Public Health Outcomes Framework - Microsoft...1.2 School readiness 1.2 To be developed 1.3 Pupil absence 1.3 Percentage of half days missed by pupils due to overall absence (including

Joint Strategic Needs

Assessment 2012/13

Public Health Outcomes

Framework

Doncaster Data Observatory

May 2012

Introduction

In January 2012 the Public health outcomes framework was published. This framework is one part of the government’s

reforms of the public health system in this country. It is also one of a suite of outcomes frameworks, which include

frameworks for: the NHS, adult social care, and at the time of writing, a proposed one for children and young people.

The purpose of the public health outcomes framework is to “…set out a broad range of opportunities to improve and

protect health across the life course and reduce inequalities in health that still persist.”1

The framework has two overarching outcomes: Increasing healthy life expectancy and reducing the differences in life

expectancy and healthy life expectancy between communities. To support these overarching outcomes are 66 further

outcomes (some of these outcomes are supported by more than one indicator), divided into 4 domains:

• Domain 1: Improving the wider determinants of health • Domain 2: Health improvement • Domain 3: Health protection • Domain 4: Healthcare public health and preventing premature mortality

Currently some of the outcomes are not specified and some of the indicators are not yet finalised. Also even when the

outcome and the indicators have been finalised the data may not be available at this time. This report also includes

data from Domain 1 (Preventing people from dying prematurely) of the NHS outcomes framework2. These have been

included as they are of relevance to public health.

1 Improving outcomes and supporting transparency: A public health outcomes framework for England, 2013-2016, Department of Health ,

January 2012 www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358 2 www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122944

Methods

This report has used the public health outcomes framework as a starting point in the development of a tool to support

prioritisation in the newly created Health and Wellbeing Board3. Each of the indicators in the framework, if the data are

available, has been assessed using 4 questions:

• How is Doncaster currently performing? • Is Doncaster improving? • Is Doncaster narrowing the gap? • Are inequalities improving within Doncaster?

Each of these questions was gauged using the following system:

• Statistically significantly worse � � � • 20% worse � � • 10% worse � • No difference � • 10% better � • 20% better � � • Statistically significantly better � � �

Outcomes and indicators with more red ‘buttons’ are areas where the board may wish to devote more attention than

indicators with more green ‘buttons’.

3 healthandcare.dh.gov.uk/hwb-guide/

Findings

It is important to note that data are not available for a number of the outcomes and indicators in the framework4. But

from the data currently collected 12 outcomes should be brought to the attention of the board. The codes in

parenthesis are the outcome reference numbers (PHOF – Public health outcomes framework; NHSOF – NHS outcomes

framework).

• Perinatal mortality (1.6ii NHSOF) – Perinatal mortality is a combination of stillbirths and infant deaths in the first 7 days of life. While perinatal mortality rates are not significantly different in Doncaster compared to national rates,

the rates have increased slightly over the last 10 years but have declined nationally. There is some indication that

the rates are rising faster in the more deprived parts of the borough.

• Low birth weigh births (2.1 PHOF) – Any baby with a birth weight less than 2500g is a low birth weight birth. Rates in Doncaster are significantly higher than England & Wales and the rates are not falling. Rates are falling nationally

and so the gap with Doncaster is widening. However there is some evidence that internal inequalities are

improving.

• Breastfeeding prevalence (2.2 PHOF) – The prevalence of breastfeeding in Doncaster is significantly lower at initiation and 6-8 weeks after birth compared to the national rate. These rates have not significantly improved

over the previous 10 quarters. Nationally rates are improving and so the gap between Doncaster and England is

currently widening.

• Infant mortality (4.1 PHOF; 1.6 NHSOF) – An Infant death is any death occurring in the first year of life. Infant mortality rates are currently only slightly higher than England & Wales, but there is no evidence that rates are

4 Information on the specification of the indicators can be found at:

www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_132558.pdf

www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122954.pdf

improving in the borough. Nationally the rate is falling and so this gap is widening. Within Doncaster there is some

evidence that inequalities may be beginning to increase.

• Children in relative poverty (1.1 PHOF) – Children in relative poverty are children living in households where the income is less than 60% of the national median household income (before housing costs). Doncaster has

significantly more children in relative poverty compared to England as a whole and the rate has increased

significantly. The gap with national rates is increasing.

• Excess weight in children (2.6 PHOF) – Children’s height and weight are measured at 4- 5 years and 10-11 years and are defined as overweight or obese if they are greater than or equal to the 85 centile on the British growth

chart. The rates of children who are overweight or obese at reception are significantly higher than national rates

and are climbing. A gap is opening between Doncaster and England as a whole.

• Killed or seriously injured on the roads (1.10 PHOF) – The rates in Doncaster are significantly higher than the national data. The national rate has also been falling at a significantly faster rate than in Doncaster where the

rate has remained largely unchanged for the last 9 years.

• Cancer screening (2.20 PHOF) – In Doncaster both cervical and breast screening programmes are currently performing better than nationally. However there is evidence that uptake rates are falling in both programmes.

• Suicide (4.10 PHOF) – Suicide rates are currently significantly higher in Doncaster and there is some evidence that the rate might be increasing. Because the national rate shows a slight decline there is evidence of a widening

gap between Doncaster and England & Wales. Within the borough, conversely, there is some evidence that

inequalities are improving.

• Liver disease mortality (4.6 PHOF; 1.3 NHSOF) – Deaths from liver disease are higher in Doncaster and have been increasing for the last 10 years. The gap with England & Wales has widened over this period. Inequalities within the

borough have remained largely unchanged.

• Respiratory disease mortality (4.7PHOF; 1.2 NHSOF) – Respiratory disease mortality is significantly higher in Doncaster and rates have remained largely unchanged over the last 10 years. The gap with England & Wales is

widening. Inequalities within Doncaster have remained unchanged.

• Excess winter mortality (4.15 PHOF) – Excess winter mortality is the number of deaths in December to March compared to the previous and subsequent 4 months. Rates tend to vary widely from year to year but there is

some limited evidence that rates might be falling in Doncaster. Within the borough there has been some increase

in inequality, with more deprived areas showing increasing mortality and less deprived showing reductions.

NHS Outcomes Framework

Domain 1: Preventing people from dying prematurely

Ref. Outcome Ind. no. Indicator Performance Improvement Narrowing Inequalities

1a Mortality considered amenable to healthcare ••• ••• •• •1bi Life expectancy at 75 - males ••• ••• •• ••1bii Life expectancy at 75 - females ••• ••• •• ••1.1 Under 75 mortality rate from cardiovascular disease ••• ••• •• ••1.2 Under 75 mortality rate from respiratory disease ••• • •• •1.3 Under 75 mortality rate from liver disease ••• •• •• •1.4i & ii Under 75 mortality rate from colorectal cancer • • • ••1.4iii & iv Survival from breast cancer • •• • ••1.4v & vi Survival from lung cancer ••• • •• •1.4vii Under 75 mortality rate from cancer ••• ••• • •

1.5 Reducing premature death in people with serious mental illness1.5 Under 75 mortality rate in people with serious mental illness

1.6i Infant mortality • • •• •1.6ii Perinatal mortality (including stillbirths) • • •• ••

1.7 Reducing premature death in people with learning difficulties1.7 To be developed

1.6 Reducing deaths in babies and young children

1.0 Overarching indicators

1.1-1.4Reducing prematire mortality from the major causes of

death

Public Health Outcomes Framework

Overarching outcomes


0.1 Healthy life expectancy 0.1 & 0.2 Life expectancy at birth - males ••• ••• •• •0.2 Differences in life expectancy 0.1 & 0.2 Life expectancy at birth - females ••• ••• •• ••Domain 1: Improving the wider determinants of health


1.1 Children in poverty 1.1 Percentage of children in relative poverty ••• ••• • •1.2 School readiness 1.2 To be developed

1.3 Pupil absence 1.3Percentage of half days missed by pupils due to overall absence (including authorised and

unauthorised absence). ••• • •1.4 First-time entrants to the youth justice system 1.4 Rate of 10-17 year olds receiving their first reprimand, warning or conviction ••• ••• •1.5 16-18 year olds not in education, employment or training 1.5 Percentage of 16-18 year olds not in education, employment or training

1.6iPercentage of adults with learning disabilities known to social services who are assessed or reviewed

during the year and were in settled accommodation at the time of their latest assessment.

1.6ii

Percentage of adults receiving secondary mental health services known to be in settled

accommodation at the time of their most recent assessment, formal review or multi disciplinary care

planning meeting.

1.7People in prison who have a mental illness or a significant

mental illness1.7 Proportion of all people in prison who have a mental illness or a significant mental illness.

1.8iGap between the employment rate for those with a long-term health condition and the overall

employment rate.

1.8iiGap between the employment rate for those with a learning difficulty/disability and the overall

employment rate.

1.8iii Gap between the employment rate for those with a mental illness and the overall employment rate.

1.6People with mental illness and or disability in settled

accomodation

Employment for those with a long-term health condition

including those with a learning difficulty/disability or mental

illness

1.8


Domain 1: Improving the wider determinants of health (cont…)


1.9i Percentage of employees who had at least one day off sick in the previous week.

1.9ii Number of working days lost due to sickness absence.

1.9iii Rate of fit notes issued per quarter

1.10 Killed and seriously injured casualties on England's roads 1.1Number of people reported killed or seriously injured on the roads, all ages, per 100,000 resident

population. ••• • •••1.11 Domestic abuse 1.11 To be developed

1.12 Violent crime (including sexual violence) 1.12 To be developed

1.13i The proportion of offenders who re-offend from a rolling 12 month cohort. ••• • ••1.13ii The average number of re-offences committed per offender from a rolling 12 month cohort.

1.14i Number of complaints per year per local authority about noise per thousand population.

1.14ii The proportion of the population exposed to transport noise (primarily road) of more than x dB(A)

1.15i Homelessness acceptances (per thousand households). ••• ••• •1.15ii Households in temporary accommodation (per thousand households). ••• ••• •

1.16 Utilisation of green space for exercise/health reasons 1.16 Percentage of people using green space for exercise/health reasons.

1.17 Fuel poverty 1.17A household is classified as fuel poor when it would need to spend more than 10% of its income on

energy in order to maintain an adequate level of warmth. •••1.18 Social connectedness 1.18 To be developed

1.19 Older people's perception of community safety 1.19 To be developed

1.9 Sickness absence rate

1.13 Re-offending

1.14 The percentage of the population affected by noise

1.15 Statutory homelessness


Domain 2: Health improvement


2.1 Low birth weight of term babies 2.1 Low-birth weight births. ••• • ••• ••2.2i Breastfeeding initiation. ••• • ••2.2ii Breastfeeding prevalence at 6-8 weeks after birth. ••• • ••

2.3 Smoking status at time of delivery 2.3 Rate of smoking at time of delivery per 100 maternities. ••• • •2.4 Under 18 conceptions 2.4 Under 18 conception rate. ••• ••• ••2.5 Child development at 2-2.5 years 2.5 To be developed

2.6i Proportion of children aged 4-5 classified as overweight or obese ••• ••• ••2.6ii Proportion of children aged 10-11 classified as overweight or obese • • •

2.7Hospital admissions caused by unintentional and deliberate

injuries in under 18s2.7

Crude rate of hospital emergency admissions caused by unintentional and deliberate injuries in age 0-17

years ••• • ••2.8 Emotional wellbeing of looked after children 2.8 To be developed

2.9 Smoking prevalence - 15 year olds 2.9 Prevalence of smoking among 15 years olds

2.10 Hospital admissions as a result of self harm 2.10Age-sex standardised rate of emergency hospital admissions for intentional self-harm per 100,000

population •••2.11 Diet 2.11 Diet: comparison with national dietary targets and guidelines.

2.12 Excess weight in adults 2.12 Proportion of adults classified as overweight or obese.

2.13iProportion of adults achieving at least 150 minutes of physical activity per week in accordance with UK

CMO recommended guidelines on physical activity. • •2.13ii Proportion of adults classified as "inactive".

2.14 Smoking prevalence - adults 2.14 Prevelence of smoking among persons aged 18 years and over •••

2.13 Proportion of physically active and inactive adults

2.2 Breastfeeding

2.6 Excess weight in 4-5 and 10-11 year olds


Domain 2: Health improvement (cont…)


2.15 Successful completion of drug treatment 2.15Numbers of drug users that left drug treatment sucessfully who do not then re-present to treatment

again within 6 months

2.16People entering prison with substance dependence issues

who are previously not known to community treatment2.16 Proportion of people assessed for substance dependence issues when entering prison.

2.17 Recorded diabetes 2.17Number of QOF-recorded cases of diabetes per 100 patients registered with GP practices (17 years and

over). •••2.18 Alcohol-related admissions to hospital 2.18 Alcohol related admissions •• •• •••2.19 Cancer diagnosed at stage 1 and 2 2.19 Patients with cancer diagnosed at stage 1 and 2 as a proportion of cancers diagnosed.

2.20iThe percentage of women in a population eligible for breast screening at a given point in time who

were screened adequately within a specified period. ••• ••• •2.20ii

The percentage of women in a population eligible for cervical screening at a given point in time who

were screened adequately within a specified period. ••• ••• ••2.21i

HIV coverage: The proportion of pregnant women eligible for infectious disease screening who are

tested for HIV, leading to a conclusive result.

2.21ii

Syphilis, hepatitis B and susceptibility to rubella uptake: The proportion of women booked for antenatal

care, as reported by maternity services, who have a screening test for syphilis, hepatitis B and

susceptibility to rubella.

2.21iiiThe proportion of pregnant women eligible for antenatal sickle cell and thalassaemia screening for

whom a conclusive screening result is available at the day of report.

2.21iv

The proportion of babies registered within the area (currently PCT) both at birth and at the time of report

who are eligible for newborn blood spot screening and have a conclusive result recorded on the Child

Health Information System within an effective timeframe.

2.21v

The proportion of babies eligible for newborn hearing screening for whom the screening process is

complete within four weeks corrected age (hospital programmes-well babies, all programmes NICU

babies) or five weeks corrected age (community programmes – well babies).

2.21viThe proportion of babies eligible for the newborn physical examination who were tested within 72 hours

of birth.

2.21vii The proportion of those offered screening for diabetic retinopathy who attend a digital screening event.

2.22Take up of the NHS Health Check programme – by those

eligible2.22 Percentage of eligible people who receive an NHS Health Check.

2.23 Self-reported wellbeing 2.23 Self-reported wellbeing.

2.24 Falls and fall injuries in the over 65s 2.24Age-sex standardised rate of emergency hospital admissions for falls or falls injuries in persons aged 65

and over.

2.20 Cancer screening coverage

2.21 Access to non-cancer screening programmes


Domain 3: Health protection


3.1 Air pollution 3.1The mortality effect of anthropogenic particulate air pollution (measured as fine particulate matter,

PM2.5*) per 100,000 population.

3.2 Chlamydia diagnoses (15-24 year olds) 3.2 Crude rate of chlamydia diagnoses per 100,000 young adults aged 15-24. •••3.3i Hepatitis B vaccination coverage (one and two year olds).

3.3ii BCG vaccination coverage (1-16 year olds)

3.3iii DTaP/IPV/Hib vaccination coverage (one, two and five year olds).

3.3iv MenC vaccination coverage (one, two and five year olds).

3.3v PCV vaccination coverage (one, two and five year olds).

3.3vi Hib/MenC booster vaccination coverage (two and five year olds)

3.3vii PCV booster vaccination coverage (two and five year olds).

3.3viii MMR vaccination coverage for one dose (two year olds).

3.3ix MMR vaccination coverage for one dose (five year olds).

3.3x MMR vaccination coverage for two doses (five year olds). • ••• ••3.3xi Td/IPV booster vaccination coverage (13-18 year olds).

3.3xii HPV vaccination coverage (females 12-17 year olds).

3.3xiii PPV vaccination coverage (over 65s).

3.3xiv Flu vaccination coverage (over 65s).

3.3xv Flu vaccination coverage (at risk individuals aged over six months).

3.4 People presenting with HIV at a late stage of infection 3.4 Proportion of persons presenting with HIV at a late stage of infection •3.5 Treatment completion for tuberculosis 3.5 Proportion of patients who successfully complete treatment for tuberculosis

3.6Public sector organisations with board-approved sustainable

development management plan3.6 Percentage of NHS organisations with board-approved sustainable development management plan.

3.7Comprehensive, agreed inter-agency plans for responding

to public health incidents3.7 Comprehensive, agreed inter-agency plans for responding to public health incidents

3.3 Population vaccination coverage


Domain 4: Healthcare public health and preventing premature mortality


4.1 Infant mortality 4.1 Crude rate of infant deaths (persons aged less than one year) per 1,000 live births. • • •• •4.2 Tooth decay in children aged five 4.2

Rate of tooth decay in children aged five years (based on the mean number of teeth per child sampled

which were either actively decayed or had been filled or extracted – dmft). •••4.3 Mortality from causes considered preventable 4.3 Age-standardised rate of mortality from causes considered preventable per 100,000 population.

4.4iAge-standardised rate of mortality from all cardiovascular diseases (including heart disease and stroke)

in persons less than 75 years of age per 100,000 population. ••• ••• •• ••4.4ii

Age-standardised rate of mortality that is considered preventable from all cardiovascular diseases

(including heart disease and stroke) in persons less than 75 years of age per 100,000 population.

4.5i Age-standardised mortality rate from all cancers for persons aged under 75 per 100,000 population. ••• ••• • •4.5ii

Age-standardised rate of mortality that is considered preventable from all cancers in persons less than

75 years of age per 100,000 population.

4.6i Age-standardised mortality rate from liver disease for persons aged under 75 per 100,000 population. ••• •• •• •4.6ii

Age-standardised rate of mortality that is considered preventable from liver disease in persons less than

75 years of age per 100,000 population.

4.7iAge-standardised mortality rate from respiratory diseases for persons aged under 75 per 100,000

population. ••• • •• •4.7ii

Age-standardised rate of mortality that is considered preventable from respiratory diseases in persons

less than 75 years of age per 100,000 population.

4.8 Mortality from communicable diseases To be developed

4.9 Excess under 75 mortality in adults with serious mental illness To be developed

4.10 Suicide 4.10 Age-standardised mortality rate from suicide and injury of undetermined intent per 100,000 population. ••• • •• ••4.11

Emergency readmissions within 30 days of discharge from

hospitalTo be developed

4.12 Preventable sight loss 4.12Proportion of Certificate of Visual Impairment (CVI) registrations that are due to age related macular

degeneration (AMD), glaucoma and diabetic retinopathy.

4.13 Health-related quality of life for older people To be developed

4.14 Hip fractures in over 65s 4.14Age-sex standardised rate of emergency admissions for fractured neck of femur in persons aged 65 and

over per 100,000 population. • ••• ••4.15 Excess winter deaths 4.15

Excess Winter Deaths Index: The ratio of extra deaths from all causes that occur in the winter months

compared to the expected number of deaths, based on the average of the number of non-winter

deaths.• • • ••

4.16 Dementia and its impacts To be developed

4.4Mortality from all cardiovascular diseases (including heart

disease and stroke)

4.5 Mortality from cancer

4.6 Mortality from liver disease

4.7 Mortality from respiratory diseases

1a: Mortality from causes considered amenable to healthcare

Traffic lights How is Doncaster performing currently? Is Doncaster improving?

Meta-data Is Doncaster narrowing the gap? Are inequalities improving within Doncaster?

Key Comments

••• How Doncaster is currently performing is measured by comparing the directly standardised death rates (DSR) between England & Wales and Doncaster for 2008-10.•• How Doncaster is improving is measured by comparing rates in Doncaster in 2001-03 and 2008-10.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England & Wales.• Internal inequalities are measured by dividing the Doncaster population into 10% segments from most deprived to least, the rates in each decile are compared between 2001-05 and 2006-10.••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2001-10

Office for National Statistics


Deaths from causes considered

amenable to healthcare under 75

years

Mid year population aged under

75 years

How is Doncaster performing

currently?

Is Doncaster improving?

•••

Statistically significantly worse

•••

••

•

Period

Is Doncaster narrowing the gap?

Are inequalities improving within

Doncaster?

Further Information

20% better

Statistically significantly better

20% worse

10% worse

No difference

10% better

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

England & Wales Doncaster

2008-10

DSR

pe

r 1

00

,00

0

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

180.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

DSR

pe

r 1

00

,00

0

10.0

30.0

50.0

70.0

90.0

110.0

130.0

150.0

170.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

DSR

pe

r 1

00

,00

0


0.0

50.0

100.0

150.0

200.0

250.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0

2001-05 2006-10Most deprived Least deprived

1bi: Life expectancy at 75 - males



Key Comments

••• How Doncaster is currently performing is measured by comparing the life expectancy at birth between England & Wales and Doncaster for 2008-10.•• How Doncaster is improving is measured by comparing life expectancy at birth in Doncaster in 2001-03 and 2008-10.• To measure if the gap is narrowing Doncaster's changes in life expectancy at birth have been compared to England & Wales.• Internal inequalities are measured by dividing the Doncaster population into 10% segments from most deprived to least, the rates in each decile are compared between 2001-05 and 2006-10.••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•••

••

••

Period



Doncaster?

Source

Numerator

Denominator

2001 - 2010

Office for National Statistics,


All male deaths over 74

Male mid year population aged

over 74 years

9.6

9.8

10.0

10.2

10.4

10.6

10.8

11.0

11.2

11.4


2008-10

Ye

ars

0.0

2.0

4.0

6.0

8.0

10.0

12.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

Ye

ars

6.0

7.0

8.0

9.0

10.0

11.0

12.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Ye

ars


6.0

7.0

8.0

9.0

10.0

11.0

12.0

0% 20% 40% 60% 80% 100%

Ye

ars


1bii: Life expectancy at 75 - females



Key Comments

••• How Doncaster is currently performing is measured by comparing the life expectancy at birth between England & Wales and Doncaster for 2008-10.•• How Doncaster is improving is measured by comparing life expectancy at birth in Doncaster in 2001-03 and 2008-10.• To measure if the gap is narrowing Doncaster's changes in life expectancy at birth have been compared to England & Wales.• Internal inequalities are measured by dividing the Doncaster population into 10% segments from most deprived to least, the rates in each decile are compared between 2001-05 and 2006-10.••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2001 - 2010



All female deaths over 74

Female mid year population

aged over 74 years


currently?


•••


•••

••

••

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

11.8

12.0

12.2

12.4

12.6

12.8

13.0

13.2


2008-10

Ye

ars

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

Ye

ars

8.0

9.0

10.0

11.0

12.0

13.0

14.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Ye

ars


8.0

9.0

10.0

11.0

12.0

13.0

14.0

0% 20% 40% 60% 80% 100%

Ye

ars


4.4i & 1.1: Mortality from all cardiovascular diseases (under 75)



Key Comments


Source

Numerator

Denominator

2001-10



Deaths from circulatory diseases

under 75 years


75 years


currently?


•••


•••

••

••

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0


2008-10

DSR

pe

r 1

00

,00

0

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

Year

DSR

pe

r 1

00

,00

0

10.0

30.0

50.0

70.0

90.0

110.0

130.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

DSR

pe

r 1

00

,00

0


0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

180.0

200.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


4.7i & 1.2: Under 75 mortality rate from respiratory diseases



Key Comments

••• How Doncaster is currently performing is measured by comparing the directly standardised death rates (DSR) between England & Wales and Doncaster for 2008-10.•• How Doncaster is improving is measured by comparing rates in Doncaster in 2001-03 and 2008-10.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England & Wales.• Internal inequalities are measured by dividing the Doncaster population into 10% segments from most deprived to least, the rates in each decile are compared between 2001-05 and 2006-10.••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•

••

•

Period



Doncaster?

Source

Numerator

Denominator

2001 - 2010



Deaths from respiratory diseases

under 75 years


75 years

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0


2008-10

DSR

pe

r 1

00

,00

0

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

DSR

pe

r 1

00

,00

0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

DSR

pe

r 1

00

,00

0


0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


4.6i & 1.3: Under 75 mortality rate from liver disease



Key Comments


Source

Numerator

Denominator

2001 - 2010



Deaths from liver disease under 75

years


75 years


currently?


•••


••

••

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

5.0

10.0

15.0

20.0

25.0


2008-10

DSR

pe

r 1

00

,00

0

0.0

5.0

10.0

15.0

20.0

25.0

30.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

DSR

pe

r 1

00

,00

0

10.0

12.0

14.0

16.0

18.0

20.0

22.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

DSR

pe

r 1

00

,00

0


0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.4i: Mortality from colorectal cancer (under 75)



Key Comments


Source

Numerator

Denominator

2001 - 2010



Deaths from colorectal cancer

under 75 years


75 years


currently?


•


•

•

••

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0


2008-10

DSR

pe

r 1

00

,00

0

0.0

5.0

10.0

15.0

20.0

25.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

Year

DSR

pe

r 1

00

,00

0

10.0

11.0

12.0

13.0

14.0

15.0

16.0

17.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

DSR

pe

r 1

00

,00

0


0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

20.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.4iii: Breast cancer mortality (under 75)



Key Comments


Source

Numerator

Denominator

2001-10



Deaths from breast cancer under

75 years


75 years


currently?


•


••

•

••

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

5.0

10.0

15.0

20.0

25.0

30.0


2008-10

DSR

pe

r 1

00

,00

0

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

DSR

pe

r 1

00

,00

0

10.0

12.0

14.0

16.0

18.0

20.0

22.0

24.0

26.0

28.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

DSR

pe

r 1

00

,00

0


0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.4v: Mortality from lung cancer (under 75)



Key Comments


Source

Numerator

Denominator

2001 - 2010



Deaths from liver disease under 75

years


75 years


currently?


•••


•

••

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0


2008-10

DSR

pe

r 1

00

,00

0

0.0

10.0

20.0

30.0

40.0

50.0

60.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

DSR

pe

r 1

00

,00

0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

DSR

pe

r 1

00

,00

0


0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


4.5i & 1.4vii: Under 75 mortality rate from cancer



Key Comments


Source

Numerator

Denominator

2001-10



Deaths from all cancers under 75

years


75 years


currently?


•••


•••

•

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0


2008-10

DSR

pe

r 1

00

,00

0

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

180.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

DSR

pe

r 1

00

,00

0

10.0

30.0

50.0

70.0

90.0

110.0

130.0

150.0

170.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

DSR

pe

r 1

00

,00

0


0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

180.0

200.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


4.1 & 1.6i: Infant mortality



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest rates for England & Wales and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster in 2001-03 and 2008-10.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England & Wales.• Internal inequalities are measured by dividing the Doncaster population into 10% segments from most deprived to least, the rates in each decile are compared between 2001-05 and 2006-10.••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•


•

••

•

Period



Doncaster?

Source

Numerator

Denominator

2001 - 2010



Deaths aged under 1 year

Live births

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0


2008-10

Pe

r 1

,00

0

0.0

2.0

4.0

6.0

8.0

10.0

12.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

Year

Pe

r 1

,00

0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

Pe

r 1

,00

0


0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.6ii: Perinatal mortality (including stillbirths)



Key Comments

••• How Doncaster is currently performing is measured by comparing the rate between England & Wales and Doncaster for 2008-10.•• How Doncaster is improving is measured by comparing rates in Doncaster in 2001-03 and 2008-10.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England & Wales.• Internal inequalities are measured by dividing the Doncaster population into 10% segments from most deprived to least, the rates in each decile are compared between 2001-05 and 2006-10.••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•


•

••

••

Period



Doncaster?

Source

Numerator

Denominator

2001 - 2010



Stillbirths and infant deaths under

7 days

All live and stillbirths

0.0

2.0

4.0

6.0

8.0

10.0

12.0


2008-10

pe

r 1

,00

0

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

pe

r 1

,00

0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

pe

r 1

,00

0


0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

0% 20% 40% 60% 80% 100%

pe

r 1

,00

0


0.1 & 0.2: Life expectancy (at birth) - females



Key Comments


20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•••

••

••

Period



Doncaster?

Source

Numerator

Denominator

2001 - 2010



All deaths

Mid year population

80.0

80.5

81.0

81.5

82.0

82.5

83.0


2008-10

Ye

ars

76.0

77.0

78.0

79.0

80.0

81.0

82.0

83.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

Ye

ars

70.0

72.0

74.0

76.0

78.0

80.0

82.0

84.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Ye

ars


70.0

72.0

74.0

76.0

78.0

80.0

82.0

84.0

86.0

0% 20% 40% 60% 80% 100%

Ye

ars


0.1 & 0.2: Life expectancy (at birth) - male



Key Comments


20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•••

••

•

Period



Doncaster?

Source

Numerator

Denominator

2001 - 2010



All male deaths

Male mid year population

75.0

75.5

76.0

76.5

77.0

77.5

78.0

78.5

79.0


2008-10

Ye

ars

71.0

72.0

73.0

74.0

75.0

76.0

77.0

78.0

79.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

Ye

ars

70.0

71.0

72.0

73.0

74.0

75.0

76.0

77.0

78.0

79.0

80.0

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Ye

ars


70.0

72.0

74.0

76.0

78.0

80.0

82.0

0% 20% 40% 60% 80% 100%

Ye

ars


1.1: Children in poverty



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 2006 and 2009.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.• Inequalities within Doncaster are measured by dividing the population, by level of deprivation, into deciles from most deprived to least. The changes are measured using the Slope Index of Inequality.••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2006 - 2009

HM Revenue & Customs

Children in families in receipt of

work benefits or tax credits and

less than 60% of median income

Children age 0-19 years


currently?


•••


•••

•

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

19.5

20.0

20.5

21.0

21.5

22.0

22.5

23.0

23.5

24.0

24.5

25.0

England Doncaster

2009

%

20.5

21.0

21.5

22.0

22.5

23.0

23.5

24.0

24.5

25.0

20

06

20

07

20

08

20

09

Year

%

10.0

12.0

14.0

16.0

18.0

20.0

22.0

24.0

26.0

20

06

20

07

20

08

20

09

%

England Doncaster

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.0

0% 20% 40% 60% 80% 100%

%


1.3: Pupil absence (including authorised & unauthorised absence)



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years worth of data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 2006/07- and 2010/11.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•

•

•

Period



Doncaster?

Source

Numerator

Denominator

2006/07 to 2010/11

Department of Education

Overall absences (half days

missed)

Possible half day attendances

5.4

5.6

5.8

6.0

6.2

6.4

6.6

6.8

England Doncaster

2010/11

%

c

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

20

06

/07

20

07

/08

20

08

/09

20

09

/10

20

10

/11

Quarter

%

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

20

06

/07

20

07

/08

20

08

/09

20

09

/10

20

10

/11

%

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0

0 0Most deprived Least deprived

1.4: First time entrants to the youth justice system



Key Comments

••• How Doncaster is currently performing is measured by comparing the rates between England & Wales and Doncaster for2008/09 - 20010/11.•• How Doncaster is improving is measured by comparing rates in Doncaster in 2001/02 - 03/04 and 2008/09 - 10/11• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England & Wales.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•••

•

••

Period



Doncaster?

Source

Numerator

Denominator

2001/02 - 2010/11

Ministry of Justice

Young people aged 10-17

receiving their first reprimand,

warning or conviction

Mid year population aged 10-17

years

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0


08/09-10/11

Pe

r 1

,00

0

0.0

5.0

10.0

15.0

20.0

25.0

30.0

01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11

Year

Pe

r 1

,00

0

10.0

12.0

14.0

16.0

18.0

20.0

22.0

24.0

26.0

28.0

01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11

Pe

r 1

,00

0


0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.10: Killed or seriously injured casualties on roads



Key Comments

••• How Doncaster is currently performing is measured by comparing the rates between England & Wales and Doncaster for 2008-10.•• How Doncaster is improving is measured by comparing rates in Doncaster in 2002-04 and 2008-10.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England & Wales.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•

•••

••

Period



Doncaster?

Source

Numerator

Denominator

2002 - 2010

Department for Transport, London

Health Observatory


People killed or seriously injured on

the road

Mid year population estimate

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

England Doncaster

2008-10

Pe

r 1

00

,00

0

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

Pe

r 1

00

,00

0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

2002 2003 2004 2005 2006 2007 2008 2009 2010

Pe

r 1

00

,00

0

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.13i: Reoffending (adult)



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years worth of data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between January to December 2008 and October 2010 to September 2011.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

January 2008 to September 2011

Ministry of Justice

Offenders who re-offend in a

three month period (four periods

combined for annual rate)

All offenders, aged 18 or over,

who are under probation

supervision


currently?


•••


•

••

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0


Oct 10 - Sep 11

%

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

Ja

n 0

8 -

De

c 0

8

Ap

r 0

8 -

Ma

r 0

9

Ju

l 08

- J

un

09

Oc

t 0

8 -

Se

p 0

9

Ja

n 0

9 -

De

c 0

9

Ap

r 0

9 -

Ma

r 1

0

Ju

l 09

- J

un

10

Oc

t 0

9 -

Se

p 1

0

Ja

n 1

0 -

De

c 1

0

Ap

r 1

0 -

Ma

r 1

1

Ju

l 10

- J

un

11

Oc

t 1

0 -

Se

p 1

1

Rolling year

%

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

Ja

n 0

8 -

De

c 0

8

Ap

r 0

8 -

Ma

r 0

9

Ju

l 08

- J

un

09

Oc

t 0

8 -

Se

p 0

9

Ja

n 0

9 -

De

c 0

9

Ap

r 0

9 -

Ma

r 1

0

Ju

l 09

- J

un

10

Oc

t 0

9 -

Se

p 1

0

Ja

n 1

0 -

De

c 1

0

Ap

r 1

0 -

Ma

r 1

1

Ju

l 10

- J

un

11

Oc

t 1

0 -

Se

p 1

1

%


0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.15i: Statutory homeless (homelessness acceptances)



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest two available years worth of data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 04/05 and 10/11.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2001/05 - 2010/11

Department of Communities &

Local Government

Households accepted as being

homeless and in priority need

Estimated total households


currently?


•••


•••

•

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

0.5

1.0

1.5

2.0

2.5

England Doncaster

09/10-10/11

pe

r 1

,00

0

0.0

0.5

1.0

1.5

2.0

2.5

3.0

04/05 05/06 06/07 07/08 08/09 09/10 10/11

Year

pe

r 1

,00

0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

04/05 05/06 06/07 07/08 08/09 09/10 10/11

pe

r 1

,00

0

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.15ii: Statutory homeless (households in temporary accommodation)



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest two available years worth of data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 04/05 and 10/11.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2001/05 - 2010/11

Department of Communities &

Local Government

Households in temporary

accomodation

Estimated total households


currently?


•••


•••

•

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

0.5

1.0

1.5

2.0

2.5

England Doncaster

09/10-10/11

pe

r 1

,00

0

0.0

0.1

0.1

0.2

0.2

0.3

0.3

0.4

0.4

04/05 05/06 06/07 07/08 08/09 09/10 10/11

Year

pe

r 1

,00

0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

04/05 05/06 06/07 07/08 08/09 09/10 10/11

pe

r 1

,00

0

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


1.17: Fuel poverty



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years worth of data for England and Doncaster.•• The Doncaster data are based on modelled data.•• A household is in fuel poverty if it spends more than 10% of its income on fuel to maintain a satisfactory levels of heating.••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2008

Department of Energy & Climate

Change

Households classified as in fuel

poverty

Number of households


currently?


•••


•

••

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

16.5

17.0

17.5

18.0

18.5

19.0

19.5

England Doncaster

2008

%

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

Quarter

%

10.0

11.0

12.0

13.0

14.0

15.0

16.0

17.0

18.0

19.0

20.0

%

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


2.1: Low birth weight births



Key Comments

••• How Doncaster is currently performing is measured by comparing the rates between England & Wales and Doncaster for 2008-10.•• How Doncaster is improving is measured by comparing rates in Doncaster in 2001-03 and 2008-10.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England & Wales.• Internal inequalities are measured by dividing the Doncaster population into 10% segments from most deprived to least, the rates in each decile are compared between 2001-05 and 2006-10.••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2001 - 2010



Babies weighing less than 2,500g

All live and still births with a

recorded weight


currently?


•••


•

•••

••

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

2.0

4.0

6.0

8.0

10.0

12.0


2008-10

%

0.0

2.0

4.0

6.0

8.0

10.0

12.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

Year

%

4.0

5.0

6.0

7.0

8.0

9.0

10.0

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

%


4.0

5.0

6.0

7.0

8.0

9.0

10.0

11.0

12.0

0% 20% 40% 60% 80% 100%

%


2.2i: Breastfeeding initiation



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years worth of data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 09/10 Q1- and 11/12 Q3.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data ObservatoryFurther Information

20% better


20% worse

10% worse

No difference

10% better


currently?


•••


•

••

•

Period



Doncaster?

Source

Numerator

Denominator

2009/10 Q1 - 20011/12 Q3

Department of Health, Vital Signs

Monitoring

Mothers initiating breastfeeding

Number of maternities

58.0

60.0

62.0

64.0

66.0

68.0

70.0

72.0

74.0

76.0

England Doncaster

10/11 Q4 - 11/12 Q3

%

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

09

/10

Q1

09

/10

Q2

09

/10

Q3

09

/10

Q4

10

/11

Q1

10

/11

Q2

10

/11

Q3

10

/11

Q4

11

/12

Q1

11

/12

Q2

11

/12

Q3

Quarter

%

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

09

/10

Q1

09

/10

Q2

09

/10

Q3

09

/10

Q4

10

/11

Q1

10

/11

Q2

10

/11

Q3

10

/11

Q4

11

/12

Q1

11

/12

Q2

11

/12

Q3

%

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


2.2ii: Breastfeeding prevalence at 6-8 weeks after birth



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years worth of data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 09/10 Q1- and 11/12 Q3.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2009/10 Q1 - 20011/12 Q3


Monitoring

Mothers partially of fully

breastfeeding at 6-8 weeks



currently?


•••


•

••

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.0

England Doncaster

10/11 Q4 - 11/12 Q3

%

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

09

/10

Q1

09

/10

Q2

09

/10

Q3

09

/10

Q4

10

/11

Q1

10

/11

Q2

10

/11

Q3

10

/11

Q4

11

/12

Q1

11

/12

Q2

11

/12

Q3

Quarter

%

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.0

09

/10

Q1

09

/10

Q2

09

/10

Q3

09

/10

Q4

10

/11

Q1

10

/11

Q2

10

/11

Q3

10

/11

Q4

11

/12

Q1

11

/12

Q2

11

/12

Q3

%

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


2.3: Smoking at time of delivery



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years worth of data for England and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 09/10 Q1- and 11/12 Q3.• To measure if the gap is narrowing Doncaster's average rate of improvement has been compared to England.•••••••Produced by the Public Health Intelligence Unit & Doncaster Data Observatory

Source

Numerator

Denominator

2009/10 Q1 - 20011/12 Q3


Monitoring

Mothers smoking at the time of

delivery



currently?


•••


•

•

•

Period



Doncaster?

Further Information

20% better


20% worse

10% worse

No difference

10% better

0.0

5.0

10.0

15.0

20.0

25.0

England Doncaster

10/11 Q4 - 11/12 Q3

%

0.0

5.0

10.0

15.0

20.0

25.0

30.0

09

/10

Q1

09

/10

Q2

09

/10

Q3

09

/10

Q4

10

/11

Q1

10

/11

Q2

10

/11

Q3

10

/11

Q4

11

/12

Q1

11

/12

Q2

11

/12

Q3

Quarter

%

10.0

12.0

14.0

16.0

18.0

20.0

22.0

24.0

26.0

09

/10

Q1

09

/10

Q2

09

/10

Q3

09

/10

Q4

10

/11

Q1

10

/11

Q2

10

/11

Q3

10

/11

Q4

11

/12

Q1

11

/12

Q2

11

/12

Q3

%

England Doncaster

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0% 20% 40% 60% 80% 100%

DSR

pe

r 1

00

,00

0


2.4: Under 18 conceptions



Key Comments

••• How Doncaster is currently performing is measured by comparing the latest available years worth of data for England & Wales and Doncaster.•• How Doncaster is improving is measured by comparing rates in Doncaster between 20

Documents

Public Health Outcomes Framework - Microsoft...1.2 School readiness 1.2 To be developed 1.3 Pupil absence 1.3 Percentage of half days missed by pupils due to overall absence (including