Hull Public Health 

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

 

 

1 Executive Summary
2 Summary
3 Introduction

3.1 Release of This JSNA Toolkit
3.2 Uses of This Report

3.2.1 Clinical Commissioning Groups and Information Needs
3.2.2 Commissioning
3.2.3 Health Needs Assessment
3.2.4 Health Equity Audit
3.2.5 Asset Approach
3.2.6 Programme Budgeting and Predictive Modelling for Resource Reallocation

3.2.6.1 Introduction to Programme Budgeting
3.2.6.2 Expenditure
3.2.6.3 Quadrant Chart – Expenditure and Outcomes
3.2.6.4 Diabetes Programme Budgeting and Marginal Analysis Pilot in Hull
3.2.6.5 Predictive Modelling in Hull by Price Waterhouse Cooper
3.2.6.6 Prioritisation Mode
3.2.6.7 Scenario Generator

3.3 About This Document

3.3.1 Topic Ordering
3.3.2 Listed Sections of This Release
3.3.3 Geographical Areas Presented

3.4 Benchmarking, Comparator Areas and Groupings Within Hull

3.4.1 Comparator Areas for Hull
3.4.2 Health, Social and Economic Outcomes Benchmarking: A Tale of Three
Cities

3.4.3 General Practice Groupings
3.4.4 Hull City Council Customer Profiles (Housing Types)

3.5 Data Sources
3.6 Influence of NHS Re-organisation

3.6.1 General Practices and Clinical Commissioning Groups
3.6.2 Outcome Measures, Performance Targets and Progress Towards Targets

3.7 Outcome Measures

3.7.1 Problems With Using Life Expectancy and All Age All Cause Mortality Rates as
Outcome Measures

3.8 Local Surveys, Definitions and Statistical Methods
3.9 Abbreviations

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4 Geographical Area

4.1 Hull
4.2 Wards Within Hull
4.3 Ward Profiles
4.4 Localities and Area Committee Areas
4.5 Location of General Practices in Hull

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5 Demography and Demographics

5.1 Population Structure

5.1.1 Difference in GP Registered Population and Resident Population
5.1.2 Age and Gender Structure of Resident Population
5.1.3 Total Resident Population at Ward, Area and Locality Level
5.1.4 Resident Population Pyramids
5.1.5 Change in Resident Population from 2007 to 2008
5.1.6 Population Density
5.1.7 Age and Gender Structure of Registered (Patient) Population
5.1.8 Total Registered (Patient) Population at Area and Locality Level
5.1.9 Total Registered (Patient) Population at Practice Level
5.1.10 Mean Age of Patients at Practice Level

5.2 Fertility
5.3 Annual Number of Births and Deaths
5.4 Projected Populations
5.5 Ethnicity

5.5.1 Distribution of Black and Minority Ethnic Groups
5.5.2 Languages Spoken in the Home and Fluency in English
5.5.3 Religion

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6 Housing

6.1 Introduction and Decent Homes Standard
6.2 Types of housing
6.3 Housing Stock and Additional Housing Provided
6.4 Housing Prices and Affordability
6.5 Rents, Lettings and Tenancies
6.6 Numbers on Local Authority Housing Waiting Lists
6.7 Social Housing Sales
6.8 Local authority housing expenditure and income
6.9 Household Projections
6.10 Homelessness
6.11 Hull City Council Customer Profiles (Housing Types)

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7 Environment

7.1 Land Use
7.2 Air Pollution

7.2.1 Modelled Estimates of Levels of Air Pollution
7.2.2 Mortality From Air Pollution

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8 Social Care

8.1 Registered Deaf or Hard of Hearing
8.2 Registered Blind or Partially Sighted
8.3 In Receipt of Social Care
8.4 Social Care Clients Receiving Self Directed Support
8.5 Carers Receiving Needs Assessment or Review and a Specific Carer's Service or Advice and Information
8.6 New Social Care Clients
8.7 Admissions to Residential Care Homes
8.8 Safeguarding Adults
8.9 Satisfaction with Services and Sufficient Support

8.9.1 Parental Experience of Services for Disabled Children
8.9.2 Quality of Life Improvement following Equipment and Minor Adaptations
8.9.3 User Reported Measure of Respect and Dignity in Their Treatment
8.9.4 Sufficient Support from Local Services to Manage Long-Term Conditions
8.9.5 Sufficient Support to Live Independently at Home

8.10 Predicted Future Need Among Those Aged 18-64 Years

8.10.1 Substance Abuse
8.10.2 Mental Health
8.10.3 Learning Disability
8.10.4 Physical Disability

8.11 Looked After Children

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9 Deprivation and Associated Measures

9.1 Introduction
9.2 Inequity
9.3 Labour Market

9.3.1 Rates of Unemployment and Job Vacancies
9.3.2 Types of Jobs, Occupational Groupings and Earnings
9.3.3 Sickness Absence Rates
9.3.4 Numbers of Young People Not in Education or Employment

9.4 Benefit Claimants

9.4.1 All Benefit Claimants
9.4.2 Out-of-Work Benefit Claimants
9.4.3 Employment and Support Allowance (Incapacity Benefit) Claimants
9.4.4 Benefit Claimants for People with Carer Needs
9.4.5 Benefits for Lone Parents

9.5 Special Educational Needs, Absence from School and Educational
Achievement

9.5.1 School Readiness
9.5.2 Special Educational Needs
9.5.3 Absence from School
9.5.4 Educational Achievement

9.6 Qualifications
9.7 Crime, Entrants into Youth Justice System and Reoffending

9.7.1 Crime Rates
9.7.2 First-time Entrants into Youth Justice System
9.7.3 Re-offending

9.8 Deprivation, Child Poverty and Fuel Poverty

9.8.1 Index of Deprivation 2010

9.8.1.1 For Geographical Areas of Hull
9.8.1.2 For General Practices

9.8.2 Index of Deprivation 2007 and Change From 2007 to 2010
9.8.3 Children in Poverty
9.8.4 Fuel Poverty

9.9 Geodemographic Segmentation

9.9.1 ACORN Classifications

9.9.1.1 ACORN
9.9.1.2 Health ACORN

9.9.2 Sport England
9.9.3 Healthy Foundations

9.10 Hull City Council Customer Profiles (Housing Types)

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10 Measures of General Health Status

10.1 General Health

10.1.1 General Health in Relation to Deprivation

10.2 Long-Standing Illness or Disability

10.2.1 Long-Standing Limiting Illness or Disability in Relation to Deprivation

10.3 Learning Disabilities

10.3.1 Diagnosed and Modelled Prevalence
10.3.2 Diagnosed Prevalence in Relation to Deprivation
10.3.3 Programme Budgeting

10.4 Caring and Self-Care

10.4.1 Population Projections for Those Aged 65+ Years
10.4.2 Benefit Claimants for Carers
10.4.3 Responsible for the Long-Term Care of Others
10.4.4 Long-term Care of Others in Relation to Deprivation

10.5 Dental Health

10.5.1 Introduction
10.5.2 National Adult Dental Health Survey
10.5.3 Clinical Dental National Statistics for Adults and Children
10.5.4 Access to Dental Services in Hull

10.5.4.1 NHS or Private Dentist
10.5.4.2 Duration Since Last Dental Appointment for Adults and Children
10.5.4.3 Satisfaction and Success at Obtaining a Dental Appointment
10.5.5 Oral Health of Adults in Hull
10.5.6 Oral Health of Children in Hull
10.5.7 Dental Strategy, Future Needs and Gaps in Provision
10.5.8 Programme Budgeting and Outcomes

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10.6 Use of Healthcare Services

10.6.1 Health Service Attendances Within Last Year
10.6.2 Use of Private or Other Health Services

10.7 Inpatient Hospital Admissions

10.7.1 Admissions by Primary Cause of Diagnosis
10.7.2 Admissions by Ward
10.7.3 Admissions by GP Practice
10.7.4 Emergency Re-Admission with 28 Days of Discharge
10.7.5 Inpatient Admissions Relative to Deprivation

10.8 Life Expectancy at Birth

10.8.1 Life Expectancy at Birth in Hull Compared to England and Comparator Areas
10.8.2 Life Expectancy at Birth in Hull Wards
10.8.3 Relationship Between Deprivation and Life Expectancy at Birth
10.8.4 Deprivation and Life Expectancy at Birth – Hull and Comparators
10.8.5 Relationship Between Life Expectancy at Birth and Customer Profile (Housing Type) Groups
10.8.6 Progress Towards Targets and Slope Index of Inequality

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10.9 Mortality

10.9.1 Main Underlying Causes of Death by Gender
10.9.2 Main Underlying Causes of Death by Age
10.9.3 Stillbirths and Infant Mortality Rate

10.9.3.1 Stillbirths
10.9.3.2 Infant Mortality Rate
10.9.3.3 Progress Towards Targets

10.9.4 All Cause Mortality

10.9.4.1 Under 75 Year All Cause Standardised Mortality Ratio
10.9.4.2 Under 75 Year All Cause Standardised Mortality Ratio in Relation to Deprivation
10.9.4.3 Under 75 Year All Cause Standardised Mortality Ratio in Relation to Deprivation for Hull and Comparator Areas
10.9.4.4 Under 75 All Cause Standardised Mortality Ratio in Relation to Customer Profiles (Housing Types)
10.9.4.5 All Age All Cause Mortality Rate
10.9.4.6 Progress Towards Targets

10.9.5 Mortality That Is Potentially Avoidable or Amenable to Surgical Intervention

10.9.5.1 Mortality from Causes Amendable to Health Care
10.9.5.2 Mortality from Causes Amendable to Surgical Intervention

10.9.6 Deaths by Location of Death

10.9.6.1 Deaths at all Locations Across the Humber Cluster
10.9.6.2 Deaths at Home Hull Relative to its Comparators

10.9.7 Winter Deaths

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11 Lifestyle Risk Factors

11.1 Main Risk Factors

11.1.1 Definitions of Risk Factors
11.1.2 Total Estimated Resident Adults With Main Risk Factors
11.1.3 Total Estimated Resident Young People With Main Risk Factors

11.2 Risk Factors for Different Black and Minority Ethnic groups

11.2.1 Black and Minority Ethnic Groups
11.2.2 Gypsies and Travellers

11.3 Perceived Impact of Changing Lifestyle on Health
11.4 Smoking

11.4.1 Smoking as a Risk Factor
11.4.2 Prevalence

11.4.2.1 Adults
11.4.2.2 Young People
11.4.2.3 Smoking in Pregnancy

11.4.3 Mortality
11.4.4 Attitudes Towards Smoking
11.4.5 Smoking in Relation to Deprivation
11.4.6 Smoking in Relation to Employment Status
11.4.7 Social Marketing and Factors Influencing Smoking Behaviour
11.4.8 Stop Smoking Service
11.4.9 Stop Smoking Service and Predictive Modelling in Relation to Life Expectancy
11.4.10 Stop Smoking Strategy
11.4.11 Progress Towards Targets

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11.5 Overweight and Obesity

11.5.1 Obesity as a Risk Factor
11.5.2 Definition of Overweight and Obesity
11.5.3 Prevalence of Overweight and Obesity in Adults
11.5.4 Prevalence of Overweight and Obesity in Children

11.5.4.1 National Child Measurement Programme
11.5.4.2 Local Collection of Child Measurement Data
11.5.4.3 Response Rate
11.5.4.4 Hull Reception Year Children Aged 4–5 Years
11.5.4.5 Hull Year 6 Children Aged 10–11 Years
11.5.4.6 Hull Children Measured in Year R and Six Years Later in Year 6

11.5.5 Inpatient Hospital Admissions
11.5.6 Attitudes Towards Obesity
11.5.7 Overweight and Obesity in Relation to Deprivation

11.5.7.1 Adults
11.5.7.2 Children

11.5.8 Overweight and Obesity in Relation to Employment Status
11.5.9 Inpatient Admissions in Relation to Deprivation
11.5.10 Social Marketing and Factors Influencing Obesity
11.5.11 Weight Loss Programmes
11.5.12 Evaluation of Weight Loss Programmes

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

11.5.13 Obesity Strategy
11.5.14 Progress Towards Targets

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11.6 Exercise

11.6.1 Lack of Exercise as a Risk Factor
11.6.2 Prevalence

11.6.2.1 Adults
11.6.2.2 Young People

11.6.3 Reasons For Not Exercising
11.6.4 Attitudes Towards Exercise
11.6.5 Exercise in Relation to Deprivation
11.6.6 Exercise in Relation to Employment Status
11.6.7 Social Marketing and Factors Influencing Exercise
11.6.8 Exercise Programmes
11.6.9 Evaluation of Exercise Programmes
11.6.10 Physical Activity Strategy
11.6.11 Progress Towards Targets

11.7 Diet

11.7.1 Collecting Information in Diet
11.7.2 Poor Diet as a Risk Factor
11.7.3 Healthy Diet

11.7.3.1 Adults
11.7.3.2 Young People

11.7.4 Young People's Involvement in Cookery
11.7.5 5-A-DAY

11.7.5.1 Adults
11.7.5.2 Young People

11.7.6 Breakfast and Lunch Food Items Eaten by Young People
11.7.7 Attitudes Towards Diet
11.7.8 Diet in Relation to Deprivation

11.7.8.1 5-A-DAY
11.7.8.2 Type of Fat or Oil Used For Frying Food

11.7.9 5-A-DAY in Relation to Employment Status
11.7.10 Social Marketing and Factors Influencing Diet
11.7.11 Dietary Advice and Improving Cookery Skills
11.7.12 Progress Towards Targets

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11.8 Alcohol Consumption

11.8.1 Alcohol as a Risk Factor
11.8.2 National Recommendations for Alcohol Consumption and Definitions

11.8.2.1 Excessive Weekly Alcohol Consumption
11.8.2.2 Binge Drinking

11.8.3 Knowledge About Recommended Alcohol Units
11.8.4 Prevalence

11.8.4.1 Adults
11.8.4.2 Young People

11.8.5 Inpatient Hospital Admissions
11.8.6 Mortality From Alcohol-Related Diseases and Conditions
11.8.7 Attitudes Towards Alcohol
11.8.8 Alcohol Consumption in Relation to Deprivation
11.8.9 Alcohol Consumption in Relation to Employment Status
11.8.10 Inpatient Admissions in Relation to Deprivation
11.8.11 Social Marketing and Factors Influencing Alcohol Consumption
11.8.12 Alcohol Strategy
11.8.13 Progress Towards Targets

11.9 Drug and Substance Abuse

11.9.1 Prevalence

11.9.1.1 Adults
11.9.1.2 Prisoners
11.9.1.3 Young People

11.9.2 Treatment
11.9.3 Mortality
11.9.4 Young People's Attitude Towards Drugs
11.9.5 Substance Abuse Strategy

11.10 Prevalence of Multiple Risk Factors

11.10.1 From Adult Health and Lifestyle Survey 2007
11.10.2 From Young People Health and Lifestyle Survey 2008-09
11.10.3 From Healthy Heart Study

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12 Vaccinations, Immunisatrion and Screening

12.1 Childhood Immunisations

12.1.1 Schedule of Immunisations
12.1.2 Vaccination Uptake Rates for One Year Olds

12.1.2.1 Hull Versus Comparator Areas
12.1.2.2 At Ward Level in Hull
12.1.2.3 At Practice Level in Hull

12.1.3 Vaccination Uptake Rates for Two Year Olds

12.1.3.1 Hull Versus Comparator Areas
12.1.3.2 At Ward Level in Hull
12.1.3.3 At Practice Level in Hull

12.1.4 Vaccination Uptake Rates for Five Year Olds

12.1.4.1 Hull Versus Comparator Areas
12.1.4.2 At Ward Level in Hull
12.1.4.3 At Practice Level in Hull

12.1.5 Child Vaccination Uptake Rates by Ethnicity in Hull
12.1.6 HPV Vaccination Uptake Rates
12.1.7 Child Vaccination Uptake Rates for Looked After Children
12.1.8 Progress Towards Targets

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12.2 Influenza and Pneumococcal Vaccinations

12.2.1 Influenza Vaccination

12.2.1.1 Among Those Aged 65+ Years
12.2.1.2 Among 'At Risk' Groups

12.2.2 Pneumococcal Vaccination
12.2.3 Progress Towards Targets

12.3 Screening

12.3.1 Breast Cancer

12.3.1.1 Percentage of Women Screened
12.3.1.2 Progress Towards Targets

12.3.2 Cervical Cancer

12.3.2.1 Percentage of Women Screened
12.3.2.2 Progress Towards Targets

12.3.3 Influences on Breast and Cervical Screening Rates

12.3.3.1 Mean Age of Practice Patients
12.3.3.2 Deprivation
12.3.3.3 Age and Deprivation Practice Groupings
12.3.3.4 Comparison of Breast and Cervical Cancer Screening Rates at Practice Level

12.3.4 Colorectal Cancer

12.3.4.1 Percentage Screened
12.3.4.2 Progress Towards Targets

12.3.5 Abdominal Aortic Aneurysm
12.3.6 Other Non-Cancer Screening

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13 Specific Diseases / Topics / Groups of People

13.1 Circulatory Disease

13.1.1 All Circulatory Disease

13.1.1.1 Risk Factors
13.1.1.2 Diagnosed Prevalence
13.1.1.3 Inpatient Hospital Admissions
13.1.1.4 Mortality
13.1.1.5 Inpatient Admissions Relation to Deprivation
13.1.1.6 Mortality in Relation to Deprivation
13.1.1.7 Progress Towards Targets
13.1.1.8 Programme Budgeting and Outcomes

13.1.2 Coronary Heart Disease

13.1.2.1 Risk Factors
13.1.2.2 Diagnosed and Modelled Prevalence
13.1.2.3 Influenza Vaccination
13.1.2.4 Inpatient Hospital Admissions
13.1.2.5 Mortality
13.1.2.6 Health Equity Audit
13.1.2.7 Diagnosed Prevalence in Relation to Deprivation
13.1.2.8 Inpatient Admissions and Treatment in Relation to Deprivation
13.1.2.9 Mortality in Relation to Deprivation
13.1.2.10 Mortality Within the Most Deprived National Quintile – Hull and Comparators
13.1.2.11 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
13.1.2.12 Progress Towards Targets
13.1.2.13 Programme Budgeting

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13.1.3 Stroke

13.1.3.1 Risk Factors
13.1.3.2 Diagnosed and Modelled Prevalence
13.1.3.3 Influenza Vaccination
13.1.3.4 Inpatient Hospital Admissions and Readmissions
13.1.3.5 Mortality
13.1.3.6 Quality of Care
13.1.3.7 Health Equity Audit
13.1.3.8 Diagnosed Prevalence in Relation to Deprivation
13.1.3.9 Inpatient Admissions in Relation to Deprivation
13.1.3.10 Mortality in Relation to Deprivation
13.1.3.11 Mortality Within the Most Deprived National Quintile – Hull and Comparators
13.1.3.12 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
13.1.3.13 Social Marketing
13.1.3.14 Progress Towards Targets
13.1.3.15 Programme Budgeting

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13.1.4 Heart Failure

13.1.4.1 Risk Factors
13.1.4.2 Diagnosed and Modelled Prevalence
13.1.4.3 Inpatient Hospital Admissions
13.1.4.4 Mortality
13.1.4.5 Diagnosed Prevalence in Relation to Deprivation
13.1.4.6 Inpatient Admissions in Relation to Deprivation

13.1.5 Atrial Fibrillation

13.1.5.1 Diagnosed and Modelled Prevalence
13.1.5.2 Inpatient Hospital Admissions
13.1.5.3 Diagnosed Prevalence in Relation to Deprivation
13.1.5.4 Inpatient Admissions in Relation to Deprivation
13.1.5.5 Programme Budgeting

13.1.6 Hypertension

13.1.6.1 Diagnosed and Modelled Prevalence
13.1.6.2 Health Equity Audit
13.1.6.3 Diagnosed Prevalence in Relation to Deprivation

13.1.7 Abdominal Aortic Aneurysm

13.1.7.1 Risk Factors
13.1.7.2 Mortality
13.1.7.3 Screening

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13.2 Cancer

13.2.1 All Cancers

13.2.1.1 Risk Factors
13.2.1.2 Incidence
13.2.1.3 Diagnosed Cases Since April 2003
13.2.1.4 Inpatient Hospital Admissions
13.2.1.5 Mortality
13.2.1.6 Cancer Mortality by Tumour Site
13.2.1.7 Survival Rates in Humber and Yorkshire Coast Cancer Network
13.2.1.8 Screening
13.2.1.9 Health Equity Audit
13.2.1.10 Asset Approach to Early Diagnosis of Cancer
3.2.1.11 Diagnosed Prevalence in Relation to Deprivation
13.2.1.12 Inpatient Admissions in Relation to Deprivation
13.2.1.13 Mortality in Relation to Deprivation
13.2.1.14 Mortality Within the Most Deprived National Quintile – Hull and Comparators
13.2.1.15 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
13.2.1.16 Survival in Relation to Deprivation
13.2.1.17 Progress Towards Targets
13.2.1.18 Programme Budgeting and Outcomes

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13.2.2 Lung Cancer

13.2.2.1 Risk Factors
13.2.2.2 Incidence
13.2.2.3 Inpatient Hospital Admissions
13.2.2.4 Mortality
13.2.2.5 Survival Rates
13.2.2.6 Inpatient Admissions in Relation to Deprivation
13.2.2.7 Mortality in Relation to Deprivation
13.2.2.8 Mortality Within the Most Deprived National Quintile – Hull and Comparators
13.2.2.9 Programme Budgeting
13.2.2.10 Risk Stratification in Relation to Lung Cancer Mortality in Most Deprived Wards in Hull

13.2.3 Colorectal Cancer

13.2.3.1 Risk Factors
13.2.3.2 Incidence
13.2.3.3 Inpatient Hospital Admissions
13.2.3.4 Mortality
13.2.3.5 Survival Rates
13.2.3.6 Inpatient Admissions in Relation to Deprivation
13.2.3.7 Mortality in Relation to Deprivation

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13.2.4 Prostate Cancer

13.2.4.1 Risk Factors
13.2.4.2 Incidence
13.2.4.3 Inpatient Hospital Admissions
13.2.4.4 Mortality
13.2.4.5 Survival Rates
13.2.4.6 Inpatient Admissions in Relation to Deprivation
13.2.4.7 Mortality in Relation to Deprivation

13.2.5 Breast Cancer

13.2.5.1 Risk Factors
13.2.5.2 Incidence
13.2.5.3 Inpatient Hospital Admissions
13.2.5.4 Mortality
13.2.5.5 Survival Rates
13.2.5.6 Inpatient Admissions in Relation to Deprivation
13.2.5.7 Mortality in Relation to Deprivation
13.2.5.8 Programme Budgeting

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13.3 Diabetes

13.3.1 Risk Factors
13.3.2 Diagnosed and Modelled Prevalence
13.3.3 Influenza Vaccination
13.3.4 Inpatient Hospital Admissions
13.3.5 Mortality
13.3.6 Quality of Care
13.3.7 Health Equity Audit
13.3.8 Diagnosed Prevalence in Relation to Deprivation
13.3.9 Inpatient Admissions in Relation to Deprivation
13.3.10 Mortality in Relation to Deprivation
13.3.11 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
13.3.12 Progress Towards Targets
13.3.13 Programme Budgeting and Outcomes

13.4 Chronic Kidney Disease

13.4.1 Diagnosed and Modelled Prevalence
13.4.2 Diagnosed Prevalence in Relation to Deprivation

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13.5 Respiratory Disease

13.5.1 All Respiratory Disease

13.5.1.1 Diagnosed Prevalence
13.5.1.2 Inpatient Hospital Admissions
13.5.1.3 Mortality
13.5.1.4 Inpatient Admissions in Relation to Deprivation
13.5.1.5 Mortality in Relation to Deprivation
13.5.1.6 Progress Towards Targets
13.5.1.7 Programme Budgeting and Outcomes

13.5.2 Asthma

13.5.2.1 Diagnosed and Modelled Prevalence
13.5.2.2 Inpatient Hospital Admissions
13.5.2.3 Diagnosed Prevalence in Relation to Deprivation
13.5.2.4 Inpatient Admissions in Relation to Deprivation
13.5.2.5 Programme Budgeting

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13.5.3 Chronic Obstructive Pulmonary Disease

13.5.3.1 Definition
13.5.3.2 Risk Factors
13.5.3.3 Diagnosed and Modelled Prevalence
13.5.3.4 Influenza Vaccination
13.5.3.5 Inpatient Hospital Admissions
13.5.3.6 Mortality
13.5.3.7 Health Equity Audit
13.5.3.8 Diagnosed Prevalence in Relation to Deprivation
13.5.3.9 Inpatient Admissions in Relation to Deprivation
13.5.3.10 Mortality in Relation to Deprivation
13.5.3.11 Mortality Within the Most Deprived National Quintile – Hull and Comparators
13.5.3.12 Prevalence, Inpatient Admissions and Mortality in Relation to Deprivation
13.5.3.13 Social Marketing
13.5.3.14 Progress Towards Targets
13.5.3.15 Programme Budgeting

13.6 Epilepsy

13.6.1 Diagnosed and Modelled Prevalence
13.6.2 Diagnosed Prevalence in Relation to Deprivation

13.7 Hypothyroidism

13.7.1 Diagnosed and Modelled Prevalence
13.7.2 Diagnosed Prevalence in Relation to Deprivation

13.8 Palliative Care

13.8.1 Actual and Modelled Prevalence
13.8.2 Diagnosed Prevalence in Relation to Deprivation

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13.9 Mental Health

13.9.1 Introduction
13.9.2 Measures of Social Capital

13.9.2.1 Feeling Safe in the Community
13.9.2.2 Civic Engagement
13.9.2.3 Neighbourliness
13.9.2.4 Social Networks
13.9.2.5 Social Support
13.9.2.6 Asset Approach

13.9.3 All Mental Health

13.9.3.1 Diagnosed Prevalence of Serious Mental Health and Dementia
13.9.3.2 Frequency of Being Happy or Sad in Young People
13.9.3.3 Mental Health Index and Health Utility Index Emotional Health Score
13.9.3.4 Prevalence of Stress and Pressure
13.9.3.5 Incapacity Benefit and Severe Disablement Allowance for Mental Health Reasons
13.9.3.6 General Practitioner Consultations for Mental Health
13.9.3.7 Estimated Prevalence of Mental Health in Young People
13.9.3.8 Prevalence of Mental Health in Prisoners
13.9.3.9 Inpatient Hospital Admissions
13.9.3.10 Mortality
13.9.3.11 Perceived Impact of Stress on Health
13.9.3.12 Attitudes Towards Drugs and Substance Misuse
13.9.3.13 Health Equity Audit
13.9.3.14 Diagnosed Prevalence in Relation to Deprivation
13.9.3.15 Inpatient Admissions in Relation to Deprivation
13.9.3.16 Mortality in Relation to Deprivation
13.9.3.17 Progress Towards Targets
13.9.3.18 Programme Budgeting and Outcomes

13.9.4 Dementia

13.9.4.1 Diagnosed and Modelled Prevalence

13.9.5 Serious Mental Ill Health

13.9.5.1 Diagnosed and Modelled Prevalence

13.9.6 Suicide and Undetermined Injury
13.9.7 Self-harm

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13.10 Infectious Diseases

13.10.1 Tuberculosis

13.10.1.1 Diagnosis Rates
13.10.1.2 Successful Completed Treatment

13.10.2 Progress Towards Targets

13.11 Digestive Diseases

13.11.1 All Digestive Disease
13.11.2 Liver Disease

13.12 Sexual Health

13.12.1 Abortions
13.12.2 Sexually Transmitted Infections and Access to Services

13.12.2.1 Diagnosis Rates
13.12.2.2 Chlamydia Testing and Screening
13.12.2.3 Late Stage Presentation of HIV
13.12.2.4 Genito-Urinary Medicine Access Within 48 Hours

13.12.3 Teenage Pregnancy Rate

13.12.3.1 Prevalence
13.12.3.2 Progress Towards Targets

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13.13 Accidents

13.13.1 Children and Young People

13.13.1.1 Inpatient Hospital Admissions
13.13.1.2 Mortality
13.13.1.3 Inpatient Admissions in Relation to Deprivation
13.13.1.4 Accident Prevention Strategy

13.13.2 Road Traffic Accidents
13.13.3 Falls

13.14 Children and Young People

13.14.1 Low Birth Weight
13.14.2 Infant Mortality
13.14.3 Childhood Incidence of Disease

13.14.3.1 Incidence of Measles in Hull and Comparator Areas
13.14.3.2 Incidence of Whooping Cough in Hull and Comparator Areas

13.14.4 Childhood Vaccinations
13.14.5 Breastfeeding

13.14.5.1 Prevalence
13.14.5.2 Social Marketing and Factors Influencing Breastfeeding
13.14.5.3 Progress Towards Targets

13.14.6 Health Needs Assessments

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13.15 Older People

13.15.1 Predictions of Future Need to 2030 for Those Aged 65+ Years

13.15.1.1 Population Changes
13.15.1.2 Pensioners Claiming State Pension and Other State Benefits
13.15.1.3 Predicted Numbers by Tenure, Numbers Without Central Heating and Numbers Without Transport
13.15.1.4 Predicted Numbers of Households by Age of Residents
13.15.1.5 Predicted Numbers Living Alone or in Care Homes
13.15.1.6 Predicted Numbers in Relation to Caring Needs
13.15.1.7 Predicted Numbers With Limiting Long Term Illness and Disability
13.15.1.8 Predicted Numbers with Various Health Needs
13.15.1.9 Predicted Numbers Requiring Various Services

13.15.2 Inpatient Admissions for Injuries Resulting From Falls
13.15.3 Fractured Neck of Femurs

13.15.3.1 Hospital Admissions
13.15.3.2 Inpatient Admissions in Relation to Deprivation

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14 References

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15 Glossary and Explanation of Statistical Terms, Data Sources and Methods

15.1 Synthetic or Modelled Estimates
15.2 Confounding and Effect Modification
15.3 Standardisation
15.4 Significance Testing
15.5 Confidence Intervals
15.6 Moving Average
15.7 Small Number of Events
15.8 Percentiles, Quartiles, Quintiles and Medians
15.9 Deaths and Mortality Rates: Occurrence Versus Registration
15.10 Life Expectancy at Birth
15.11 Total Period Fertility or Abortion Rate
15.12 Hospital Episode Statistics
15.13 Quality and Outcomes Framework
15.14 PBS Diabetes Model

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16 Appendix

16.1 Data Sources
16.2 Local Surveys

16.2.1 Health and Lifestyle Surveys

16.2.1.1 Adult Survey Conducted in 2003
16.2.1.2 Adult Survey Conducted in 2007
16.2.1.3 Adult Black and Minority Ethnic Survey Conducted in 2007
16.2.1.4 Adult Prevalence Survey Conducted in 2009
16.2.1.5 Adult Survey Conducted in 2011-2012
16.2.1.6 Adult Black and Minority Ethnic Survey Conducted in 2012
16.2.1.7 Young People Survey Conducted in 2002
16.2.1.8 Young People Survey Conducted in 2008-09
16.2.1.9 Young People Survey Conducted in 2012
16.2.1.10 Veterans' Survey Conducted in 2009

16.2.2 Qualitative and Social Marketing Research

16.2.2.1 Attitudes to Health Focus Groups 2007
16.2.2.2 Reflector Groups Following 2007 Health and Lifestyle Survey
16.2.2.3 Reflector Groups Following 2008-09 Young People Health and Lifestyle Survey

16.2.3 Social Capital Surveys

16.2.3.1 Survey Conducted in 2004
16.2.3.2 Survey Conducted in 2009

16.2.4 Other Surveys
16.2.5 Patient and Public Involvement Projects

16.2.5.1 Membership
16.2.5.2 Listening Exercise "We're All Ears"

16.3 Partnership Working

16.3.1 Joint Strategic Needs Assessment
16.3.2 Children and Young People Health Needs Assessments
16.3.3 Health Impact Assessments
16.3.4 Joint Appointments Between NHS Hull and Hull City Council
16.3.5 Local Strategic Partnership
16.3.6 Locality Boards
16.3.7 Health and Wellbeing Strategic Delivery Partnership
16.3.8 Communities for Health Programme
16.3.9 Partnership Working on Specific Projects

16.4 Definitions and Classifications

16.4.1 Definition of Overweight and Obesity

16.4.1.1 Adults
16.4.1.2 Children

16.4.2 Definitions Used to Measure Alcohol Consumption
16.4.3 Definitions Used to Measure Levels of Exercise
16.4.4 Defining Risk of a Cardiovascular Event Within Ten Years in the Healthy
Heart Study

16.4.5 Disease Definitions Using International Classification of Diseases
16.4.6 Surgical Operations and Procedure Codes

16.5 Statistical Methods and Terms
16.6 Underlying Data for Figures
16.7 Time Period for Information, Date Last Updated and Source for Each Table and Figure

16.7.1 Tables
16.7.2 Figures

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17 Index

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