Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 


Geographical Area

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Geographical Area

3.1 Background and Historical Information

3.1.1 Presenting Information at Different Geographical Areas
3.1.2 Historical Changes and Current Structure

3.2 NHS Commissioning Regions
3.3 NHS Area Teams
3.4 Location of Hull
3.5 Wards Within Hull

3.5.1 Ward Profiles

3.6 Localities and Area Committee Areas
3.7 Output Areas, Middle Layer Super Output Areas and Lower Layer Super Output Areas

3.7.1 Background
3.7.2 Changes Between 2001 and 2011
3.7.3 Current Situation

3.8 Location of General Practices in Hull

4 References
5 Appendix

5.1 Data Sources
5.2 Historical Maps
5.3 Synthetic or Modelled Estimates
5.4 Local Surveys
5.5 Hospital Episode Statistics
5.6 Quality and Outcomes Framework
5.7 General Practice Groupings
5.8 Outcome Measures, Performance Targets and Progress Towards Targets

5.8.1 Historical Indicators, Outcome Measures and Targets
5.8.2 Problems Associated With Some Outcome Measures
5.8.3 Public Health Outcomes Framework

5.9 Statistical and Epidemiological Methods and Terms

5.9.1 Confounding, Effect Modification and Interaction
5.9.2 Confidence Intervals
5.9.3 Small Number of Events
5.9.4 Percentiles, Quartiles, Quintiles and Medians
5.9.5 Standardisation
5.9.6 Significance Testing

5.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.10.1 Tables
5.10.2 Figures

6 Index

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Demography and Demographics

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Demography and Demographics

3.1 Population Structure

3.1.1 Difference in GP Registered Population and Resident Population

3.2 Resident Population

3.2.1 Age and Gender Structure of Resident Population
3.2.2 Total Resident Population at Ward, Area and Locality Level
3.2.3 Resident Population Pyramids
3.2.4 Change in Resident Population from 2007 to 2008
3.2.5 Population Density

3.3 Registered (Patient) Population

3.3.1 Age and Gender Structure of Registered (Patient) Population
3.3.2 Total Registered (Patient) Population at Area and Locality Level
3.3.3 Total Registered (Patient) Population at Practice Level
3.3.4 Mean Age of Patients at Practice Level

3.4 Fertility
3.5 Annual Number of Births and Deaths
3.6 Projected Populations
3.7 Ethnicity and Language

3.7.1 Distribution of Black and Minority Ethnic Groups
3.7.2 Languages Spoken in the Home and Fluency in English

3.8 Religion
3.9 Marital Status
3.10 Life Stage and Household Composition

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Statistical and Epidemiological Methods and Terms

5.8.1 Confounding, Effect Modification and Interaction
5.8.2 Confidence Intervals
5.8.3 Small Number of Events
5.8.4 Percentiles, Quartiles, Quintiles and Medians
5.8.5 Standardisation
5.8.6 Occurrence Versus Registration of Deaths
5.8.7 Total Period Fertility or Abortion Rate
5.8.8 Significance Testing

5.9 Underlying Data for Figures
5.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.10.1 Tables
5.10.2 Figures

6 Index

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Housing, Environment and Social Care

1 Summary
2 Acknowledgements
3 Introduction

3.1 Other Reports
3.2 Terminology, Abbreviations, Statistical Methods and Terms
3.3 Data Sources
3.4 Deprivation
3.5 Comparator Areas
3.6 Public Health Outcomes Framework Indicators

4 Housing

4.1 Introduction
4.2 Housing and Neighbourhood Renewal Strategy 2011-2016

4.2.1 Theme 1: Increasing Housing Options and Meeting Housing Needs
4.2.2 Theme 2: Improving Access to Housing For All
4.2.3 Theme 3: Improving the Quality of Housing and Investing in the Existing Housing Stock
4.2.4 Theme 4: Improving Neighbourhood Quality
4.2.5 Theme 5: Neighbourhood Renewal and Growth

4.3 Decent Homes Standard

4.3.1 Central Heating
4.3.2 Fuel Poverty

4.4 Household Composition
4.5 Types of Housing
4.6 Household Tenure
4.7 Housing Stock and Additional Housing Provided
4.8 Housing Prices and Affordability

4.8.1 Affordable housing need

4.9 Rents, Lettings and Tenancies
4.10 Numbers on Local Authority Housing Waiting Lists
4.11 Social Housing Sales
4.12 Local Authority Housing Expenditure and Income
4.13 Household Projections
4.14 Hull City Council Customer Profiles (Housing Types)

5 Homelessness

5.1 Introduction
5.2 Statutory Homelessness

5.2.1 Public Health Outcomes Framework Indicators
5.2.2 Reasons for Statutory Homelessness

5.3 Homelessness Prevented or Relieved
5.4 Information from Hull City Council Choice Based Lettings Register
5.5 Households in Temporary Accommodation

5.5.1 Public Health Outcomes Framework Indicators

5.6 Homeless People NOT Accepted as Statutorily Homeless

5.6.1 Annual Estimate of Rough Sleepers
5.6.2 Health and Other Services for Homeless People
5.6.3 Use of Accident and Emergency Services
5.6.4 Housing Services for Homeless People
5.6.5 Cost of Homelessness to Public Services

6 Environment

6.1 Land Use

6.1.1 Utilisation of Outdoor Space for Exercise or Health Reasons

6.2 Climate Change
6.3 Air Pollution

6.3.1 Modelled Estimates of Levels of Air Pollution
6.3.2 Mortality From Air Pollution

6.4 Noise Pollution

6.4.1 Public Health Outcomes Framework Indicators
6.4.2 1.14i – Number of Complaints
6.4.3 1.14ii and 1.14iii – Exposure To Transport Noise of 65db(A) or More During Daytime; 55db(A) or More During The Night-time

6.5 Sustainable Development Management Plans

6.5.1 Public Health Outcomes Framework Indicators

7 Social Care

7.1 Registered Deaf or Hard of Hearing
7.2 Registered Blind or Partially Sighted
7.3 In Receipt of Social Care
7.4 Social Care Clients Receiving Self Directed Support
7.5 Carers Receiving Needs Assessment or Review and a Specific Carer's Service or Advice and Information
7.6 New Social Care Clients
7.7 Admissions to Residential Care Homes
7.8 Safeguarding Adults
7.9 Satisfaction with Services and Sufficient Support

7.9.1 Parental Experience of Services for Disabled Children
7.9.2 Quality of Life Improvement following Equipment and Minor Adaptations
7.9.3 Sufficient Support from Local Services to Manage Long-Term Conditions
7.9.4 Sufficient Support to Live Independently at Home

7.10 Adult Social Care Outcomes Framework 2013/14

7.10.1 ASCOF Domain 1: Enhancing Quality of Life For People With Care and Support Needs
7.10.2 ASCOF Domain 2: Delaying and Reducing the Need For Care and Support
7.10.3 ASCOF Domain 3: Ensuring That People Have a Positive Experience of Care and Support
7.10.4 ASCOF Domain 4: Safeguarding Adults Whose Circumstances Make Them Vulnerable and Protecting From Avoidable Harm

7.11 Projected Future Need Among Those Aged 18-64 Years

7.11.1 Substance Abuse
7.11.2 Mental Health
7.11.3 Learning Disability
7.11.4 Physical Disability

7.12 Looked After Children
7.13 Social Isolation Among Social Care Users and Their Carers

7.13.1 Social Care Users
7.13.2 Adult Carers

8 Public Health Outcomes Framework

8.1 1.06 – Adults With a Learning Disability and Adults in Contact with Secondary Mental Health Service in Appropriate Accommodation
8.2 1.10 - Killed or Seriously Injured on Roads
8.3 1.14 – Exposure to Noise
8.4 1.15 – Statutory Homelessness
8.5 1.16 – Utilisation of Outdoor Space for Exercise or Health Reasons
8.6 1.17 – Fuel Poverty
8.7 1.18 – Social Isolation Among Social Care Users and Their Carers
8.8 1.19 – Older People's Perception of Community Safety
8.9 3.01 – Mortality Attributable to Air Pollution
8.10 3.06 – Public Sector Organisations With Sustainable Development Plans
8.11 3.07 – Comprehensive, Agreed Inter-Agency Public Health Incident Plans

9 References
10 Appendix

10.1 Data Sources
10.2 Synthetic or Modelled Estimates
10.3 Local Surveys
10.4 Hospital Episode Statistics
10.5 Quality and Outcomes Framework
10.6 General Practice Groupings
10.7 Outcome Measures, Performance Targets and Progress Towards Targets

10.7.1 Historical Indicators, Outcome Measures and Targets
10.7.2 Problems Associated With Some Outcome Measures
10.7.3 Public Health Outcomes Framework

10.8 Statistical and Epidemiological Methods and Terms

10.8.1 Confounding, Effect Modification and Interaction
10.8.2 Confidence Intervals
10.8.3 Small Number of Events
10.8.4 Percentiles, Quartiles, Quintiles and Medians
10.8.5 Standardisation
10.8.6 Moving Average
10.8.7 Significance Testing

10.9 Underlying Data for Figures
10.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

10.10.1 Tables
10.10.2 Figures

11 Index

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Deprivation and Associated Measures

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Introduction to Deprivation and Inequity
4 Labour Market

4.1 Employment Status and Rates of Unemployment
4.2 Industry and Types of Jobs
4.3 Job Density
4.4 Occupational Groupings
4.5 Earnings
4.6 Sickness Absence Rates
4.7 Percentage of 16-18 Year Olds Not in Education, Employment or Training
4.8 Entrenched Worklessness

5 Benefit Claimants

5.1 Background

5.1.1 Available Information
5.1.2 State Pension Age
5.1.3 Changes to Benefits

5.2 All Working-Age Benefit Claimants
5.3 Job Seekers Allowance
5.4 Employment and Support Allowance (Incapacity Benefit) Claimants
5.5 Benefit Claimants for People with Carer Needs

5.5.1 Background
5.5.2 Disability Living Allowance
5.5.3 Attendance Allowance

5.6 Income Support
5.7 Pension Credit

6 Schools and Educational Attainment

6.1 School Readiness

6.1.1 Achieving Good Development at End of Reception
6.1.2 Year 1 Pupils Achieving Expected Level in Phonic Screening Check

6.2 Special Educational Needs
6.3 English Not as First Language
6.4 Free School Meals
6.5 Pupil Absence

6.5.1 For Hull
6.5.2 By School

6.6 Educational Achievement
6.7 Highest Education Attainment Among Adults

7 Crime

7.1 Crime Rates
7.2 First Time Entrants into Youth Justice System
7.3 Re-offending
7.4 Violent Crime

7.4.1 Hospital Admissions due to Violence
7.4.2 Violence Against the Person Offences
7.4.3 Sexual Offences

8 Domestic Violence
9 Measures OF Deprivation and Poverty

9.1 Index of Deprivation 2015

9.1.1 For Geographical Areas of Hull
9.1.2 For General Practices
9.1.3 Change in Index of Multiple Deprivation From 2010 to 2015

9.2 Child Poverty
9.3 Fuel Poverty

10 Geodemographic Segmentation

10.1 ACORN Classifications

10.1.1 ACORN
10.1.2 Wellbeing ACORN

10.2 Sport England
10.3 Healthy Foundations
10.4 Hull City Council Customer Profiles (Housing Types)

10.4.1 Groups Derived from Information from 2001 Census
10.4.2 Updated Groups Derived from Information from 2011 Census

11 Public Health Outcomes Framework

11.1 1.01 – Child Poverty
11.2 1.02 – School Readiness
11.3 1.03 – Pupil Absence
11.4 1.04i – First Time Entrants into Youth Justice System
11.5 1.05 – Percentage of 16-18 Year Olds Not in Education, Employment or Training
11.6 1.08 – Gap in Employment Rate
11.7 1.09 – Sickness Absence Rate
11.8 1.11 – Domestic Abuse
11.9 1.12 – Violent Crime
11.10 1.13 – Re-offending
11.11 1.17 – Fuel Poverty

12 References
13 Appendix

13.1 Data Sources
13.2 Synthetic or Modelled Estimates
13.3 Local Surveys
13.4 Hospital Episode Statistics
13.5 Quality and Outcomes Framework
13.6 General Practice Groupings
13.7 Outcome Measures, Performance Targets and Progress Towards Targets

13.7.1 Historical Indicators, Outcome Measures and Targets
13.7.2 Problems Associated With Some Outcome Measures
13.7.3 Public Health Outcomes Framework

13.8 Statistical and Epidemiological Methods and Terms

13.8.1 Confounding, Effect Modification and Interaction
13.8.2 Confidence Intervals
13.8.3 Small Number of Events
13.8.4 Percentiles, Quartiles, Quintiles and Medians
13.8.5 Standardisation
13.8.6 Moving Average
13.8.7 Significance Testing

13.9 Underlying Data for Figures
13.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

13.10.1 Tables
13.10.2 Figures

14 Index

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General Health, Disabilities, Caring and Use of Healthcare Services

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 General Health

3.1 Adults
3.2 Young people
3.3 General Health in Relation to Deprivation

4 Dental Health
5 Long-Standing Illness or Disability

5.1 Adults

5.1.1 Prevalence
5.1.2 Working-Age Benefit Claimants of Employment Support Allowance
5.1.3 Employment Gap

5.2 Young People
5.3 Projected Numbers Aged 65+ with Limiting Long Term Illness and Disability
5.4 Long-Standing Limiting Illness or Disability in Relation to Deprivation

6 Chronic Health Conditions

6.1 Primary Care Disease Registers

6.1.1 Rheumatoid Arthritis
6.1.2 Other Medical Conditions

7 Sickness Absence

7.1 Public Health Outcomes Framework

8 Learning Disabilities

8.1 Diagnosed and Modelled Prevalence Among Adults
8.2 Adults in stable and appropriate accommodation

8.2.1 Public Health Outcomes Framework

8.3 Employment Gap

8.3.1 Public Health Outcomes Framework

8.4 Estimating Numbers of Children with Learning Disabilities
8.5 Projections of Future Need to 2030 for Those Aged 18+ Years

8.5.1 Learning Disabilities
8.5.2 Down's Syndrome
8.5.3 Challenging Behaviour
8.5.4 Autistic Spectrum Disorder

8.6 Diagnosed Prevalence in Relation to Deprivation
8.7 Programme Budgeting

9 Mental Health

9.1 Satisfaction with acute mental health inpatient services
9.2 Adults in stable and appropriate accommodation

9.2.1 Public Health Outcomes Framework

9.3 Employment gap

9.3.1 Public Health Outcomes Framework

10 Hearing Impairment
11 Visual Impairment

11.1 Registered Blind or Partially Sighted
11.2 Projections

11.3 Public Health Outcomes Framework

12 Caring and Self-Care

12.1 Social Care

12.1.1 Adult Social Care Outcomes Framework 2013/14
12.1.2 Projections of Social Care Needs

12.2 Benefit Claimants for Carers
12.3 Responsible for the Long-Term Care of Others

12.3.1 Adults
12.3.2 Young People

12.4 Long-term Care of Others in Relation to Deprivation

12.4.1 Adults
12.4.2 Young People

13 Use of Healthcare Services

13.1 Health Service Attendances Within Last Year
13.2 Use of Private or Other Health Services

13.2.1 Dentists

13.3 Young People

14 Public Health Outcomes Framework

14.1 4.12 – Preventable Sight Loss

14.2 1.06 – Adults in stable and appropriate accommodation

14.2.1 1.06i – Adults with a learning disability who live in stable and appropriate accommodation
14.2.2 1.06i – Adults in contact with secondary mental health services who live in stable and appropriate accommodation

14.3 1.08 – Gap in the employment rate

14.3.1 1.08i – Gap in the employment rate between those with a long term health condition and the overall employment rate
14.3.2 1.08ii – Gap in the employment rate between those with a learning disability and the overall employment rate
14.3.3 1.08ii – Gap in the employment rate between those in contact with secondary mental health services and the overall employment rate

14.4 1.09 – Sickness absence

15 References
16 Appendix

16.1 Data Sources
16.2 Synthetic or Modelled Estimates
16.3 Local Surveys

16.3.1 Health and Lifestyle Surveys
16.3.2 Qualitative and Social Marketing Research

16.3.3 Social Capital Surveys

16.3.4 Other Surveys
16.3.5 Patient and Public Involvement Projects

16.4 Hospital Episode Statistics
16.5 Quality and Outcomes Framework
16.6 General Practice Groupings
16.7 Outcome Measures, Performance Targets and Progress Towards Targets

16.7.1 Historical Indicators, Outcome Measures and Targets
16.7.2 Problems Associated With Some Outcome Measures
16.7.3 Public Health Outcomes Framework

16.8 Statistical and Epidemiological Methods and Terms

16.8.1 Confounding, Effect Modification and Interaction
16.8.2 Confidence Intervals
16.8.3 Small Number of Events
16.8.4 Percentiles, Quartiles, Quintiles and Medians
16.8.5 Standardisation
16.8.6 Significance Testing

16.9 Underlying Data for Figures
16.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

16.10.1 Tables
16.10.2 Figures

17 Index 170

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Dental Health

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Dental Health

3.1 Introduction
3.2 Access to Dental Services in Hull

3.2.1 Dentists Per 100,000 Population
3.2.2 Duration Since Last Dental Appointment for Adults and Children

3.2.2.1 Attendance Within Last Two Years (National Data Sources)
3.2.2.2 Duration Since Last Attendance (Hull's Health and Lifestyle Surveys)

3.2.3 Success at Obtaining a Dental Appointment
3.2.4 Satisfaction with Dental Experience
3.2.5 Reasons for Not Attending an NHS Dental Appointment in Last Two Years

3.3 Dental Health Among Adults

3.3.1 Number of Natural Teeth
3.3.2 General Dental Health Information from Local Survey
3.3.3 Courses of Treatment
3.3.4 Oral Cancer

3.4 Dental Health Among Children and Young People

3.4.1 Tooth Decay Among Three Year Olds
3.4.2 Tooth Decay Among Five Year Olds
3.4.3 Tooth Decay Among Twelve Year Olds
3.4.4 Courses of Treatment
3.4.5 Extractions

3.5 Dental Strategy, Future Needs and Gaps in Provision
3.6 Programme Budgeting and Outcomes

4 Public Health Outcomes Framework

4.1 4.02 – Tooth Decay Among Five Year Olds

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.7.3.1 Introduction
6.7.3.2 National Profile for Hull and "Tartan Rug"
6.7.3.3 Local Analysis

6.8 Statistical and Epidemiological Methods and Terms

6.8.1 Confounding, Effect Modification and Interaction
6.8.2 Confidence Intervals
6.8.3 Small Number of Events
6.8.4 Percentiles, Quartiles, Quintiles and Medians
6.8.5 Standardisation
6.8.6 Moving Average
6.8.7 Significance Testing

6.9 Underlying Data for Figures
6.10 Time Period for Information, Date Last Update and Source for Each Table and Figure

6.10.1 Tables
6.10.2 Figures

7 Index

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Inpatient Hospital Admissions

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Inpatient Hospital Admissions

3.1 Data access issues
3.2 Admissions by Primary Cause of Diagnosis
3.3 Admissions by Ward
3.4 Admissions by GP Practice
3.5 Emergency Re-Admission with 30 Days of Discharge

3.5.1 Public Health Outcomes Framework

3.6 Inpatient Admissions Relative to Deprivation

4 Public Health Outcomes Framework

4.1 1.12i – Hospital Admissions for Violence
4.2 2.07 – Hospital Admissions for Injuries (Under 25s)
4.3 2.10 – Hospital Admissions for Self-Harm
4.4 2.18 – Alcohol-Related Admissions
4.5 2.24 – Falls Among Those Aged 65+ Years
4.6 4.11 – Emergency Re-Admissions Within 30 Days
4.7 4.14 – Hip Fractures Among Those Aged 65 Years

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Moving Average
6.9.7 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Life Expectancy

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Life Expectancy at Birth

3.1 Life Expectancy at Birth in Hull Compared to England and Comparator Areas
3.2 Absolute Gap in Life Expectancy at Birth Between Hull and England
3.3 Life Expectancy at Birth in Hull Wards
3.4 Life Expectancy at Birth in Hull Neighbourhoods
3.5 Slope Index of Inequality
3.6 Relationship Between Deprivation and Life Expectancy at Birth
3.7 Deprivation and Life Expectancy at Birth – Hull and Comparators
3.8 Relationship Between Life Expectancy at Birth and Customer Profile (Housing Type) Groups

4 Life Expectancy at Age 65 Years

4.1 Life Expectancy at Age 65 in Hull Compared to England and Comparator Areas
4.2 Life Expectancy at Age 65 in Hull Wards
4.3 Relationship Between Deprivation and Life Expectancy at Age 65

5 Healthy Life Expectancy

5.1 Healthy Life Expectancy at Birth in Hull Compared to England and Comparator Areas
5.2 Percentage of Life Expectancy Not in Good Health

6 Progress Towards Targets and Slope Index of Inequality

6.1 Healthy Life Expectancy at Birth
6.2 Life Expectancy at Birth
6.3 Slope Index of Inequality
6.4 Absolute Difference in Life Expectancy at Birth Between Hull and England

7 Public Health Outcomes Framework

7.1 0.1i – Healthy Life Expectancy
7.2 0.1ii – Life Expectancy at Birth

7.2.1 At Birth
7.2.2 At Age 65 Years

7.3 0.2iii Slope Index of Inequality
7.4 0.2iv Absolute Gap with England in Life Expectancy

8 References
9 Appendix

9.1 Data Sources
9.2 Synthetic or Modelled Estimates
9.3 Local Surveys
9.4 Hospital Episode Statistics
9.5 Quality and Outcomes Framework
9.6 General Practice Groupings
9.7 Outcome Measures, Performance Targets and Progress Towards Targets

9.7.1 Historical Indicators, Outcome Measures and Targets
9.7.2 Problems Associated With Some Outcome Measures
9.7.3 Public Health Outcomes Framework

9.8 Statistical and Epidemiological Methods and Terms

9.8.1 Confounding, Effect Modification and Interaction
9.8.2 Confidence Intervals
9.8.3 Small Number of Events
9.8.4 Percentiles, Quartiles, Quintiles and Medians
9.8.5 Standardisation
9.8.6 Life Expectancy
9.8.7 Occurrence Versus Registration of Deaths
9.8.8 Moving Average
9.8.9 Significance Testing

9.9 Underlying Data for Figures
9.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

9.10.1 Tables
9.10.2 Figures

10 Index

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Mortality

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Mortality

3.1 Main Underlying Causes of Death by Gender
3.2 Main Underlying Causes of Death by Age
3.3 Stillbirths and Infant Mortality Rate

3.3.1 Stillbirths
3.3.2 Infant Mortality Rate
3.3.3 Progress Towards Targets
3.3.4 Public Health Outcomes Framework Indicators

3.4 All Cause Mortality

3.4.1 Under 75 Year All Cause Standardised Mortality Ratio
3.4.2 Under 75 Year All Cause Standardised Mortality Ratio in Relation to Deprivation
3.4.3 Under 75 Year All Cause Standardised Mortality Ratio in Relation to Deprivation for Hull and Comparator Areas
3.4.4 Under 75 All Cause Standardised Mortality Ratio in Relation to Customer Profiles (Housing Types)
3.4.5 All Age All Cause Mortality Rate
3.4.6 Progress Towards Targets

3.5 Mortality from Causes Considered Preventable

3.5.1 Public Health Outcomes Framework

3.6 Mortality That Is Potentially Avoidable or Amenable to Surgical Intervention

3.6.1 Mortality from Causes Amendable to Health Care
3.6.2 Mortality from Causes Amendable to Surgical Intervention

3.7 Deaths by Location of Death

3.7.1 Deaths at all Locations Across the Humber Cluster 2010
3.7.2 Deaths at all Locations in Hull 2010-2012
3.7.3 Deaths at Home in Hull Relative to its Comparators

3.8 Winter Deaths

3.8.1 Public Health Outcomes Framework

4 Public Health Outcomes Framework

4.1 4.01 – Infant Mortality
4.2 4.03 – Preventable Mortality
4.3 4.04 – Premature Mortality from Cardiovascular Diseases
4.4 4.05 – Premature Mortality from Cancer
4.5 4.06 – Premature Mortality from Liver Disease
4.6 4.07 – Premature Mortality from Respiratory Disease
4.7 4.08 –Mortality from Communicable Diseases
4.8 4.09 – Excess Under 75 Mortality in Adults with Serious Mental Illness
4.9 4.10 – Suicide Rate
4.10 4.15 – Excess Winter Deaths

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Impact of changes to European Standard Population on directly standardised rates
6.9.7 Occurrence Versus Registration of Deaths
6.9.8 Moving Average
6.9.10 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Smoking

1 Summary
2 Introduction

2.1 Other reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Lifestryle Risk Factors

3.1 Main Risk Factors

3.1.1 Definitions of Risk Factors
3.1.2 Total Estimated Resident Adults With Main Risk Factors
3.1.3 Total Estimated Resident Young People With Main Risk Factors

3.2 Risk Factors for Different Black and Minority Ethnic Groups

3.2.1 Results from the 2007 Health and Lifestyle Survey
3.2.2 Results from the 2011-12 Health and Lifestyle Survey

3.3 Perceived Impact of Changing Lifestyle on Health

4 Smoking

4.1Smoking as a Risk Factor
4.2 Prevalence of Smoking Tobacco

4.2.1 Adults
4.2.2 Young People
4.2.3 Smoking in Pregnancy

4.3 E-cigarettes

4.3.1 Percentage Using E-cigarettes
4.3.2 Reasons for Using E-cigarettes

4.4 Financial Cost of Smoking in Hull

4.5 Inpatient Hospital Admissions
4.6 Mortality
4.7 Tobacco Smoking in the Home
4.8 Attitudes Towards Smoking Tobacco
4.9 Tobacco Smoking in Relation to Deprivation
4.10 Tobacco Smoking in Relation to Employment Status
4.11 Use of E-cigarettes in Relation to Deprivation

4.12 Social Marketing and Factors Influencing Smoking Behaviour
4.13 Stop Smoking Service
4.14 Stop Smoking Service and Predictive Modelling in Relation to Life Expectancy
4.15 Stop Smoking Strategy
4.16 Progress Towards Targets

5 Prevalence of Multiple Risk Factors

5.1 From Prevalence Survey 2014
5.2 From Young People Health and Lifestyle Survey 2012
5.3 From Healthy Heart Study

6 Public Health Outcomes Framework

6.1 2.03 - Smoking Prevalence at Time of Delivery
6.2 2.09 - Smoking Prevalence Among 15 Year Olds
6.3 2.14 - Smoking Prevalence Among Adults

7 References
8 Appendix

8.1 Data Sources
8.2 Synthetic or Modelled Estimates
8.3 Local Surveys

8.3.1 Health and Lifestyle Surveys
8.3.2 Qualitative and Social Marketing Research
8.3.3 Social Capital Surveys
8.3.4 Other Surveys
8.3.5 Patient and Public Involvement Projects

8.4 Hospital Episode Statistics
8.5 Quality and Outcomes Framework
8.6 General Practice Groupings
8.7 Outcome Measures, Performance Target and Progress Towards Targets

8.7.1 Historical Indicators, Outcome Measures and Targets
8.7.2 Problems Associated With Some Outcome Measures
8.7.3 Public Health Outrcomes Framework

8.8 Definitions and Classifications

8.8.1 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Study
8.8.2 Disease Definitions Using International Classification of Diseases

8.9 Statistical and Epidemiological Methods and Terms

8.9.1 Confounding, Effect Modification and Interaction
8.9.2 Confidence Intervals
8.9.3 Small Number of Events
8.9.4 Percentiles, Quartiles, Quintiles and Medians
8.9.5 Standardisation
8.9.6 Occurrence Versus Registration of Deaths
8.9.7 Moving Average
8.9.8 Significance Testing

8.10 Underlying Data for Figures
8.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

8.11.1 Tables
8.11.2 Figures

9 Index

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Overweight and Obesity

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Lifestyle Risk Factors

3.1 Main Risk Factors

3.1.1 Definitions of Risk Factors
3.1.2 Total Estimated Resident Adults With Main Risk Factors
3.1.3 Total Estimated Resident Young People With Main Risk Factors

3.2 Risk Factors for Different Black and Minority Ethnic groups

3.2.1 Results from the 2007 Health and Lifestyle Survey

3.2.2 Results from the 2011-12 Health and Lifestyle Survey

3.3 Perceived Impact of Changing Lifestyle on Health

4 Overweight and Obesity

4.1 Obesity as a Risk Factor
4.2 Definition of Overweight and Obesity
4.3 Prevalence of Overweight and Obesity in Adults

4.3.1 Trends in the prevalence of overweight and obese adults
4.3.2 Public Health Outcomes Framework

4.4 Prevalence of Overweight and Obesity in Children

4.4.1 National Child Measurement Programme - Overview
4.4.2 Key Points from the 2013-14 NCMP
4.4.3 2013-14 NCMP National Dataset Results for Hull
4.4.4 Local Analysis of the 2013-14 NCMP Results
4.4.5 Reconciliation of 2013-14 NCMP reported data compared to 'local' dataset
4.4.6 Hull Children Measured in Year R and Six Years Later in Year 6 – Paired Analysis
4.4.7 Public Health Outcomes Framework

4.5 Healthy Lifestyle Aspirations of Young People
4.6 Inpatient Hospital Admissions
4.7 Attitudes Towards Obesity
4.8 Overweight and Obesity in Relation to Deprivation

4.8.1 Adults
4.8.2 Children

4.9 Overweight and Obesity in Relation to Employment Status
4.10 Inpatient Admissions in Relation to Deprivation
4.11 Social Marketing and Factors Influencing Obesity
4.12 Evaluation of Weight Loss Programmes in 2010

4.12.1 Geographical Spread of Adults Using Weight Loss Programmes
4.12.2 Success of Weight Loss Programmes in Terms of Improvements in Physical and Mental Health

4.13 Obesity Strategy

5 Prevalence of Multiple Risk Factors

5.1 From Adult Health and Lifestyle Survey 2014
5.2 From Young People Health and Lifestyle Survey 2008-09
5.3 From Healthy Heart Study

6 Public Health Outcomes Framework

6.1 2.06i – Among 4-5 Year Olds
6.2 2.06ii – Among 10-11 Year Olds
6.3 2.14 – Among Adults

7 References
8 Appendix

8.1 Data Sources
8.2 Synthetic or Modelled Estimates
8.3 Local Surveys

8.3.1 Health and Lifestyle Surveys
8.3.2 Qualitative and Social Marketing Research
8.3.3 Social Capital Surveys
8.3.4 Other Surveys
8.3.5 Patient and Public Involvement Projects

8.4 Hospital Episode Statistics
8.5 Quality and Outcomes Framework
8.6 General Practice Groupings
8.7 Outcome Measures, Performance Targets and Progress Towards Targets

8.7.1 Historical Indicators, Outcome Measures and Targets
8.7.2 Problems Associated With Some Outcome Measures
8.7.3 Public Health Outcomes Framework

8.8 Definitions and Classifications

8.8.1 Definition of Overweight and Obesity
8.8.2 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Heart Study

8.9 Statistical and Epidemiological Methods and Terms

8.9.1 Confounding, Effect Modification and Interaction
8.9.2 Confidence Intervals
8.9.3 Small Number of Events
8.9.4 Percentiles, Quartiles, Quintiles and Medians
8.9.5 Standardisation
8.9.6 Significance Testing

8.10 Underlying Data for Figures
8.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

8.11.1 Tables
8.11.2 Figures

9 Index

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Physical Activity

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Lifestyle Risk Factors

3.1 Main Risk Factors

3.1.1 Definitions of Risk Factors
3.1.2 Total Estimated Resident Adults With Main Risk Factors
3.1.3 Total Estimated Resident Young People With Main Risk Factors

3.2 Risk Factors for Different Black and Minority Ethnic groups

3.2.1 Results from the 2007 Health and Lifestyle Survey
3.2.2 Results from the 2011-12 Health and Lifestyle Survey

3.3 Perceived Impact of Changing Lifestyle on Health

4 Physical Activity

4.1 Lack of Physical Activity as a Risk Factor
4.2 Definitions
4.3 Prevalence

4.3.1 Adults
4.3.2 Young People

4.4 Reasons For Not Exercising
4.5 Attitudes Towards Physical Activity
4.6 Physical Activity in Relation to Deprivation

4.6.1 Adults
4.6.2 Young People

4.7 Physical Activity in Relation to Employment Status
4.8 Social Marketing and Factors Influencing Exercise
4.9 Evaluation of Local Physical Activity Programmes
4.10 Physical Activity Strategy
4.11 Progress Towards Targets

5 Prevalence of Multiple Risk Factors

5.1 From Adult Health and Lifestyle Survey 2014
5.2 From Young People Health and Lifestyle Survey 2012
5.3 From Healthy Heart Study

6 Public Health Outcomes Framework

6.1 2.13 – Physically active and inactive adults

6.1.1 2.13i – Percentage of physically active adults
6.1.2 2.13ii – Percentage of physically inactive adults

7 References
8 Appendix

8.1 Data Sources
8.2 Synthetic or Modelled Estimates
8.3 Local Surveys

8.3.1 Health and Lifestyle Surveys
8.3.2 Qualitative and Social Marketing Research
8.3.3 Social Capital Surveys
8.3.4 Other Surveys
8.3.5 Patient and Public Involvement Projects

8.4 Hospital Episode Statistics
8.5 Quality and Outcomes Framework
8.6 General Practice Groupings
8.7 Outcome Measures, Performance Targets and Progress Towards Targets

8.7.1 Historical Indicators, Outcome Measures and Targets
8.7.2 Problems Associated With Some Outcome Measures
8.7.3 Public Health Outcomes Framework

8.8 Definitions and Classifications

8.8.1 Definitions Used to Measure Levels of Exercise
8.8.2 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Heart Study

8.9 Statistical and Epidemiological Methods and Terms

8.9.1 Confounding, Effect Modification and Interaction
8.9.2 Confidence Intervals
8.9.3 Small Number of Events
8.9.4 Percentiles, Quartiles, Quintiles and Medians
8.9.5 Standardisation
8.9.6 Significance Testing

8.10 Underlying Data for Figures
8.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

8.11.1 Tables
8.11.2 Figures

9 Index

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Diet

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Lifestyle Risk Factors

3.1 Main Risk Factors

3.1.1 Definitions of Risk Factors
3.1.2 Total Estimated Resident Adults With Main Risk Factors
3.1.3 Total Estimated Resident Young People With Main Risk Factors

3.2 Risk Factors for Different Black and Minority Ethnic Groups

3.2.1 Results from the 2007 Health and Lifestyle Survey
3.2.2 Results from the 2011-12 Health and Lifestyle Survey

3.3 Perceived Impact of Changing Lifestyle on Health

4 Diet

4.1 Collecting Information in Diet
4.2 Poor Diet as a Risk Factor
4.3 Healthy Diet

4.3.1 Adults
4.3.2 Young People

4.4 5-A-DAY

4.4.1 Adults
4.4.2 Young People

4.5 Breakfast and Lunch Food Items Eaten by Young People
4.6 Young People's Involvement in Cookery
4.7 Attitudes Towards Diet
4.8 Diet in Relation to Deprivation

4.8.1 Healthy diet
4.8.2 5-A-DAY
4.8.3 Type of Fat or Oil Used For Frying Food

4.9 5-A-DAY in Relation to Employment Status
4.10 Social Marketing and Factors Influencing Diet
4.11 Dietary Advice and Improving Cookery Skills
4.12 Progress Towards Targets

5 Prevalence of Multiple Risk Factors

5.1 From Adult Health and Lifestyle Survey 2014
5.2 From Young People Health and Lifestyle Survey 2012
5.3 From Healthy Heart Study

6 Public Health Outcomes Framework
7 References
8 Appendix

8.1 Data Sources
8.2 Synthetic or Modelled Estimates
8.3 Local Surveys

8.3.1 Health and Lifestyle Surveys
8.3.2 Qualitative and Social Marketing Research
8.3.3 Social Capital Surveys
8.3.4 Other Surveys
8.3.5 Patient and Public Involvement Projects

8.4 Hospital Episode Statistics
8.5 Quality and Outcomes Framework
8.6 General Practice Groupings
8.7 Outcome Measures, Performance Targets and Progress Towards Targets

8.7.1 Historical Indicators, Outcome Measures and Targets
8.7.2 Problems Associated With Some Outcome Measures
8.7.3 Public Health Outcomes Framework

8.8 Definitions and Classifications

8.8.1 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Heart Study

8.9 Statistical and Epidemiological Methods and Terms

8.9.1 Confounding, Effect Modification and Interaction
8.9.2 Confidence Intervals
8.9.3 Small Number of Events
8.9.4 Percentiles, Quartiles, Quintiles and Medians
8.9.5 Standardisation
8.9.6 Moving Average
8.9.7 Significance Testing

8.10 Underlying Data for Figures
8.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

8.11.1 Tables
8.11.2 Figures

9 Index

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Alcohol Consumption

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Lifestyle Risk Factors

3.1 Main Risk Factors

3.1.1 Definitions of Risk Factors
3.1.2 Total Estimated Resident Adults With Main Risk Factors
3.1.3 Total Estimated Resident Young People With Main Risk Factors

3.2 Risk Factors for Different Black and Minority Ethnic Groups

3.2.1 Results from the 2007 Health and Lifestyle Survey
3.2.2 Results from the 2011-12 Health and Lifestyle Survey

3.3 Perceived Impact of Changing Lifestyle on Health

4 Alcohol Consumption

4.1 Alcohol as a Risk Factor
4.2 National Recommendations for Alcohol Consumption and Definitions

4.2.1 Excessive Weekly Alcohol Consumption
4.2.2 Binge Drinking
4.2.3 Knowledge About Recommended Alcohol Units

4.3 Prevalence

4.3.1 Adults
4.3.2 Young People
4.3.3 Predictions of Future Need to 2030 for Those Aged 18-64 Years

4.4 Inpatient Hospital Admissions

4.4.1 Admissions with Primary and/or Secondary Diagnosis Related to Alcohol
4.4.2 Admissions 'Attributable' to Alcohol (Modelled)

4.5 Mortality From Alcohol-Related Diseases and Conditions
4.6 Local Alcohol Profiles
4.7 Attitudes Towards Alcohol
4.8 Alcohol Consumption in Relation to Deprivation

4.8.1 Adults
4.8.2 Young People

4.9 Alcohol Consumption in Relation to Employment Status
4.10 Inpatient Admissions in Relation to Deprivation
4.11 Social Marketing and Factors Influencing Alcohol Consumption
4.12 Alcohol Strategy
4.13 Progress Towards Targets

5 Prevalence of Multiple Risk Factors

5.1 From Adult Health and Lifestyle Survey 2014
5.2 From Young People Health and Lifestyle Survey 2012

6 Public Health Outcomes Framework

6.1 2.18 – Alcohol-Related Admissions
6.2 4.06 – Mortality from Liver Disease

7 References
8 Appendix

8.1 Data Sources
8.2 Synthetic or Modelled Estimates
8.3 Local Surveys

8.3.1 Health and Lifestyle Surveys
8.3.2 Qualitative and Social Marketing Research
8.3.3 Social Capital Surveys
8.3.4 Other Surveys
8.3.5 Patient and Public Involvement Projects

8.4 Hospital Episode Statistics
8.5 Quality and Outcomes Framework
8.6 General Practice Groupings
8.7 Outcome Measures, Performance Targets and Progress Towards Targets

8.7.1 Historical Indicators, Outcome Measures and Targets
8.7.2 Problems Associated With Some Outcome Measures
8.7.3 Public Health Outcomes Framework

8.8 Definitions and Classifications

8.8.1 Definitions Used to Measure Alcohol Consumption
8.8.2 Disease Definitions Using International Classification of Diseases

8.9 Statistical and Epidemiological Methods and Terms

8.9.1 Confounding, Effect Modification and Interaction
8.9.2 Confidence Intervals
8.9.3 Small Number of Events
8.9.4 Percentiles, Quartiles, Quintiles and Medians
8.9.5 Standardisation
8.9.6 Impact of Changes to European Standard Population on Directly Standardised Rates
8.9.7 Occurrence Versus Registration of Deaths
8.9.8 Moving Average
8.9.9 Significance Testing

8.10 Underlying Data for Figures
8.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

8.11.1 Tables
8.11.2 Figures

9 Index

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Drug and Substance Misuse

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Lifestyle Risk Factors

3.1 Main Risk Factors

3.1.1 Definitions of Risk Factors
3.1.2 Total Estimated Resident Adults With Main Risk Factors
3.1.3 Total Estimated Resident Young People With Main Risk Factors

3.2 Risk Factors for Different Black and Minority Ethnic Groups

3.2.1 Results from the 2007 Health and Lifestyle Survey
3.2.2 Results from the 2011-12 Health and Lifestyle Survey

3.3 Perceived Impact of Changing Lifestyle on Health

4 Drug and Substance Misuse

4.1 Prevalence

4.1.1 Adults
4.1.2 Prisoners
4.1.3 Young People
4.1.4 Ever been offered or encouraged to try drugs
4.1.5 Ever used drugs
4.1.6 Comparisons with other surveys
4.1.7 Comparisons with England
4.1.8 Predictions of Future Need to 2030 for Those Aged 18-64 Years

4.2 Treatment
4.3 Mortality
4.4 Young People's Attitude Towards Drugs
4.5 Drug and Substance Abuse in Relation to Deprivation
4.6 Substance Abuse Strategy

5 Prevalence of Multiple Risk Factors

5.1 From Adult Health and Lifestyle Survey 2011-12
5.2 From Young People Health and Lifestyle Survey 2012

6 Public Health Outcomes Framework

6.1 2.15 – Successful Completion of Drug Treatment

6.1.1 2.15i – Opiate Users
6.1.2 2.15ii – Non-Opiate Users

6.2 2.16 – People Entering Prison with Substance Dependence Issues

7 References
8 Appendix

8.1 Data Sources
8.2 Synthetic or Modelled Estimates
8.3 Local Surveys

8.3.1 Health and Lifestyle Surveys
8.3.2 Qualitative and Social Marketing Research
8.3.3 Social Capital Surveys
8.3.4 Other Surveys
8.3.5 Patient and Public Involvement Projects

8.4 Hospital Episode Statistics
8.5 Quality and Outcomes Framework
8.6 General Practice Groupings
8.7 Outcome Measures, Performance Targets and Progress Towards Targets

8.7.1 Historical Indicators, Outcome Measures and Targets
8.7.2 Problems Associated With Some Outcome Measures
8.7.3 Public Health Outcomes Framework

8.8 Definitions and Classifications

8.8.1 Definitions Used to Measure Alcohol Consumption
8.8.2 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Heart Study
8.8.3 Disease Definitions Using International Classification of Diseases

8.9 Statistical and Epidemiological Methods and Terms

8.9.1 Confounding, Effect Modification and Interaction
8.9.2 Confidence Intervals
8.9.3 Small Number of Events
8.9.4 Percentiles, Quartiles, Quintiles and Medians
8.9.5 Standardisation
8.9.6 Occurrence Versus Registration of Deaths
8.9.7 Significance Testing

8.10 Underlying Data for Figures
8.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

8.11.1 Tables
8.11.2 Figures

9 Index

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Vaccinations and Immunisations

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Childhood Immunisations

3.1 Schedule of Immunisations
3.2 Vaccination Uptake Rates for One Year Olds

3.2.1 Hull Versus Comparator Areas
3.2.2 At Ward Level in Hull
3.2.3 At Practice Level in Hull
3.2.4 Public Health Outcomes Framework Indicators

3.3 Vaccination Uptake Rates for Two Year Olds

3.3.1 Hull Versus Comparator Areas
3.3.2 At Ward Level in Hull
3.3.3 At Practice Level in Hull
3.3.4 Public Health Outcomes Framework Indicators

3.4 Vaccination Uptake Rates for Five Year Olds

3.4.1 Hull Versus Comparator Areas
3.4.2 At Ward Level in Hull
3.4.3 At Practice Level in Hull
3.4.4 Public Health Outcomes Framework Indicators

3.5 Child Vaccination Uptake Rates by Ethnicity in Hull
3.6 HPV Vaccination Uptake Rates

3.6.1 Public Health Outcomes Framework Indicators

3.7 Child Vaccination Uptake Rates for Looked After Children
3.8 Progress Towards Targets
3.9 Non-routine vaccinations

4 Adult Vaccinations

4.1 Shingles Vaccination
4.2 Influenza Vaccination

4.2.1 Among Those Aged 65+ Years
4.2.2 Among 'At Risk' Groups

4.3 Pneumococcal Polysaccharide Vaccination

4.3.1 Public Health Outcomes Framework Indicators

5 Public Health Outcomes Framework

5.1 3.03 – Population Vaccination Coverage

5.1.1 3.03i Hepatitis B
5.1.2 3.03iii Dtap / IPV / Hib
5.1.3 3.03iv Meningitis C
5.1.4 3.03v Pneumococcal vaccine (PCV)
5.1.5 3.03vi Hib / MenC booster
5.1.6 3.03vii Pneumococcal vaccine (PCV) booster
5.1.7 3.03viii MMR (one dose, two year olds)
5.1.8 3.03ix MMR (one dose, five year olds)
5.1.9 3.03x MMR (two doses, five year olds)
5.1.10 3.03xii Human papillomavirus (HPV)
5.1.11 3.03 xiii Pneumococcal polysaccharide vaccine (PPV)
5.1.12 3.03xiv Influenza vaccine (65+ years)
5.1.13 3.03xv Influenza vaccine (at risk individuals)

6 References
7 Appendix

7.1 Data Sources
7.2 Synthetic or Modelled Estimates
7.3 Local Surveys
7.4 Hospital Episode Statistics
7.5 Quality and Outcomes Framework
7.6 General Practice Groupings
7.7 Outcome Measures, Performance Targets and Progress Towards Targets

7.7.1 Historical Indicators, Outcome Measures and Targets
7.7.2 Problems Associated With Some Outcome Measures
7.7.3 Public Health Outcomes Framework

7.8 Statistical and Epidemiological Methods and Terms

7.8.1 Confounding, Effect Modification and Interaction
7.8.2 Confidence Intervals
7.8.3 Small Number of Events
7.8.4 Percentiles, Quartiles, Quintiles and Medians
7.8.5 Standardisation
7.8.6 Moving Average
7.8.7 Significance Testing

7.9 Underlying Data for Figures
7.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

7.10.1 Tables
7.10.2 Figures

8 Index

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Screening

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Screening

3.1 Breast Cancer

3.1.1 Percentage of Women Screened
3.1.2 Progress Towards Targets
3.1.3 Public Health Outcomes Framework
3.1.4 Influences on Breast Cancer Screening Rates

3.2 Cervical Cancer

3.2.1 Percentage of Women Screened
3.2.2 Progress Towards Targets
3.2.3 Public Health Outcomes Framework
3.2.4 Influences on Cervical Screening Rates

3.3 Comparison of Breast and Cervical Cancer Screening Rates at Practice Level
3.4 Colorectal Cancer

3.4.1 Percentage Screened
3.4.2 Public Health Outcomes Framework

3.5 Abdominal Aortic Aneurysm
3.6 Other Non-Cancer Screening

3.6.1 Diabetic Retinopathy Screening

3.7 NHS Health Check

3.7.1 Public Health Outcomes Framework

4 Public Health Outcomes Framework

4.1 2.20 – Cancer Screening Coverage

4.1.1 2.20i – Breast Cancer
4.1.2 2.20ii – Cervical Cancer

4.2 2.21 – Access to Non-Cancer Screening Programmes

4.2.1 2.21vii – Diabetic Retinopathy

4.3 2.22 – NHS Health Check

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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All Circulatory Diseases

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Circulatory Disease
4 All Circulatory Disease

4.1 Risk Factors
4.2 Diagnosed Prevalence
4.3 Inpatient Hospital Admissions
4.4 Mortality

4.4.1 Preventable Mortality
4.4.2 Public Health Outcomes Framework

4.5 Diagnosed Prevalence in Relation to Deprivation
4.6 Inpatient Admissions in Relation to Deprivation
4.7 Mortality in Relation to Deprivation
4.8 Programme Budgeting and Outcomes

5 Public Health Outcomes Framework

5.1 4.04 – Premature Mortality

5.1.1 4.04i – All Cardiovascular Disease
5.1.2 4.04i –Cardiovascular Disease Considered Preventable

6 References
7 Appendix

7.1 Data Sources
7.2 Synthetic or Modelled Estimates
7.3 Local Surveys
7.4 Hospital Episode Statistics
7.5 Quality and Outcomes Framework
7.6 General Practice Groupings
7.7 Outcome Measures, Performance Targets and Progress Towards Targets

7.7.1 Historical Indicators, Outcome Measures and Targets
7.7.2 Problems Associated With Some Outcome Measures
7.7.3 Public Health Outcomes Framework

7.8 Definitions and Classifications

7.8.1 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Heart Study
7.8.2 Disease Definitions Using International Classification of Diseases
7.8.3 Surgical Operations and Procedure Codes

7.9 Statistical and Epidemiological Methods and Terms

7.9.1 Confounding, Effect Modification and Interaction
7.9.2 Confidence Intervals
7.9.3 Small Number of Events
7.9.4 Percentiles, Quartiles, Quintiles and Medians
7.9.5 Standardisation
7.9.6 Impact of changes to European Standard Population on directly standardised rates
7.9.7 Occurrence Versus Registration of Deaths
7.9.8 Moving Average
7.9.9 Significance Testing

7.10 Underlying Data for Figures
7.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

7.11.1 Tables
7.11.2 Figures

8 Index

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Coronary Heart Disease (CHD)

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators <.

3 Circulatory Disease
4 Coronary Heart Disease

4.1 Risk Factors
4.2 Diagnosed and Modelled Prevalence
4.3 Predictions of Future Need to 2030 for Those Aged 65+ Years
4.4 Influenza Vaccination
4.5 Inpatient Hospital Admissions
4.6 Mortality
4.7 Health Equity Audit
4.8 Diagnosed Prevalence in Relation to Deprivation
4.9 Inpatient Admissions and Treatment in Relation to Deprivation
4.10 Mortality in Relation to Deprivation
4.11 Mortality Within the Most Deprived National Quintile – Hull and Comparators
4.12 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
4.13 Programme Budgeting

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Heart Study
6.8.2 Disease Definitions Using International Classification of Diseases
6.8.3 Surgical Operations and Procedure Codes

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Impact of changes to European Standard Population on directly standardised rates
6.9.7 Occurrence Versus Registration of Deaths
6.9.8 Moving Average
6.9.9 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Stroke

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Circulatory Disease
4 Stroke

4.1 Risk Factors
4.2 Diagnosed and Modelled Prevalence
4.3 Predictions of Future Need to 2030 for Those Aged 65+ Years
4.4 Influenza Vaccination
4.5 Inpatient Hospital Admissions and Readmissions
4.6 Mortality
4.7 Quality of Care
4.8 Health Equity Audit
4.9 Diagnosed Prevalence in Relation to Deprivation
4.10 Inpatient Admissions in Relation to Deprivation
4.11 Mortality in Relation to Deprivation
4.12 Mortality Within the Most Deprived National Quintile – Hull and Comparators
4.13 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
4.14 Social Marketing
4.15 Programme Budgeting

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.1 Impact of changes to European Standard Population on directly standardised rates
6.9.2 Occurrence Versus Registration of Deaths
6.9.3 Moving Average
6.9.4 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Other Circulatory Diseases

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Circulatory Disease
4 Heart Failure

4.1 Risk Factors
4.2 Diagnosed and Modelled Prevalence
4.3 Inpatient Hospital Admissions
4.4 Mortality
4.5 Diagnosed Prevalence in Relation to Deprivation
4.6 Inpatient Admissions in Relation to Deprivation

5 Atrial Fibrillation

5.1 Diagnosed and Modelled Prevalence
5.2 Inpatient Hospital Admissions
5.3 Diagnosed Prevalence in Relation to Deprivation
5.4 Inpatient Admissions in Relation to Deprivation

6 Hypertension

6.1 Background and Risk Factors
6.2 Percentage of Patients Aged 40+ Years with Blood Pressure Measured Within the Last Five Years
6.3 Diagnosed and Modelled Prevalence
6.4 Health Equity Audit
6.5 Percentage of Patients Aged 40+ Years with Blood Pressure Measured Within the Last Five Years in Relation to Deprivation
6.6 Diagnosed Prevalence in Relation to Deprivation

7 Abdominal Aortic Aneurysm

7.1 Risk Factors
7.2 Mortality
7.3 Screening

8 Periperal Arterial Disease

8.1 Background and Risk Factors
8.2 Diagnosed and Modelled Prevalence
8.3 Diagnosed Prevalence in Relation to Deprivation

9 References
10 Appendix

10.1 Data Sources
10.2 Synthetic or Modelled Estimates
10.3 Local Surveys
10.4 Hospital Episode Statistics
10.5 Quality and Outcomes Framework
10.6 General Practice Groupings
10.7 Outcome Measures, Performance Targets and Progress Towards Targets

10.7.1 Historical Indicators, Outcome Measures and Targets
10.7.2 Problems Associated With Some Outcome Measures
10.7.3 Public Health Outcomes Framework

10.8 Definitions and Classifications

10.8.1 Disease Definitions Using International Classification of Diseases

10.9 Statistical and Epidemiological Methods and Terms

10.9.1 Confounding, Effect Modification and Interaction
10.9.2 Confidence Intervals
10.9.3 Small Number of Events
10.9.4 Percentiles, Quartiles, Quintiles and Medians
10.9.5 Standardisation
10.9.6 Occurrence Versus Registration of Deaths
10.9.7 Moving Average
10.9.8 Significance Testing

10.10 Underlying Data for Figures
10.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

10.11.1 Tables
10.11.2 Figures

11 Index

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All Cancers

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 All Cancers

3.1 Risk Factors
3.2 Incidence 13

3.2.1 Public Health Outcomes Framework

3.3 Diagnosed Cases Since April 2003
3.4 Inpatient Hospital Admissions
3.5 Mortality

3.5.1 Preventable Mortality
3.5.2 Public Health Outcomes Framework
3.5.3 Cancer Mortality by Tumour Site

3.6 Survival Rates from Cancer

3.6.1 Humber and Yorkshire Coast Cancer Network
3.6.2 Hull

3.7 Screening

3.7.1 Public Health Outcomes Framework

3.8 Health Equity Audit
3.9 Asset Approach to Early Diagnosis of Cancer
3.10 Diagnosed Prevalence in Relation to Deprivation
3.11 Inpatient Admissions in Relation to Deprivation
3.12 Mortality in Relation to Deprivation

3.12.1 Mortality Within the Most Deprived National Quintile – Hull and Comparators

3.13 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
3.14 Survival in Relation to Deprivation
3.15 Programme Budgeting and Outcomes

4 Public Health Outcomes Framework

4.1 2.19 – Cancer Diagnosed at Early Stage
4.2 2.20 – Cancer Screening Coverage

4.2.1 2.20i – Breast Cancer
4.2.2 2.20ii – Cervical Cancer
4.2.3 2.20iii – Bowel Cancer

4.3 4.05 – Premature Mortality

4.3.1 4.05i – Under 75 Mortality from Cancer
4.3.2 4.05ii – Under 75 Mortality from Cancer Considered Preventable

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Impact of changes to European Standard Population on directly standardised rates
6.9.7 Occurrence Versus Registration of Deaths
6.9.8 Moving Average
6.9.9 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Lung Cancer

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Lung Cancer

3.1 Risk Factors
3.2 Incidence
3.3 Inpatient Hospital Admissions
3.4 Mortality
3.5 Survival Rates
3.6 Inpatient Admissions in Relation to Deprivation
3.7 Mortality in Relation to Deprivation

3.7.1 Mortality Within the Most Deprived National Quintile – Hull and Comparators

3.8 Smoking Prevalence, Lung Cancer Mortality and Deprivation
3.9 Programme Budgeting
3.10 Risk Stratification in Relation to Lung Cancer Mortality in Most Deprived Wards in Hull

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Definitions and Classifications

5.8.1 Disease Definitions Using International Classification of Diseases

5.9 Statistical and Epidemiological Methods and Terms

5.9.1 Confounding, Effect Modification and Interaction
5.9.2 Confidence Intervals
5.9.3 Small Number of Events
5.9.4 Percentiles, Quartiles, Quintiles and Medians
5.9.5 Standardisation
5.9.6 Impact of changes to European Standard Population on directly standardised rates
5.9.7 Occurrence Versus Registration of Deaths
5.9.8 Moving Average
5.9.9 Significance Testing

5.10 Smoking Attributable Deaths
5.11 Underlying Data for Figures
5.12 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.12.1 Tables
5.12.2 Figures

6 Index

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Colorectal Cancer

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Colorectal Cancer

3.1 Risk Factors
3.2 Incidence
3.3 Screening

3.3.1 Percentage Screened
3.3.2 Public HEalth Outcomes Framework

3.4 Inpatient Hospital Admissions
3.5 Mortality
3.6 Survival Rates
3.7 Inpatient Admissions in Relation to Deprivation
3.8 Mortality in Relation to Deprivation
3.9 Programme Budgeting

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Definitions and Classifications

5.8.1 Disease Definitions Using International Classification of Diseases

5.9 Statistical and Epidemiological Methods and Terms

5.9.1 Confounding, Effect Modification and Interaction
5.9.2 Confidence Intervals
5.9.3 Small Number of Events
5.9.4 Percentiles, Quartiles, Quintiles and Medians
5.9.5 Standardisation
5.9.6 Impact of changes to European Standard Population on directly standardised rates
5.9.7 Occurrence Versus Registration of Deaths
5.9.8 Moving Average
5.9.9 Significance Testing

5.10 Underlying Data for Figures
5.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.11.1 Tables
5.11.2 Figures

6 Index

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Prostate Cancer

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Prostate Cancer

3.1 Risk Factors
3.2 Incidence
3.3 Inpatient Hospital Admissions
3.4 Mortality
3.5 Survival Rates
3.6 Inpatient Admissions in Relation to Deprivation
3.7 Mortality in Relation to Deprivation

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Definitions and Classifications

5.8.1 Disease Definitions Using International Classification of Diseases

5.9 Statistical and Epidemiological Methods and Terms

5.9.1 Confounding, Effect Modification and Interaction
5.9.2 Confidence Intervals
5.9.3 Small Number of Events
5.9.4 Percentiles, Quartiles, Quintiles and Medians
5.9.5 Standardisation
5.9.6 Impact of changes to European Standard Population on directly standardised rates
5.9.7 Occurrence Versus Registration of Deaths
5.9.8 Moving Average
5.9.9 Significance Testing

5.10 Underlying Data for Figures
5.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.11.1 Tables
5.11.2 Figures

6 Index

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Breast Cancer

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Breast Cancer

3.1 Risk Factors
3.2 Incidence
3.3 Screening

3.3.1 Percentage of Women Screened
3.3.2 Progress Towards Targets
3.3.3 Public Health Outcomes Framework
3.3.4 Influences on Breast Cancer Screening Rates

3.4 Inpatient Hospital Admissions
3.5 Mortality
3.6 Survival Rates
3.7 Inpatient Admissions in Relation to Deprivation
3.8 Mortality in Relation to Deprivation
3.9 Programme Budgeting

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Definitions and Classifications

5.8.1 Disease Definitions Using International Classification of Diseases

5.9 Statistical and Epidemiological Methods and Terms

5.9.1 Confounding, Effect Modification and Interaction
5.9.2 Confidence Intervals
5.9.3 Small Number of Events
5.9.4 Percentiles, Quartiles, Quintiles and Medians
5.9.5 Standardisation
5.9.6 Impact of changes to European Standard Population on directly standardised rates
5.9.7 Occurrence Versus Registration of Deaths
5.9.8 Moving Average
5.9.9 Significance Testing

5.10 Underlying Data for Figures
5.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.11.1 Tables
5.11.2 Figures

6 Index

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Diabetes

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Diabetes

3.1 Risk Factors
3.2 Diagnosed and Modelled Prevalence
3.3 Predictions of Future Need to 2030 for Those Aged 65+ Years
3.4 Influenza Vaccination
3.5 Inpatient Hospital Admissions

3.5.1 All Admissions with a Primary Diagnosis of Diabetes
3.5.2 Emergency Admissions for Diabetic Ketoacidosis and Coma
3.5.3 Lower Limb Amputations

3.6 Mortality
3.7 Quality of Care

3.7.1 Foot Examinations
3.7.2 Diabetic Retinopathy Screening

3.8 Health Equity Audit
3.9 Diagnosed Prevalence in Relation to Deprivation
3.10 Inpatient Admissions in Relation to Deprivation
3.11 Mortality in Relation to Deprivation
3.12 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
3.13 Programme Budgeting and Outcomes
3.14 Diabetes Programme Budgeting and Marginal Analysis Pilot in Hull

4 Public Health Outcomes Framework

4.1 2.17 – Prevalence of Diabetes

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 Diabetes Model

6.6.1 Early Versions
6.6.2 Current Model

6.7 General Practice Groupings
6.8 Outcome Measures, Performance Targets and Progress Towards Targets

6.8.1 Historical Indicators, Outcome Measures and Targets
6.8.2 Problems Associated With Some Outcome Measures
6.8.3 Public Health Outcomes Framework

6.9 Definitions and Classifications

6.9.1 Disease Definitions Using International Classification of Diseases

6.10 Statistical and Epidemiological Methods and Terms

6.10.1 Confounding, Effect Modification and Interaction
6.10.2 Confidence Intervals
6.10.3 Small Number of Events
6.10.4 Percentiles, Quartiles, Quintiles and Medians
6.10.5 Standardisation
6.10.6 Impact of Changes to European Standard Population on Directly Standardised Rates
6.10.7 Occurrence Versus Registration of Deaths
6.10.8 Moving Average
6.10.9 Significance Testing

6.11 Underlying Data for Figures
6.12 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.12.1 Tables
6.12.2 Figures

7 Index

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Chronic Kidney Disease

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Chronic Kidney Disease

3.1 Background and Risk Factors
3.2 Staging and Severity
3.3 Diagnosed and Modelled Prevalence
3.4 Diagnosed Prevalence in Relation to Deprivation

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Statistical and Epidemiological Methods and Terms

5.8.1 Confounding, Effect Modification and Interaction
5.8.2 Confidence Intervals
5.8.3 Small Number of Events
5.8.4 Percentiles, Quartiles, Quintiles and Medians
5.8.5 Standardisation
5.8.6 Significance Testing

5.9 Underlying Data for Figures
5.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.10.1 Tables
5.10.2 Figures

6 Index

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All Respiratory Diseases

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 All Respiratory Disease

3.1 Diagnosed Prevalence
3.2 Modelled Prevalence
3.3 Predictions of Future Need to 2030 for Those Aged 65+ Years
3.4 Inpatient Hospital Admissions
3.5 Mortality

3.5.1 Preventable Mortality
3.5.2 Public Health Outcomes Framework

3.6 Diagnosed Prevalence in Relation to Deprivation
3.7 Inpatient Admissions in Relation to Deprivation
3.8 Mortality in Relation to Deprivation
3.9 Programme Budgeting and Outcomes

4 Public Health Outcomes Framework

4.1 4.07 – Premature Mortality

4.1.1 4.07i – All Respiratory Disease
4.1.2 4.07ii – Respiratory Disease Considered Preventable

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Impact of changes to European Standard Population on directly standardised rates
6.9.7 Occurrence Versus Registration of Deaths
6.9.8 Moving Average
6.9.9 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Asthma

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Asthma

3.1 Diagnosed and Modelled Prevalence
3.2 Inpatient Hospital Admissions
3.3 Diagnosed Prevalence in Relation to Deprivation
3.4 Inpatient Admissions in Relation to Deprivation
3.5 Programme Budgeting

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Definitions and Classifications

5.8.1 Disease Definitions Using International Classification of Diseases

5.9 Statistical and Epidemiological Methods and Terms

5.9.1 Confounding, Effect Modification and Interaction
5.9.2 Confidence Intervals
5.9.3 Small Number of Events
5.9.4 Percentiles, Quartiles, Quintiles and Medians
5.9.5 Standardisation
5.9.6 Occurrence Versus Registration of Deaths
5.9.7 Moving Average
5.9.8 Significance Testing

5.10 Underlying Data for Figures
5.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.11.1 Tables
5.11.2 Figures

6 Index

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Chronic Obstructive Pulmonary Disease (COPD)

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Chronic Obstructive Pulmonary Disease

3.1 Definition
3.2 Risk Factors
3.2.1 Smoking
3.3 Diagnosed and Modelled Prevalence
3.4 Predictions of Future Need to 2030 for Those Aged 65+ Years
3.5 Influenza Vaccination
3.6 Inpatient Hospital Admissions
3.7 Mortality
3.8 Health Equity Audit
3.9 Diagnosed Prevalence in Relation to Deprivation
3.10 Inpatient Admissions in Relation to Deprivation
3.11 Mortality in Relation to Deprivation

3.11.1 Mortality Within the Most Deprived National Quintile – Hull and Comparators

3.12 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
3.13 Social Marketing
3.14 Programme Budgeting

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Definitions and Classifications

5.8.1 Disease Definitions Using International Classification of Diseases

5.9 Statistical and Epidemiological Methods and Terms

5.9.1 Confounding, Effect Modification and Interaction
5.9.2 Confidence Intervals
5.9.3 Small Number of Events
5.9.4 Percentiles, Quartiles, Quintiles and Medians
5.9.5 Standardisation
5.9.6 Impact of changes to European Standard Population on directly standardised rates
5.9.7 Occurrence Versus Registration of Deaths
5.9.8 Moving Average
5.9.9 Significance Testing

5.10 Underlying Data for Figures
5.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.11.1 Tables
5.11.2 Figures

6 Index

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Epilepsy

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Epilepsy

3.1 Diagnosed and Modelled Prevalence
3.2 Diagnosed Prevalence in Relation to Deprivation

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Statistical and Epidemiological Methods and Terms

5.8.1 Confounding, Effect Modification and Interaction
5.8.2 Confidence Intervals
5.8.3 Small Number of Events
5.8.4 Percentiles, Quartiles, Quintiles and Medians
5.8.5 Standardisation
5.8.6 Occurrence Versus Registration of Deaths
5.8.7 Moving Average
5.8.8 Significance Testing

5.9 Underlying Data for Figures
5.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.10.1 Tables
5.10.2 Figures

6 Index

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Hypothyroidism

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Hypothyroidism

3.1 Diagnosed and Modelled Prevalence
3.2 Diagnosed Prevalence in Relation to Deprivation

4 References
5 Appendix

5.1 Data Sources
5.2 Synthetic or Modelled Estimates
5.3 Local Surveys
5.4 Hospital Episode Statistics
5.5 Quality and Outcomes Framework
5.6 General Practice Groupings
5.7 Outcome Measures, Performance Targets and Progress Towards Targets

5.7.1 Historical Indicators, Outcome Measures and Targets
5.7.2 Problems Associated With Some Outcome Measures
5.7.3 Public Health Outcomes Framework

5.8 Statistical and Epidemiological Methods and Terms

5.8.1 Confounding, Effect Modification and Interaction
5.8.2 Confidence Intervals
5.8.3 Small Number of Events
5.8.4 Percentiles, Quartiles, Quintiles and Medians
5.8.5 Standardisation
5.8.6 Significance Testing

5.9 Underlying Data for Figures
5.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

5.10.1 Tables
5.10.2 Figures

6 Index

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Palliative Care

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Palliative Care

3.1 Actual and Modelled Prevalence
3.2 Diagnosed Prevalence in Relation to Deprivation

4 Deaths By Location of Death

4.1 Deaths at all Locations Across the Humber Cluster
4.2 Deaths at all Locations in Hull 2012-2014
4.3 Deaths at Home Hull Relative to its Comparators

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Statistical and Epidemiological Methods and Terms

6.8.1 Confounding, Effect Modification and Interaction
6.8.2 Confidence Intervals
6.8.3 Small Number of Events
6.8.4 Percentiles, Quartiles, Quintiles and Medians
6.8.5 Standardisation
6.8.6 Occurrence Versus Registration of Deaths
6.8.7 Significance Testing

6.9 Underlying Data for Figures
6.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.10.1 Tables
6.10.2 Figures

7 Index

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Mental Health and Learning Disabilities

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Learning Disabilities

3.1 Diagnosed and Modelled Prevalence (18+)
3.2 Estimating Numbers of Children with Learning Disabilities
3.3 Predictions of Future Need to 2030 for Those Aged 18+ Years

3.3.1 Learning Disabilities
3.3.2 Down's Syndrome
3.3.3 Challenging Behaviour
3.3.4 Autistic Spectrum Disorder

3.4 Diagnosed Prevalence in Relation to Deprivation
3.5 Programme Budgeting
3.6 Public Health Outcomes Framework

3.6.1 Appropriate Accommodation
3.6.2 Gap in Employment Rate

4 Mental Health

4.1 Introduction
4.2 Measures of Social Capital

4.2.1 Feeling Safe in the Community
4.2.2 Civic Engagement
4.2.3 Neighbourliness
4.2.4 Social Networks
4.2.5 Social Isolation
4.2.6 Social Support

4.3 Asset Approach
4.4 All Mental Health

4.4.1 Diagnosed Prevalence of Depression, Serious Mental Health and Dementia
4.4.2 Frequency of Being Happy or Sad in Young People
4.4.3 Mental Health Index and Health Utility Index Emotional Health Score
4.4.4 Self-Reported Wellbeing (Public Health Outcomes Framework)
4.4.5 Benefits Claimants Where Mental Health is the Main Reason for Claim
4.4.6 General Practitioner Consultations for Mental Health
4.4.7 Estimated Prevalence of Mental Health in Young People
4.4.8 Estimated Prevalence of Mental Health Among Adults Aged16-74 Years
4.4.9 Emotional Wellbeing of Looked After Children
4.4.10 Health Related Quality of Life for Older People (Public Health Outcomes Framework)
4.4.11 Prevalence of Mental Health in Prisoners
4.4.12 Prevalence of Mental Health in Veterans
4.4.13 Inpatient Hospital Admissions
4.4.14 Mortality Including Excess Under 75 Mortality in Adults with Serious Mental Illness (Public Health Outcomes Framework)
4.4.15 Indices Relating to Mental Health
4.4.16 Health Equity Audit
4.4.17 Predictions of Future Need to 2030 for Those Aged 18-64 Years
4.4.18 Diagnosed Prevalence in Relation to Deprivation
4.4.19 Inpatient Admissions in Relation to Deprivation
4.4.20 Mortality in Relation to Deprivation
4.4.21 Programme Budgeting and Outcomes

4.5 Depression

4.5.1 Diagnosed and Modelled Prevalence
4.5.2 Predictions of Future Need to 2030 for Those Aged 65+ Years
4.5.3 Diagnosed Prevalence in Relation to Deprivation

4.6 Stress and Pressure

4.6.1 Prevalence
4.6.2 Perceived Impact on Health

4.7 Self-Harm

4.7.1 Inpatient Hospital Admissions

4.8 Survivors of Childhood Sexual Abuse

4.8.1 Predictions of Future Need to 2030 for Those Aged 18-64 Years

4.9 Alcohol and Substance Dependence

4.9.1 Prevalence of Alcohol Consumption and Substance Misuse
4.9.2 Predictions of Future Need to 2030 for Those Aged 18-64 Years
4.9.3 Perceived Impact of Alcohol Consumption on Health
4.9.4 Inpatient Hospital Admissions
4.9.5 Mortality
4.9.6 Inpatient Admissions in Relation to Deprivation
4.9.7 Mortality in Relation to Deprivation

4.10 Dementia

4.10.1 Diagnosed and Modelled Prevalence
4.10.2 Public Health Outcomes Framework
4.10.3 Predictions of Future Need to 2030 for Those Aged 30+ Years
4.10.4 Mortality
4.10.5 Diagnosed Prevalence in Relation to Deprivation
4.10.6 Mortality in Relation to Deprivation

4.11 Serious Mental Ill Health

4.11.1 Diagnosed and Modelled Prevalence
4.11.2 Diagnosed Prevalence in Relation to Deprivation

4.12 Secondary Mental Health Services Users

4.12.1 Public Health Outcomes Framework

4.13 Suicide and Undetermined Injury

4.13.1 Predictions of Future Need to 2030 for Those Aged 18-64 Years
4.13.2 Mortality
4.13.3 Mortality in Relation to Deprivation

4.14 Social Isolation

5 Public Health Outcomes Framework

5.1 1.06 - Appropriate Accommodation

5.1.1 1.06i - Adults With Learning Disabilities
5.1.2 1.06ii - Secondary Mental Health Service Users

5.2 1.07 - Prisoners Who Have a Mental Illness
5.3 1.08 - Gap in Employment Rate

5.3.1 1.08ii - Adults With Learning Disabilities
5.3.2 1.08iii - Secondary Mental Health Service Users

5.4 1.18 – Social Isolation Among Social Care Users and Their Carers
5.5 1.19 – Older People's Perception of Community Safety
5.6 2.08 – Emotional Wellbeing of Looked After Children
5.7 2.10 – Self-Harm
5.8 2.15 – Successful Completion of Drug Treatment
5.9 2.16 – Prisoners with Substance Dependence Issues
5.10 2.18 – Alcohol Related Admissions to Hospital
5.11 2.23 – Self-Reported Wellbeing
5.12 4.09 – Excess Under 75 Mortality in Adults with Serious Mental Illness
5.13 4.10 – Suicide Rate
5.14 4.13 – Health Related Quality of Life for Older People
5.15 4.16 – Dementia

6 References
7 Appendix

7.1 Data Sources
7.2 Synthetic or Modelled Estimates
7.3 Local Surveys

7.3.1 Health and Lifestyle Surveys
7.3.2 Quantitative and Social Marketing Research

7.4 Hospital Episode Statistics
7.5 Quality and Outcomes Framework
7.6 General Practice Groupings
7.7 Outcome Measures, Performance Targets and Progress Towards Targets

7.7.1 Historical Indicators, Outcome Measures and Targets
7.7.2 Problems Associated With Some Outcome Measures
7.7.3 Public Health Outcomes Framework

7.8 Definitions and Classifications

7.8.1 Disease Definitions Using International Classification of Diseases

7.9 Statistical and Epidemiological Methods and Terms

7.9.1 Confounding, Effect Modification and Interaction
7.9.2 Confidence Intervals
7.9.3 Small Number of Events
7.9.4 Percentiles, Quartiles, Quintiles and Medians
7.9.5 Standardisation
7.9.6 Impact of changes to European Standard Population on directly standardised rates
7.9.7 Occurrence Versus Registration of Deaths
7.9.8 Moving Average
7.9.9 Significance Testing

7.10 Underlying Data for Figures
7.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

7.11.1 Tables
7.11.2 Figures

8 Index

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Infectious Diseases

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Infectious Diseases

3.1 Tuberculosis

3.1.1 Diagnosis Rates
3.1.2 Successful Completed Treatment
3.1.3 Mortality

4 Public Health Outcomes Framework

4.1 3.05 – Tuberculosis

4.1.1 3.05i – Treatment
4.1.2 3.05ii – Incidence

4.2 4.08 – Mortality from Communicable Diseases

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Impact of changes to European Standard Population on directly standardised rates
6.9.7 Occurrence Versus Registration of Deaths
6.9.8 Moving Average
6.9.9 Significance Testing

6.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.10.1 Tables
6.10.2 Figures

7 Index

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Digestive Diseases

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Digestive Diseases

3.1 All Digestive Disease

3.1.1 Inpatient Hospital Admissions

3.2 Liver Disease

3.2.1 Mortality
3.2.2 Preventable Mortality
3.2.3 Mortality in Relation to Deprivation

3.3 Mortality From Alcohol-Related Diseases and Conditions

3.3.1 Public Health Outcomes Framework

4 Public Health Outcomes Framework

4.1 4.06 - Premature Mortality

4.1.1 4.06i - Under 75 Mortality From Liver Disease
4.1.2 4.06ii - Under 75 Mortality From Liver Disease Considered Preventable

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Impact of Changes to European Standard Population on Directly Standardised Rates
6.9.7 Occurrence Versus Registration of Deaths
6.9.8 Moving Average
6.9.9 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.10.1 Tables
6.10.2 Figures

7 Index

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Sexual Health

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Sexual Health

3.1 Fertility
3.2 Teenage Pregnancy Rate

3.2.1 Prevalence
3.2.2 Public Health Outcomes Framework Indicators

3.3 Annual Number of Births
3.4 Abortions
3.5 Sexually Transmitted Infections and Access to Services

3.5.1 Diagnosis Rates
3.5.2 Chlamydia
3.5.3 HIV
3.5.4 Genito-Urinary Medicine Access Within 48 Hours

3.6 Sexual Health Awareness Among Young People

3.6.1 Sources of help or advice around sexual health
3.6.2 Awareness of Sexually Transmitted Infections
3.6.3 Contraception

4 Public Health Outcomes Framework

4.1 2.04 – Under 18 Conceptions

4.1.1 2.04 – Under 18 Conceptions
4.1.2 2.04 – Under 16 Conceptions

4.2 3.02 – Chlamydia Diagnosed Among 15-24 Year Olds
4.3 3.04 – People Presenting With Late Stage HIV

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Statistical and Epidemiological Methods and Terms

6.8.1 Confounding, Effect Modification and Interaction
6.8.2 Confidence Intervals
6.8.3 Small Number of Events
6.8.4 Percentiles, Quartiles, Quintiles and Medians
6.8.5 Standardisation
6.8.6 Total Period Fertility or Abortion Rate
6.8.7 Moving Average
6.8.8 Significance Testing

6.9 Underlying Data for Figures
6.10 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.10.1 Tables
6.10.2 Figures

7 Index

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Accidents

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Accidents

3.1 Children and Young People

3.1.1 Inpatient Hospital Admissions
3.1.2 Public Health Outcomes Framework
3.1.3 Mortality
3.1.4 Inpatient Admissions in Relation to Deprivation
3.1.5 Accident Prevention Strategy

3.2 Road Traffic Accidents

3.2.1 Public Health Outcomes Framework

3.3 Falls

3.3.1 Inpatient Admissions for Injuries Resulting From Falls
3.3.2 Predicted Numbers Aged 65+
3.3.3 Public Health Outcomes Framework

3.4 Fractured Neck of Femur

3.4.1 Hospital Admissions
3.4.2 Public Health Outcomes Framework
3.4.3 Inpatient Admissions in Relation to Deprivation

4 Public Health Outcomes Framework

4.1 1.10 – Killed or Seriously Injured on Roads
4.2 2.07 – Hospital Admissions Caused by Unintentional and Deliberate Injuries (Under 25s)
4.3 2.24 – Falls Among Those Aged 65+ Years
4.4 4.14 – Hip Fractures Among Those Aged 65+ Years

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys
6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Occurrence Versus Registration of Deaths
6.9.7 Moving Average
6.9.8 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Children and Young People

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Children and Young People

3.1 Population and Births
3.2 Child Poverty
3.3 Physical and Emotional Health Status
3.4 Use of Health Services
3.5 Dental Health
3.6 School Readiness, Absence and Attainment, and Bullying
3.7 Youth Justice System
3.8 Prevalence of Lifestyle Risk Factors
3.9 Health Needs Assessments
3.10 Low Birth Weight

3.10.1 Public Health Outcomes Framework Indicators

3.11 Infant Mortality

3.11.1 Infant Mortality Rate
3.11.2 Progress Towards Targets
3.11.3 Public Health Outcomes Framework Indicators

3.12 Childhood Incidence of Disease

3.12.1 Incidence of Measles in Hull and Comparator Areas
3.12.2 Incidence of Whooping Cough in Hull and Comparator Areas

3.13 Childhood Vaccinations and Immunisations

3.13.1 Schedule of Immunisations
3.13.2 Vaccination Uptake Rates for One Year Olds
3.13.3 Vaccination Uptake Rates for Two Year Olds
3.13.4 Vaccination Uptake Rates for Five Year Olds
3.13.5 Child Vaccination Uptake Rates by Ethnicity in Hull
3.13.6 HPV Vaccination Uptake Rates
3.13.7 Child Vaccination Uptake Rates for Looked After Children
3.13.8 Progress Towards Targets
3.13.9 Non-routine vaccinations

3.14 Breastfeeding

3.14.1 Prevalence
3.14.2 Public Health Outcomes Framework Indicators
3.14.3 Social Marketing and Factors Influencing Breastfeeding

3.15 Teenage Pregnancy Rate

3.15.1 Prevalence
3.15.2 Public Health Outcomes Framework Indicators

3.16 Looked After Children

3.16.1 Vaccination Uptake
3.16.2 Emotional Health of Looked After Children

4 Public Health Outcomes Framework

4.1 1.01 – Child Poverty
4.2 1.02 – School Readiness
4.3 1.03 – Pupil Absence
4.4 1.04i – First Time Entrants into Youth Justice System
4.5 1.05 – Percentage of 16-18 Year Olds Not in Education, Employment or Training
4.6 2.01 – Low Birth Weight of Term Babies
4.7 2.02 – Breastfeeding
4.8 2.03 – Smoking Status at Time of Delivery
4.9 2.04 – Under 18 Conceptions
4.10 2.06 – Excess Weight
4.11 2.07 – Hospital Admissions for Injuries (Under 25s)
4.12 2.08 – Emotional Health of Looked After Children
4.13 3.02 – Chlamydia Diagnosed Among 15-24 Year Olds
4.14 3.03 – Population Vaccination Coverage
4.15 4.01 – Infant Mortality Rate
4.16 4.02 – Tooth Decay Among Five Year Olds

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys

6.3.1 Health and Lifestyle Surveys
6.3.2 Qualitative and Social Marketing Research
6.3.3 Adult Social Capital Surveys and Other Surveys

6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Definition of Overweight and Obesity, Alcohol Consumption and Exercise
6.8.2 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Occurrence Versus Registration of Deaths
6.9.7 Moving Average
6.9.8 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Older People

1 Summary
2 Introduction

2.1 Other Reports
2.2 Terminology, Abbreviations, Statistical Methods and Terms
2.3 Data Sources
2.4 Deprivation
2.5 Comparator Areas
2.6 Public Health Outcomes Framework Indicators

3 Older People

3.1 Population and Population Projections

3.1.1 Population
3.1.2 Population Projections

3.2 Health Status and Quality of Life

3.2.1 Health Status
3.2.2 Health-Related Quality of Life

3.3 Life Expectancy at Age 65
3.4 Claimants of Pension Credit
3.5 Predictions of Future Need to 2030 for Those Aged 65+ Years

3.5.1 Pensioners Claiming State Pension and Other State Benefits
3.5.2 Predicted Numbers by Tenure, Numbers Without Central Heating and Numbers Without Transport
3.5.3 Predicted Numbers of Households by Age of Residents
3.5.4 Predicted Numbers Living Alone or in Care Homes
3.5.5 Predicted Numbers in Relation to Caring Needs
3.5.6 Predicted Numbers With Limiting Long Term Illness and Disability
3.5.7 Predicted Numbers with Various Health Needs
3.5.8 Predicted Numbers Requiring Various Services

3.6 Inpatient Admissions for Injuries Resulting From Falls

3.6.1 Public Health Outcomes Framework

3.7 Fractured Neck of Femur

3.7.1 Hospital Admissions
3.7.2 Public Health Outcomes Framework
3.7.3 Inpatient Admissions in Relation to Deprivation

3.8 Dementia

3.8.1 Diagnosed and Modelled Prevalence
3.8.2 Trends in Prevalence
3.8.3 Predictions of Future Need to 2030 for Those Aged 65+ Years
3.8.4 Public Health Outcomes Framework
3.8.5 Mortality
3.8.6 Diagnosed Prevalence in Relation to Deprivation
3.8.7 Mortality in Relation to Deprivation

3.9 Osteoporosis

3.9.1 Diagnosed and Modelled Prevalence
3.9.2 Diagnosed Prevalence in Relation to Deprivation

3.10 Social Isolation

3.10.1 Public Health Outcomes Framework

3.11 Older People's Perception of Community Safety

3.11.1 Safety Alone in Neighbourhood During Daytime
3.11.2 Safety Alone in Neighbourhood After Dark
3.11.3 Safety Alone in the Home at Night

4 Public Health Outcomes Framework

4.1 0.1ii – Life Expectancy at Age 65
4.2 1.18 – Social Isolation Among Social Care Users and Their Carers
4.3 1.19 – Older People's Perception of Community Safety
4.4 2.24 – Falls Injuries in the Over 65s
4.5 4.13 – Health-Related Quality of Life for Older People
4.6 4.14 – Hip Fractures in the Over 65s
4.7 4.15 – Excess Winter Deaths
4.8 4.16 – Estimated Diagnosis Rate for People with Dementia

5 References
6 Appendix

6.1 Data Sources
6.2 Synthetic or Modelled Estimates
6.3 Local Surveys

6.3.1 Health and Lifestyle Surveys
6.3.2 Qualitative and Social Marketing Research
6.3.3 Social Capital Surveys
6.3.4 Other Surveys
6.3.5 Patient and Public Involvement Projects

6.4 Hospital Episode Statistics
6.5 Quality and Outcomes Framework
6.6 General Practice Groupings
6.7 Outcome Measures, Performance Targets and Progress Towards Targets

6.7.1 Historical Indicators, Outcome Measures and Targets
6.7.2 Problems Associated With Some Outcome Measures
6.7.3 Public Health Outcomes Framework

6.8 Definitions and Classifications

6.8.1 Disease Definitions Using International Classification of Diseases

6.9 Statistical and Epidemiological Methods and Terms

6.9.1 Confounding, Effect Modification and Interaction
6.9.2 Confidence Intervals
6.9.3 Small Number of Events
6.9.4 Percentiles, Quartiles, Quintiles and Medians
6.9.5 Standardisation
6.9.6 Impact of Changes to European Standard Population on Directly Standardised Rates
6.9.7 Occurrence Versus Registration of Deaths
6.9.8 Moving Average
6.9.9 Significance Testing

6.10 Underlying Data for Figures
6.11 Time Period for Information, Date Last Updated and Source for Each Table and Figure

6.11.1 Tables
6.11.2 Figures

7 Index

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Glossary

1 Summary
2 Introduction

2.1 Release of This JSNA Toolkit
2.2 Other Reports
2.3 Terminology, Abbreviations, Statistical Methods and Terminology
2.4 Data Sources
2.5 Deprivation
2.6 Comparator Areas
2.7 Public Health Outcomes Framework Indicators
2.8 Uses of This Report

2.8.1 Health Intelligence and Knowledge for Commissioning of Services
2.8.2 Health Needs Assessment
2.8.3 Health Equity Audit
2.8.4 Asset Approach

3 Data Sources
4 Synthetic or Modelled Estimates
5 Local Surveys

5.1 Health and Lifestyle Surveys

5.1.1 Adult Survey Conducted in 2003
5.1.2 Adult Survey Conducted in 2007
5.1.3 Adult Black and Minority Ethnic Survey Conducted in 2007
5.1.4 Adult Prevalence Survey Conducted in 2009
5.1.5 Adult Survey Conducted in 2011-2012
5.1.6 Adult Black and Minority Ethnic Survey Conducted in 2011-12
5.1.7 Adult Prevalence Ethnic Survey Conducted in 2014
5.1.8 Young People Survey Conducted in 2002
5.1.9 Young People Survey Conducted in 2008-09
5.1.10 Young People Survey Conducted in 2012
5.1.11 Veterans' Survey Conducted in 2009

5.2 Qualitative and Social Marketing Research

5.2.1 Attitudes to Health Focus Groups 2007
5.2.2 Reflector Groups Following 2007 Health and Lifestyle Survey
5.2.3 Reflector Groups Following 2011-12 Health and Lifestyle Survey
5.2.4 Reflector Groups Following 2008-09 Young People Health and Lifestyle Survey
5.2.5 Reflector Groups Following 2012 Young People Health and Lifestyle Survey
5.2.6 Social Marketing Research

5.3 Social Capital Surveys

5.3.1 Survey Conducted in 2004
5.3.2 Survey Conducted in 2009

5.4 Other Surveys
5.5 Patient and Public Involvement Projects

6 Hospital Episode Statistics
7 Quality and Outcome Framework
8 General Practice Groupings
9 Outcome Measures, Performance Targets and Progress Towards Targets

9.1 Historical Indicators, Outcome Measures and Targets
9.2 Problems Associated With Some Outcome Measures
9.3 Public Health Outcomes Framework

9.3.1 Introduction
9.3.2 National Profile for Hull and "Tartan Rug"
9.3.3 Local Analysis

10 Definitions and Classifications

10.1 Definition of Overweight and Obesity

10.1.1 Adults
10.1.2 Children

10.2 Definitions Used to Measure Alcohol Consumption
10.3 Definitions Used to Measure Levels of Exercise
10.4 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy Heart Study
10.5 Disease Definitions Using International Classification of Diseases
10.6 Surgical Operations and Procedure Codes

11 Health Related Definitions, Methods and Terms

11.1 Asset Approach
11.2 Body Mass Index
11.3 Causality
11.4 General Practice Groupings
11.5 Health Equity Audit
11.6 Health Needs Assessment
11.7 Health Utility Index
11.8 Hospital Episode Statistics
11.9 Index of Multiple Deprivation
11.10 International Classification of Diseases
11.11 Modelled or Synthetic Estimates
11.12 Primary Care Practice Groupings
11.13 Programme Budgeting
11.14 Quality and Outcomes Framework
11.15 Risk factors
11.16 SF-36v2TM
11.17 Synthetic or Modelled Estimates
11.18 Total Period Fertility or Abortion Rate

12 Statistical and Epidemiological Methods and Terminology

12.1 What is Statistics?
12.2 What is epidemiology?
12.3 Incidence
12.4 Prevalence
12.5 Population – Residents versus Registered Populations
12.6 Bias
12.7 Causality
12.8 Confounding, Effect Modification and Interaction
12.9 Confidence Intervals
12.10 Small Number of Events
12.11 Percentiles, Deciles, Quartiles, Quintiles and Medians
12.12 Standardisation
12.13 Impact of Changes to European Standard Population on Directly Standardised Rates
12.14 Life Expectancy
12.15 Occurrence Versus Registration of Deaths
12.16 Moving Average
12.17 Significance Testing
12.18 Variation

13 Conducting Research and Critically Appraising Research
14 Appendix

14.1 Underlying Data for Figures

15 References
16 Index

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