Health & social care - Norfolk Insight

Norfolk - Health - UTLA - Norfolk

Norfolk

Self-reported health

	Count	%	Count	%	Count	%
	Norfolk		East of England		England
Very bad health	10,706	1.2	60,383	1	660,749	1.2
Bad health	37,527	4.4	212,830	3.6	2,250,446	4.2
Fair health	129,218	15.1	752,324	12.9	6,954,092	13.1
Good health	314,157	36.6	2,060,157	35.2	18,141,457	34.2
Very good health	366,280	42.7	2,761,271	47.2	25,005,712	47.2

General health is a self-assessment of a person's general state of health. People were asked to assess whether their health was very good, good, fair, bad or very bad. This assessment is not based on a person's health over any specified period of time.

Day-to-day activity limited

	Count	%	Count	%	Count	%
	Norfolk		East of England		England
Day-to-day activities limited a lot	77,696	9.1	434,168	7.4	4,405,394	8.3
Day-to-day activities limited a little	94,735	11	542,346	9.3	4,947,192	9.3
Day-to-day activities not limited	685,457	79.9	4,870,451	83.3	43,659,870	82.4

People were asked to assess whether their daily activities were limited a lot or a little by a health problem, or whether their daily activities were not limited at all.

Self-reported wellbeing

	Norfolk	East of England	England
People with a low satisfaction score (16+ yrs)	5.6	4.1	4.5
People with a low worthwhile score (16+ yrs)	4.3	3.2	3.6
People with a low happiness score (16+ yrs)	9	8.1	8.5
People with a high anxiety score (16+ yrs)	18.8	19.5	19.9

ONS measure individual/subjective wellbeing based on four questions included on the Integrated Household Survey:

Overall, how satisfied are you with your life nowadays?
Overall, how happy did you feel yesterday?
Overall, how anxious did you feel yesterday?
Overall, to what extent do you feel the things you do in your life are worthwhile?

	Norfolk	East of England	England
General fertility rate - Female - 15-44 yrs	9,057	60.2	72,250	64.6	663,157	62.5

Breastfeeding initiation rate

	Norfolk	East of England	England
% of all mothers who breastfeed their babies in the first 48hrs after delivery	6,238	N/A	52,281	76.1	463,152	74.5

The breastfeeding initiation rate measures the percentage of mothers who give their babies breast milk in the first 48 hours after delivery.

Under 18 conceptions

	Norfolk	East of England	England
Female aged under 18 yrs	285	20.9	1,738	17.1	17,014	18.8
Female aged under 16 yrs	42	3.3	259	2.7	2,646	3

	Norfolk	East of England	England
% of women who smoke at time of delivery	1,066.9	12.7	6,233.7	9.8	65,023	10.7

Low birth weight of term babies

	Norfolk	East of England	England
% of all live births at term with low birth weight	255	3.1	1,691	2.6	16,788	2.8

This is live births with a recorded birth weight under 2500g and a gestational age of at least 37 complete weeks as a percentage of all live births with recorded birth weight and a gestational age of at least 37 complete weeks.

Prevalence of overweight (including obese) among children

	Norfolk	East of England	England
Excess weight in 4-5 year olds	2,108	22.7	14,999	21.1	142,419	22.6
Excess weight in 10-11 year olds	2,523	32.1	19,426	31.5	190,574	34.2

Children are classified as overweight (including obese) if their BMI is on or above the 85th centile of the British 1990 growth reference (UK90) according to age and sex.

Fruit and vegetable consumption at age 15

	Norfolk	East of England	England
Average number of portions of fruit consumed daily (WAY survey)	2.3	2.4	2.4
Average number of portions of vegetables consumed daily (WAY survey)	2.5	2.4	2.4

Smoking prevalence at age 15

	Norfolk	East of England	England
Current smokers (WAY survey)	11.4	8.9	8.2
Regular smokers (WAY survey)	7.9	5.7	5.5
Occasional smokers (WAY survey)	3.5	3.2	2.7

Hospital admissions caused by unintentional and deliberate injuries in children

	Count	Per 10,000	Count	Per 10,000	Count	Per 10,000
	Norfolk		East of England		England
Hospital admissions caused by unintentional and deliberate injuries in children aged 0-4 years	710	148.6	4,059	107.1	43,322	126.3
Hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years	1,688	119.4	9,625	87	100,728	101.5
Hospital admissions caused by unintentional and deliberate injuries in young people aged 15-24 years	1,155	114.4	7,962	115.3	87,049	129.2

Adults classified as overweight or obese

	Norfolk	East of England	England
% of adults (aged 18+) classified as overweight or obese	62.2	61.9	61.3

Adults are defined as overweight (including obese) if their body mass index (BMI) is greater than or equal to 25kg/m2.

Adult fruit and vegetable consumption

	Norfolk	East of England	England
Average number of portions of fruit consumed daily (16+ years)	2.8	2.7	2.6
Average number of portions of vegetables consumed daily (16+ yrs)	2.8	2.7	2.7

Adult physical activity

	Norfolk	East of England	England
Percentage of physically active adults (19+ yrs)	66.5	66.8	66
Percentage of physically inactive adults (19+ yrs)	22.3	21.7	22.2

Physically active is defined here as doing at least 150 moderate intensity equivalent (MIE) minutes physical activity per week in bouts of 10 minutes or more in the previous 28 days. Physically inactive is defined as doing less than 30 MIE minutes physical activity per week in bouts of 10 minutes or more in the previous 28 days.

	Norfolk	East of England	England
Males (18+ yrs)	56,819	16.2	N/A	N/A	3,569,017	16.8
Females (18+ yrs)	43,199	11.6	N/A	N/A	2,888,662	13

Successful completion of drug treatment

	Count	%	Count	%	Count	%
	Norfolk		East of England		England
Successful completion of drug treatment - opiate users (18-75 yrs)	139	6.4	797	6.9	9,908	6.7
Successful completion of drug treatment - non-opiate users (18-75 yrs)	161	27.5	1,577	33.9	19,717	37.1

This is the number of users that left drug treatment successfully (free of drug(s) of dependence) who do not then re-present to treatment again within 6 months as a percentage of the total number of users in treatment.

Adults with a learning disability who live in stable and appropriate accommodation

	Norfolk	East of England	England
Males (18-64 yrs)	931	73.8	6,594	74.9	58,262	75.8
Females (18-64 yrs)	691	75.4	4,651	76.6	40,931	76.8

This is the percentage of adults with a learning disability who are known to their local council, who are recorded as living in their own home or with their family.

Admission episodes for alcohol-related conditions

	Norfolk	East of England	England
Males	3,625	812	20,855	726	207,823	818
Females	2,395	510	13,774	447	129,290	473

This is admissions to hospital where the primary diagnosis is an alcohol-attributable code or a secondary diagnosis is an alcohol-attributable external cause code, as a directly age standardised rate per 100,000 population.

Emergency hospital admissions for intentional self-harm

	Norfolk	East of England	England
Males	523	126.1	3,289	110.4	38,449	138.8
Females	975	231.1	6,372	211.9	65,261	233.7

Self-harm is defined as an intentional act of self-poisoning or self-injury irrespective of the type of motivation or degree of suicidal intent. However, following an episode of self-harm, there is a significant and persistent risk of suicide which varies markedly between genders and age groups.

Hip fractures in people aged 65 and over

	Norfolk	East of England	England
Males	346	389.8	1,977	405.2	16,207	407.9
Females	887	697.9	5,055	704.3	41,140	693.2

This is emergency hospital admission for fractured neck of femur in persons aged 65 and over as a directly age standardised rate per 100,000. Hip fracture is a debilitating condition – only one in three sufferers return to their former levels of independence and one in three ends up leaving their own home and moving to long-term care.

Health related quality of life for adults aged 65 and over

	Norfolk	East of England	England
Average health status score for adults aged 65+	0.8	0.7	0.7

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 / discomfort
Anxiety / depression

This indicator assesses whether health-related quality of life is changing over time, while controlling for potential measurable confounders (age, sex, long-term conditions, caring responsibility, etc...).

Life expectancy at birth

	Norfolk	East of England	England
Males (years)	80.0	80.4	79.5
Females (years)	83.7	83.7	83.1

This is the average number of years a person would expect to live based on contemporary mortality rates. For a particular area and time period, it is an estimate of the average number of years a newborn baby would survive if he or she experienced the age-specific mortality rates for that area and time period throughout his or her life. Figures are calculated from deaths from all causes and mid-year population estimates, based on data aggregated over a three year period.

Healthy life expectancy at birth

	Norfolk	East of England	England
Males (years)	64.7	64.7	63.3
Females (years)	64.4	64.6	63.9

This is a measure of the average number of years a person would expect to live in good health based on contemporary mortality rates and prevalence of self-reported good health. The prevalence of good health is derived from responses to a survey question on general health. For a particular area and time period, it is an estimate of the average number of years a newborn baby would live in good general health if he or she experienced the age-specific mortality rates and prevalence of good health for that area and time period throughout his or her life. Figures are calculated from deaths from all causes, mid-year population estimates, and self-reported general health status, based on data aggregated over a three year period.

Mortality rate from causes considered preventable in Norfolk

The basic concept of preventable mortality is that deaths are considered preventable if, in the light of the understanding of the determinants of health at the time of death, all or most deaths from the underlying cause (subject to age limits if appropriate) could potentially be avoided by public health interventions in the broadest sense.

Infant mortality in Norfolk

Infant mortality is an indicator of the general health of an entire population. It reflects the relationship between causes of infant mortality and upstream determinants of population health such as economic, social and environmental conditions. Deaths occurring during the first 28 days of life (the neonatal period) in particular, are considered to reflect the health and care of both mother and newborn.

Under 75 mortality rate from causes considered preventable

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Norfolk		East of England		England
Under 75 mortality rate from cardiovascular diseases considered preventable	1,042.0	39.2	6,401.0	40.3	63,811.0	46.7
Under 75 mortality rate from cancer considered preventable	1,987.0	74.5	11,604.0	72.8	108,699.0	79.4
Under 75 mortality rate from liver disease considered preventable	308.0	12.3	1,956.0	12.2	22,533.0	16.1
Under 75 mortality rate from respiratory disease considered preventable	408.0	14.9	2,315.0	14.7	24,989.0	18.6

Mortality rate from a range of specified communicable diseases, including influenza

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Norfolk		East of England		England
Mortality rate from a range of specified communicable diseases, including influenza	288.0	9.3	1,616.0	8.9	16,233.0	10.7

Suicide rate in Norfolk

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Norfolk		East of England		England
Suicide rate - Males (10+ yrs) (2014 - 16)	228	19.9	1,159	15	10,765	15.3
Suicide rate - Females (10+ yrs) (2014 - 16)	67	5.6	381	4.7	3,512	4.8

This is the age-standardised mortality rate from suicide and injury of undetermined intent per 100,000 population. Suicide is a significant cause of death in young adults, and is seen as an indicator of underlying rates of mental ill-health.

Excess winter deaths in Norfolk

	Count	%	Count	%	Count	%
	Norfolk		East of England		England
Excess winter deaths index - males aged 85+ (Aug 2013 - Jul 2016)	322.5	21.3	1,914.5	23.4	15,397.5	23.3
Excess winter deaths index - females aged 85+) (Aug 2013 - Jul 2016)	580	25.3	3,259	24.8	27,618.5	25.3

Excess Winter Deaths Index is the excess winter deaths measured as the ratio of extra deaths from all causes that occur in all those aged 85 and over in the winter months compared with the expected number of deaths, based on the average of the number of non-winter deaths in those aged 85 and over. The number of excess winter deaths depends on the temperature and the level of disease in the population as well as other factors, such as how well equipped people are to cope with the drop in temperature.

Provision of unpaid care

	Count	%	Count	%	Count	%
	Norfolk		East of England		England
Provides no unpaid care	763,197	89	5,249,374	89.8	47,582,440	89.8
Provides 1 to 19 hours unpaid care a week	59,858	7	395,865	6.8	3,452,636	6.5
Provides 20 to 49 hours unpaid care a week	11,626	1.4	71,815	1.2	721,143	1.4
Provides 50 or more hours unpaid care a week	23,207	2.7	129,911	2.2	1,256,237	2.4

A person is a provider of unpaid care if they look after or give help or support to family members, friends, neighbours or others because of long-term physical or mental ill health or disability, or problems related to old age. This does not include any activities as part of paid employment. No distinction is made about whether any care that a person provides is within their own household or outside of the household, so no explicit link can be made about whether the care provided is for a person within the household who has poor general health or a long-term health problem or disability.

Average difficulties score for all looked after children

	Norfolk	East of England	England
Average difficulties score for all looked after children aged 5-16 who have been in care for at least 12 months on 31st March	10.1	13.1	14.1

Data is collected by local authorities through a strengths and difficulties questionnaire (SDQ) and 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 looked after children return (SSDA903). A higher score indicates greater difficulties (a score of under 14 is considered normal, 14-16 is borderline cause for concern and 17 or over is a cause for concern).

Adult social care users and carers who have as much social contact as they would like

	Norfolk	East of England	England
% of adult carers who have as much social contact as they would like (18+ yrs)	32	31.6	35.5

There is a clear link between loneliness and poor mental and physical health. This measures the percentage of respondents to the Adult Social Care Users Survey who responded "I have as much social contact as I want with people I like".