n uc n h iMD

    2007 t b 2)5. W do s it as it? B d n v u nd c , m y u ng 2005 d .

    6. Will It as absol tb s o p opo tio s?

    P p n b d n c mp nd c .

    7. W do s t dataact all co o ?

    DClG w b : h p://www.c mmun .g v.uk/c mmun / n ghb u h d n w /d p v n/d p v n07/

    8. how acc at a dco pl t will t data b ?

    a nd c nc ud d n h iMD 2007 c n d d bccu nd c mp .

    9. A t a cav ats/

    wa i gs/p obl s?

    th nd c b d n m n y 2005. i b d n n v g

    c n nd c n b um d p n nd v dun h .

    a h ugh v y c mp h n v , m p c d p v n n b nc ud d n h nd c , du d b ng nc mp n

    v b . th m y h v g c n m h n h .

    10. A pa tic lat sts d d s c assta da disatio , sig i ca ct sts, o statistical p oc ssco t ol to t st t a i go t data a d t va iatio

    t s ow?

    th d p n g n d wh n h gu n c u h y c y gn c n y b w p c v y h n h

    eng nd v g , b d n h 95% c n d nc n v hgu c mp d h eng nd v u .

    Table 1 Indicator Description

    I o atioco po t

    Pg 4 H h summ y ind c N . 1

    S bj ct cat go /do ai (s)

    ou C mmun

    I dicato a (*I dicato titl i altp o l )

    D p v n

    PhO wit l adspo sibilit

    Y k h nd Humb

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    Dat o PhO datas tc atio

    b 2009

    I dicato d itio % h v n p pu n n h v ng n h 20% m d p v d n eng nd.

    (th v n p pu n h p pu n m u d n hc n uc n h iMD 2007)

    G og ap l c au h y: C un , C un y D c , M p n C un y D c ,Un y au h , l nd n B ugh

    Ti li ss ind c n gu y upd d. Pub h d n D c mb 2007 nupd iMD 2004, h d n n n c mp y c n n du ch ng n m h nd c u d.

    ratio al :W at t is i dicatop po ts to as

    l v d p v n p pu n n n , by m u ng hp c n g h p pu n v ng n h m d p v d qu n n ghb u h d n eng nd.

    ratio al :P blic h altI po ta c

    th d nc n d p v n b w n m j d m n n h h n qu y n h Un d K ngd m.

    M ny ud nd n y h v d m n d h c n nc ng y p h h w h nc ng d p v n. n nc , c u

    m y, m k ng p v nc , - p d ng nd ng n c d w h d p v n.

    i d p v n n qu d c , h h n qu k y d c.

    ratio al : P posb i d t i cl sio o

    t i dicato

    t m n nd h p duc h h n qu .

    ratio al :Polic l va c

    Acheson D. Report of the Independent Inquiry into Inequalities in Health.l nd n: tso, 1998.

    Department of Health. The NHS Plan. London: TSO, 2000. www.dh.g v.uk/ r /04/05/57/83/04055783.pd

    Department of Health. Tackling Health Inequalities: A Programme forac n. D p m n H h, 2003.www.dh.g v.uk/ r /04/01/93/62/04019362.pd

    HM Treasury 2007 PBR CSR: Public service agreements: http://www.hm-u y.g v.uk/

    D p m n C mmun nd l c G v nm n th N wP m nc m w k l c au h & l c au h yP n h p : s ng s N n ind c D p m n C mmun

    nd l c G v nm n , 2007 h p://www.c mmun .g v.uk/c p /

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    I t p tatio : W ata ig /low l v l oi dicato val a s

    an nd c v u w h n v g ( d c c n h h umm y ch )p n c y gn c n w v d p v n h

    u h y wh n c mp d h n n v u .

    an nd c v u b h n v g (g n c c n h h umm ych ) p n c y gn c n b v d p v n

    c u h y wh n c mp d h n n v u .

    N : m h n qu c u h h v n h w h nh m d p v d 20% n eng nd nd h h v v u

    0% h nd c . th m n h h n b qu ngh wn n h p n ch h nd c c u h n h

    b qu 0%.

    I t p tatio :Pot tial o od to t p o

    as t t od

    th nd c b d n m n y 2005 d nd h h 4 y u d .

    I t p tatio :Pot tial o od to bias a dco o di g

    i b d n n v g c n nd c n b um d p n nd v du n h .

    a h ugh v y c mp h n v m p c d p v n w n bnc ud d n h nd c , x mp h d nc mp n

    c c d. th m y h v g c n m h n h .

    Co d c I t vals:D itio a d p pos

    a c n d nc n v ng v u h n m y u d d c bh unc n y und p n m qu n y, x mp ,

    m y .

    th unc n y c nfu nc ng h nd c ubj c ch nc ccu nc h nh n n h w d und u . th

    ccu nc u n nd m fuc u n n h nd c v u b w nd n nd m p d . in h c nd c b d n

    mp h p pu n, unc n y m nd m d ncb w n h mp nd h p pu n .

    th d v u h u d h b c n d d n y n m hu und y ng v u . C n d nc n v qu n y h unc n y

    n h m nd, g n y p k ng, d c b h w much d nh p n m c u d h v b n h und y ng c nd n y dh m , bu ch nc h d d d n d . th w d h

    c n d nc n v h g h unc n y n h m .

    C n d nc n v g v n w h d p b b y v . in H hP 2009 h 95%, nd w y h h 95% p b b y

    h h n v c v h u v u . th u 95% b y bu c nv n n p c c n m d c n nd pub c h h.

    th c n d nc n v h v b n u d m k c mp n g nh n n v u . h pu p h n n v u h b n d

    n x c nc v u h h n n m nd, und hc nd n , h n v c n b u d wh h h v u c y

    gn c n y d n h n n . i h n v nc ud h n nv u , h d nc n c y gn c n nd h v u h wn

    n h h h umm y ch w h n mb ymb . i h n v dn nc ud h n n v u , h d nc c y gn c n

    nd h v u h wn n h h h umm y ch w h d g nymb d p nd ng n wh h w b h n h n n v u

    p c v y.

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    Table 2 Indicator Specifcation

    I dicato d itio :Va iabl

    D p v n

    I dicato d itio :Statistic

    P c n g h v n p pu n n h v ng n h 20% md p v d n eng nd.

    (th v n p pu n h p pu n m u d n h c n uc n h iMD 2007)

    I dicato d itio :G d

    P n

    I dicato d itio :ag g o p

    a g

    I dicato d itio :p iod

    2005

    I dicato d itio :scal

    P c n g p pu n

    G og ap :g og ap i s availabl

    o t is i dicato oot p ovid s

    l w sup ou pu a h p://www.c mmun .g v.uk/c mmun / n ghb u h d n w /d p v n/d p v n07/

    Di sio s oi q alit : s bg o pa al s s o t isdatas t availabl o

    ot p ovid s

    iMD 2007 nd v du d m n v b l w sup ou pu av nd h m u c u d b d v d h m.h p://www.c mmun .

    g v.uk/c mmun /n ghb u h d n w /d p v n/d p v n07/

    Data t actio :So c

    D p m n C mmun nd l c G v nm n w b

    Data t actio :so c urL

    h p://www.c mmun .g v.uk/c mmun /n ghb u h d n w / d p v n/d p v n07/

    Data t actio : dat D x c d m u c : b u y 2009

    n ato : d itio Numb h v n p pu n v ng n h m d p v d qu n neng nd b d n h iMD 2007 c .

    (th v n p pu n h p pu n m u d n h c n uc n h iMD 2007).

    n ato : so c D p m n C mmun nd l c G v nm n

    D o i ato :d itio

    D n m n d k m d-2005 p pu n m ( whd h v n p pu n). th gu h v b n dju d

    m h oNs m d-y m xc ud h p n p pu n n d h d n n k. th gu h v b n ubj c d c u

    c n .

    D o i ato : so c o c N n s c (oNs) nd D p m n C mmun ndl c G v nm n (DClG).

    Data q alit : Acc aca d co pl t ss

    C nc u n nd c iMD 2004 nd iMD 2007 nc ud d:Up- -ds c y buav b h wh eng nd m v n c n n m

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    Table 3 Indicator Technical Methods

    n ato :

    t actio

    th c w d v d by YHPHo m h ind c D p v n 2007

    n ato :agg gatio /allocatio

    th numb v n p pu n n h w qu n d p v n wgg g d m l w sup ou pu a l c au h y v .

    (th v n p pu n h p pu n m u d n h c n uc n h iMD 2007).

    n ato datacav ats

    D p v n v b d n h v g h , n nd v du n h w b d p v d.

    D o i ato datacav ats

    C n u d nd m d-y m kn wn b d c n n hm :

    N n-wh p pu n

    u - m ud nM n g d 2039P p v ng n nu ng h m cr ugh pinn -c y p pu nH u h d mu p ccup nM g n

    m t ods s d tocalc lat i dicatoval

    th v n p pu n n h w qu n d p v n w gg g dm l w sup ou pu a l c au h y v , nd d v d d by h

    h l c au h y.(th v n p pu n h p pu n m u d n h c n uc n

    h iMD 2007)S all Pop latio s:how Isl s o Scilla d Cit o Lo dopop latio s avb d alt wit

    exc ud d d c v bu nc ud d g n nd n n v .

    Disclos Co t ol ev y h b n m d by h DClG nd oNs n u h d dn w h d c u c n d n n m n.

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    Co d cI t valscalc latio t od

    th 95% c n d nc n v c cu d w h h m h d d c b dby Wilson and by Newcombe which is a good approximation of the exactm h d.

    c cu h m d p p n ubj c w h (p) nd w h u (q)

    m u n m mp z n.

    p p n w h u n = p = /n

    p p n w h u u n = q = 1 - p

    wh h b v d numb ubj c w h h u n .

    s c nd, c cu h h qu n

    A = 2 + z2; 4rq z z B 2 += ; a d C=2( +z2),

    wh z h pp p v u , z 1- /2, m h nd d N m d bu n.th n h c n d nc n v h p pu n p p n g v n by

    (A-B)/C to (A+B)/C

    th m h d h h c n d b dv n g h c n b u d ny d .When there are no observed events, r and hence p are both zero, and therecommended con dence interval simpli es to 0 to z2/(n+z2). When r = n so

    h p = 1, h n v b c m n/(n+z2) 1.

    Wilson EB. J Am Stat Assoc 1927, 22, 209-212

    N wc mb , rG. tw - d d c n d nc n v h ng p p n:c mp n v n m h d . s M d 1998;17:857-72.

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    2. CHILDREN IN POVERTY INDICATOR

    Basic In ormation

    1. W at is b i g as d? Ch d n n P v y

    2. W is it b i g as d? G w ng up n p v y d m g ch d n h h nd w -b ng,dv y c ng h u u h h nd ch nc du .

    3. how is t is i dicatoact all d d?

    inc m D p v n a c ng Ch d n ind x: p ind c D p v n 2007 inc m d p v n d m n. M u ng hp p n ch d n und 16 y v ng n m c v ngm n - d b n .

    4. W o do s it as ? Ch d n und 16 y n h v n p pu n ( h wkn wn h k p pu n).(th h p pu n m u d n h c n uc n h iMD2007 t b 2).

    5. W do s it as it? B d n 2005 d .

    6. Will It as absol tb s o p opo tio s?

    P p n

    7. W do s t dataact all co o ?

    D p m n C mmun nd l c G v nm n nd oNsh p:// www.c mmun .g v.uk/c mmun /n ghb u h d n w / d p v n/d p v n07/

    8. how acc at a dco pl t will t data b ?

    th d v y h gh qu y h y d wn m 100%c n dm n v c d nd u n ubj c ny mp ng . a m numb c m n wh d

    h d c c y xc ud d. C mp h n v v d n ch ck und k n.

    9. A t a cav ats/wa i gs/p obl s?

    r und ng b ccu n h p c gg g ng mlsoa l c au h .

    l c u h y d n m n d v d by gg g ng lsoa- vv n ch d p pu n m , h b d n oNs

    xp m n c .

    10. A pa tic lat sts d d s c as

    sta da disatio , sig i ca ct sts, o statistical p oc ssco t ol to t st t a i go t data a d t va iatiot s ow?

    th d p n g n d wh n h gu n c u h y c y gn c n y b w p c v y h n h

    eng nd v g , b d n h 95% c n d nc n v hgu c mp d h eng nd v u .

    Table 1 Indicator Description

    I o atioco po t

    Pg 4 H h summ y ind c N . 2

    S bj ct cat go /do ai (s)

    ou C mmun

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    I dicato a(*I dicato titl i

    alt p o l )

    inc m D p v n a c ng Ch d n ind x (*Ch d n n P v y)

    PhO wit l adspo sibilit

    Y k h nd Humb

    Dat o PhOdatas t c atio

    b 2009

    I dicato d itio P v nc ch d n v ng n m c v ng m n - d b n , und -16 y (2005).

    (p ind c D p v n 2007 inc m d p v n d m n)

    G og ap eng nd, Gor, l c au h y: C un , C un y D c , M p nC un y D c , Un y au h , l nd n B ugh

    Ti li ss ind c n gu y upd d. Pub h d n D c mb 2007 n upd

    iD 2004, h d n n n c mp y c n n du ch ng n m h nd c u d.

    ratio al :W at t is i dicatop po ts to

    as

    Ch d p v y p n d ch d n v ng n m n n m n -tested bene ts and those in receipt of Working Tax Credit and/or Child TaxC d w h n qu v d nc m b w 60 p c n h n n m d nb h u ng c .

    th u d p xy h w d y-u d HBai (H u h d B w av ginc m ) nd c , wh ch n v b c u h y v .

    ratio al :P blic h altI po ta c

    G w ng up n p v y d m g ch d n h h nd w -b ng, dv yc ng h u u h h nd ch nc du . en u ng g d

    nv nm n n ch dh d, p c y y ch dh d, mp n . ac n d b b dy v d nc nk dv ch dh d c cum nc pch d h h u c m nd u u du h h. adv u c m nc udh gh : cc d n , p d n h h, ch d m y, w

    duc n nm n , w b h w gh , ch dh d b y, ch xc u n ,n n m y, n g p gn ncy m n c n , ub nc m u , m n

    h h.

    By n n n nd d h c mp v p c u ch d p v y n h UKh b n p . in n n v n n ch d p v y v h w h ch dp v y n n v b . in h c un xp nc ng m d m g ph cch ng nd c n m c p u h UK, ch d n h v b n p c d m

    c ng ch d p v y by c p cy v u ng p g v x n ndh gh p nd ng n c p c n ch d n. e d c ng ch d p v y n w n n p cy g .

    ratio al : P posb i d ti cl sio o ti dicato

    t m n nd h p duc h h n qu .

    ratio al :Polic l va c

    opp un y a

    ev y Ch d M

    Ch d n N n s v c m w k

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    I t p tatio :W at a ig /lowl v l o i dicatoval a s

    an nd c v u w h n v g ( d c c n h h umm y ch )p n c y gn c n w ch d p v y h c

    u h y wh n c mp d h n n v u .

    an nd c v u b h n v g (g n c c n h h umm y ch )p n c y gn c n b ch d p v y h c

    u h y wh n c mp d h n n v u .

    I t p tatio :Pot tial o od to t p o

    as tt od

    B n c m n mp c m u nc m d p v n b c u mg b m d n c m h n m n . o h m y b v ng n nc m

    d p v n bu m y n b n d c m.

    I t p tatio :Pot tial o od to bias a dco o di g

    s m g up kn wn h v w p p n y c m h b n wh ch h y n d, nd m y b v - p n d n c n .

    Co d cI t vals: D itioa d p pos

    a c n d nc n v ng v u h n m y u d d c b hunc n y und p n m qu n y, x mp , m y

    . th unc n y c nfu nc ng h nd c ubj c ch nc ccu nc h nh n n h w d und u . th

    ccu nc u n nd m fuc u n n h nd c v u b w nd n nd m p d . in h c nd c b d n mp

    h p pu n, unc n y m nd m d nc b w n hmp nd h p pu n .

    th d v u h u d h b c n d d n y n m hu und y ng v u . C n d nc n v qu n y h unc n y n

    h m nd, g n y p k ng, d c b h w much d n h p nm c u d h v b n h und y ng c nd n y d h m , buch nc h d d d n d . th w d h c n d nc n v hg h unc n y n h m .

    C n d nc n v g v n w h d p b b y v . in H h P2009 h 95%, nd w y h h 95% p b b y h h

    n v c v h u v u . th u 95% b y bu c nv n np c c n m d c n nd pub c h h.

    th c n d nc n v h v b n u d m k c mp n g nh n n v u . h pu p h n n v u h b n d nx c nc v u h h n n m nd, und h c nd n ,h n v c n b u d wh h h v u c y gn c n y

    d n h n n . i h n v nc ud h n n v u , hd nc n c y gn c n nd h v u h wn n h h h

    umm y ch w h n mb ymb . i h n v d n nc ud hn n v u , h d nc c y gn c n nd h v u h wn

    n h h h umm y ch w h d g n ymb d p nd ng nwh h w b h n h n n v u p c v y.

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    Table 2 Indicator Specifcation

    I dicato d itio :Va iabl

    Ch d n v ng n m c v ng m n - d b n

    I dicato d itio :Statistic

    P c n g v n d n p pu n.(th h p pu n m u d n h c n uc n h iMD 2007)

    I dicato d itio :G d

    P n

    I dicato d itio :ag g o p

    Und 16 y

    I dicato d itio :p iod

    2005

    I dicato d itio :scal

    P c n g ch d p pu n

    G og ap :g og ap i savailabl o t isi dicato oot p ovid s

    l w sup ou pu a h p://www.c mmun .g v.uk/c mmun / n ghb u h d n w / d p v n/d p v n07/

    Di sio so i q alit :s bg o p a al s so t is datas tavailabl oot p ovid s

    N n .

    Data t actio :So c

    D p m n C mmun nd l c G v nm n nd oNs

    Data t actio :so c urL

    h p://www.c mmun .g v.uk/c mmun /n ghb u h d n w / d p v n/d p v n07/

    Data t actio :dat

    D x c d m u c : b u y 2009.

    n ato :d itio

    th pub h d d c n h p c n g v n ch d n n h lsoawh v ng n p v y. th numb uch ch d n w c cu d bymu p y ng h p p n by h numb ch d n n h lsoa. th

    c un w h n gg g d m lsoa la v .

    th c un d v ng n p v y v n ch d n und 16 v ng nfamilies receiving Income Support or Jobseekers Allowance (Income Based),or in families receiving Working Families Tax Credit/Child Tax Credit whose

    qu v d nc m b w 60% m d n b h u ng c .

    (th v n p pu n h p pu n m u d n h c n uc n h iMD 2007)

    n ato : so c th p p n v n ch d n v ng n p v y by lsoa c n b und h p://www.c mmun .g v.uk/c mmun /n ghb u h d n w /

    d p v n/d p v n07/ (th v n p pu n h p pu n m u d n h c n uc n h iMD 2007)

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    D o i ato :d itio

    D n m n d k m d-2005 p pu n m ( g und 16)( wh d h v n p pu n). th gu h v b n

    dju d m h oNs m d-y m xc ud h p n p pu nn d h d n n k. th gu h v b n ubj c

    d c u c n .

    D o i ato :so c

    h p://www.c mmun .g v.uk/c mmun /n ghb u h d n w / d p v n/d p v n07/

    Data q alit :Acc ac a dco pl t ss

    th d v y h gh qu y h y d wn m 100% c n dm n v c d nd u n ubj c ny mp ng .

    a m numb c m n wh d h d c c y xc ud d.Comprehensive validation checks are undertaken by the DWP InformationC n h ccu cy, b y, c n ncy nd c mp n hd . add n ch ck w und k n by h Un v y ox d v y

    h qu y h d .

    Table 3 Indicator Technical Methods

    n ato :t actio

    D wn d m DClG w b nd gg g n m lsoa la v .

    n ato :agg gatio /allocatio

    th b n uch h n y n c n b c m d m .

    n ato datacav ats

    r und ng b ccu n h p c gg g ng m lsoa l c au h .

    D o i ato datacav ats

    l c u h y d n m n d v d by gg g ng lsoa- v ch dp pu n m ; h b d n oNs xp m n c

    m t ods s d tocalc lat i dicatoval

    th num nd d n m n w d v d xp n d b v nd p pu n w gh d v g lsoa w c cu d ch la. thqu n w xp d p c n g .

    S all Pop latio s:how Isl s o Scilla d Cit o Lo dopop latio s avb d alt wit

    exc ud d d c v bu nc ud d g n nd n n v .

    Disclos Co t ol Every effort has been made by the DWP to ensure that data do not allow thed c u c n d n n m n.

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    Co d cI t valscalc latio t od

    th 95% c n d nc n v c cu d w h h m h d d c b dby Wilson and by Newcombe which is a good approximation of the exactm h d.

    c cu h m d p p n ubj c w h (p) nd w h u (q)

    m u n m mp z n.

    p p n w h u n = p = /n

    p p n w h u u n = q = 1 - p

    wh h b v d numb ubj c w h h u n .

    s c nd, c cu h h qu n

    A = 2 + z 2; 4rq z z B 2 += ; a d C=2( +z 2),

    wh z h pp p v u , z 1- /2, m h nd d N m d bu n.th n h c n d nc n v h p pu n p p n g v n by

    (A-B)/C to (A+B)/C

    th m h d h h c n d b dv n g h c n b u d ny d .When there are no observed events, r nd h nc p b h z , nd h

    c mm nd d c n d nc n v mp 0 z 2 /(n+z 2 ). When r = nh p = 1 , h n v b c mn/(n+z 2 ) 1.

    Wilson EB. J Am Stat Assoc 1927, 22, 209-212

    N wc mb , rG. tw - d d c n d nc n v h ng p p n:c mp n v n m h d .Stat Med 1998; 17 :857-72.

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    3.1 HOMELESSNESS INDICATOR

    Basic In ormation

    1. W at is b i g as d? e m h m n m ng h m n dy

    nd vu n b g up .2. W is it b i g as d? H m n c d w h v p v y

    nd c d m n n h h. s u yh m h u h d c n n m hm vu n b m mb c y. t ck ngh m n qu j n w k ng c h h

    nd c c v c .

    3. how is t is i dicato act all d d? s u y h m h u h d , c ud p 1000m d h u h d , g , p n , 2007

    2008.

    4. W o do s it as ? a p n , g .5. W do s it as it? r p d qu y nd upd d v y y .

    6. Will It as absol t b s op opo tio s?

    P p n : numb u y h mh u h d p h u nd m d h u h d .

    7. W do s t data act all coo ?

    C c n nd c n m h H u ng s gys c app nd x v h D p m n C mmun nd l c G v nm n .

    8. how acc at a d co pl t will t datab ?

    a bu - n-v d n y m w ch la ch ckd ccu cy. D v d d m nu y by

    h DClG. Hssa nd P1e gu d nc n p v dun v d n n . M ng d c n d d b z .

    9. A t a cav ats/wa i gs/p obl s?

    D n y c un u y h m d nnc ud h n n n y h m h wh

    n n p y n d c g . th numb h u h d n m d gu .

    10. A pa tic la t sts d d s c assta da disatio , sig i ca c t sts, ostatistical p oc ss co t ol to t st t

    a i g o t data a d t va iatio ts ow?

    th d p n g n d wh n h gu n c u h y c y gn c n y b

    w p c v y h n h eng nd v g ,

    b d n h 95% c n d nc n v h guc mp d h eng nd v u .

    Table 1 Indicator Description

    I o atioco po t

    Pg 4 H h summ y ind c 3

    S bj ct cat go /do ai (s)

    ou C mmun

    I dicato a(*I dicato titl i

    alt p o l )

    H m n (*s u y h m n )

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    PhO wit l adspo sibilit

    NePHo

    Dat o PhOdatas t c atio

    b u y 2009

    I dicato d itio s u y h m h u h d , c ud p 1,000 m d h u h d , g , 2007 2008, p n

    G og ap eng nd, Gor, l c au h y: C un , C un y D c , M p nC un y D c , Un y au h , l nd n B ugh

    Ti li ss th H u ng s gy s c app nd x (Hssa) upd d nnu y, h w v h u d b n d h qu y c pub h d n h D p m n

    C mmun nd l c G v nm n w b :www.c mmun .g v.uk

    ratio al :W at t is i dicatop po ts to

    as

    e m h m n m ng h m n dy nd vu n b g up nc y

    ratio al :P blic h altI po ta c

    H m n c d w h v p v y nd c d m n n h h. H m n c d w h dv h h, duc n ndc u c m , p cu y ch d n. t b d m d u y h m

    h u h d mu h v b c m un n n n y h m nd mu bc n d d b n p y n d. a uch, u y h m h u h dc n n m h m vu n b nd n dy m mb u c mmun .th u y h m c ugg h 62% c y cc p dh m h u h d nc ud d p nd n ch d n n xp c n m h .P v n ng nd ck ng h m n qu u n d nd j n d-up

    n v n n by c n nd c g v nm n , h h nd c c nd h

    v un y c .ratio al : P posb i d ti cl sio o ti dicato

    t duc h v h m n , p cu y m ng h m vu n bnd n dy g up n c y.

    ratio al :Polic l va c

    th D p m n C mmun nd l c G v nm n (DClG) hpub h d gy d cum n , su n b C mmun : s d H m :Ch ng ng l v wh ch u h G v nm n p n n duc ngh m n w h h m h v ng h numb h m h u h d n

    mp y cc mm d n by 2010.

    I t p tatio :W at a ig /lowl v l o i dicatoval a s

    an nd c v u w h n v g ( d c c n h h umm y ch )p n c y gn c n w v u y h m n

    h c u h y wh n c mp d h n n v u .

    an nd c v u b h n v g (g n c c n h h umm y ch )p n c y gn c n b v u y h m n

    h c u h y wh n c mp d h n n v u .

    H w v n m un h m n cc p b , nd h wnd c v u h u d n m n h pub c h h c n n n d d.

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    I t p tatio :Pot tial o od to t p o

    as tt od

    th c n c y n y m u h nc d nc c h m n .th numb h u h d wh h m bu d n pp y h c

    u h y nd h n c n d d und H u ng ac g n nkn wn. r n m y nc ud ck kn w dg h g n, c c

    m p c d b h h y w n qu y nc , nd/ d n

    y n upp .

    th c d n nc ud h u h d h h v b c m un n n n yh m bu n c n d d b n p y n d h u h d h h vb c m n n n y h m . r ugh p n nc ud d.

    th , h m u n und m h x n h m n ,b h h p pu n wh w u d qu y nc nd h gnumb p p wh u d h g n.

    See: Poverty: the outcomes for children. 2001. ESRC. Edited by: JonathanB d h w.

    I t p tatio :Pot tial o od to bias a dco o di g

    P n c n und ng c c d w h h h m n cnc ud : h u ng d b y, h u ng c p c y, v n n c u h y

    m h d c c n nd c n h u ng nd h m n c ,c v n n d m nd h u ng.

    Co d cI t vals: D itioa d p pos

    a c n d nc n v ng v u h n m y u d d c b hunc n y und p n m qu n y, x mp , m y

    .th unc n y c nfu nc ng h nd c ubj c ch nc

    ccu nc h nh n n h w d und u . th ccu nc un nd m fuc u n n h nd c v u b w n d n nd

    m p d . in h c nd c b d n mp h p pu n,unc n y m nd m d nc b w n h mp nd hp pu n .

    th d v u h u d h b c n d d n y n m hu und y ng v u . C n d nc n v qu n y h unc n y n

    h m nd, g n y p k ng, d c b h w much d n h p nm c u d h v b n h und y ng c nd n y d h m , bu

    ch nc h d d d n d . th w d h c n d nc n vh g h unc n y n h m .

    C n d nc n v g v n w h d p b b y v . in H h P2009 h 95%, nd w y h h 95% p b b y h h

    n v c v h u v u . th u 95% b y bu c nv n np c c n m d c n nd pub c h h.

    th c n d nc n v h v b n u d m k c mp n g nh n n v u . h pu p h n n v u h b n d nx c nc v u h h n n m nd, und h c nd n ,h n v c n b u d wh h h v u c y gn c n y

    d n h n n . i h n v nc ud h n n v u , hd nc n c y gn c n nd h v u h wn n h h h

    umm y ch w h wh ymb . i h n v d n nc ud h

    n n v u , h d nc c y gn c n nd h v u h wnn h h h umm y ch w h d mb ymb d p nd ng n

    wh h w b h n h n n v u p c v y.

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    Table 2 Indicator Specifcation

    I dicatod itio :Va iabl

    s u y h m h u h d

    I dicatod itio :Statistic

    C ud p 1,000 m d h u h d

    I dicatod itio : G d

    P n

    I dicatod itio : agg o p

    a g

    I dicatod itio : p iod

    1 ap 2007 31 M ch 2008

    I dicatod itio : scal

    P 1,000 m d h u h d

    G og ap :g og ap i savailabl o t isi dicato o otp ovid s

    N h g g ph v b m h p v d .

    Di sio so i q alit :s bg o pa al s s o t isdatas t availabl

    o otp ovid s

    D ng h hn c y h u h d c c d p h Hssa.

    Data t actio :So c

    D p m n C mmun nd l c G v nm n

    Data t actio :so c urL

    h p://www.c mmun .g v.uk/d cum n /h u ng/x /h 08 c n .xh p://www.c mmun .g v.uk/d cum n /h u ng/x /h 08 c n h.x

    Data t actio :dat

    D x c d m u c : 3 b u y 2009

    n ato :d itio

    C un h u h d (2007/2008) wh g b , un n n n y h mnd n p y n d, wh ch h c u h y cc p p n b y

    cu ng cc mm d n und p Vii h H u ng ac 1996 p iii h H u ng ac 1985.

    n ato : so c D p m n C mmun y nd l c G v nm n .

    D o i ato :d itio

    t m d h u h d 30h June 2008.

    D o i ato :

    so c

    2007/2008 H u ng s gy s c app nd x (Hssa) - s c n

    (H u h d Numb ) DClG.

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    Data q alit :Acc ac a dco pl t ss

    e ch la ch ck h d p nd ng h H u ng s cD p m n h DClG. a bu - n-v d n y m w ch la ch ck

    h ccu cy h d ( d d n h V d n c n).

    onc h d h b n ubm d h DClG, v d n ch ck c d

    u m nu y.

    th Hssa nd P1e gu d nc n h p p v d la w h un vd n n .

    ag n, n nc m n g m n pu p , ch la h m n n ccund up- -d n m n n h m n .

    a la v , 6% n m ng. th du nc mp u nnd m h d u d gu d h c n d n y h d ( D c u

    C n s c n).

    th h b n n mpu n la, r g n N n v . gug d m ng v u la v h v n b n m d nd h v

    h b n c n d d b z wh n gg g ng h gh v .

    Table 3 Indicator Technical Methods

    n ato :t actio

    s mp d wn d.

    n ato :agg gatio /allocatio

    C un h d dy b n c d c u h .

    n ato datacav ats

    t b c d u y h m , h w ng mu b d:

    th y h m , d n d h w h u ny gh cc cucc mm d n h n gh . . h y n g n n ny p p y,

    n wn ny p p y. o h y c n b c d p n y h m h y b u h dw ng, b v c d, w h n 28 d y .

    th y mu h v c c nn c n ( v d w k d n h , m y n h, h v c p n b y n d c m v n h ).

    th y n p y n d . . h d d p nd n ch d n n h m ( g d und16 y ) n d p n h u h d, vu n b .th h m h u h d mu n b n n n y h m . . ng hp v u cc mm d n h ugh h wn c n uch n p y ng n

    m g g .

    By c n h n n- u y h m , h wh m n du y w dh b c u h y d m d n n n y h m , n n p y

    n d c g . th nc ud h ng h m , m ny wh m n wy ung p p b h x nd, n h g c , d n hn c g up ,

    w m d wh m n.

    D o i ato datacav ats

    th n m d numb h u h d h 30h June 2008.

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    m t ods s d tocalc lat i dicatoval

    Numb h u h d d m d b u y h m du ng hp d ap 2007 M ch 2008, d v d d by h m d numb households as at 30th June 2008, multiplied by 1000.

    S all Pop latio s:how Isl s o Scilla d Cit o Lo dopop latio s avb d alt wit

    i sc y nd C y l nd n h v b n nc ud d n g n nd eng ndnum nd d n m n . i sc y h v b n nc ud d n hnum nd d n m n h C un y C nw .

    Disclos Co t ol D h v b n upp d n h d p c b h h c n d n y nd v du n m n nd h p n c n b y c u d by

    c un . a c n qu nc , um c un m y n qu d .

    Co d cI t valscalc latio t od

    th 95% c n d nc n v c cu d w h h m h d d c b dby Wilson and by Newcombe which is a good approximation of the exactm h d.

    c cu h m d p p n ubj c w h (p) nd w h u (q)m u n m mp z n.

    p p n w h u n = p = /n

    p p n w h u u n = q = 1 - p

    wh h b v d numb ubj c w h h u n .

    s c nd, c cu h h qu n

    A = 2 + z 2; 4rq z z B 2 += ; a d C=2( +z 2),

    wh z h pp p v u , z 1- /2, m h nd d N m d bu n.th n h c n d nc n v h p pu n p p n g v n by

    (A-B)/C to (A+B)/C

    th m h d h h c n d b dv n g h c n b u d ny d .When there are no observed events, r nd h nc p b h z , nd h

    c mm nd d c n d nc n v mp 0 z 2 /(n+z 2 ). When r = nh p = 1 , h n v b c mn/(n+z 2 ) 1.

    Wilson EB. J Am Stat Assoc 1927, 22, 209-212

    N wc mb , rG. tw - d d c n d nc n v h ng p p n:c mp n v n m h d .Stat Med 1998; 17 :857-72.

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    4. GCSE ACHIEVEMENT INDICATOR

    Basic In ormation

    1. W at is b i g as d? GCse ch v m n

    2. W is it b i g as d? educ n nm n nfu nc d by b h hqu y duc n ch d n c v nd h

    m y c - c n m c c cum nc . educ nqu c n d m n n n nd v du

    b u m k p n, wh ch n u n nfu ncnc m , h u ng nd h m u c . th

    d h h nd h h n qu .

    3. how is t is i dicato act all d d? Pup ch v ng 5 m GCse g d a*-C( nc ud ng eng h nd M h ) qu v n ,p c n g pup nd K y s g 4 n

    ch m n n d by h l c educ n au h y, h nd h c d m c y 2007-08, p n .

    4. W o do s it as ? Pup h nd K y s g 4 n m n n dch .

    5. W do s it as it? th nd c pub h d nnu y.

    6. Will it as absol t b s op opo tio s?

    P p n , p c n g pup .

    7. W do s t data act all coo ?

    C c n nd c n by h D p m n Ch d n, sch nd m (DCs ).

    8. how acc at a d co pl t will t datab ?

    th nd c n y c n n d lea m n n dch , h xc ud pup duc d n

    p v ch .

    9. A t a cav ats/wa i gs/p obl s?

    D r g n nd C un gg g dn h b h ch dm n ng l c

    educ n au h . D C un y D c ,M p n C un y D c (MCD), Un yau h (Ua) nd l nd n B ugh (lB)

    gg g d n h b N ghb u h d r n w b d n h g g ph c c n h ch

    nd n h c n h pup d nc .

    10. A pa tic la t sts d d s c assta da disatio , sig i ca c t sts, ostatistical p oc ss co t ol to t st t

    a i g o t data a d t va iatio ts ow?

    th d p n g n d wh n h gu n c u h y c y gn c n y b

    w p c v y h n h eng nd v g ,b d n h 95% c n d nc n v h guc mp d h eng nd v u .

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    TABLE 1 INDICATOR DESCRIPTION

    I o atioco po t

    Pg 4 H h umm y ind c N 4

    S bj ct cat go /do ai (s)

    ou C mmun

    I dicato a(*I dicato titl i

    alt p o l )

    GCse nd qu v n u , nc ud ng m h nd eng h, pup h nd K y s g 4 (*GCse ch v d 5a*C nc. eng & M h ).

    PhO wit l adspo sibilit

    lHo

    Dat o PhOdatas t c atio

    b 2009

    I dicato d itio Pup ch v ng 5 m GCse , nc ud ng m h nd eng h, g d

    a*C qu v n , p c n g pup nd K y s g 4 n chm n n d by h l c educ n au h y, h nd c d m c y20072008, p n .

    G og ap eng nd, Gor, l c au h y: C un , C un y D c , M p nC un y D c , Un y au h , l nd n B ugh , nd s g c H hau h h s u h e .

    Ti li ss annu .Next data is expected at the end of January 2010.th d u b m nd n y .

    ratio al :

    W at t is i dicatop po ts to

    as

    th nd c m u h v GCse ch v m n n h .

    ratio al :P blic h altI po ta c

    educ n nm n nfu nc d by b h h qu y duc n ch d nc v nd h m y c - c n m c c cum nc .

    educ n qu c n d m n n n nd v du b u m kp n, wh ch n u n nfu nc nc m , h u ng nd h m

    u c . th d h h nd h h n qu .

    ratio al : P posb i d ti cl sio o ti dicato

    th nd c h D p m n Ch d n, sch nd m(DCs ) Pub c s v c ag m n (Psa) g 10 wh ch nd d n

    ch nd c g h :By 2008, 60% h g d 16 ch v h qu v n 5 GCse g da* C; nd n ch 20% pup ch v h nd d by2004, ng 25% by 2006 nd 30% by 2008.

    th nd c n w u h m d n n N 75 n h N n ind cs .

    ratio al :Polic l va c

    th nd c h DCs Psa 10 g .o h nc ud :t ck ng h h n qu : a p g mm c n educ n.l c b k n qu nd c ind c 3.4.B V u P m nc ind c 38opp un y Ch d n nd y ung p p ind c 6

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    I t p tatio :W at a ig /lowl v l o i dicatoval a s

    a h gh nd c v u (g n c c n h h umm y ch ) p n c y gn c n h gh v duc n nm n h c

    u h y wh n c mp d h eng nd n n v u . an nc n hnd c nd c h duc n ch v m n h nc d v h

    numb pup ( . . m ch d n ch v ng 5 GCse qu v n

    n m ch d n ch v ng m GCse ).a w nd c v u ( d c c n h h umm y ch ) p n

    c y gn c n w v duc n nm n h cu h y wh n c mp d h n n v u .

    Where educational attainment is not satisfactory, this should promptnv g n h c u wh ch m y b d qu y duc n

    v c ; h c - c n m c c cum nc m n h hc kn wn nfu nc ch v m n .

    I t p tatio :Pot tial o o

    d to t p oas tt od

    th u qu v nc GCse nd h qu c n uch NVQ . x mp pup w h eng h, M h m c , D ub sc nc nd

    G m n w h p g d , cu n y c un qu y w h n wh h bp n n in m d GNVQ c u n it (b ng qu v n 4 p ) nd GCse g d C n ny h ubj c . s m ch m y h w mp v m nn duc n nm n h ugh ch ng ng h yp qu c n b ng

    k n.

    See: Nuf eld Review of 14-19 Education and Training Working Paper 4 (based on Discussion

    Paper given at Working Day I, 17 Dec 2003) CONTINUITY AND DISCONTINUITY IN THE 14-19

    CURRICULUM Jeremy Higham, Post-14 Research Group, School of Education, University of Leeds.

    av b m:h p://www.nu d14-19 v w. g.uk/ /d cum n 12-1.pd

    I t p tatio :Pot tial o od to bias a dco o di g

    th c m u GCse nm n n lea m n n d ch ndh d n nc ud nm n ch d n wh duc d n p vch , pp x m y 7% ch d n n eng nd. th c d

    n k n cc un wh pup v . m nn -l nd n b ugh ,h c n m n up 40% d n pup b ng duc d p v y

    v ng ch n h b ugh . e m ng h k y mp c p v duc n nd pup v ng ch u d h d n c

    u h p b m c. th nnu ch c n u c c n m n npup duc d n nd p nd n ch , g d wh h pup v .H w v , n m n n v b n h d nc pup n

    nd p nd n ch nd wh ch c duc n u h y w u d b p n b h m. a h v d n d n nd p nd n ch . i h u d

    b n d h h gu h c n h ch w h n c

    u h y h h n h h m d nc h pup wh nd hch .

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    Co d cI t vals: D itioa d p pos

    a c n d nc n v ng v u h n m y u d d c b hunc n y und p n m qu n y, x mp , m y

    .

    th unc n y c nfu nc ng h nd c ubj c ch nc

    ccu nc h nh n n h w d und u . th ccu nc un nd m fuc u n n h nd c v u b w n d n ndm p d . in h c nd c b d n mp h p pu n,

    unc n y m nd m d nc b w n h mp nd hp pu n .

    th d v u h u d h b c n d d n y n m hu und y ng v u . C n d nc n v qu n y h unc n y n

    h m nd, g n y p k ng, d c b h w much d n h p nm c u d h v b n h und y ng c nd n y d h m , bu

    ch nc h d d d n d . th w d h c n d nc n v ,h g h unc n y n h m .

    C n d nc n v g v n w h d p b b y v . in H h P2009 h 95%, nd w y h h 95% p b b y h h

    n v c v h u v u . th u 95% b y bu c nv n np c c n m d c n nd pub c h h.

    th c n d nc n v h v b n u d m k c mp n g nh n n v u . h pu p h n n v u h b n d nx c nc v u h h n n m nd, und h c nd n ,h n v c n b u d wh h h v u c y gn c n y

    d n h n n . i h n v nc ud h n n v u , h

    d nc n c y gn c n nd h v u h wn n h h humm y ch w h wh ymb . i h n v d n nc ud h

    n n v u , h d nc c y gn c n nd h v u h wnn h h h umm y ch w h d mb ymb d p nd ng n

    wh h w b h n h n n v u p c v y.

    TABLE 2 INDICATOR SPECIFICATION

    I dicatod itio :Va iabl

    Pup ch v ng 5 m GCse , nc ud ng m h nd eng h, g d a*C qu v n

    I dicatod itio :Statistic

    P c n g pup nd K y s g 4 n ch m n n d by h l ceduc n au h y,

    I dicatod itio :G d

    P n

    I dicatod itio :ag g o p

    end k y g 4 (th m d n d n h educ n ac 2002 h p db g nn ng h m m h ch y n wh ch h m j y pup n hc n h g n nd nd ng h m m h ch y nwh ch h m j y pup n h c c b c mpu y ch g )

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    I dicatod itio :p iod

    a h nd h c d m c y 20072008

    I dicatod itio :scal

    G og ap :g og ap i savailabl ot is i dicato

    o otp ovid s

    N ghb u h d n w ; l c educ n au h y (lea)h p://www.dc .g v.uk/p m nc b /

    Di sio so i q alit :s bg o p

    a al s s ot is datas tavailabl

    o otp ovid s

    GCse ch v m n :

    av b by ch yp nd dm n b :

    h p://www.dc .g v.uk/ g w y/DB/s r/ 000826/s r02_2009_s rt b .x

    a v b by x (b y nd g ) nd c d by v d p v n,nd u b n/ u :

    h p://www.dc .g v.uk/ g w y/DB/s r/ 000826/s r02_2009_add n t b _am nd d030309-2.x

    a v b by ch m u :h p://www.dc .g v.uk/ g w y/DB/s r/ 000826/GCse_p m nc _by_ sM_b nd.x

    a v b by hn c g up:h p://www.dc .g v.uk/ g w y/DB/s r/ 000822/s r322008-Ks4 n Nit b _am nd d300109.x

    Datat actio :

    So c

    D p m n Ch d n, sch nd m (DCs ) b 18 nd 20 2007/08

    Datat actio :

    so c urL

    h p://www.dc .g v.uk/ g w y/DB/s r/ 000826/s r02_2009_add n t b _am nd d160109.x

    Datat actio :

    dat

    D x c d m u c b 2009

    n ato :d itio

    Numb pup h nd k y g 4 h nd h c d m c y 2007/08ch v ng 5 m GCse , nc ud ng m h nd eng h, g d a*C qu v n n ch m n n d by h l c educ n au h y. th num

    w nc ud ch v m n by h pup n p v u c d m c y . Num n pub h d by DCs nd h h numb m d b d n pub h dp c n g ch v m n nd h numb pup h nd K y s g 4.

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    n ato :so c

    DCs b 18 nd 20 2006/07 P m nc d :

    h p://www.dc .g v.uk/ g w y/DB/s r/ 000826/s r02_2009_add n t b _am nd d160109.x D eng nd, r g n nd C un b d n t b 18. D C un yD c , M p n C un y D c , Un y au h nd l nd n B ugh

    b d n t b 20, w h h xc p n n w Ua m d n ap 2009 (C un yDurham, Northumberland, Shropshire, Wiltshire and Cornwall) which are taken fromt b 18.

    D o i ato :d itio

    Numb pup h nd K y s g 4 h nd h c d m c y 2007/08n ch m n n d by h l c educ n au h y.

    D o i ato :so c

    DCs b 18 nd 20 2007/08 P m nc d :h p://www.dc .g v.uk/ g w y/DB/s r/ 000826/s r02_2009_add n t b _am nd d160109.x

    D eng nd, r g n nd C un b d n t b 18. D C un yD c , M p n C un y D c , Un y au h nd l nd n B ugh

    b d n t b 20.

    Data q alit :Acc ac a dco pl t ss

    C un y, G v nm n o c r g n nd eng nd t (M n n d c ) gu dju d pup c n y v d m v .

    th nd c n y c n n d lea m n n d ch .

    D r g n nd C un gg g d n h b h ch dm n ng l c educ n au h .

    D C un y D c , M p n C un y D c (MCD), Un y au h(Ua) nd l nd n B ugh (lB) gg g d n h b N ghb u h dr n w (g g ph c c n h ch ).

    Table 3 Indicator Technical Methods

    n ato : t actio s mp d wn d m DCs w b

    n ato : agg gatio /allocatio

    D r g n nd C un gg g d n h b h ch dm n ng l c educ n au h . D

    C un y D c , M p n C un y D c (MCD), Un yau h (Ua) nd l nd n B ugh (lB) gg g d n hb N ghb u h d r n w (g g ph c c n h

    ch ).

    D m n w Un y au h , n duc d n ap 2009,d d n c p nd w h x ng g g ph (Ch h e ,Cheshire West and Cheshire, Central Bedfordshire, and Cornwall).Pub h d u n v b h w s g cH h au h n h s u h e : s u h C n nd s u h eC . h d w d v d m t b 20, whd n m n d c u d b gg g d h n w g g ph .Num d c n b pp x m d m pub h d p c n g

    c u h nd b gg g d h n w g g ph w h c cu n p c n g .

    r u h h n w Ua w k n m pub h d d c u h (B d d) c un (C un y Du h m,Northumberland, Shropshire and Wiltshire).

    N n h d b d n h p c d h pup .

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    n ato data cav ats th num v u c u h nd r g n w n ddup h eng nd h num m d.

    N n h d b d n h p c d h pup .exc ud pup duc d n p v ch

    D o i ato data cav ats N n h d b d n h p c d h pup .exc ud pup duc d n p v ch

    m t ods s d to calc lati dicato val

    th numb pup ch v ng 5 GCse , nc ud ng m h ndeng h, g d a*C, d v d d by h numb pup h nd K y s g 4, mu p d by 100.

    S all Pop latio s: how Isl so Scill a d Cit o Lo dopop latio s av b d altwit

    D C nw xc ud h i sc y. th pupnumb C un y D c w n dd up h d C un wh , nd pup numb MCD, Ua, lB ndC un c mb n d d n dd up h eng nd.The Isles of Scilly is included in the England and South West Region

    .Disclos Co t ol U g nd d m n n d ubj c C wn c py gh .

    D upp d h w h n 3 pup n hp cu u h y; h w v , h n numb h n 3 n

    h d .

    Co d c I t valscalc latio t od

    C n d nc n v h v b n c cu d u ng h c mm nd d mu c n d nc n v p p n d c b d by N wc mb rG nd a m n DG. P p n nd hd nc . in a m n, DG ( d ). s c w h C n d nc .2nd ed. BMJ Books, 2000.

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    5. VIOLENT CRIME INDICATOR

    Basic In ormation

    1. W at is b i g as d? r c d d c m v nc g n h p n.

    2. W is it b i g as d? t h p g p c ng nd c m p v n nu c nd duc h nc d nc v n

    c m .

    3. how is t is i dicato act all d d? r c d d v nc g n h p n nc ,c ud p 1,000 p pu n, g , 2007/08,p n .

    4. W o do s it as ? a p n , g .

    5. W do s it as it? C n nu y p d nd d pub h d nnu y.

    6. Will It as absol t b s op opo tio s?

    P p n: C ud p 1,000 p pu n.

    7. W do s t data act all coo ?

    H m o c .

    8. how acc at a d co pl t will t datab ?

    C v g c mp .

    9. A t a cav ats/wa i gs/p obl s?

    th nd c n y nc ud v n nc wh ch p d h p c . i u c p b

    ch ng n p c c m p ng p c du .

    10. A pa tic la t sts d d s c assta da disatio , sig i ca c t sts, ostatistical p oc ss co t ol to t st t

    a i g o t data a d t va iatio ts ow?

    th d p n g n d wh n h gu n c u h y c y gn c n y b

    w p c v y h n h eng nd v g ,b d n h 95% c n d nc n v h guc mp d h eng nd v u .

    Table 1 Indicator Description

    I o atioco po t

    Pg 4 H h summ y ind c N 5

    S bj ct cat go /do ai (s)

    ou c mmun

    I dicato a(*I dicato titl i

    alt p o l )

    V n c m

    PhO wit l adspo sibilit

    South West Public Health Observatory

    Dat o PhOdatas t c atio

    N v mb 2008 ( v d b u y 2009 l c au h ap 2009)

    I dicato d itio r c d d v nc g n h p n nc , c ud p 1,000p pu n, g , 2007/08, p n

    G og ap eng nd, Gor, l c au h y: C un , C un y D c , M p nC un y D c , Un y au h , l nd n B ugh

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    Ti li ss th nd c p n d n H h P u n y upd d nnu y.

    ratio al :W at t is i dicatop po ts to

    as

    l v p d v nc g n h p n nc n n

    ratio al :P blic h altI po ta c

    th nk b w n c m nd h h c mp x ( u n d n h l nd nH h C mm n ph p://www. nd n h h.g v.uk/pd / h /c m .pd

    nd n h NaCro p B H h, l w C m h p://www.n c .g.uk/d / u c /n c -2004120264.pd) bu k y h c m

    d m n n nd c n qu nc h h.

    r ch und k n by h H m o c nd numb h g n nugg h h n h p b w n v n c m nd c hh p://

    www. phm. g.uk/ u c /a Z/b _ c h _v nc .pd

    V n c m m y u n mp y p m n n d b y nd n mc d h. s m v c m c m m y u p ych g c d nd

    ub qu n m n h h p b m . C m nd c m c n p p y nd mp c n h phy c nd p ych g c h h

    C c v y, h c n qu nc p n bu d n h h hc v c .

    th nd c p c c y m u c d d v nc g n h p n, hg c mp n n v n c m (wh ch nc ud bb y nd

    xu nc ).

    ratio al : P posb i d ti cl sio o ti dicato

    t h p g p c ng nd c m p v n n u c nd duc hnc d nc v n c m .

    ratio al :Polic l va c

    t g nc ud d n h t u y sp nd ng r v w p v d h b p cyp . in 2002 h p nd ng v w nc ud d g duc c m nd

    h c m nd duc h g p b w n h C m nd D dr duc n P n h p xp nc ng h h gh c m nd h .

    I t p tatio :W at a ig /lowl v l o i dicatoval a s

    a h gh nd c v u ( d c c n h h umm y ch ) p n c y gn c n h gh p d v n c m wh n c mp d

    h eng nd v g v u .

    a w nd c v u (g n c c n h h umm y ch ) p n c y gn c n w p d v n c m wh n c mp d h eng nd v u .

    H w v , h u d b n d h h gh v u f c h gh numb c mrecorded by h p c . th m y b u h gh und y ng nc d nc v n nc , g p p n nc d n b ng p d h p c ,

    u p c ng p c c . th c nv u w v u hnd c .

    I t p tatio :Pot tial o o

    d to t p oas tt od

    th nd c m v n nc wh ch n p d h p c . i u c p b ch ng n p c c m p ng p c du .

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    I t p tatio :Pot tial o od to bias a dco o di g

    th v nd n n y p c v c p v n w c c d dv n c m nc , . . h h gh h v p c ng, h m k y

    h c d d c m gu w b v d. C u n n d b k n wh nc n d ng c m n w h w d n p pu n n wh ch v nc m c d u by n n- d n .

    Co d cI t vals: D itioa d p pos

    a c n d nc n v ng v u h n m y u d d c b hunc n y und p n m qu n y, x mp , m y

    .

    th unc n y c nfu nc ng h nd c ubj c ch ncccu nc h nh n n h w d und u . th ccu nc un nd m fuc u n n h nd c v u b w n d n nd

    m p d . in h c nd c b d n mp h p pu n,unc n y m nd m d nc b w n h mp nd hp pu n .

    th d v u h u d h b c n d d n y n m hu und y ng v u . C n d nc n v qu n y h unc n y n

    h m nd, g n y p k ng, d c b h w much d n h p nm c u d h v b n h und y ng c nd n y d h m , bu

    ch nc h d d d n d . th w d h c n d nc n vh g h unc n y n h m .

    C n d nc n v g v n w h d p b b y v . in H h P2009 h 95%, nd w y h h 95% p b b y h h

    n v c v h u v u . th u 95% b y bu c nv n np c c n m d c n nd pub c h h.

    th c n d nc n v h v b n u d m k c mp n g nh n n v u . h pu p h n n v u h b n d nx c nc v u h h n n m nd, und h c nd n ,h n v c n b u d wh h h v u c y gn c n y

    d n h n n . i h n v nc ud h n n v u , hd nc n c y gn c n nd h v u h wn n h h h

    umm y ch w h n mb ymb . i h n v d n nc ud hn n v u , h d nc c y gn c n nd h v u h wn

    n h h h umm y ch w h d g n ymb d p nd ng nwh h w b h n h n n v u p c v y.

    Table 2 Indicator Specifcation

    I dicato d itio :Va iabl

    r c d d v nc g n h p n nc

    I dicato d itio :Statistic

    C ud

    I dicato d itio :G d

    P n

    I dicato d itio : agg o p

    a g

    I dicato d itio : p iod Num n nc y 2007/08.D n m n m d-2006

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    I dicato d itio : scal P 1,000 p pu n

    G og ap : g og ap i savailabl o t is i dicato

    o ot p ovid s

    eng nd, Gor, l c au h y: C un , C un y D c ,M p n C un y D c , Un y au h , l nd n B ugh

    annu nd num v b h g g ph mwww.h m c .g v.uk

    Di sio s o i q alit :s bg o p a al s s o t isdatas t availabl oot p ovid s

    N n v b .

    Data t actio : So c H m o c

    Data t actio : so curL

    h p://www.h m c .g v.uk/ d /c m w0708.h m

    Data t actio : dat D x c d m u c : 04/11/2008.n ato : d itio annu c un c d d v nc g n h p n nc n h

    p c v n nc y .

    V nc g n h p n c mp h w ng nc :

    Mu d , mp d mu d , h c n p cy mu d ,m n ugh , n n c d , ch d d uc n, c u ng d h byd ng u c d v ng, c u ng w ng d h ch d vu n b p n, c u ng d h by d v ng (un c n d, d qu d

    un n u d), w und ng h c nd ng ng , nd ng ng w y p ng , nd ng ng , h w und ng,

    p n w p n , h m n , c y g u y gg v dh w und ng, c y g u y gg v d h m n , c u y nd n g c ch d n, b nd n ng ch d und w y , ch d

    bduc n, p cu ng g b n, c u ng d h by gg v dv h c k ng, u n c n b , c mm n u , c y

    g u y gg v d c mm n u .

    P h w ng m d :

    h p://www.h m c .g v.uk/ d /pd 07/c un v nc 07.pd

    P n h h 2007/08 d , h c nc m n b hnc n ng nc ud d n h V nc ag n th P n

    g up, h b n m v d M c n u o h o nc . th ch ng h 2007/08 d m h p v u y .

    Num d h v b n u d x c y pub h d n h H mOf ce supplied data. Where new Unitary Authorities that haveb n c d p h ap 2009 b und y ch ng

    x c y c - m n u w h p - x ng c un (C nw , Du h m,Northumberland, Shropshire and Wiltshire) , the numerator data havebeen drawn from the relevant county gures. Where the new Unitaryau h p n n y p h x ng c un , numd h v b n gg g d m h v n pub h d gu

    h c n u n d c . P n h m pp ch h b npp d h d n m n d ( D n m n : D n n

    m n m n).

    n ato : so c H m o c

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    D o i ato : d itio 2001 C n u b d m d-y p pu n m h m d-p ny (2006).

    D b d n h v n oNs m d-y p pu nm h p c v y , upp d p h H m o c

    d . P n h h H m o c pub h d c um d-2006 p pu n m h d n m n , und d hn 1,000.

    th d h h v b n n d n h H h P , ndh c cu d c n d nc n v , u h H m o c upp d

    d pub h d, xc p n w y c d p -ap 2009 Un yau h . n w Un y au h wh ch x c y c -

    m n u w h p - x ng c un y b und (C nw , Du h m,Northumberland, Shropshire and Wiltshire), the relevant countyp pu n h b n u d n h c cu n . n w Un yau h wh ch c mp n y p h p - x ng c un yboundaries (Cheshire East, Cheshire West & Chester, Bedford andC n B d d h ), n gg g h p pu n hc n u n d c h b n u d c cu n pu p . Pn h m pp ch h b n pp d h num d( Num : D n n m n m n).

    D o i ato : so c H m o c d .

    Data q alit : Acc ac a dco pl t ss

    C v g c mp .

    H c y h h v b n d nc b w n p c c np c du c d ng, c c ng nd c ng nc d . in ap

    2002, h N n C m r c d ng s nd d (NCrs) w n duc d n u g c n ncy b w n c n c d ng c m .

    a u h n duc n h NCrs, h c d d numb v nc g n h p n nc nc d by 23% n 2002/03.(h p://www.c m c . g.uk/ u pu /P g 107. p).

    H m o c ch (h p://www.h m c .g v.uk/ d /pd 06/ h b1206.pd ) ugg h b u 45% v n c m p d

    h p c , w h 68% h b ng c y c d d c m .

    th H m o c p v d p c c c un ng u g d ng hc un ng nd c c n v nc g n h p n ncrecorded by Police Forces in England and Wales ( h p://www.h m c .g v.uk/ d /c un u .h m).

    P h Num D C v c n dn m n.

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    Table 3 Indicator Technical Methods

    n ato :t actio

    D wn d d mwww.h m c .g v.uk

    n ato :agg gatio /allocatio

    a wh nc k p c c d by p c u ng c d w h ch dp c d .

    n ato datacav ats

    th d xc ud gu m B h t n p P c nd c m c mm d p w h n h ju d c n G M nch , M p n nd

    K n p c c .

    s Num D n n c n ch ng n c un ng u .

    th v y n u c m c m k n y ng h d c v yp cu y ch ng ng.

    r c d d c m , p n d h , u c p b fuc u n b ugh b uby ch ng n c d ng, c un ng v n p c ng m h d . in h nnureports entitled Crime in England and Wales, the Home Of ce balance

    h c d d c m gu w h h u h B h C m su v y (BCs).th BCs n nnu u v y wh ch k p nd n b u hexperience

    c m du ng h p v u w v m n h , p c v wh h wp d h p c . th n b BCs d b m n ch ng nc d ng p c ng.

    B c u u v y z m n , h w v , n p b u h BCsd h g g ph c v qu d by h H h P .

    The latest annual report, Crime in England and Wales 2007/08, presents ah ugh p c u h ch ng und c m c , n p cu h wh c d d c m nd BCs d m y d v g nd why, nd h u d b d

    ng d h m d d cum n u und nd ng h u . thd cum n h p://www.h m c .g v.uk/ d /c m w0708.h m.

    D o i ato datacav ats

    id y, h d n m n h u d f c p p k v n c m n h, nc ud ng v ng nd m g y p n . th d n v b ndd n d h b n u d p xy.

    th u d n p pu n d n m n p xy m u p pu n xp u nd c n n w h h w h nd c p n d

    wh .

    m t ods s d tocalc lat i dicatoval

    C cu n h num : C cu d n nnu h numb hnc p d n 2007/08. D n m n c un : M d-2006 p pu nm ( g ). th num w h n d v d d by h d n m n ;

    h u ng v u w h n mu p d by 1000 g v c ud p 1000p pu n.

    S all Pop latio s:how Isl s o Scill

    a d Cit o Lo dopop latio s avb d alt wit

    D h i sc y nd C y l nd n h v n b n nc ud dindividually. Isles of Scilly is included in the totals for Cornwall, South West

    Gor nd eng nd, nd C y l nd n gu h v b n nc p d n l nd n Gor nd eng nd.

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    Disclos Co t ol N pp c b n c un h n 5.

    Co d cI t valscalc latio t od

    th 95% c n d nc n v c ud v nc g n h p nnc w c n uc d by um ng P n d bu n h numb

    nc ccu ng n p c c p d m . th w nd upp m h c n d nc n v w h n b n d u ng h w ng mu

    ng h ch - qu nd P n d bu n :

    wh ll nd Ul h w nd upp 100*(1-) p c n c n d ncm nd d d n h numb b v d v n ( .g, u nju ,

    v n nc , d h ) p un m xp d. /2,2 d h (100* /2) h p c n g p n ch - qu d d bu n w h2d d g d m

    nd (1- /2),2(d+1) h (100*(1- /2)) h p c n g p n ch - qu dd bu n n2(d+1) d g d m.

    th c n d nc m h w h n b n d by d v d ng h uppnd w m h c un by h p n m xp d.

    r nc :Dobson AJ, Kuulasmaa K, Eberle E, Scherer J. Con dence intervals forw gh d um P n p m . s c n M d c n 1991;10:457-462.

    LL =

    2

    , 2d 2

    2

    UL =

    2

    1 - , 2(d +1 ) 2

    2

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    6. CARBON EMISSIONS INDICATOR

    Basic In ormation

    1. W at is b i g as d? t nd u Co2 m n p c p ( nn Co2 p d n )

    2. W is it b i g as d? C b n d x d m n n h m nc n bu g nh u g wh ch c u g bw m ng.

    th nd c w c u h m nh c v n h duc c b n

    d x d m n .

    3. how is t is i dicato act all d d? ind c 186: P c p Co2 m n n h cu h y .

    4. W o do s it as ? a P n , g .

    5. W do s it as it? annu y, 2006.

    6. Will It as absol t b s op opo tio s?

    P p n : Co2 m n p c p .

    7. W do s t data act all coo ?

    aea en gy & env nm n h D p m n env nm n d nd ru a (D )

    8. how acc at a d co pl t will t datab ?

    th nd c n c n y p duc d c m u nd u Co2 m n n h l c a .

    s m c Co2 m n h v b n xc ud dm h m h y c u d n b y

    gg g d c g n v .

    9. A t a cav ats/wa i gs/p obl s?

    an y c d u by aea en gy nd env nm nh c n m d h h d v b hc n uc n h c C m Ch ngind c u c n y bu w h v y w

    v unc n y.

    th d b d up n la Co2 mp duc d by aea chn gy n b h D .

    10. A pa tic la t sts d d s c assta da disatio , sig i ca c t sts, ostatistical p oc ss co t ol to t st t

    a i g o t data a d t va iatio ts ow?

    C n d nc n v h v n b n c n uc d h nd c .

    Table 1 Indicator Description

    I o atioco po t

    P g 4 H h summ y ind c N . 6

    S bj ct cat go /

    do ai (s)

    ou C mmun

    I dicato a (*I dicato titl i

    alt p o l )

    C b n m n

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    PhO wit l adspo sibilit

    WMPHO

    Dat o PhOdatas t c atio

    23/02/2009

    I dicato d itio l c nd r g n Co2 em n e m 2006 h UK p c pG og ap eng nd, Gor, l c au h y: C un , C un y D c , M p n

    C un y D c , Un y au h , l nd n B ugh

    Ti li ss annu .th gu 2007 w b v b n au umn 2009. i xp c d h

    u h mp v m n h und y ng d nd m h d gy w b m d nh d wh ch w mp v h v ccu cy n c n c .

    ratio al :W at t is i dicatop po ts to

    as

    th nd c pu p m u h c n bu n ch c y C b nd x d m n . i b d n m c v u ng n c b nd x d p duc n (ch fy n gy u ). th c b n d x d u ng m

    n gy p duc n c d n h p c wh h n gy p duc dbu h p c wh h n gy u d ( g c b n d x d p duc d by p w n c d h p c u ng h c c y p duc d n

    h p c wh h p w n c d).

    ratio al :P blic h altI po ta c

    C b n d x d m j c n bu g n h u g wh ch c u g bw m ng. G b w m ng h g pub c h h mp nc nd

    cc d ng h w p d c n c u d u n m n d h c hw d u m ny ch ng nc ud ng duc d c p c y p duc d,f d ng by w y ng nd nd nc d qu ncy x m w h

    v n .

    ratio al : P pos

    b i d ti cl sio o ti dicato

    While the contribution of each single local authority area to carbon dioxide

    m n cu c n h g b , c b n d x d m n c nnb duc d un ch cc p p n b y duc m n

    nd d n mp y um h h c n bu n d n m b c um n w m k duc n.

    ratio al :Polic l va c

    a xp n d n h p v u c n duc ng c b n d x d m n quv y n m k n h nk ng g b y bu c ng c y. th nd c

    w ch c u h y nd h h w ucc u h duc c b n d x d m n h v b n. th nd c n h

    nc ud d n h N n ind c s h c n b u d m n l c aag m n .

    th d b d up n la Co2 m p duc d by aea chn gy nb h D . th N n s c m m n n n ndh v b n m d d gh y h nd c xc ud c n m n

    h w ng c mp n n : Motorways EU Emissions Trading Scheme sites (except energy suppliers, e.g. power

    n n h ch m , wh m nare nd c y nc ud d v h ndu m , .g. c c y u )

    Diesel railways Land Use, Land Use Change, and Forestry

    in c , h m n h la c n b xp c d b p n b. a gum n c n b m d h xc u n , bu n h b d wnm wh h u n n nd c h n m u h y c n

    c u y c ng ch ng n h nd c , nd wh ch ng h cv w b c p u d. D c n u d w h la du ng d v pm n h

    nd c laa pu p .

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    I t p tatio :W at a ig /lowl v l o i dicatoval a s

    a h gh nd c v u p n h gh v Co2 m n p c p h c u h y.

    a w nd c v u p n w v Co2 m n p c p h c u h y.

    I t p tatio :Pot tial o od to t p o

    as tt od

    th nd c n ccu y bu ng m n m n gy u ndm n d n gy upp y h c v . th nv v n vpp ch m m n h nd u , n gy p duc w

    u n gy m h p duc nd h b c n um n gyh m v .

    s m c Co2 m n h v b n xc ud d m h m h yc u d n b y gg g d c g n v .

    I t p tatio :Pot tial o od to bias a dco o di g

    Un k h 2005 l c au h y m n m pub h d y ,h d h n w b n c d u N n s c , nd n

    ng c n d d xp m n . th g v u g c n d nc n hm . in d b n h c c n, ng qu y c

    u by h UK s c au h y h d b m . t ch v h , h h vb n n p cu , k y mp v m n h ccu cy nd c mp b y hd . th nc ud :

    Re-classi cation of BERR Local Authority energy statistics as Nationals c ;

    Implementation of improved formal quality assurance procedures; Methodological improvements; and Reduced uncertainty in the accuracy of some of the data inputs.

    in m c mp b y, c n n m h n w b n p duc d by-c cu ng h 2005 m f c h m h d g c ch ng u d

    n c cu ng h 2006 m .

    Co d cI t vals: D itioa d p pos

    C n d nc n v h v n b n c n uc d h nd c .

    Table 2 Indicator Specifcation

    I dicatod itio : Va iabl

    Co2 m n p c p

    I dicatod itio : Statistic

    t nn Co2 m n p d n .

    I dicatod itio : G d

    P n

    I dicatod itio : agg o p

    a g

    I dicatod itio : p iod

    2006 c nd y

    I dicatod itio : scal

    t nn p d n

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    G og ap :g og ap i savailabl o t isi dicato oot p ovid s

    The original indicator is for the UK, so also includes Wales, Scotland andN h n i nd. C mp d v b mh p://www.d .g v.uk/

    nv nm n / c /g b m /d wn d/ g n p / c - g n c 2-n 186 nd c .x

    Di sio so i q alit :s bg o p a al s so t is datas tavailabl oot p ovid s

    N n v b

    Data t actio :So c

    l c g v nm n p m nc m w kNi 186 P c p Co2 m n n h la env nm n s c s v c , D p m n env nm n , d nd ruAffairs, Area 5F Ergon House, 17 Smith Square, London SW1P 3JR,08459 33 55 77

    Data t actio :so c urL

    h p://www.d .g v.uk/ nv nm n / c g v nd c /n 186.h m

    Data t actio :dat

    5 h b u y 2009

    n ato :d itio

    t k nn Co2 m n , bu up indu y nd C mm c ,D m c, r d t n p ( xc ud ng M w y ,eU em n t d ng sch m

    ( xc p n gy upp , .g. p w n n h ch m , whm nare nd c y nc ud d v h nd u m , .g. c c y

    u ) D w y , l nd U , l nd U Ch ng , nd y)

    n ato : so c l c g , c c y nd d n p u c n ump n m pub h d by Berr 2005 ( h p://www.b .g v.uk/ ).

    D o i ato :d itio

    M d Y 2006 p pu n m , N n s c

    D o i ato :so c

    inc ud d n Ni186 d h ugh h y h v u d N n s c 2006 m dy p pu n m .

    Data q alit :Acc ac a dco pl t ss

    Un k h 2005 l c au h y m n m pub h d y ,h d h n w b n c d u N n s c , nd n

    ng c n d d xp m n . th g v u g c n d nc n hm . in d b n h c c n, ng qu y c

    by h UK s c au h y h d b m . t ch v h , h h v b nn p cu , k y mp v m n h ccu cy nd c mp b y h d .

    th nc ud : Re-classi cation of BERR Local Authority energy statistics as National

    s c ; Implementation of improved formal quality assurance procedures; Methodological improvements; and Reduced uncertainty in the accuracy of some of the data inputs.

    in m c mp b y, c n n m h n w b n p duc d by-c cu ng h 2005 m f c h m h d g c ch ng u d n

    c cu ng h 2006 m .

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    Table 3 Indicator Technical Methods

    n ato : t actio D wn d m D p m n env nm n d nd ru a(D ) w b

    n ato : agg gatio/allocatio

    aea en gy & env nm n p duc h d n b h hD p m n env nm n d nd ru a (D ). th y g v

    h w ng d c p n h p c h h y u :

    th d p v d p d gg g n h n n Co2nv n y n n end U b n wh ch m n m h p duc nnd p c ng u ( nc ud ng c c y) c d u h u f c h m n ng h u u . th n c n u c m n n wh ch m n bu d

    h c h m h m d c y. th end U b p ngm n h b n ch n h d b c u u y cc un h m n m n gy u h c v nd d n p n

    c m n m h p duc n n gy wh ch h n xp d h . th m h d u d w c y p b

    h u d h end U m n c cu d p h Naei ndp d by D h n n v .

    n ato data cav ats D m m Co2 m n xc ud d m hc cu n du h c h h gu n v bd gg g d qu d v .

    D o i ato datacav ats

    P pu n gu und d h n h u nd nd k n mh 2006 m d y p pu n m

    m t ods s d to

    calc lat i dicato val

    th Co2 m n n k nn p , d v d d by h

    p pu n und d h n h u nd.S all Pop latio s: howIsl s o Scill a d Cit oLo do pop latio s avb d alt wit

    sc y i nd C y l nd n h b n nc ud d la v nd nc ud d C un y, r g n nd N n v .

    Disclos Co t ol C py gh d nd/ n m n p n d ch d n hd cum n m y n d y w h h D p m n . P c n c u

    gu d nc n c py gh :h p://www.d .g v.uk/ nv nm n / c /h p.h m

    Co d c I t vals

    calc latio t od

    N pp c b .

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    S ctio 3:C ild s a d o g

    p opl s alt

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    7. SMOKING IN PREGNANCY INDICATOR

    Basic In ormation

    1. W at is b i g as d? sm k ng n p gn ncy

    2. W is it b i g as d? sm k ng n p gn ncy h w kn wn d m nc h g w h nd d v pm n h b by.

    enc u g ng p gn n w m n p m k ngdu ng p gn ncy m y h p h m k ck h h b

    g d, nd hu p v d h h b n hm h .

    3. how is t is i dicato act all d d? th p c n g w m n g v ng b h n 2007/08wh cu n m k h m d v y u

    m n wh m k ng n p gn ncy u c d d.

    4. W o do s it as ? Women giving birth in 2007/08 whose smoking inp gn ncy u c d d.

    5. W do s it as it? n nc y 2007/08.

    6. Will It as absol t b s op opo tio s?

    P p n : Numb w m n wh m k np gn ncy p 100 m n wh m k ng

    u c d d.

    7. W do s t data act all coo ?

    C Qu y C mm n.

    8. how acc at a d co pl t will t datab ?

    93% la h v h n qu 5% m hw h unkn wn m k ng u nd w hd m d h v ng v d p v nc m b

    nc ud d n h H h P 2009.

    9. A t a cav ats/wa i gs/p obl s?

    th nd c b d n h m h p n nd h u c p b p nd b . th d g n y c d d PCt v wh ch h b n

    c nv d la v u ng b h w gh ng. i h v la w h n n PCt h y w h v h

    m p v nc , h by m k ng ny v n np v nc wh ch m y x w h n h PCt. thc un y, Gor, sHa nd eng nd p v nc wc cu d m h la w h v d d , h

    h la n u y p n v h h y b ng gg g d , w u d u n

    b d m gg g d .

    10. A pa tic la t sts d d s c assta da disatio , sig i ca c t sts, ostatistical p oc ss co t ol to t st t

    a i g o t data a d t va iatio ts ow?

    th d p n g n d wh n h gu n c u h y c y gn c n y b

    w p c v y h n h eng nd v g ,b d n h 95% c n d nc n v h guc mp d h eng nd v u .

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    Table 1 Indicator Description

    I o atio co po t P g 4 sp n Ch ind c 7

    S bj ct cat go /do ai (s)

    Ch d n nd y ung p p h h.

    I dicato a (*I dicato titl i altp o l )

    sm k ng n p gn ncy

    PhO wit l adspo sibilit

    erPHo

    Dat o PhO datas tc atio

    11.01.2009

    I dicato d itio th p c n g w m n g v ng b h n 2007/08 wh cu nm k h m d v y u m n wh m k ng n

    p gn ncy u c d d.G og ap th d v b h PCt v h h b n c nv d n h

    pp p H h P

    Ti li ss th d d n qu y b .

    ratio al :W at t is i dicatop po ts to as

    Women were asked at the time of delivery whether they currentlym k . Du h n g v c nn n u und ng m k ng du ng

    p gn ncy, h m y b m u c p b p nd b .

    ratio al :P blic h alt I po ta c

    sm k ng n p gn ncy h w -kn wn d m n c h g w hnd d v pm n h b by. enc u g ng p gn n w m n pm k ng du ng p gn ncy m y h p h m k ck h h b g d,nd hu p v d h h b n h m h .

    ratio al : P posb i d t i cl sio ot i dicato

    t nc u g w m n qu m k ng wh n p gn n nd h p u y c n qu nc h qu m k ng p m n n y.t h gh gh la w h h gh m k ng n p gn ncy p v nc

    nc u g n v n n.

    ratio al :Polic l va c

    th nd c w judg d b v d nd n mp n m u pub c h h nd w h nc ud d n h ch d n nd y ungp p h h d m n h p . h NHs P nd P nn ng

    m w k 200306 g d v n p c n g p n duc np y n h p p n w m n c n nu ng m k h ugh u

    p gn ncy, cu ng p c y n m k m d dv n g d g up , n nd d c n bu h n n g duc h g p nm y b w n u n nd m nu g up nd h p pu n wh by 2010. i nc ud d n PCt l c D v y P n (lDP).

    I t p tatio : W ata ig /low l v l oi dicato val a s

    an nd c v u b h n v g (g n c c n h h umm ych ) p n c y gn c n y w w m n m k ng du ngp gn ncy h c u h y wh n c mp d h n n v u .

    an nd c v u w h n v g ( d c c n h h umm ych ) p n c y gn c n y m w m n m k ng du ngp gn ncy h c u h y wh n c mp d h n n v u .

    I t p tatio : Pot tialo o d to t p o

    as t t od

    i b d n h m h p n nd h u c p b p nd b , p cu y h gm ch d m k ng

    du ng p gn ncy.

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    I t p tatio : Pot tialo o d to bias a d

    co o di g

    a m n n d b v , k y b u c p b p nd b m m h uc n dm m k ng n p gn ncy, wh ch

    w u d m k h m m k ng n p gn ncy m k y b nund m h c u gu .

    ach v ng g d c v g m n m pp un y n n p n b .a PCt h u n d d h d 95% c v g wh ch w hcu nc u n. th c cu n c un y, g n, sHa nd eng ndp v nc b d n n y h la wh ch u n d d . th y m y

    h n b u y p n v h wh h la w hnv d d h v d n p v nc c mp d w h h la w h

    valid data. When viewing amalgamated areas it should be taken intoc n d n h h y m y b ubj c n n p n b , nd h

    v g n nd eng nd p v nc n y m .

    Co d c I t vals:D itio a d p pos

    a c n d nc n v ng v u h n m y u d d c b h unc n y und p n m qu n y,

    x mp , m y .

    th unc n y c nfu nc ng h nd c ubj c ch nc ccu nc h nh n n h w d und u . th

    ccu nc u n nd m fuc u n n h nd c v u b w nd n nd m p d . in h c nd c b d n

    mp h p pu n, unc n y m nd md nc b w n h mp nd h p pu n .

    th d v u h u d h b c n d d n y n m h u und y ng v u . C n d nc n v qu n y h

    unc n y n h m nd, g n y p k ng, d c b h w muchd n h p n m c u d h v b n h und y ng c nd n

    y d h m , bu ch nc h d d d n d . th w dh c n d nc n v h g h unc n y n h m .

    C n d nc n v g v n w h d p b b y v . in H hP h 95%, nd w y h h 95% p b b y h

    h n v c v h u v u . th u 95% b y bu c nv n n p c c n m d c n nd pub c h h.

    th c n d nc n v h v b n u d m k c mp ng n h n n v u . h pu p h n n v u h b n

    d n x c nc v u h h n n m nd,und h c nd n , h n v c n b u d wh h hv u c y gn c n y d n h n n . i h n v

    nc ud h n n v u , h d nc n c y gn c nnd h v u h wn n h h h umm y ch w h n mbymb . i h n v d n nc ud h n n v u , h d nc

    c y gn c n nd h v u h wn n h h h umm ych w h d g n ymb d p nd ng n wh h w b h n h n n v u p c v y.

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    Table 2 Indicator Specifcation

    I dicatod itio : Va iabl

    th p c n g w m n g v ng b h n 2007/08 wh cu n m k h m d v y u m n wh m k ng n p gn ncy u

    c d d.

    I dicatod itio : Statistic

    P c n g

    I dicatod itio : G d

    m

    I dicatod itio : agg o p

    n/

    I dicatod itio : p iod

    n nc y 2007/08

    I dicatod itio : scal

    P c n g

    G og ap :g og ap i savailabl o t isi dicato oot p ovid s

    PCt (c mm n ng PCt)

    Di sio so i q alit :s bg o p a al s so t is datas tavailabl oot p ovid s

    n/

    Data t actio :So c

    C Qu y C mm n.

    Data t actio :so c urL

    M h d v b n h CQC w b :http://www.cqc.org.uk/publications.cfm?fde_id=1255

    th d n m n d n m h u d by h CQC. in h h h pn y m n w h m k ng n p gn ncy u c d d u d h

    d n m n , wh m n u d h d n m n h

    p v nc m k ng n p gn ncy PCt v c cu d by h CQC. thm n wh y u h v la h d n c PCt , h w p c n g wn b d n c un h 100% d c v g ( upp ng nd c ).Where there is not 100% data coverage the health pro les percentage will beh gh h n h CQC p c n g du h m d n m n n h m .

    th numb b h by la-PCt w x c d m h oNs 2007 b h ,wh ch n PHo .

    Data t actio :dat

    r c v d h CQC ( m y H h C C mm n) p d h n16/10/2008

    n ato :d itio

    Numb w m n kn wn m k n p gn ncy

    n ato : so c C Qu y C mm n

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    D o i ato :d itio

    Numb m n wh m k ng n p gn ncy u c d d

    D o i ato :so c

    C Qu y C mm n

    Data q alit :Acc ac a dco pl t ss

    th CQC d b d n c mm n ng PCt h n nc y 2007/08nd n PCt d nc , nd h h numb m n gh yd n m h oNs numb b h n 2007 b d n d nc .

    th m d p v nc d 93% la . a h c un y, Gor, sHand eng nd p v nc c cu d m la wh ch u n d d , h

    la n u y p n v h h y b ng gg g d , w u d u n b d m gg g d .

    th d g n y c d d PCt v wh ch h b n c nv d lav u ng b h w gh ng. i h v la w h n n PCt h y w

    h v h m p v nc , h by m k ng ny v n n p v nc wh chm y x w h n h PCt.

    The regional and SHA values for North West, Yorkshire and Humber, EastM d nd , s u h e (s u h e C sHa nd s u h C n sHa) nd s u hWest differ slightly from those produced from summing the CQC PCT data, due

    h w PCt h dd sHa w d w h. th g n nd sHa d nh h h p h v b n c cu d by umm ng h la .

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    Table 3 Indicator Technical Methods

    n ato a dd o i ato :

    t actio

    T ato

    th num c nv d m h PCt v num : ac u numb

    w m n kn wn m k n p gn ncy (lDPr).

    th w n PCt w h >5% unkn wn m k ng n p gn ncy u xc udbu 7 PCt d d n u n d (DNr ) nd w h xc ud d m h

    n y n exc .

    th w h n d d n acc c cu h la num .

    Weights based on births were used in order to convert the PCT data into LAd . B h by d n la nd PCt w x c d m h oNs 2007 b h

    , g v h numb b h n v y la-PCt v pp ng b ck n 2007 by

    d n la. th w c d u n sQl u ng h yn x:

    seleCTosCTY,oslaUa,PCT,CoUNT(*)

    froM D_bi th _96_07lefT JoIN Hes.db .a_N ti n P tc d _f b08 oN D_bi th _96_07.[M t

    Pc d ] = Hes.db .a_N ti n P tc d _ b08.[PCD2]

    WHere[sB Ind] 1

    nd y (D_Bi th _96_07.DoBchi d) = 2007nd (Gor = a Gor = B Gor = D Gor = e Gor = f Gor =

    G Gor = H Gor = J Gor = K)

    GroUP BYosCTY,oslaUa,PCT

    orDer BY

    osCTY,oslaUa,PCT

    t c cu h num w n d kn w h p p n h la-PCtv p ch PCt nd h n mu p y h p p n by h ac u numb

    w m n kn wn m k n p gn ncy n h PCt. an la m y v pv PCt h h b umm d h nd. exp d n qu n h

    num c cu d w :

    sm k ng n p gn ncy Mum la = n/N * sm k ng n p gn ncy Mum PCt

    sm k ng n p gn ncy Mum la = e m d numb m h kn wn m kn p gn ncy n h la

    n= numb b h n h la-PCt v pp ng b ckN = Numb b h n h PCt

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    sm k ng n p gn ncy Mum PCt = Numb m h kn wn m k np gn ncy n h PCt

    B h d w n d n acc h PCt wh d d n u n dw xc ud d, nd h h la n y m d up PCt wh d d n

    u n d w n h v n m . H w v h y m d up vPCt nd n y n wh ch h v d d h y w h v num nddenominator based on this one PCT. We do not want to include an estimate

    h la, w n d c h u . t nd u wh h h c , ww k d u h la-PCt b h v p n ch la h n umm d h h la wh d p v nc m . th xp d n h w ng mu :

    la-PCt numb b h /la numb b h .

    th w n la p y m d up w h PCt wh d d n u n d nla w xc ud d h g .

    T D o i ato

    th d n m n c cu d n h m w y h num . a PCtv h numb m n w h m k ng n p gn ncy u kn wn

    c cu d n exc ( c u numb m n numb m nw h u unkn wn). th v d d h n d d n acc nd hd n m n c cu d n h m w y h num u ng h mm h d w gh ng nd h mu :

    M n la = n/N * M n PCt

    M n la = e m d numb m n kn wn u m k ng np gn ncy n h lan= numb b h n h la-PCt v pp ng b ckN = numb b h n h PCtM n PCt = numb m n kn wn u m k ng np gn ncy n h PCt

    th d n m n ng w h h num h n xp d exc c mp h n y .

    n ato :agg gatio /

    allocatio

    D w gg g d up la v u ng h m h d d c b d b v , nacc . D w gg g d c un y, g n, sHa nd eng nd v u ng

    k-up b nd p v b n exc .n ato datacav ats

    We do not have a complete set of data due to 7 DNR PCTs, and not all PCTs had100% c v g h ugh h u n d d h d 95% c v g .

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    D o i atodata cav ats

    th d n m n nd num b d n c mm n ng PCt wh hw gh b d n la/PCt d nc .

    th d n m n d n m h u d by h CQC. in h h h pn y m n w h m k ng n p gn ncy u c d d u d h

    d n m n , wh m n u d h d n m n hp v nc m k ng n p gn ncy PCt v c cu d by h CQC. thm n wh y u h v la h d n c PCt , h w p c n g wn b d n c un h 100% d c v g ( upp ng nd c ).Where there is not 100% data coverage the health pro les percentage willb h gh h n h CQC p c n g du h m d n m n n h

    m . x mp , B k ng nd D g nh m PCt h v m k ng n p gn ncyp v nc 11.3% u ng h CQC d n n, nd 11.4% cc d ng hh h p d n n.

    m t ods s d tocalc lat i dicato

    val

    th nd c v u c cu d w n exc :P c n g m h wh m k n p gn ncy: num /d n m n *100

    S allPop latio s: howIsl s o Scill a dCit o Lo dopop latio s avb d alt wit

    N u d

    Disclos Co t ol N n

    Co d cI t vals

    calc latiot od

    The 95% and 99.8% con dence intervals are calculated using Julian Flowers( ph ) c n d nc n v :

    h p://www. ph . g.uk/D wn d/Pub c/15374/1/C n d nc _in v _Wilson.xls

    th c cu c n d nc n v u ng h w ng m h d c n d ncn v p p n d c b d by r.G. N wc mb .

    i r h b v d numb ubj c w h m u n mp zn h n h m d p p n wh h v h u p = r/n . th p p n

    wh d n h v h u q = 1-p .

    , c cu h h qu n

    A = 2 + z 2; 4rq z z B 2 += ; a d C=2( +z 2),

    wh z z 1- /2, m h nd d N m d bu n. th n h c n d ncn v h p pu n p p n g v n by

    (A-B)/C to (A+B)/C

    th m h d h h c n d b dv n g h c n b u d ny d .When there are no observed events, r nd h nc p b h z , nd h

    c mm nd d c n d nc n v mp 0 z 2 /(n+z 2 ). When r = nh p = 1 , h n v b c mn/(n+z 2 ) 1.

    r nc :N wc mb , rG. tw - d d c n d nc n v h ng p p n:c mp n v n m h d .Stat Med 1998; 17 :857-72.

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    8. BREAST FEEDING INITIATION INDICATOR

    Basic In ormation

    1. W at is b i g as d? B d ng in n

    2. W is it b i g as d? B d ng h w kn wn h h b n h ch d nd h m h n . i c

    n h ng mp m n nd h u d b m n b ch ng h ugh pub c h h n v n n.

    3. how is t is i dicato act all d d? th p c n g w m n g v ng b h n 2007/08wh pu h b by h b n h 48 h u

    d v y, u m n wh bd ng n n u c d d.

    4. W o do s it as ? Women giving birth in 2007/08 with breast feedingn n u c d d.

    5. W do s it as it? n nc y 2007/08

    6. Will It as absol t b s op opo tio s?

    P p n : Numb w m n wh n bd ng p 100 m n wh b d ng

    n n u c d d.

    7. W do s t data act all coo ?

    C Qu y C mm n

    8. how acc at a d co pl t will tdata b ?

    92% la h v h n qu 5% m hw h unkn wn b d ng n n u ndw h d m d h v ng v d p v nc

    m b nc ud d n h H h P 2009.

    9. A t a cav ats/wa i gs/p obl s?

    th nd c b d n b v n nd h u c p b m u m n b . th d

    g n y c d d PCt v wh ch h b nc nv d la v u ng b h w gh ng. i h

    v la w h n n PCt h y w h v hm p v nc , h by m k ng ny v n n

    p v nc wh ch m y x