St.Helens Ward Profile Master copy

1
St.Helens Ward Profile (Master copy)

• Produced by Eric Albrecht
• Special thanks to
• Healthy School Team Colleagues
• Jeanette Jones St.Helens PCT
• Bill Clarke Community Safety
• David Hale St.Helens LEA
• Last updated 03/10/02

2
Introduction

• To discuss the Health and Education Data
  available for use within the Access Inclusion
  Division, and by Strategic Partners and schools
• To focus on specific areas of health and
  educational data that facilitate targeted
  interventions
• To inform the action plans of schools
  participating in the St.Helens Healthy School
  Scheme

3
Primary Care Wards

• St.Helens North
• Billinge Seneley Green
• Eccleston
• Moss Bank
• Queens Park
• Rainford
• Windle
• St.Helens South
• Grange Park
• Marshalls Cross
• Parr Hardshaw
• Rainhill
• Sutton Bold
• Thatto Heath
• West Sutton

• Newton Haydock
• Blackbrook
• Broadoak
• Haydock
• Newton East
• Newton West

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Topics of Discussion 1

• Population estimates
• Births to single parents and low birth weight
• Cancer
• Heart Disease
• Cerebrovascular Disease
• Respiratory Disease
• Injuries and poisonings

5
Topics of Discussion 2

• Dental health 5 year old
• Numbers on child protection register
• Numbers of looked after children
• Numbers of children in need
• Teenage conception rates 1999
• National teenage pregnancy trends 11-15 year old

6
Topics of Discussion 3

• National teenage pregnancy trends 16-19 year olds
• Sexually transmitted infections
• Syphilis
• Gonorrhoea
• Chlamydia
• Herpes
• Warts

7
Topics of Discussion 4

• Crime Disorder Strategy
• Academic achievement
• Key stage 2
• Key stage 3
• key stage 4

8
Population Estimates

• Review population estimates for St.Helens North,
  St.Helens South and Newton Haydock
• Identify wards with high birth rates to inform
  Surestart Project
• Identify wards with high single parent birth
  rates to inform Teenage Pregnancy and School
  re-integration policies

9
Population Estimates Continued

• Identify low birth weight wards that may inform
  school smoking and smoking and pregnancy
  initiatives
• Identify ward areas of elderly population that
  may inform future community projects e.g. The
  successful Dawn Patrol project at Newton
  Haydock

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Population Estimates 1999 All Persons
11
Population Estimates

• PCG Male Female Total
• Newton Haydock 25091 (14.3) 25806
  (14.7) 50897 (29)
• St.Helens North 28387 (16.2) 29775 (17) 58162
  (33.2)
• St.Helens South 32562 (18.6) 33721 (19.2) 66283
  (37.8
• 86040 (49) 89302 (51) 175342 (100)
• Observations-
• Highest population St.Helens South male and
  female
• Newton Haydock has highest 0-40 female pop in
  Newton West Ward, highest 45-74 female pop in
  Haydock, highest 70 female pop in Newton West.
• St.Helens North has significantly higher 0-64
  female pop in Billinge Seneley Green, slightly
  higher 65-74 female pop in Eccleston
• St.Helens South has highest 0-40 female pop in
  West Sutton and significantly higher 40-85
  female pop in Rainhill
• Newton Haydock has highest 0-9 25-39 male pop
  in Newton West, highest 50-74 male pop in Haydock
• St.Helens North has significantly higher 0-64
  male pop in Billinge Seneley, slightly higher
  65-75 male pop in Eccleston
• St.Helens South has significantly higher 0-30
  male pop in West Sutton, significantly higher
  30-69 male pop in Rainhill

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Population Estimates

• Conclusions
• Interventions aimed at young women age 0-40 may
  be targeted in each of the following PCG wards,
  Newton West, Billinge Seneley and West Sutton
• Interventions aimed at females aged 45-74 may be
  targeted at Haydock, Billinge Seneley Green and
  Rainhill
• Interventions aimed at females 70 may be
  targeted at Newton West, Eccleston and Rainhill
• Interventions aimed at young men 0-40 may
  similarly be targeted in the wards, Newton West,
  Billinge Seneley and West Sutton
• Interventions aimed at males aged 40 may be
  targeted at Haydock, Eccleston and Rainhill

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Birth Rates 1994-1998

• Highest Birth Rate by Ward
• West Sutton 824 St.H South
• Newton West 789 NH
• Parr Hardshaw 683 St.H South
• Grange Park 654 St.H South
• Newton East 682 NH
• Broadoak 682 NH
• Highest Single Parent Birth Rate by Ward
• West Sutton 284 St.H South
• Parr Hardshaw 244 St.H South
• Broadoak 218 NH
• Marshalls Cross 160 St.H South
• Newton East 147 NH
• Sutton Bold 147 St.H South
• Thatto Heath 142 St.H South

• No of Births Below 2500 grams
• West Sutton 94 St.H South
• Parr Hardshaw 72 St.H South
• Broadoak 68 NH
• Marshalls Cross 56 St.H South
• Grange Park 53 St.H South
• Newton West 52 NH
• Sutton Bold 49 St.H South

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Birth Rates

• Conclusions
• Highest female population in St.Helens South 0-40
  (17859), specifically West Sutton (3092)
  correlates with highest birth rate in West Sutton
  824, highest single parent birth rate West Sutton
  284 and highest numbers of low birth weights West
  Sutton 94.
• Parr Hardshaw closely follows West Sutton with
  birth rate 683, single parent rate 244 and low
  birth weight 72. Similarly Broadoak has birth
  rate figures 682, single parent rate 218 and low
  birth wieght 68.
• Both St.Helens South and Newton Haydock require
  focus on Teenage Pregnacy strategies, Surestart
  and Surestart Plus initiatives, Smoking Cessation
  Services (Adult and schools). Healthy Schools
  Initiative e.g. SHAPE ( Sexual Health and
  Parenting Education, positive parenting etc.

15
Standard Mortality Rates (SMRs) by Ward for All
Causes 1997-1999, (Male Female) All Ages
England Wales SMR 100
16
Cancers

• No of Deaths and Standard Mortality Rates (SMRs)
  for the period 1997-1999 to include
• Lung Cancer
• Breast cancer
• Prostate cancer

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SMRS by Ward for Lung Cancer 1997-1999, (Male
Female) All Ages
England Wales SMR 100
18
SMRS by Ward for Breast Cancer 1997-1999,
(Female) All Ages
England Wales SMR 100
19
SMRS by Ward for Prostate Cancer 1997-1999,
(Male) All Ages
England Wales SMR 100
20
Heart Disease

• No of Deaths and Standard Mortality Rates (SMRs)
  for the period 1997-1999 to include
• Circulatory System (Stroke, Cardiovascular,
  arterial blockages, systemic/whole body,
  pulmonary/lungs)
• Ischaemic Heart Disease (Myocardial
  infarcation/heart muscles, deficiency in blood
  supply)

21
SMRS by Ward for Circulatory System 1997-1999,
(Male and Female) All Ages
England Wales SMR 100
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SMRS by Ward for Ischaemic Heart Disease
1997-1999, (Male and Female) All Ages
England Wales SMR 100
23
Cerebrovascular Disease

• No of Deaths and Standard Mortality Rates (SMRs)
  for the period 1997-1999 to include
• Blood vessel disorders of the brain
• Disorders of membranes covering the brain

24
SMRS by Ward for Cerebrovascular Disease
1997-1999, (Male and Female) All Ages
England Wales SMR 100
25
Respiratory System Disease

• No of Deaths and Standard Mortality Rates (SMRs)
  for the period 1997-1999 to include
• Combination of organs and tissues associated with
  breathing
• Examples include nasal cavity, pharynx (tube from
  gullet to skull), trachea (windpipe), bronchi
  (tree of tubes from windpipe to lungs) and lungs

26
SMRS by Ward for Respiratory Disease 1997-1999,
(Male and Female) All Ages
England Wales SMR 100
27
Injuries and Poisonings

• No of Deaths and Standard Mortality Rates (SMRs)
  for the period 1997-1999 to include
• Informing projects concerning elderly, falls,
  trips etc
• Poisonings informing Drug Education and PSHE
  curriculum

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SMRS by Ward for Injuries Poisonings
1997-1999, (Male and Female) All Ages
England Wales SMR 100
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Summary of Health Data

• SMRs All Causes
• All three PCGs above England Wales SMR 100
• Parr Hardshaw significantly highest ward at SMR
  181
• SMRs Lung Cancer
• All three PCGs above England Wales SMR 100
• Broadoak Significantly highest ward at SMR 285,
  followed by West Sutton SMR 204 and Parr
  Hardshaw SMR 191
• SMRs Breast Cancer
• St.Helens South only PCG below England Wales
  SMR 100 with the exception of Rainhill at SMR
  127
• St.Helens North and Newton Haydock above SMR
  100
• Windle significantly highest at SMR 160,
  followed by Newton East SMR 152, Billinge
  Seneley SMR 131, Rainhill SMR 127
• SMRs Prostate Cancer
• Rainhill significantly highest SMR 185, followed
  by Billinge Seneley SMR 180, Newton East SMR
  152

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Summary of Health Data continued

• SMRs Circulatory System
• All three PCGs above England Wales SMR 100
• Parr Hardshaw significantly highest ward at SMR
  180, followed by Sutton Bold SMR 139
• SMRs Ischaemic Heart Disease
• All three PCGs above England Wales SMR 100
• Parr Hardshaw significantly highest ward at SMR
  191, followed by Sutton Bold SMR 152 and
  Rainhill SMR 142
• SMRs Cerebrovascular Disease
• St.Helens North only PCG below England Wales
  SMR 100 with the exception of Windle at SMR 129
• St.Helens North and Newton Haydock above SMR
  100
• Parr Hardshaw significantly highest at SMR
  175, followed by Newton East SMR 141, Haydock
  SMR 135, Grange Park SMR 132

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Summary of Health Data continued

• SMRs Respiratory Disease
• All three PCGs above England Wales SMR 100
• Parr Hardshaw significantly highest SMR 202,
  followed by Marshalls Cross SMR 175, Broadoak
  SMR 166, Grange Park SMR 157
• SMRs Injuries and Poisonings
• All three PCGs above England Wales SMR 100
• Broadoak significantly highest SMR 202, followed
  by Newton West SMR 175, Parr Hardshaw SMR
  171, Blackbrook SMR 161, Eccleston SMR 158

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Dental Health

• None of the wards in St.Helens meet the National
  Oral health targets
• There are wards that suffer more dental problems
  than others
• Implement programmes to reduce dental disease
  using fluoride. These include water fluoridation,
  school milk fluoridation and toothpaste schemes
  for young children

33
Percentage of St.Helens Children Age 5 who are
Caries Free by Ward, 1997-1998
2003 National Target 70
34
Children and Young People in Public Care

• Children in public care are our children. We
  hold their future in our hands and education is
  the key to that future

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Why are these Children in Public Care

• Abuse/neglect
• Family dysfunction
• Family in acute stress
• Parental illness or disability
• Absent parenting
• Disability
• Socially unacceptable behaviour
• Low income
• N.B. Less than 2 of young people are in public
  care because of offences they have committed

36
The Underachievement of CIPC (1)

• In the year ending March 2001
• 37 of CIPC achieved 1 or more GCSEs/GNVQs
• 7 obtained at least 5 GCSEs at grades A-C
  (compared with 49 of all children)
• After one year in care, a child will fall behind
  in mathematics and two years in reading

37
The Underachievement of CIPC (2)

• Only 1 in 200 CIPC may be qualified to access
  Higher Education (compared with 68 of the
  general population)
• CIPC represent 33 of all secondary school
  exclusions and 66 of all primary school
  exclusions in England and Wales (despite
  comprising less than 1 of the school population)

38
The Underachievement of CIPC (2)

• Only 1 in 200 CIPC may be qualified to access
  Higher Education (compared with 68 of the
  general population)
• CIPC represent 33 of all secondary school
  exclusions and 66 of all primary school
  exclusions in England and Wales (despite
  comprising less than 1 of the school population)

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Poor Life Chances (1)

• Care leavers make up
• 50 of London beggars
• 66 of male prostitutes
• 25 of all prisoners
• 54 of the prison population under 25 years
• 33 of rough sleepers

40
Poor Life Chances (2)

• 70 have health problems due to
  inadequate/inconsistent attention in childhood
• 80 experience destitution and poverty
• Young people in care are 2.5 times more likely to
  become teenage parents than their peers

41
Number of St.Helens Children on Child Protection
Register at 07/05/2002
42
Number of St.Helens Children Looked After at
07/05/2002
43
Number of St.Helens Children In Need at 07/05/2002
44
Teenage Pregnancy

• Main aims of the National Teenage Pregnancy
  Strategy are
• reduce the rate of teenage conceptions by 50
  amongst under 18s by 2010, with an interim of
  15 by 2004
• set a firmly established downward trend in the
  under 16 conception rate by 2010
• increase the participation of teenage parents in
  education and work to reduce the risk of long
  term social exclusion

45
Teenage Pregnancy contd

• Present data suggests encouraging early signs
• both the under 18 and the under 16 conception
  rates declined by over 6 between 1998 which is
  the baseline year for the strategy, and 2000.
• Figures for the under 18 conception rate during
  the first quarter of 2001 show a 4 reduction
  from the first quarter in 2000. This is the tenth
  successive quarter in which the rate has been
  lower than the corresponding quarter a year
  earlier

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Teenage Pregnancy contd

• the proportion of teenage mothers aged 16-19
  years in education, training or work increased
  from 17 in 1996 to 29 in 2001
• research clearly shows that effective Sex and
  relationships Education (SRE), linked to the
  provision of good quality advice and
  contraceptive services for young people is key to
  reducing teenage pregnancy rates
• Source Government response to the first annual
  report of the independent Advisory Group on
  Teenage Pregnancy, June 2002

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St.Helens Teenage Conception Rates 1999
48
St.Helens Teenage Pregnancy Trend 11-15 Yr Olds
1989 - 1998
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St.Helens Teenage Pregnancy Trend 16-19 Yr Olds
1989 - 1998
50
Sexually Transmitted Infections

• Between 1990 and 1999, new episodes seen at the
  GUM clinics in the UK rose from just over 624,000
  to almost 1,170,000
• In general rises in acute STIs have occurred in
  most parts of the UK and have been highest among
  teenage males and females
• Source Trends in sexually transmitted Infections
  in the United Kingdom 1990-1999. New episodes
  seen at the genitourinary medicine clinics.
  Joint Publication PHLS (England, Wales and
  Northern Ireland) and the Scottish ISD (D)5
  Collaborative group (ISD, SCIEH and MSSWVD)

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Sexually Transmitted Infections England, Wales
and Northern Ireland1995 - 2000
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Sexually Transmitted Infections England, Wales
and Northern Ireland1995 - 2000
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Sexually Transmitted Infections England, Wales
and Northern Ireland1995 - 2000
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Sexually Transmitted Infections England, Wales
and Northern Ireland1995 - 2000
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Sexually Transmitted Infections England, Wales
and Northern Ireland1995 - 2000
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Crime Disorder Strategy 2002/2005

• Aim The St.Helens Crime and Disorder
  Partnership aims to reduce Crime and Disorder and
  the Fear of Crime and Disorder through effective
  partnerships with Local Authority, Police other
  agencies and the local community in order to make
  St.Helens a safer place to live, work and visit

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Crime Disorder Strategy 2002/2005 contd

• Audit shows
• Public perception survey shows that three
  quarters of the public feel safe in their local
  area
• Levels of domestic burglary have decreased over
  the last three years (1.4m spent designing out
  crime in St.Helens to tackle domestic burglary)
• Incidence of vehicle crime is below the
  Merseyside rate. (397,000 obtained from Home
  Office to tackle vehicle crime)
• Zero tolerance campaign has raised awareness of
  deomestic violence, resulting in a 28 reduction
  in the rate of repeat victimisation within the
  last two years.

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Crime Disorder Strategy 2002/2005 contd

• Arrest referral piloted in 2001. 580 arrest
  referrals between August 2000 and August 2001 and
  400 individuals offered treatment.
• Fall in robbery of 4 between 200/01 and the
  previous year. St.Helens rate for robbery is half
  the national rate.
• Youth disorder has increased between 1998/2002.
• Evidence shows a close link between educational
  attainment within a ward, the level of
  unemployment and levels of crime and disorder.
• In line with national trends, St.Helens has seen
  an increase in violence against the person over
  the period 1998/2002.

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Burglary Dwelling 2002/2003
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Violence 2002/2003
61
Vehicle Crime 2002/2003
62
Criminal Damage 2002/2003
63
Disorder 2002/2003
64
Youth Disorder 2002/2003
65
Domestic Violence 2002/2003
66
Business Crime 2002/2003
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Educational Attainment Key Stage 2,3 4 (2001)

• Data includes the four special schools that are
  located within the borough

68
Educational Attainment Key Stage 2 (2001)
69
Educational Attainment Key Stage 3 (2001)
70
Educational Attainment Key Stage 4 (2001)
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What This Means

• School Senior Management Teams must prioritise a
  place for St.Helens Healthy Schools Standards
  work alongside or above other initiatives!