Health

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Health Well-Being Community Profiles for
Scotland

• David Walsh, Bruce Whyte,
• Laura Kelso

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Topics

• Purpose
• Background
• Overview
• Contents
• Examples of data
• Next steps

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Purpose

• To inform service providers, planners, policy
  makers and the public about health issues at a
  local and national level.
• Specifically, we have designed each profile to
• Provide a detailed summary of health and health
  determinants across the community
• Make local health information accessible to a
  wide audience
• Draw attention to health inequalities
• Highlight trends in key indicators (where this is
  possible)

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Background

• PHIS (the Public Health Institute of Scotland)
  was set up in 2001 with one of its aims to
  produce a national public health data set. We
  carried out a pilot study in Paisley and as part
  of this produced a health and well-being profile
  of the town of Paisley.
• Resulted in demand for similar profiles to be
  made available nationally
• Seen as stepping stone to idea of national
  public health data set

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Evans Stoddart model
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Overview

• Collaboration between NHS Health Scotland, ISD
  Scotland Communities Scotland
• Follows consultation with Public Health
  Practitioners, local authorities, health boards
• National (Scotland-wide) project
• Covers 66 communities
• But (NB) with data down to small area (postcode
  sector) level
• 65 indicators (covering range of health outcomes
  determinants)

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Overview contd.

• National, comparable data only
• Some small areas (pc sectors) merged (minimum
  1,000 population)
• All postcode sectors given names e.g
• EH6 6 Leith
• DG11 3 Springkell Kirkpatrick Fleming
  Ecclefechan Kirtleton Eaglesfield
• Issue of small numbers highlighted
• Acknowledged gaps in data e.g. education, crime,
  homelessness and more

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Contents of profiles

• Spine graphs (65 indicators)
• Trend graphs (8 indicators)
• Summary graphs (6 indicators)
• Maps (A3, pull-out map)
• Photographs
• Notes
• Examples.

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Spine Graphs

• 7 domains
• 65 indicators
• PC sector and community level
• Shows
• Actual number
• Measure (eg rates, s)
• Comparison to Scotland

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Trend Graphs

• Sector community level
• Trends over 10 years for
• Male life expectancy
• Female life expectancy
• Unemployment
• Smoking during pregnancy
• Hospital admissions for alcohol-related
  conditions, cancer, diabetes, heart disease
• Trends not available for some areas

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Summary Graphs

• Shows how each sector within community compares
• Six indicators
• Children in workless households
• Lone parent households
• Adults unable to work due to illness/disability
• Average age of first-time mothers
• Survival to 65 (males females)
• Additional summary graphs for areas where trends
  cannot be shown

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Replacement Graphs

• Used where trends cannot be shown
• Lone pensioner households
• Economically Inactive
• Teenage Pregnancies
• Sometimes mixed and matched

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Postcode Sector Namesused in the profiles of
Anniesland, Bearsden Milngavie and Strathkelvin
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Examples of data
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ABM
Strathkelvin
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20th century trends in male life expectancy in
Scotland and 16 other Western European countries
(Leon et al 2003)
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Trends in Male and Female Life Expectancy
Anniesland, Bearsden and Milngavie
Strathkelvin
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Strathkelvin
ABM
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ABM
Strathkelvin
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Trends in Hospitalisation
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Alcohol
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Diabetes
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Spine Graphs
Comparisons within East Dunbartonshire
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Spine Graphs
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G62 8 Milngavie - Barloch Numbers and rates

• 50 adults unable to work due to
  illness/disability
• 432 people with a long term limiting illness
• 383 smokers
• 283 lone pensioner households
• 70 Income Support claimants
• 17 children in workless households
• 254 households without a car

BETTER

• WORSE

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G62 8 Milngavie - Barloch
BETTER

• WORSE

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G61 3 Bearsden - Kilmardinny
BETTER

• WORSE

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G64 4 Torrance Balmore
BETTER

• WORSE

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G64 2 Bishopbriggs W
BETTER

• WORSE

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G66 8 Milton of Campsie
BETTER

• WORSE

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G66 7 Lennoxtown
BETTER

• WORSE

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G66 2 Kirkintilloch N Hillhead
BETTER

• WORSE

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Caveats

• Small numbers and rates based on small nos
• Pockets of deprivation/affluence missed at a
  postcode sector level worth looking at Scottish
  Index of Multiple Deprivation for smaller area
  detail - http//www.scotland.gov.uk/stats/simd200
  4/
• The sectors in each community are a best fit to
  LHCC/CHP areas, as a result parts of your area
  may be lost to other communities and other parts
  gained
• More recent data than in the profiles for some
  indicators
• Gaps in data, but possible to fill these with
  local data/knowledge
• Erratum for smoking attributable deaths

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Publication

• Dissemination
• Paper copies (x 100)
• Website
• On CD (by request)
• Access to raw data (by request)

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Next steps

• Evaluation of profiles
• As part of this we will want to survey a sample
  of those who have used the profiles.
• Updating/expansion/development all dependent
  on
• Evaluation
• NHS Health Scotland

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To finish

• pictures (from community profiles)

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Further details

• available from
• David Walsh (david.walsh_at_phis.csa.scot.nhs.uk)
• Bruce Whyte (bruce.whyte_at_phis.csa.scot.nhs.uk)
• Laura Kelso (laura.kelso_at_phis.csa.scot.nhs.uk)
• Tel [phone]/1018
• www.healthscotland.com/communityprofiles