Granta Data pack January 2019 Granta summary Granta

Granta Data pack January 2019

Granta – summary • Granta has a relatively high proportion of older people, with around 1 in 5 people aged 65 years and over and 1 in 10 aged 75 • • • All age all cause mortality is statistically significantly low in Granta compared to the South Alliance and CCG. With mortality in under There is little ethnic diversity in the area, with a notably high 75 years olds being similar to these comparators • The relatively high older population seen within the Granta Medical Group is one of the least deprived practices in Practice group may explain why the practice has statistically Cambridgeshire and Peterborough significantly high recorded prevalences of coronary heart disease, There is a statistically significantly high birth rate compared to the high blood pressure, stroke, diabetes, cancer and dementia when South Alliance rate, with low birth weight (under 2, 500 g) births compared to the averages for the South Alliance. However, the similar to those seen within the Alliance. majority of these prevalence are lower or similar to the overall CCG Life expectancy in males and females is high averages, and generally below the national prevalence rates Recorded obesity in adults is higher than the South Alliance, with • Mortality rates for circulatory disease, respiratory disease and proportions similar to the overall CCG prevalence cancer, in people of all ages and those aged under 75 years, are Estimated smoking prevalence is low in comparison to the statistically similar to the South Alliance rates Alliance, CCG and national rates • • years and over White British population • relatively high older people population in the area • Estimates of people reporting long-term activity-limiting illness and being in Good or Very Good health are poorer than the averages for the South Alliance, which may be a reflection of the Recorded prevalence for depression is statistically significantly higher than the South Alliance, and similar to the CCG average • Recorded asthma prevalence is notably high when compared to the South Alliance, CCG and England

GP registered population Age band Granta PCN South Alliance Cambridgeshire and Peterborough CCG England Number % Total 43, 001 100. 0% 415, 999 983, 597 59, 759, 638 0 -4 years 2, 178 5. 1% 4. 7% 5. 4% 5. 5% 5 -14 years 4, 959 11. 5% 10. 4% 11. 7% 11. 8% Under 18 years 8, 596 20. 0% 18. 1% 20. 3% 20. 4% 16 -64 years 26, 052 60. 6% 68. 5% 65. 6% 64. 3% 65+ years 9, 316 21. 7% 15. 4% 16. 3% 17. 4% 75+ years 4, 338 10. 1% 7. 3% 8. 0% 85+ years 1, 312 3. 1% 2. 2% 2. 3% Granta has a notably high proportion of older people compared to the averages for South Alliance, the CCG and England. Population forecasts PCN 2019 2021 2026 2031 2036 2019 to 2021 Number % 824 1. 9% 1, 212 2. 8% 367 0. 8% 111 0. 2% 2. 9% 61, 522 6. 1% 24, 637 2. 3% 12, 767 1. 2% C&P CCG 982, 987 1, 011, 368 1, 072, 891 1, 097, 528 1, 110, 295 28, 381 45, 404 45, 515 2031 to 2036 % 43, 001 45, 037 2026 to 2031 Number Granta PCN 43, 825 2021 to 2026 The population of Granta PCN is forecast to grow at a slower rate than the CCG as whole. Source: GP registered population, April 2019, NHS Digital. Population forecasts based on population distribution at ward level (Apr 19), Mid 2015 based population forecasts Cambridgeshire County Council

Ethnicity White British White Other Mixed Black Asian: Indian/ Chinese/ Bangladeshi/ Other Pakistani Other Granta 90. 2% 5. 2% 1. 4% 0. 6% 1. 7% 0. 5% 0. 3% South Alliance 79. 0% 10. 6% 2. 3% 1. 1% 2. 7% 3. 5% 0. 9% Cambridgeshire and Peterborough CCG 80. 0% 9. 5% 2. 1% 1. 3% 4. 1% 2. 4% 0. 7% England 79. 8% 5. 7% 2. 3% 3. 5% 5. 6% 2. 3% 1. 0% Granta has very little ethnic diversity, with a noticeably high proportion of population from the White British ethnic group Source: Census 2011 data applied to GP registered population using Census 2011 ethnic group proportions; England data from NOMIS (patients registered at a GP Practice by LSOA, July 2018, NHS Digital)

Deprivation Index of Multiple Deprivation, 2015, by ward Index of Multiple Deprivation 8. 1 Granta • • Income Affecting Older Children Index People Index 7. 3% 8. 2% Least deprived quintile in CCG South Alliance 11. 1 10. 5% 11. 2% Cambridgeshire and Peterborough CCG 17. 2 15. 4% 14. 3% England 21. 8 19. 9% 16. 2% Overall deprivation levels are relatively low in Granta, with the group of practices being in the fifth least deprived practices in Cambridgeshire and Peterborough. Approximately 7. 3% children and 8. 2% of older people live in income deprived households. Source: C&P PHI derived from Indices of Multiple Deprivation 2015, DCLG and GP registered population data for July 2018

Births and Fertility Birth rates by ward Estimated Number of live births Birth rate per 1, 000 female population aged 15 to 44 years Low birth weight births (under 2, 500 g) Granta 1, 065 61. 2 6. 1% South Alliance 11, 592 48. 6 6. 0% Cambridgeshire and Peterborough CCG 31, 348 58. 2 6. 5% 1, 989, 052 62. 4 7. 4% England • Granta has a statistically significantly high birth rate compared to South Alliance (this may be due to a methodological reason relating to estimating the female population aged 15 to 44 years outside of Cambridgeshire) • Low birth weight births that are similar to the average for South Alliance, and lower than the CCG average. Note: Relatesto Cambridgeshire residents only Source: C&P PHI based on NHS Digital Civil Registration Data, 2014 -2016 and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = South Alliance)

Life expectancy Males (years) Females (years) Granta 83. 7 86. 3 South Alliance 82. 3 85. 1 Cambridgeshire and Peterborough CCG 81. 2 84. 3 Life expectancy is statistically significantly higher in both males and females in Granta when compared to South Alliance Source: C&P PHI based, derived from NHS Digital Civil Registration data and GP registered population data (benchmark = South Alliance), 2013 – 2017

Risk factors

Risk factors Obesity Number % Granta 2, 869 8. 4% 3, 995 11. 2% South Alliance 21, 375 6. 4% 45, 738 13. 3% Cambridgeshire and Peterborough CCG 65, 496 8. 5% 136, 105 17. 0% 4, 530, 447 9. 8% 8, 301, 429 17. 2% England • • Source: Estimated Smoking Recorded prevalence of obesity is statistically significantly high in Granta compared to the average for South Alliance, and is similar to the CCG average Estimated smoking prevalence is statistically significantly lower in Granta compared to the average for South Alliance, and notable lower than the CCG prevalence Obesity - C&P PHI derived from NHS Digital QOF data for 2017/18 (benchmark = South Alliance) Estimated smoking - C&P PHI derived from the QOF based smoking prevalence estimate from the Public Health England (PHE) National General Practice Profiles at https: //fingertips. phe. org. uk/profile/general-practice (benchmark = South Alliance)

Self-reported limiting long-term illness and general health status Long-term activitylimiting illness Good or very good health Granta 15. 0% 85. 2% South Alliance 13. 8% 85. 9% Cambridgeshire and Peterborough CCG 15. 5% 83. 6% England 17. 6% 81. 4 % It is estimated that the proportion of people that reported that they had a long-term activity-limiting illness in the 2011 Census was statistically significantly higher than the South Alliance average, with levels lower than the average for the CCG. It is estimated that the proportion of people that reported that they were in good or very good health in the 2011 Census was statistically significantly lower than the South Alliance average, with levels higher than the average for the CCG. The proportions could be associated with Granta having an overall older population than the other areas reported. Source: C&P PHI from Census 2011, NOMIS and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = South Alliance)

Diseases

Mortality – all causes All ages Under 75 year olds Number DASR per 100, 000 Granta 1, 571 714. 6 431 219. 8 South Alliance 13, 293 831. 3 3, 592 248. 4 Cambridgeshire and Peterborough CCG 34, 464 901. 5 10, 385 286. 4 All-age all-cause mortality rates are statistically significantly better than the overall rate for South Alliance The rate in under 75 year olds is similar to the South Alliance, and noticeably lower than the CCG rate DASR = directly age standardised rate per 100, 000 population Source: C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013 -2017 (benchmark = South Alliance)

Circulatory disease Prevalence Coronary heart disease Number % High blood pressure Number % Mortality (circulatory) Stroke All ages Number % Under 75 year olds Number DASR per 100, 000 Granta 1, 324 3. 1% 5, 776 13. 6% 667 1. 6% 460 207. 2 86 43. 6 South Alliance 9, 603 2. 4% 45, 177 11. 1% 5, 224 1. 3% 3, 660 228. 9 768 54. 3 Cambridgeshire and Peterborough CCG 26, 602 2. 8% 1, 122, 348 12. 6% 14, 132 1. 5% 9, 004 236. 7 2, 288 63. 9 1, 827, 352 3. 1% 8, 141, 488 13. 9% 1, 030, 869 1. 8% England Not available Recorded prevalence is statistically significantly higher in Granta than South Alliance for all the circulatory diseases reported, and also slightly higher than the CCG averages – this could be partly due to Granta’s older population profile Age standardised circulatory disease mortality rates, in all ages and in under 75 year olds, are similar to the South Alliance rates, but noticeably lower than the CCG rates Note: Source: Prevalence data are not available by age i. e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100, 000 population Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013 -2017 (benchmark = South Alliance)

Respiratory disease Prevalence Asthma Mortality Chronic Obstructive Pulmonary Disease All ages Under 75 years Number % Granta 3, 310 7. 8% 593 1. 4% 165 75. 3 44 22. 5 South Alliance 24, 780 6. 1% 5, 561 1. 4% 1, 468 92. 1 264 19. 1 Cambridgeshire and Peterborough CCG 57, 830 6. 0% 16, 513 1. 7% 4, 533 119. 9 942 26. 8 3, 463, 893 5. 9% 1, 113, 417 1. 9% England Number DASR per 100, 000 Not available Asthma prevalence is statistically significantly higher in Granta than the average for South Alliance, and notably higher than the CCG average COPD prevalence is similar to the South Alliance and lower than the average for the CCG Mortality rates for respiratory diseases, for people of all ages and under 75 years, are similar to the South Alliance rates, and notably lower than the CCG rate Note: Source: Prevalence data are not available by age i. e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100, 000 population Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013 -2017 (benchmark = South Alliance)

Long term conditions Prevalence Diabetes (17+ years) Number % Mortality - Cancer All ages Number % Number DASR per 100, 000 Under 75 year olds Number DASR per 100, 000 Granta 1, 857 5. 4% 1, 645 3. 9% 530 241. 3 215 108. 2 South Alliance 15, 620 4. 6% 10, 846 2. 7% 3, 809 244. 0 1, 604 112. 9 Cambridgeshire and Peterborough CCG 46, 573 6. 0% 25, 700 2. 7% 9, 902 259. 5 4, 411 123. 2 3, 196, 124 6. 8% 1, 593, 302 2. 7% England • Not available • Diabetes prevalence is statistically significantly higher than the South Alliance average, and lower than the CCG average • Cancer prevalence is statistically significantly higher than the South Alliance average, and higher than the CCG average • These prevalence rates may be impacted by Granta’s older population profile Age standardised cancer mortality rates, in people of all ages and in under 75 year olds, are statistically significantly similar to the South Alliance rates, and lower than the CCG rates Note: Source: Prevalence data are not available by age i. e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100, 000 population Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013 -2017 (benchmark = South Alliance)

Mental health Schizophrenia, bipolar affective disorder and other psychoses Depression (18+ years) Dementia Learning disabilities Number % 375 0. 9% 2, 966 8. 7% 301 0. 7% 139 0. 3% South Alliance 3, 654 0. 9% 26, 382 7. 9% 2, 457 0. 6% 1, 382 0. 3% Cambridgeshire and Peterborough CCG 7, 750 0. 8% 68, 112 8. 8% 6, 551 0. 7% 4, 057 0. 4% 550, 918 0. 9% 4, 589, 213 9. 9% 446, 548 0. 8% 284, 422 0. 5% Granta England • Severe mental illness prevalence is similar to the South Alliance average • Depression prevalence is statistically significantly higher than the South Alliance average, with the percentage being slightly lower than the CCG average • Dementia prevalence is statistically significantly higher than the average for South Alliance. This may be expected due to the higher older population in the area. • Learning disabilities prevalence is similar to the South Alliance average Note: Source: Mortality Prevalence data are not available by age i. e. it is not age weighted so differences may be explained by differing age structures Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013 -2017 (benchmark = South Alliance)