1. North Alliance
Data pack
August 2019

2. North Alliance – summary
There are almost 568,000 people registered with North Alliance practices , with a higher proportion of people aged 18 and under and 65 and over compared with the CCG and England and a lower proportion of people aged 16 – 64 years. The population is expected to increase by 11.0% between 2019 and 2031 and then stabilise to 2036.
North Alliance has slightly higher proportions of White British, Black and Asian: Indian/Bangladeshi/Pakistani ethnic groups compared to the CCG average and lower proportions of White Other, Mixed and Asian: Chinese/Other.
At an aggregate level, relative deprivation is higher for North Alliance compared to the CCG and England. Approximately 19% of children and 17% of older people live in income deprived households in North Alliance, higher than the CCG average.
The birth rate for North Alliance overall is statistically significantly higher than the average for the CCG. The low birth weight proportion is statistically similar to the CCG average.
Male and female life expectancies in North Alliance are statistically significantly lower compared to life expectancies for the CCG at 80.4 years and 83.7 years respectively.
Recorded prevalence of obesity and estimated smoking prevalence are statistically significantly higher in North Alliance compared to the average for the CCG.
It is estimated that 10.1% of adults are obese and 19.8% of adults smoke.
Estimates of people reporting long-term activity-limiting illness and being in Good or Very Good health are statistically significantly worse than the averages for the CCG.
On average, there are around 4,200 deaths a year in the North Alliance, with around a third of these in people aged under 75 years
North Alliance has statistically significantly high recorded prevalence of CHD, hypertension, stroke, COPD and diabetes compared to the CCG averages
North Alliance has statistically significantly higher all-age and premature all cause mortality rates compared to the CCG. All age and premature mortality rates for cancer are statistically similar to the CCG. Premature mortality rates for circulatory and respiratory are statistically significantly higher compared to the CCG.

3. Demography

4. GP registered population
The North Alliance has a higher proportion of people aged 18 and under and 65 and over compared with the CCG and England and a lower proportion of people aged 16 – 64 years.
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

5. Population forecasts
The population of North Alliance is forecast to grow at a slightly lower rate than the CCG as whole.
The population is expected to increase by 11.0% between 2019 and 2031, compared with 13% for the CCG as a whole, and then stabilise to 2036.
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

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

7. Ethnicity
North Alliance has slightly higher proportions of White British, Black and Asian: Indian/Bangladeshi/Pakistani ethnic groups compared to the CCG average and lower proportions of White Other, Mixed and Asian: Chinese/Other.
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)

8. Index of Multiple Deprivation, 2015, by ward
At an aggregate level, relative deprivation is higher for North Alliance compared to
the CCG and England. However, half of the PCNs in North Alliance have lower
relative deprivation compared to the CCG average.
Approximately 19% of children and 17% of older people live in income deprived
households in North Alliance, higher than the CCG average.
Source: C&P PHI derived from Indices of Multiple Deprivation 2015, DCLG and GP registered population data for July Practice data from PHE Fingertips.
Index of Multiple Deprivation, 2015, by ward

9. Births and Fertility Birth rates by ward
The birth rate for North Alliance overall is statistically significantly higher than
the average for the CCG.
The low birth weight proportion is statistically similar to the CCG average.
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 = North Alliance)
Birth rates by ward
Note: Relates to Cambridgeshire and Peterborough residents only

10. Life expectancy
Male and female life expectancies in North Alliance are statistically significantly lower compared to life expectancies
for the CCG.
Source: C&P PHI based, derived from NHS Digital Civil Registration data and GP registered population data (benchmark = North Alliance), 2013 – 2017

11. Risk factors

12. Risk factors
Recorded prevalence of obesity and estimated smoking prevalence are statistically significantly higher in North Alliance compared to the average for the CCG.
The proportion of the population reporting a long term activity limiting illness is statistically significantly higher in North Alliance than in the CCG. The proportion of people reporting Good or Very Good health is statistically significantly lower in North Alliance.
Source:
Obesity - C&P PHI derived from NHS Digital QOF data for 2017/18 (benchmark = North 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 = North Alliance)
LTLI and Good or very good health from C&P PHI from Census 2011, NOMIS and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = North Alliance)

13. Diseases

14. Mortality – all causes
North Alliance has statistically significantly higher all-age and premature all cause mortality rates compared to
the CCG.
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, (benchmark = North Alliance)

15. Circulatory disease
North Alliance prevalence rates for CHD, hypertension and stroke are statistically significantly high compared to CCG.
Circulatory disease all-age mortality rates are statistically similar to the CCG and premature mortality rates for circulatory disease are statistically significantly high compared to the CCG.
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 = North Alliance)
Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance)

16. significantly higher than the CCG.
Respiratory disease
North Alliance prevalence rates for Asthma are statistically similar to the CCG and COPD prevalence is statistically
significantly higher than the CCG.
Respiratory disease all-age and premature mortality rates are statistically significantly high compared to the CCG.
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 = North Alliance)
Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance)

17. Long term conditions
Diabetes prevalence rates are statistically significantly higher than the CCG, and cancer prevalence is statistically similar to the CCG.
North Alliance all age and premature cancer mortality rates are statistically similar to the CCG.
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 = North Alliance)
Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance)

18. Mental health
Severe mental illness prevalence in North Alliance is statistically significantly lower than the CCG average.
Depression, dementia and learning disability prevalence is statistically significantly higher for the North Alliance overall when compared to the CCG 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
Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance)