1. NHS Wakefield District - Information Team Health Inequalities Gap Analysis NHS Wakefield District Information Team

2. NHS Wakefield District - Information Team Smoking in Pregnancy Analysis based on Mid-Yorkshire Data by Postcode for Wakefield Residents. Figures will vary slightly from Performance Data Submissions which are on a Commissioner-basis including other Providers.

3. NHS Wakefield District - Information Team

5. Fiscal YearDeprivation Quintile Smoking in Pregnancy Rate Smoking in Pregnancy Year Rate Gap 2007-2008 High38.51% 22.80%30.33% Median-High23.25% Median21.35% Low-Median13.55% Low8.18% 2008-2009 High37.34% 24.45%25.59% Median-High25.37% Median21.27% Low-Median17.76% Low11.75% 2009-2010 High35.04% 24.68%22.51% Median-High26.64% Median22.55% Low-Median17.25% Low12.53% NHS Wakefield District - Information Team

7. Year Priority Neighbourhood All Others 2007-200841.20%18.92% 2008-200940.76%20.66% 2009-201036.38%21.80% Smoking in Pregnancy – Comparison amongst Priority Neighbourhoods and All other Areas

8. NHS Wakefield District - Information Team

9. Conclusions for Smoking in Pregnancy The rate for the Most Deprived and the Priority Neighbourhoods is decreasing. However, the rate for the Least Deprived areas is increasing. The overall District average is increasing.

10. NHS Wakefield District - Information Team Childhood Obesity - Reception Analysis based on cleaned National Child Measurement Programme (NCMP) data for the years 2007-2008 and 2008-2009.

11. NHS Wakefield District - Information Team

13. * = Indicates the Quintiles used to calculate the Gap.

14. NHS Wakefield District - Information Team

15. Obesity in Reception – Comparison between the Overall Percentage of Obesity in the Priority Neighbourhoods and All Other Areas

16. NHS Wakefield District - Information Team

17. Childhood Obesity – Year 6 Analysis based on cleaned National Child Measurement Programme (NCMP) data for the years 2007-2008 and 2008-2009.

18. NHS Wakefield District - Information Team

22. Obesity in Year 6 – Comparison between the Overall Percentage of Obesity in the Priority Neighbourhoods and All Other Areas

23. NHS Wakefield District - Information Team

24. Conclusions for Childhood Obesity Childhood obesity does not always share a direct correlation with deprivation. The overall rate of obesity is falling in both Reception and Year 6. Reception: The level of obesity in the Priority Neighbourhoods is increasing, compared to a regional downward trend. Year 6: The level of obesity in the Priority Neighbourhoods is falling quicker than across the rest of the district.

25. NHS Wakefield District - Information Team Breastfeeding Initiation Analysis based on Mid-Yorkshire Data by Postcode for Wakefield Residents. Figures will vary slightly from Performance Data Submissions which are on a Commissioner-basis including other Providers.

26. NHS Wakefield District - Information Team

29. Breastfeeding Initiation – Comparison amongst Priority Neighbourhoods and All other Areas

30. NHS Wakefield District - Information Team

31. Full District Most Deprived Least Deprived Breastfeeding Initiation Wakefield District, 2009-10 MSOA level data plotted at Postcode level Contains Ordnance Survey data © Crown copyright and database right 2010 Contains Royal Mail data © Royal Mail copyright and database right 2010. Sources: MYHT

32. NHS Wakefield District - Information Team Conclusions for Breastfeeding Initiation There is a definite correlation between deprivation and Breastfeeding Initiation. The gap between the most and least deprived quintile is around 30% There has been a slight improvement in the initiation rate across the priority neighbourhood during the 3 year period from 39% to 45%. The Wakefield City Centre priority neighbourhood has an unusually high initiation rate, around 70% each year.

33. NHS Wakefield District - Information Team A&E Attendances Analysis based on Secondary Uses Service (SUS) extract for 2007-08 to 2009-10 Data extracted on a resident basis i.e. details relate to all patients who live within Wakefield District regardless of where they are registered.

34. NHS Wakefield District - Information Team

37. A&E Attendance Rate – Comparison amongst Priority Neighbourhoods and All other Areas

38. NHS Wakefield District - Information Team

39. Full District Most Deprived Least Deprived A&E Attendance Rate Per 1,000 population Wakefield District, 2009-10 LSOA level data plotted at postcode level Contains Ordnance Survey data © Crown copyright and database right 2010 Contains Royal Mail data © Royal Mail copyright and database right 2010. Sources: ONS Mid 2009 population estimates SUS

40. NHS Wakefield District - Information Team Conclusions for A&E Attendances There is a definite correlation between deprivation and A&E attendance rate. The rate of attendances in the most deprived quintile is far greater than in the least deprived quintile The priority neighbourhoods also have a rate that is much higher than both the District rate and the rate for all other areas in the district.

41. NHS Wakefield District - Information Team Emergency Admissions Analysis based on Secondary Uses Service (SUS) extract for 2007-08 to 2009-10 Data extracted on a resident basis i.e. details relate to all patients who live within Wakefield District regardless of where they are registered.

42. NHS Wakefield District - Information Team

45. Emergency Admission Rate – Comparison amongst Priority Neighbourhoods and All other Areas

46. NHS Wakefield District - Information Team

47. Full District Most Deprived Least Deprived Emergency Admission Rate Per 1,000 population Wakefield District, 2009-10 LSOA level data plotted at postcode level Contains Ordnance Survey data © Crown copyright and database right 2010 Contains Royal Mail data © Royal Mail copyright and database right 2010. Sources: ONS Mid 2009 population estimates SUS

48. NHS Wakefield District - Information Team Conclusions for Emergency Admissions There is a definite correlation between deprivation and Emergency Admission rate. The rate of emergency admissions has been steadily increasing across the district Within the priority neighbourhoods Eastmoor stands out as having a particularly high rate of emergency admissions.

49. NHS Wakefield District - Information Team Emergency Re-admissions within 30 days Analysis based on Secondary Uses Service (SUS) extract for 2007-08 to 2009-10 Data extracted on a resident basis i.e. details relate to all patients who live within Wakefield District regardless of where they are registered.

50. NHS Wakefield District - Information Team

53. Emergency Re-admission Rate – Comparison amongst Priority Neighbourhoods and All other Areas

54. NHS Wakefield District - Information Team

55. Full District Most Deprived Least Deprived Emergency Re-admission Rate (30 days) Per 1,000 population Wakefield District, 2009-10 LSOA level data plotted at postcode level Contains Ordnance Survey data © Crown copyright and database right 2010 Contains Royal Mail data © Royal Mail copyright and database right 2010. Sources: ONS Mid 2009 population estimates SUS

56. NHS Wakefield District - Information Team Conclusions for Emergency Re-admissions within 30 days There is a definite correlation between deprivation and Emergency Re-admission rate. The rate of emergency re-admissions has been steadily increasing across the district Within the priority neighbourhoods Eastmoor and Cutskye stand out as having a particularly high rate of emergency admissions.

57. NHS Wakefield District - Information Team CVD Mortality – All ages Analysis based on ONS Deaths files 2007 - 2009 Data is based on Wakefield residents i.e anybody who lives within the Wakefield District boundary.

58. NHS Wakefield District - Information Team

61. Full District Most Deprived Least Deprived CVD Mortality DSR per 100,000 Wakefield District, 2007-2009 MSOA level data plotted at postcode level Contains Ordnance Survey data © Crown copyright and database right 2010 Contains Royal Mail data © Royal Mail copyright and database right 2010. Sources: ONS Mid year population estimates SUS

62. NHS Wakefield District - Information Team Conclusions for CVD Mortality – all ages There is a definite correlation between deprivation and CVD Mortality. The priority neighbourhoods have a DSR that is much higher than the Wakefield average.