1. DRAFT
Granta
Data pack
January 2019

2. Granta – summary
Granta has a relatively high proportion of older people, with around 1 in 5 people aged 65 years and over and 1 in 10 aged 75 years and over
There is little ethnic diversity in the area, with a notably high White British population
Granta Medical Group is one of the least deprived practices in Cambridgeshire and Peterborough
There is a statistically significantly high birth rate compared to the South Alliance rate, with low birth weight (under 2,500g) births similar to those seen within the Alliance.
Life expectancy in males and females is high
Recorded obesity in adults is higher than the South Alliance, with proportions similar to the overall CCG prevalence
Estimated smoking prevalence is low in comparison to the Alliance, CCG and national rates
Estimates of people reporting long-term activity-limiting illness and being in Good or Very Good health are poorer than the averages for the South Alliance, which may be a reflection of the
relatively high older people population in the area
All age all cause mortality is statistically significantly low in Granta compared to the South Alliance and CCG. With mortality in under 75 years olds being similar to these comparators
The relatively high older population seen within the Granta Medical Practice group may explain why the practice has statistically significantly high recorded prevalences of coronary heart disease, high blood pressure, stroke, diabetes, cancer and dementia when compared to the averages for the South Alliance. However, the majority of these prevalence are lower or similar to the overall CCG averages, and generally below the national prevalence rates
Mortality rates for circulatory disease, respiratory disease and cancer, in people of all ages and those aged under 75 years, are statistically similar to the South Alliance rates
Recorded prevalence for depression is statistically significantly higher than the South Alliance, and similar to the CCG average
Recorded asthma prevalence is notably high when compared to the South Alliance, CCG and England

3. Demography

4. Cambridgeshire and Peterborough CCG
GP registered population
Granta has a notably high proportion of older people compared to the averages for South Alliance, the CCG and England.
Source: GP registered population, October 2018, NHS Digital
Age band
Granta
South
Alliance
Cambridgeshire and Peterborough CCG
England
Number %
Total
42,782 -
427,084
973,981
54,409,696
0-4 years
2,150
5.0%
5.5%
5-14 years
4,920
11.5%
10.8%
11.7%
Under 18 years
8,529
19.9%
18.8%
20.4%
16-64 years
25,991
60.8%
68.0%
65.5%
64.3%
65+ years
9,240
21.6%
15.3%
16.3%
17.4%
75+ years
4,269
10.0%
7.0%
7.3%
7.9%
85+ years
1,304
3.0%
2.2%
2.3%

5. Ethnicity White British White Other Mixed Black Asian: Indian/
Granta has very little ethnic diversity, with a noticeably high proportion of population from the White British ethnic group
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)
White British
White Other
Mixed
Black
Asian: Indian/
Bangladeshi/
Pakistani
Asian: Chinese/
Other
Granta
90.2%
5.2%
1.4%
0.6%
1.7%
0.5%
0.3%
South Alliance
79.1%
10.4%
2.3%
1.1%
4.3%
1.9%
0.9%
Cambridgeshire and Peterborough CCG
80.0%
9.5%
2.1%
1.3%
5.4%
0.7%
England
79.8%
5.7%
3.5%
5.6%
1.0%

6. Deprivation
Overall deprivation levels are relatively low in Granta, with the group of practices
being in the fifth least deprived practices in Cambridgeshire and Peterborough.
Approximately 7.3% children and 8.2% of older people live in income deprived
households.
Source: C&P PHI derived from Indices of Multiple Deprivation 2015, DCLG and GP registered population data for July 2018
Index of Multiple Deprivation, 2015, by ward
Index of Multiple Deprivation
Income Affecting Children Index
Income Affecting Older People Index
Granta
8.1
7.3%
8.2%
Least deprived quintile in CCG
South Alliance
11.1
10.6%
11.2%
Cambridgeshire and Peterborough CCG
17.2
15.4%
14.3%
England
21.8
19.9%
16.2%

7. Birth rate per 1,000 female population weight births (under 2,500g)
Births and Fertility
Granta has a statistically significantly high birth rate compared to South Alliance
(this may be due to a methodological reason relating to estimating the female
population aged 15 to 44 years outside of Cambridgeshire)
Low birth weight births that are similar to the average for South Alliance, and
lower than the CCG average.
Note: Relates to Cambridgeshire residents only
Source: C&P PHI based on NHS Digital Civil Registration Data, 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
Birth rate per 1,000 female population
aged 15 to 44 years
Low birth
weight births (under 2,500g)
Granta
1,065
61.2
6.1%
South Alliance
12,281
49.2
5.9%
Cambridgeshire and Peterborough CCG
31,348
58.2
6.5%
England
1,989,052
62.4
7.4%

8. Cambridgeshire and Peterborough CCG 81.2 84.3
Life expectancy
Life expectancy is statistically significantly higher in both males and females in Granta when compared to 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
Granta
83.7
86.3
South Alliance
82.3
85.2
Cambridgeshire and Peterborough CCG
81.2
84.3

9. Risk factors

10. Risk factors
Recorded prevalence of obesity is statistically significantly high in Granta compared to the average for South Alliance, and is similar to the CCG average
Estimated smoking prevalence is statistically significantly lower in Granta compared to the average for South Alliance, and notable lower than the CCG prevalence
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 (benchmark = South Alliance)
Obesity
Estimated
Smoking
Number %
Granta
2,869
8.4%
3,995
11.2%
South Alliance
22,306
6.5%
47,441
13.3%
Cambridgeshire and Peterborough CCG
65,496
8.5%
136,560
17.1%
England
4,530,447
9.8%
8,301,429
17.2%

11. 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 significantly higher than the South Alliance average, with levels lower than the average for the CCG.
It is estimated that the proportion of people that reported that they were in good or very good health in the 2011 Census was statistically significantly lower than the South Alliance average, with levels higher than the average for the CCG.
The proportions could be associated with Granta having an overall older population than the other areas reported.
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
Granta
15.0%
85.2%
South Alliance
13.7%
86.1%
Cambridgeshire and Peterborough CCG
15.5%
83.6%
England
17.6%
81.4 %

12. Diseases

13. Mortality – all causes
All-age all-cause mortality rates are statistically significantly better than the overall rate for South Alliance
The rate in under 75 year olds is similar to the South Alliance, and noticeably lower than the CCG rate
Source: C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = South Alliance)
All ages
Under 75 year olds
Number
DASR per 100,000
Granta
1,571
714.6
431
219.8
South Alliance
13,589
828.7
3,709
248.2
Cambridgeshire and Peterborough CCG
34,464
901.5
10,385
286.4

14. Mortality (circulatory) Coronary heart disease
Circulatory disease
Recorded prevalence is statistically significantly higher in Granta than South Alliance for all the circulatory diseases reported, and also slightly higher than the CCG averages – this could be partly due to Granta’s older population profile
Age standardised circulatory disease mortality rates, in all ages and in under 75 year olds, are similar to the South Alliance rates, but noticeably lower than the CCG rates
Source: Prevalence - 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, (benchmark = South Alliance)
Prevalence
Mortality (circulatory)
Coronary heart disease
High blood pressure
Stroke
All ages
Under 75
year olds
Number %
DASR per 100,000
Granta
1,324
3.1%
5,776
13.6%
667
1.6%
460
207.2 86
43.6
South Alliance
9,966
2.3%
46,825
11.0%
5,397
1.3%
3,737
228.2
789
54.0
Cambridgeshire and Peterborough CCG
26,602
2.8%
1,122,348
12.6%
14,132
1.5%
9,004
236.7
2,288
63.9
England
1,827,352
8,141,488
13.9%
1,030,869
1.8%
Not available

15. Chronic Obstructive Pulmonary
Respiratory disease
Asthma prevalence is statistically significantly higher in Granta than the average for South Alliance, and notably higher than the CCG average
COPD prevalence is similar to the South Alliance and lower than the average for the CCG
Mortality rates for respiratory diseases, for people of all ages and under 75 years, are similar to the South Alliance rates, and notably lower than the CCG rate
Source: Prevalence - 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, (benchmark = South Alliance)
Prevalence
Mortality
Asthma
Chronic Obstructive Pulmonary
Disease
All ages
Under 75 years
Number %
DASR per 100,000
Granta
3,310
7.8%
593
1.4%
165
75.3 44
22.5
South Alliance
25,926
6.1%
5,751
1,490
91.2
269
18.9
Cambridgeshire and Peterborough CCG
57,830
6.0%
16,513
1.7%
4,533
119.9
942
26.8
England
3,463,893
5.9%
1,113,417
1.9%
Not available

16. Long term conditions
Diabetes prevalence is statistically significantly higher than the South Alliance average, and lower than the CCG average
Cancer prevalence is statistically significantly higher than the South Alliance average, and higher than the CCG average
These prevalence rates may be impacted by Granta’s older population profile
Age standardised cancer mortality rates, in people of all ages and in under 75 year olds, are statistically significantly similar to the South Alliance rates, and lower than the CCG rates
Source: Prevalence - 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, (benchmark = South Alliance)
Prevalence
Mortality - Cancer
Diabetes
(17+ years)
Cancer
All ages
Under 75
year olds
Number %
DASR per 100,000
Granta
1,857
5.4%
1,645
3.9%
530
241.3
215
108.2
South Alliance
16,219
4.6%
11,251
2.6%
3,939
245.4
1,666
113.5
Cambridgeshire and Peterborough CCG
46,573
6.0%
25,700
2.7%
9,902
259.4
4,411
123.2
England
3,196,124
6.8%
1,593,302
Not available

17. Schizophrenia, bipolar affective disorder
Mental health
Severe mental illness prevalence is similar to the South Alliance average
Depression prevalence is statistically significantly higher than the South Alliance average, with the percentage being slightly lower than the CCG average
Dementia prevalence is statistically significantly higher than the average for South Alliance. This may be expected due to the higher older population in the area.
Learning disabilities prevalence is similar to the South Alliance average
Source: Prevalence - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = South Alliance)
Schizophrenia, bipolar affective disorder
and other psychoses
Depression
(18+ years)
Dementia
Learning
disabilities
Number %
Granta
375
0.9%
2,966
8.7%
301
0.7%
139
0.3%
South Alliance
3,740
27,663
8.0%
2,502
0.6%
1,431
Cambridgeshire and Peterborough CCG
7,750
0.8%
68,112
8.9%
6,551
4,057
0.4%
England
550,918
4,589,213
9.9%
446,548
284,422
0.5%