Newham Info – Health & Social Care

Newham - Health - UTLA - Newham

Newham

Self-reported health

	Count	%	Count	%	Count	%
	Newham		London		England
Very bad health (2011)	4,564	1.5	100,130	1.2	660,749	1.2
Bad health (2011)	12,763	4.1	305,343	3.7	2,250,446	4.2
Fair health (2011)	34,839	11.3	915,035	11.2	6,954,092	13.1
Good health (2011)	106,549	34.6	2,725,645	33.3	18,141,457	34.2
Very good health (2011)	149,269	48.5	4,127,788	50.5	25,005,712	47.2

General health is a self-assessment of a person's general state of health. People were asked to assess whether their health was very good, good, fair, bad or very bad. This assessment is not based on a person's health over any specified period of time.

Day-to-day activity limited

	Count	%	Count	%	Count	%
	Newham		London		England
Day-to-day activities limited a lot (2011)	21,563	7	551,664	6.7	4,405,394	8.3
Day-to-day activities limited a little (2011)	21,148	6.9	605,501	7.4	4,947,192	9.3
Day-to-day activities not limited (2011)	265,273	86.1	7,016,776	85.8	43,659,870	82.4

People were asked to assess whether their daily activities were limited a lot or a little by a health problem, or whether their daily activities were not limited at all.

Self-reported wellbeing

	Newham	London	England
Low satisfaction score - Persons - 16+ yrs (2018/19)	N/A	4.1	4.3
Low happiness score - Persons - 16+ yrs (2018/19)	N/A	7.3	7.8
High anxiety score - Persons - 16+ yrs (2018/19)	21.5	21	19.7
Low worthwhile score - Persons - 16+ yrs (2018/19)	N/A	3.4	3.6

ONS measure individual/subjective wellbeing based on four questions included on the Integrated Household Survey:

Overall, how satisfied are you with your life nowadays?
Overall, how happy did you feel yesterday?
Overall, how anxious did you feel yesterday?
Overall, to what extent do you feel the things you do in your life are worthwhile?

	Newham	London	England
General fertility rate - Female - 15-44 yrs (2016)	6,027	74.6	N/A	N/A	663,157	62.5

Breastfeeding prevalence at 6-8 weeks after birth

	Newham	London	England
Breastfeeding prevalence at 6-8 weeks after birth - current method - Persons - 6-8 weeks (2018/19)	2,303	N/A	56,866	N/A	276,742.3	46.2

This is the percentage of infants that are totally or partially breastfed at age 6-8 weeks. Totally breastfed is defined as infants who are exclusively receiving breast milk at 6-8 weeks of age - that is, they are not receiving formula milk, any other liquids or food. Partially breastfed is defined as infants who are currently receiving breast milk at 6-8 weeks of age and who are also receiving formula milk or any other liquids or food.

Under 18 conceptions

	Newham	London	England
Female - <16 yrs (2017)	16	2.7	307	2.2	2,373	2.7
Female - <18 yrs (2017)	97	16.9	2,220	16.4	15,748	17.8

	Newham	London	England
Smoking status at time of delivery - Female - All ages (2018/19)	237	4.7	5,262	4.8	61,399	10.6

Low birth weight of term babies

	Newham	London	England
Low birth weight of term babies - Persons - >=37 weeks gestational age at birth (2017)	189	3.6	3,458	3	16,534	2.8

This is live births with a recorded birth weight under 2500g and a gestational age of at least 37 complete weeks as a percentage of all live births with recorded birth weight and a gestational age of at least 37 complete weeks.

Prevalence of overweight (including obese) among children

	Count	%	Count	%	Count	%
	Newham		London		England
Reception: Prevalence of overweight (including obesity) - Persons - 4-5 yrs (2018/19)	1,066	23.7	20,196	21.8	135,020	22.6
Year 6: Prevalence of overweight (including obesity) - Persons - 10-11 yrs (2018/19)	1,978	42.7	35,557	37.9	205,923	34.3

Children are classified as overweight (including obese) if their BMI is on or above the 85th centile of the British 1990 growth reference (UK90) according to age and sex.

Physically active children and young people

	Newham	London	England
Percentage of physically active children and young people (2018/19)	28.4	46.1	46.8

This indicator is the percentage of children aged 5-16 that meet the UK Chief Medical Officers' (CMOs') recommendations for physical activity (an average of at least 60 minutes moderate-vigorous intensity activity per day across the week)

Hospital admissions caused by unintentional and deliberate injuries in children

	Count	Per 10,000	Count	Per 10,000	Count	Per 10,000
	Newham		London		England
Children aged 0-4 years (2018/19)	205	72.6	5,385	87.4	41,210	123.1
Children aged 0-14 years (2018/19)	480	64.4	12,270	70.5	97,479	96.1
Young people aged 15-24 years (2018/19)	415	87.8	10,120	98.4	90,463	136.9

Population vaccination coverage

	Newham	London	England
MenB (1 year) (2018/19)	85.1	86.9	92
Dtap / IPV / Hib - 1 yr (2018/19)	85.9	87.4	92.1
Flu - 2-3 yrs (2018/19)	26.1	32.4	44.9
Hepatitis B - 1 yr (2018/19)	78.8	N/A	N/A
Hepatitis B - 2 yrs (2018/19)	79.2	N/A	N/A
Hib / MenC booster - 2 yrs (2018/19)	80.3	83.2	90.4
MMR for one dose - 2 yrs (2018/19)	80.4	83	90.3
MMR for one dose - 5 yrs (2018/19)	89	90.4	94.5
MMR for two doses - 5 yrs (2018/19)	68.7	76.3	86.4
PCV - 1 yr (2018/19)	86.7	88.2	92.8
PCV booster - 2 yrs (2018/19)	79.8	82.5	90.2

Adults classified as overweight or obese

	Newham	London	England
Percentage of adults (aged 18+) classified as overweight or obese (2017/18)	63	55.9	62

Adults are defined as overweight (including obese) if their body mass index (BMI) is greater than or equal to 25kg/m2.

Proportion of the adult population meeting the recommended '5-a-day' on a 'usual day'

	Newham	London	England
Proportion of the population meeting the recommended '5-a-day' on a 'usual day' (adults) - Persons - 16+ yrs (2017/18)	42	54.1	54.8

This indicator is based on the weighted number of respondents aged 16 and over, with valid responses to questions on fruit and vegetable consumption, eating at least 5 portions of fruit and vegetables in the previous day.

Adult physical activity

	Newham	London	England
Percentage of physically active adults - Persons - 19+ yrs (2017/18)	53.1	66.4	66.3
Percentage of physically inactive adults - Persons - 19+ yrs (2017/18)	29.7	22	22.2

This indicator is based on the number of respondents aged 19 and over, with valid responses to questions on physical activity, doing at least 150 moderate intensity equivalent (MIE) minutes physical activity per week in bouts of 10 minutes or more in the previous 28 days.

Adult smoking prevalence

	Newham	London	England
Smoking Prevalence in adults (18+) - current smokers (APS) - Persons (2018)	18.2	13.9	14.4
Smoking Prevalence in adults (18+) - current smokers (APS) - Females (2018)	9.3	11.4	12.6
Smoking Prevalence in adults (18+) - current smokers (APS) - Males (2018)	25.3	16.5	16.4

Successful completion of drug treatment

	Newham	London	England
Non-opiate users - Persons - 18+ yrs (2018)	169	40	3,608	37	17,956	34.4
Opiate users - Persons - 18+ yrs (2018)	66	8.8	1,207	6.9	8,090	5.8

This is the number of users that left drug treatment successfully (free of drug(s) of dependence) who do not then re-present to treatment again within 6 months as a percentage of the total number of users in treatment.

Adults with a learning disability who live in stable and appropriate accommodation

	Count	%	Count	%	Count	%
	Newham		London		England
Female - 18-64 yrs (2018/19)	218	89.3	5,496	76	42,038	78
Male - 18-64 yrs (2018/19)	359	83.7	8,225	74.5	61,273	77.1
Persons - 18-64 yrs (2018/19)	577	85.7	13,721	75.1	103,311	77.4

This is the percentage of adults with a learning disability who are known to their local council, who are recorded as living in their own home or with their family.

Admission episodes for alcohol-related conditions

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Newham		London		England
Admission episodes for alcohol-related conditions (Narrow) - Female - All ages (2018/19)	471	345	15,510	395	136,977	494
Admission episodes for alcohol-related conditions (Narrow) - Male - All ages (2018/19)	999	754	26,192	737	220,682	851
Admission episodes for alcohol-related conditions (Narrow) - Persons - All ages (2018/19)	1,469	545	41,702	556	357,659	664

This is admissions to hospital where the primary diagnosis is an alcohol-related condition, or a secondary diagnosis is an alcohol-related external cause, as a directly age standardised rate per 100,000 population.

Emergency hospital admissions for intentional self-harm

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Newham		London		England
Emergency Hospital Admissions for Intentional Self-Harm - Female - All ages (2018/19)	185	98.9	4,935	108.5	69,140	246.7
Emergency Hospital Admissions for Intentional Self-Harm - Male - All ages (2018/19)	95	49.2	2,645	59.6	39,640	142.3
Emergency Hospital Admissions for Intentional Self-Harm - Persons - All ages (2018/19)	280	72.8	7,580	83.4	108,803	193.4

Self-harm is defined as an intentional act of self-poisoning or self-injury irrespective of the type of motivation or degree of suicidal intent. However, following an episode of self-harm, there is a significant and persistent risk of suicide which varies markedly between genders and age groups.

Hip fractures in people aged 65 and over

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Newham		London		England
Hip fractures in people aged 65 and over - Female - 65+ yrs (2018/19)	50	363.2	3,725	580.6	41,139	676.8
Hip fractures in people aged 65 and over - Male - 65+ yrs (2018/19)	35	326.5	1,550	349.5	16,535	394.9
Hip fractures in people aged 65 and over - Persons - 65+ yrs (2018/19)	85	350.4	5,275	485.3	57,675	558.4

This is emergency hospital admission for fractured neck of femur in persons aged 65 and over as a directly age standardised rate per 100,000. Hip fracture is a debilitating condition – only one in three sufferers return to their former levels of independence and one in three ends up leaving their own home and moving to long-term care.

Life expectancy at birth

	Newham	London	England
Life expectancy at birth - Female - All ages (2016 - 18)	83.3	84.5	83.2
Life expectancy at birth - Male - All ages (2016 - 18)	80.2	80.7	79.6

This is the average number of years a person would expect to live based on contemporary mortality rates. For a particular area and time period, it is an estimate of the average number of years a newborn baby would survive if he or she experienced the age-specific mortality rates for that area and time period throughout his or her life. Figures are calculated from deaths from all causes and mid-year population estimates, based on data aggregated over a three year period.

Healthy life expectancy at birth

	Newham	London	England
Healthy life expectancy at birth - Female - All ages (2016 - 18)	61.4	64.4	63.9
Healthy life expectancy at birth - Male - All ages (2016 - 18)	58.4	64.2	63.4

This is a measure of the average number of years a person would expect to live in good health based on contemporary mortality rates and prevalence of self-reported good health. The prevalence of good health is derived from responses to a survey question on general health. For a particular area and time period, it is an estimate of the average number of years a newborn baby would live in good general health if he or she experienced the age-specific mortality rates and prevalence of good health for that area and time period throughout his or her life. Figures are calculated from deaths from all causes, mid-year population estimates, and self-reported general health status, based on data aggregated over a three year period.

Disability-free life expectancy at birth

	Newham	London	England
Disability free life expectancy at birth - Female - All ages (2016 - 18)	60.8	63.2	61.9
Disability free life expectancy at birth - Male - All ages (2016 - 18)	61.0	65.0	62.9

This is a measure of the average number of years a person would expect to live without a long lasting physical or mental health condition or disability that limits daily activities. The measure uses a prevalence of those living without a disability derived from responses to a survey question. For a particular area and time period, it is an estimate of the average number of years a newborn baby would live without a disability if he or she experienced the age-specific mortality rates and disability free prevalence for that area and time period throughout his or her life.

Mortality rate from causes considered preventable in Newham

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Newham		London		England
Mortality rate from causes considered preventable - Female - All ages (2016 - 18)	368	125.5	11,592	116.7	112,532	137
Mortality rate from causes considered preventable - Male - All ages (2016 - 18)	625	224.8	19,099	209.1	172,056	227.7
Mortality rate from causes considered preventable - Persons - All ages (2016 - 18)	993	172.8	30,691	160.7	284,588	180.8

The basic concept of preventable mortality is that deaths are considered preventable if, in the light of the understanding of the determinants of health at the time of death, all or most deaths from the underlying cause (subject to age limits if appropriate) could potentially be avoided by public health interventions in the broadest sense.

Infant mortality in Newham

	Newham	London	England
Infant mortality rate - Persons - <1 yr (2016 - 18)	58	3.3	1,240	3.3	7,608	3.9

Infant mortality is an indicator of the general health of an entire population. It reflects the relationship between causes of infant mortality and upstream determinants of population health such as economic, social and environmental conditions. Deaths occurring during the first 28 days of life (the neonatal period) in particular, are considered to reflect the health and care of both mother and newborn.

Under 75 mortality rate from causes considered preventable

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Newham		London		England
Under 75 mortality rate from cancer considered preventable (2016 - 18)	341	67.1	11,628	69	108,817	76.3
Under 75 mortality rate from cardiovascular diseases considered preventable (2016 - 18)	291	58.4	7,141	42.8	64,530	45.3
Under 75 mortality rate from liver disease considered preventable (2016 - 18)	79	14.4	2,545	14	23,438	16.3
Under 75 mortality rate from respiratory disease considered preventable (2016 - 18)	89	21.1	2,575	16.5	27,186	19.2

Mortality rate from a range of specified communicable diseases, including influenza

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Newham		London		England
Mortality rate from a range of specified communicable diseases, including influenza - Female - All ages (2016 - 18)	28	11	976	9.6	9,467	10.4
Mortality rate from a range of specified communicable diseases, including influenza - Male - All ages (2016 - 18)	30	11.9	929	11.6	8,286	12.4
Mortality rate from a range of specified communicable diseases, including influenza - Persons - All ages (2016 - 18)	58	11.6	1,905	10.5	17,753	11.3

Suicide rate in Newham

	Count	Per 100,000	Count	Per 100,000	Count	Per 100,000
	Newham		London		England
Suicide rate - Female - 10+ yrs (2016 - 18)	19	5.3	440	4	3,455	4.7
Suicide rate - Male - 10+ yrs (2016 - 18)	45	8.7	1,369	12.5	10,592	14.9
Suicide rate - Persons - 10+ yrs (2016 - 18)	64	7.2	1,809	8.1	14,047	9.6

This is the age-standardised mortality rate from suicide and injury of undetermined intent per 100,000 population. Suicide is a significant cause of death in young adults, and is seen as an indicator of underlying rates of mental ill-health.

Excess winter deaths index in Newham

	Count	%	Count	%	Count	%
	Newham		London		England
Excess winter deaths index (age 85+) - Female - 85+ yrs (Aug 2017 - Jul 2018)	18	25.4	1,309.5	38.3	16,294.5	44
Excess winter deaths index (age 85+) - Male - 85+ yrs (Aug 2017 - Jul 2018)	5.5	12.9	734.5	32.1	8,773.5	36.6
Excess winter deaths index (age 85+) - Persons - 85+ yrs (Aug 2017 - Jul 2018)	23.5	20.7	2,044	35.8	25,068	41.1

Excess Winter Deaths Index is the excess winter deaths measured as the ratio of extra deaths from all causes that occur in all those aged 85 and over in the winter months compared with the expected number of deaths, based on the average of the number of non-winter deaths in those aged 85 and over. The number of excess winter deaths depends on the temperature and the level of disease in the population as well as other factors, such as how well equipped people are to cope with the drop in temperature.

Provision of unpaid care

	Count	%	Count	%	Count	%
	Newham		London		England
Provides no unpaid care (2011)	283,380	92	7,483,968	91.6	47,582,440	89.8
Provides 1 to 19 hours unpaid care a week (2011)	13,094	4.3	435,278	5.3	3,452,636	6.5
Provides 20 to 49 hours unpaid care a week (2011)	5,191	1.7	105,399	1.3	721,143	1.4
Provides 50 or more hours unpaid care a week (2011)	6,319	2.1	149,296	1.8	1,256,237	2.4

A person is a provider of unpaid care if they look after or give help or support to family members, friends, neighbours or others because of long-term physical or mental ill health or disability, or problems related to old age. This does not include any activities as part of paid employment. No distinction is made about whether any care that a person provides is within their own household or outside of the household, so no explicit link can be made about whether the care provided is for a person within the household who has poor general health or a long-term health problem or disability.

Average difficulties score for all looked after children

	Newham	London	England
Average difficulties score for all looked after children aged 5-16 who have been in care for at least 12 months on 31st March (2017/18)	11.9	13	14.2

Data is collected by local authorities through a strengths and difficulties questionnaire (SDQ) and a single summary figure for each child (the total difficulties score), ranging from 0 to 40, is submitted to the Department for Education through the looked after children return (SSDA903). A higher score indicates greater difficulties (a score of under 14 is considered normal, 14-16 is borderline cause for concern and 17 or over is a cause for concern).

Adult social care users and carers who have as much social contact as they would like

	Count	%	Count	%	Count	%
	Newham		London		England
Percentage of adult carers who have as much social contact as they would like - Persons - 18+ yrs (2018/19)	120	33.9	13,125	33.2	95,065	32.5
Percentage of adult social care users who have as much social contact as they would like - Persons - 18+ yrs (2018/19)	1,470	39.5	37,805	41.3	290,535	45.9

There is a clear link between loneliness and poor mental and physical health. This measures the percentage of respondents to the Adult Social Care Users Survey who responded "I have as much social contact as I want with people I like".