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6. Locality summaries for children & young people and adults Batley, Birstall & Birkenshaw Birkenshaw

Spen

Birstall Gomersal Scholes Batley

Cleckheaton

Liversedge Heckmondwike Roberttown

Huddersfield North

Bradley

Fixby

Huddersfield South

Fartown Outlane

Deighton Mirfield

Sheepridge

Kirkheaton

Lindley

Huddersfield

Almondbury

Crosland Newsome Moor

Colne Valley

Grange Moor Lepton

Flockton

Highburton

Netherton Farnley Tyas Meltham

Thornhill

Dalton

Slaithwaite

Marsden

Dewsbury & Mirfield

Ravensthorpe

Rawthorpe

Marsh Golcar

Dewsbury

Emley

Kirkburton

Honley

Clayton West

Brockholes Shepley

Skelmanthorpe

Holmfirth Denby Dale

Holme Valley

Scholes

Holmbridge Holme

Denby Dale & Kirkburton

The Valleys

For summary, see section 2, pages 10 and 13. For data on a wide range of indicators by locality, see section 7. For further detail on specific topics, see the specific section for that topic, as they include locality comments as relevant.

Locality summaries for children & young people and adults 107


Huddersfield North Health and well-being inequalities for children and young people Huddersfield North had the same proportion of young people aged under 19 as Kirklees as a whole, 23%. A third of them were of South Asian origin. The birth rate was also similar to Kirklees overall, with 1 in 3 of South Asian origin. One in 11 babies were of a low birth weight. Infants dying in their first year had dropped but remained significantly higher than nationally (see infant deaths section). The locality experiences broadly similar health to that of Kirklees as a whole. Children and young people eat more healthily and smoke less than other localities, but alcohol, low levels of emotional well-being and teenage pregnancy are a concern. Income and educational attainment are average. Babies dying in their first year of life: Had dropped but remained significantly higher than nationally, (see infant deaths section). Teenage pregnancies: This locality now has the highest rate of teenage conceptions in Kirklees and this is worse than the last report. LAA NI 112 Food: More young people visited the dentist over the last 6 months than in Kirklees as a whole and there was less tooth decay in 5 year olds. Fewer 14 year olds were going without breakfast than in 2005, and less than Kirklees. LAA NI 56 Alcohol: Regular drinking amongst 14 year olds is the key challenge for this locality. Although fewer started to drink under 10, the numbers were still amongst the highest in Kirklees. 17% drank alone.

126 NHS Kirklees and Kirklees Council

Smoking: Had not decreased since 2005 and more young people were happy to continue, in line with Kirklees. Physical activity: More young people did enough physical activity but sedentary young people had increased in line with Kirklees. LAA NI 56, 57, local Emotional well-being: Also of concern were the low levels of emotional well-being of the 14 year olds. Over a third felt angry weekly or more over the last year (second worst in Kirklees) and 1 in 4 felt miserable weekly or more (third highest). Both these were worse than 2005. Further investigation of the possible links to the levels of drinking should be undertaken. Young people were not getting on with their families (1 in 5 – second worst to Spen) and school relationships were poor, particularly young people not getting on well with staff. 1 in 4 had no one to talk to. LAA NI 50, 69 Staying safe: Less children were on the Child Protection Register, now below the Kirklees rate. Economic well-being: Over a quarter of the children and young people in this locality lived in households claiming income related benefits (Child Tax Credit and/or Working Tax Credit), fewer than 2007. Education: Students achieving 5 GCSEs (Grade C or higher) was similar to Kirklees for boys. Although girls did better than boys, this was lower than average, i.e. girls did less well locally. Students of Pakistani origin did better than elsewhere in Kirklees, and was similar to all students unlike elsewhere. 1 in 12 young people leaving school were not in employment, education or training. The persistent absence rate was one of the worst in Kirklees. LAA NI 78, 117, local


Health and well-being of children and young people in Huddersfield North Indicator Population aged under 19 years % of South Asian Origin Live births Babies born with a low birth weight i.e. under 2500gm Deaths in infants aged less than 1 year Average no of decayed teeth in 5 year olds Being healthy aged 14 Visited dentist in the last 6 months Asthma Diabetes Problems getting to sleep due to anxious or worried Doing more than 60 min. physical activity daily Less than 30 min. physical activity daily No breakfast before school Smoking weekly or more Of those who smoke: Contented smokers Want to quit Of those who drink alcohol Drinking weekly or more Out of control weekly or more Drinking alone Using illegal drugs monthly or more Teenage pregnancies Had sexual intercourse Of those having sex did not use contraception Emotional well-being aged 14 Feeling miserable Feeling angry Felt lonely Feel unhappy with self No one to talk to about problems Not get on with family Feeling unhappy at school Not get on with school staff Staying safe Children on Child Protection Register Looked After Children across Kirklees 14 year olds Bullied in past 2 months Been a bully in past 2 months Worrying weekly or more about bullying Been in a physical fight in last 2 months Economic well-being Children living in households claiming income related benefits include Child Tax Credit and Working Tax Credit Students eligible for free school meals Enjoying and achieving School leavers known not to be employment, education or training Secondary School Persistent Absence rate Achievement at Early Years Foundation Stage Attainment of pupils obtaining both Males English and Maths at Key Stage 2 Females Attainment of 5+ GCSEs A*-C Males [include English and Maths] Females

Key to table of indicators:  Better

= Same

HN %

HN vs Kirklees

23 32 6.5 9 0.81 1.4

= slightly higher = = X 

92 17 1.3 11 32 30 23 12 27 11 52 9 17 4 5.3 17 9

= = = = = = = = = = X = X = X = 

25 37 11 23 24 21 37 39

X X =  X  = X

4.8 13 16 10 8 40

NA NA = = = X

28

X

19

X

8.1

X

6.6 61 73 73 41 45

X   = = X

X Worse

* Small numbers

Locality summaries for children & young people and adults 127


Health status • Life expectancy at birth in Huddersfield North mirrored that of Kirklees for both men and women, with a gap between men and women of 3.1 years. • Generally the health status functioning levels mirrored Kirklees as a whole.

Biological factors • New cases of breast cancer were the highest in Kirklees as a whole and above the national rate. New cases of prostate cancer were also higher than in Kirklees as a whole, but both were better than in the previous report. • The area had slightly better than Kirklees rates for heart disease, high blood pressure and stroke. • The rate of diabetes in those aged under 65 was the second highest in Kirklees, after Dewsbury, 9%, whilst amongst those aged over 65 it reflected the Kirklees rate. • Incontinence of urine was also above the Kirklees level for all adults, and was the highest in Kirklees for those aged under 65.

Health and well-being inequalities for adults in Huddersfield North Huddersfield North locality experienced similar health to that of Kirklees as a whole and generally better than Huddersfield South. However, it still had a number of significant health inequalities, including diabetes, depression, anxiety and overweight/obese women of child bearing age. Huddersfield North experienced higher levels of diabetes than other localities in Kirklees, particularly amongst people under 65. It also had the highest rate of new cases of breast cancer. As with Kirklees as a whole, the proportion of people suffering from depression, anxiety or other nervous illness was high and had increased. The area had some of the highest rates of Income Support and Disability Living Allowance claimants. It also had the second highest level of unemployment.

Population characteristics • The locality had a higher proportion of people aged 65 – 84 and over 85 years than other areas. • Huddersfield North and South were amongst the 4 areas with an adult South Asian origin population of more than 1 in 6 and both had the largest adult Black/Afro Caribbean population.

128 NHS Kirklees and Kirklees Council

• 1 in 3 people suffered pain (including arthritis), same as Kirklees. • Just under 1 in 4 people suffered depression, anxiety or other nervous illnesses. This was more than in 2005, as were most other areas. • Over 1 in 6 adults were obese and over half were either overweight or obese, similar to the Kirklees rate. The locality had the highest rate for women of child bearing age being either overweight or obese. • Overall the locality had lower rates of all these diseases, apart from diabetes, than Huddersfield South. • The pattern of deaths in those aged under 75 was the same as Kirklees and had declined since the last report.

Personal behaviours • Smoking rates were still too high - 1 in 5 adults smoked, more than the Kirklees rate, but better than 2005. LAA NI 123 • Over 1 in 4 women of child bearing age smoked, the second worst rate in Kirklees, and had increased significantly since the last report. 1 in 7 still smoked at the birth of their child, lower than some areas, but still high. LAA local • Only 1 in 4 adults did sufficient physical activity per week, second worst to Mirfield, but improved since 2005. LAA 8


• Men consumed more alcohol than the recommended level in a week. However, they were less likely to drink over sensible limits than most other areas and had the lowest rate for binge drinking, but this was still 1 in 3 of those that drink. • Women in Huddersfield North drank slightly less than women across Kirklees, but more than nationally. LAA local

• Average household income nearly matches the Kirklees level, but over half of households had income under £20,000, and a quarter less than £10,000. • The area had the highest level of people believing that people from different backgrounds get on well in the area, over 3 in 4, and above the Kirklees rate. LAA NI 1

• The locality had the second highest rate of Income Support claimants and the highest rate of Disability Living Allowance claimants.

• Just over half of adults in the area felt that they belonged to their neighbourhood, the lowest level in Kirklees. LAA NI 2 • The area had a low level of participation in volunteering, 1 in 4, second lowest only to Huddersfield South. LAA NI 6 • The area had the second highest level of people perceiving their home not to be adequate for households with dependent children – 1 in 3 of all households with dependent children.

• In January 2009 Huddersfield North was one of the areas with the highest number of unemployed in Kirklees and the second highest rate of unemployment, slightly less than Huddersfield South.

• The locality had some of the highest rates of reported serious acquisitive crime in Kirklees, but overall an average level of all reported crime for Kirklees. LAA NI 16

Living and working conditions • 1 in 3 children and nearly 1 in 4 (22%) of older people lived in poverty in Huddersfield North – a combined total of nearly 6,000 people. The rates for both children and older people were amongst the highest in the district.

Health and well-being of adults in Huddersfield North Indicator Population characteristics Age groups Under 19 19-44 45-64 65-84 85 and over South Asian Non South Asian Health Status: SF-36 score (out of 100) Role-Physical mean aged over 17 mean aged under 65 mean aged over 65 Role-Emotional mean aged over 17 mean aged under 65 mean aged over 65 Social Functioning mean aged over 17 mean aged under 65 mean aged over 65 Mental Health mean aged over 17 mean aged under 65 mean aged over 65 Physical Functioning mean aged over 17 mean aged under 65 mean aged over 65 Bodily Pain mean aged over 17 mean aged under 65 mean aged over 65 Life Expectancy (years) Life expectancy at birth - male Life expectancy at birth - female

HN % 23 38 23 13 2 19 81 Score 74 80 50 77 79 73 78 80 73 71 70 75 75 81 56 69 71 59

HN vs Kirklees

vs 2008 report

lower higher lower = = higher lower

= = = lower = N/A N/A

= X  X X X X X  = =  X = = = X 

= X  =   X X X X X X X X X X X =

77.4 80.5

= =

 X

Locality summaries for children & young people and adults 129


Indicator Deaths (rate per 1000) Cancer deaths aged under 75 years* All Circulatory Diseases deaths aged under 75 years* Coronary Heart Disease deaths aged under 75 years* Stroke deaths aged under 75 years* Bronchitis, Emphysema & other COPD deaths aged under 75 years* Biological Factors Cancer new cases Breast Cervix* Colon* Lung* Melanoma (skin)* Prostate* Heart disease: aged under 65 aged over 65 High blood pressure: aged under 65 aged over 65 Stroke: aged under 65 aged over 65 Asthma: aged under 65 aged over 65 Diabetes: aged under 65 aged over 65 Incontinence of urine: aged under 65 aged over 65 Pain problems inc arthritis: aged under 65 male aged under 65 female aged over 65 male aged over 65 female Back pain: aged under 65 aged over 65 Depression, Anxiety or other Nervous Illness Obesity: Obese i.e. Body Mass Index 30 and over either obese or overweight overweight Women aged 18-44 years obese or overweight Personal Behaviours Smoking: at least 1 daily Physical activity: more than 30 mins 3 times weekly Alcohol mean no. units per week - males mean no. units per week - females males over sensible limits females over sensible limits bingeing males bingeing females Women aged 18-44 yrs Smoking daily Smoking at birth of child (excluding S Asian origin) Drinking alcohol over sensible limits (of those who drink) Bingeing alcohol (of those who drink) Physically active enough Living and Working Conditions Income Support claimants Council Tax benefit Household income Average gross £000's Disability Living Allowance

130 NHS Kirklees and Kirklees Council

HN

HN vs Kirklees

vs 2008 report

1.08 0.86 0.50 0.18 0.10

 X X X 

 N/A N/A N/A N/A

X = =  X X =    = =  = X  X  = X  X = = X = = = X

 =       X = X X    = = X X X X X = X X = N/A N/A X

= X       X    X

  = =   X X X  X X 

X X = X

  = X

% 1.24 0.10 0.25 0.50 0.15 0.96 3 14 15 39 <1 3 11 14 6 15 6 15 29 25 41 58 24 31 22 18 54 36 46 % 20 26 22 11 33 25 33 34 27 14 26 41 31 % 5 22 32.3 7


Indicator Incapacity Benefit People who think people from different backgrounds get on well together in local area People who think crime and ASB is a problem in local area Feel lonely/ isolated all or some of the time Home perceived as NOT adequate for household's needs (all household types) Home perceived as NOT adequate for needs of pensioner households Home perceived as NOT adequate for needs of households with dependent children

Key to table of indicators:  Better

= Same

HN 7 77

HN vs Kirklees = 

vs 2008 report = N/A

56 7 27

= X X

N/A N/A N/A

26

N/A

35

X

N/A

X Worse

* Small numbers

Locality summaries for children & young people and adults 131


http://www.kirklees.nhs.uk/fileadmin/documents/About_Us/jsna09/Section%206%20Hudds%20North