Woodlands PCN Data pack August 2019

Woodlands PCN – summary There are 56,400 people registered with Woodlands PCN, with a higher proportion aged 16-64 and lower proportions aged 65+ Woodlands PCN has a lower proportion of White British population compared to South Alliance and C&P CCG and higher proportions of all other ethnic groups Relative deprivation is lower in Woodlands PCN than in South Alliance, C&P CCG and England. Approximately 10.0% of children and 11.8% of older people live in poverty On average there are around 530 births a year in the PCN. The birth rate in Woodlands PCN is statistically significantly lower than the average for the South Alliance. The low birth weight proportion is statistically similar to the South Alliance Life expectancy is statistically significantly lower than the South Alliance for both males and females in Woodlands PCN Recorded obesity in adults is statistically significantly lower in Woodlands than the South Alliance It is estimated that 6,355 of adults smoke, which is statistically similar to the South Alliance Estimates of people reporting long-term activity-limiting illness and being in Good or Very Good health are statistically similar to the averages for the South Alliance On average, there are around 374 deaths a year in the PCN, with around a third of these in people aged under 75 years The PCN has statistically significantly low recorded prevalence of a number of conditions compared to the South Alliance, including CHD, hypertension, stroke, asthma, COPD, diabetes and dementia Mortality rates are statistically significantly higher than South Alliance in Woodlands PCN for all ages and under 75s only

Demography

GP registered population Cambridgeshire and Peterborough CCG Woodlands PCN has very similar proportions of patients aged under 18 years to the South Alliance, with a higher proportion aged 16-64 and lower proportions aged 65+. The population of Woodlands PCN is forecast to grow at a higher rate than the CCG between 2019 and 2021 and 2031 and 2036 and a lower rate between 2021 and 2026 and 2026 and 2031. Source: GP registered population, April 2019, NHS Digital. Population forecasts based on population distribution at ward level (Apr 19), Mid 2015 based population forecasts Cambridgeshire County Council Age band Woodlands PCN South Alliance Cambridgeshire and Peterborough CCG England Number % Total 56,400 100.0% 415,999 983,597 59,759,638 0-4 years 2,639 4.7% 5.4% 5.5% 5-14 years 5,857 10.4% 11.7% 11.8% Under 18 years 10,231 18.1% 20.3% 20.4% 16-64 years 40,604 72.0% 68.5% 65.6% 64.3% 65+ years 6,807 12.1% 15.4% 16.3% 17.4% 75+ years 3,244 5.8% 7.1% 7.3% 8.0% 85+ years 1,019 1.8% 2.2% 2.3% Population forecasts PCN 2019 2021 2026 2031 2036 2019 to 2021 2021 to 2026 2026 to 2031 2031 to 2036 Number % Woodlands PCN 56,400 58,811 61,514 62,011 63,342 2,411 4.3% 2,703 4.6% 497 0.8% 1,331 2.1% C&P CCG 982,987 1,011,368 1,072,891 1,097,528 1,110,295 28,381 2.9% 61,522 6.1% 24,637 2.3% 12,767 1.2%

Population distribution Source: GP registered population data by Lower Super Output Area, April 19, NHS Digital Population distribution PCN dominant population

Ethnicity PCN White British White Other Mixed Black Asian: Indian/ Woodlands PCN has a lower proportion of White British population compared to South Alliance and C&P CCG and higher proportions of all other ethnic groups. Source: Census 2011 data applied to GP registered population using Census 2011 ethnic group proportions; England data from NOMIS (patients registered at a GP Practice by LSOA, July 2018, NHS Digital) PCN White British White Other Mixed Black Asian: Indian/ Bangladeshi/ Pakistani Asian: Chinese/Other Other Woodlands PCN 67.8% 14.1% 2.9% 1.6% 5.6% 6.3% 1.7% South Alliance 79.0% 10.6% 2.3% 1.1% 2.7% 3.5% 0.9% Cambridgeshire and Peterborough CCG 80.0% 9.5% 2.1% 1.3% 4.1% 2.4% 0.7% England 79.8% 5.7% 1.0%

Deprivation Relative deprivation is lower in Woodlands PCN than in South Alliance, C&P CCG and England. Approximately 10.0% of children and 11.8% of older people live in poverty. Source: C&P PHI derived from Indices of Multiple Deprivation 2015, DCLG and GP registered population data for July 2018. Practice data from PHE Fingertips. Index of Multiple Deprivation Income Affecting Children Index Income Affecting Older People Index Cherry Hinton Medical Centre 12.3 12.3% 12.8% Cornford House Surgery 10.1 9.3% 12.6% Mill Road Surgery 12.0 10.8% 13.6% Petersfield Medical Practice 11.0 8.8% 11.4% Queen Edith Medical Practice 8.9 9.4% 9.6% Woodlands Surgery 11.3 9.2% Woodlands PCN 10.9 10.0% 11.8% South Alliance 11.1 10.5% 11.2% C&P CCG 17.2 15.4% 14.3% England 21.8 19.9% 16.2% Index of Multiple Deprivation, 2015, by ward

Birth rate per 1,000 female population weight births (under 2,500g) Births and Fertility Birth rates in Woodlands PCN are statistically significantly lower than the average for the South Alliance. The low birth weight proportion is statistically similar to the South Alliance. Note: Relates to Cambridgeshire and Peterborough residents only Source: C&P PHI based on NHS Digital Civil Registration Data, 2014-2016 and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = South Alliance) Birth rates by ward Estimated Number of live births (2014-2016) Birth rate per 1,000 female population aged 15 to 44 years Low birth weight births (under 2,500g) Woodlands PCN 1,589 43.0 6.0% South Alliance 11,592 48.6 Cambridgeshire and Peterborough CCG 31,348 58.2 6.5% England 1,989,052 62.4 7.4%

Male and female life expectancies in Woodlands PCN are statistically Life expectancy Male and female life expectancies in Woodlands PCN are statistically significantly low compared to the life expectancies for the South Alliance Source: C&P PHI based, derived from NHS Digital Civil Registration data and GP registered population data (benchmark = South Alliance), 2013 – 2017 Males (years) Females Woodlands PCN 81.3 83.5 South Alliance 82.3 85.1 Cambridgeshire and Peterborough CCG 81.2 84.3

Risk factors

Risk factors Recorded prevalence of obesity is statistically significantly lower in Woodlands PCN compared to the average for South Alliance Estimated smoking prevalence is statistically similar in Woodlands PCN Source: Obesity - C&P PHI derived from NHS Digital QOF data for 2017/18 (benchmark = South Alliance) Estimated smoking - C&P PHI derived from the QOF based smoking prevalence estimate from the Public Health England (PHE) National General Practice Profiles at https://fingertips.phe.org.uk/profile/general-practice (benchmark = South Alliance) Obesity Estimated Smoking Number % Woodlands PCN 2,383 5.3% 6,355 13.7% South Alliance 21,375 6.4% 45,738 13.3% Cambridgeshire and Peterborough CCG 65,496 8.5% 136,105 17.0% England 4,530,447 9.8% 8,301,429 17.2%

Long-term activity-limiting illness Good or very good health Self-reported limiting long-term illness and general health status It is estimated that the proportion of people that reported that they had a long-term activity-limiting illness in the 2011 Census was statistically similar in Woodlands PCN compared to the South Alliance average It is estimated that the proportion of people that reported that they were in good or very good health in the 2011 Census was also statistically similar in Woodlands PCN compared to the South Alliance average Source: C&P PHI from Census 2011, NOMIS and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = South Alliance) Long-term activity-limiting illness Good or very good health Woodlands PCN 13.6% 86.1% South Alliance 13.8% 85.9% Cambridgeshire and Peterborough CCG 15.5% 83.6% England 17.6% 81.4 %

Diseases

Mortality – all causes There have been on average 374 deaths a year in Woodlands PCN, approximately a third are in people aged under 75 years. All age and under 75 only mortality rates are statistically significantly higher in Woodlands PCN compared to South Alliance. DASR = directly age standardised rate per 100,000 population Source: C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = South Alliance) All ages Under 75 year olds Number DASR per 100,000 Cherry Hinton Medical Centre 340 785.7 103 273.1 Cornford House Surgery 887 1,373.3 153 352.7 Mill Road Surgery 134 860.9 58 347.4 Petersfield Medical Practice 130 791.8 42 241.3 Queen Edith Medical Practice 217 581.7 41 155.1 Woodlands Surgery 164 980.3 55 315.3 Woodlands PCN 1,872 967.3 452 283.0 South Alliance 13,293 831.3 3,592 248.4 Cambridgeshire and Peterborough CCG 34,464 901.5 10,385 286.4

Mortality (circulatory) Coronary heart disease Circulatory disease The prevalence rates of CHD, hypertension and stroke in Woodlands PCN are statistically significantly low compared to South Alliance. The Woodlands PCN all age mortality rate from circulatory disease is statistically significantly worse than the South Alliance average. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = South Alliance) Prevalence Mortality (circulatory) Coronary heart disease Hypertension Stroke All ages Under 75 year olds Number % DASR per 100,000 Cherry Hinton Medical Centre 282 2.6% 1,313 12.3% 142 1.3% 103 231.7 24 65.2 Cornford House Surgery 315 2.8% 1,470 13.0% 189 1.7% 232 351.5 33 76.4 Mill Road Surgery 115 1.9% 540 8.7% 71 1.1% 40 262.8 17 105.4 Petersfield Medical Practice 78 1.0% 507 6.4% 43 0.5% 38 247.4 11 69.7 Queen Edith Medical Practice 212 2.5% 934 11.2% 99 1.2% 182.7 6 23.1 Woodlands Surgery 106 508 4.9% 39 0.4% 48 289.7 13 79.5 Woodlands PCN 1,108 2.0% 5,272 9.6% 583 531 272.2 104 67.0 South Alliance 9,603 2.4% 45,177 11.1% 5,224 3,660 228.9 768 54.3 C&P CCG 26,602 122,348 12.6% 14,132 1.5% 9,004 236.7 2,288 63.9 England 1,827,352 3.1% 8,141,488 13.9% 1,030,869 1.8% Not available

Chronic Obstructive Pulmonary Respiratory disease Asthma and COPD prevalence is statistically significantly low in Woodlands PCN compared to the South Alliance, whereas mortality rates for all ages and under 75 years as a result of respiratory diseases are statistically similar to the South Alliance. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = South Alliance) Prevalence Mortality Asthma Chronic Obstructive Pulmonary Disease All ages Under 75 years Number % DASR per 100,000 Cherry Hinton Medical Centre 586 5.5% 212 2.0% 44 100.3 7 20.0 Cornford House Surgery 632 5.6% 128 1.1% 85 128.0 10 24.0 Mill Road Surgery 332 5.4% 101 1.6% 15 100.9 <5 25.0 Petersfield Medical Practice 318 4.0% 50 0.6% 13 81.0 8.5 Queen Edith Medical Practice 423 5.1% 108 1.3% 23 62.1 14.7 Woodlands Surgery 448 4.3% 68 0.7% 16 101.8 11.6 Woodlands PCN 2,739 5.0% 667 1.2% 196 119.9 28 26.8 South Alliance 24,780 6.1% 5,561 1.4% 1,468 92.1 264 19.1 C&P CCG 57,830 6.0% 16,513 1.7% 4,533 942 England 3,463,893 5.9% 1,113,417 1.9% Not available

Long term conditions Woodlands diabetes and cancer prevalence rates are statistically significantly lower than the South Alliance. Mortality rates from cancer (all age and under 75 only) are statistically similar to South Alliance averages. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = South Alliance) Prevalence Mortality - Cancer Diabetes (17+ years) Cancer All ages Under 75 year olds Number % DASR per 100,000 Cherry Hinton Medical Centre 553 6.4% 285 2.7% 107 258.0 51 133.7 Cornford House Surgery 491 5.4% 352 3.1% 199 346.5 62 144.2 Mill Road Surgery 219 4.3% 102 1.6% 47 314.3 20 136.2 Petersfield Medical Practice 174 2.5% 135 1.7% 43 264.9 18 108.9 Queen Edith Medical Practice 279 4.1% 237 2.8% 56 164.2 21 81.2 Woodlands Surgery 189 2.1% 131 1.3% 39 245.7 129.9 Woodlands PCN 1,905 4.2% 1,242 2.3% 271.3 192 124.2 South Alliance 15,620 4.6% 10,846 3,809 244.0 1,604 112.9 C&P CCG 46,573 6.0% 25,700 9,902 259.5 4,411 123.2 England 3,196,124 6.8% 1,593,302 Not available

Schizophrenia, bipolar affective disorder Mental health Woodlands PCN has a statistically significantly high prevalence of common mental health disorders and a statistically significantly low prevalence of dementia compared to the South Alliance. Depression and learning disability prevalence is statistically similar. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = South Alliance) Schizophrenia, bipolar affective disorder and other psychoses Depression (18+ years) Dementia Learning disabilities Number % Cherry Hinton Medical Centre 121 1.1% 931 10.9% 44 0.4% 37 0.3% Cornford House Surgery 128 697 7.8% 100 0.9% 59 0.5% Mill Road Surgery 73 1.2% 309 6.2% 23 18 Petersfield Medical Practice 101 1.3% 427 11 0.1% 10 Queen Edith Medical Practice 66 0.8% 476 7.1% 49 0.6% 15 0.2% Woodlands Surgery 144 599 6.9% 19 24 Woodlands PCN 633 3,439 7.7% 246 163 South Alliance 3,654 26,382 7.9% 2,457 1,382 C&P CCG 7,750 68,112 8.8% 6,551 0.7% 4,057 England 550,918 4,589,213 9.9% 446,548 284,422