The document provides an updated health tracker for Castle Vale, England based on surveys of residents and consultations with partners. It finds that residents report declining self-rated health and higher levels of obesity, smoking, and alcohol consumption compared to previous years. Key issues identified include smoking prevalence among middle-aged men, rising obesity and poor diet/inactivity, alcohol use especially among youth, and potential issues with mental wellbeing and isolation in some groups. It recommends integrated, whole-family approaches to address underlying determinants of health.

1. Measurement  Evaluation  Learning M·E·L Research
Castle Vale Neighbourhood
Partnership Board
Updated Health Tracker 2011
Castle Vale Health and Wellbeing
Board
Robert Pocock
6th September 2012
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2. Measurement  Evaluation  Learning M·E·L Research
Overview
 Secondary data – from BEN PCT and
Birmingham Public Health Information Team
 Primary data – from a community health survey
of 600 residents
 Resident consultations at events and groups
 Partner consultations
 Trends and new baselines
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3. Measurement  Evaluation  Learning M·E·L Research
Health status: Self-reported health
 Self-reported health status over last 12 months
 2011 survey data indicates that self-reported
good health is the lowest out of the four M·E·L
studies at 40%
 Self-reported health being not good is the
highest out of the four studies in 2011 at 31%
 Self-reported health is worse in Castle Vale 2011
than Birmingham comparison from 2001 Census
(66% Good, 24% Fairly Good, 11% Not Good)
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4. Measurement  Evaluation  Learning M·E·L Research
Self-reported health status over the last
12 months – trends 1992 - 2011
Source: M·E·L Castle Vale Health Surveys
Percent of respondents
0 10 20 30 40 50 60 70
Good
Fairly good
Not good
1992 2000 2004 2011
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5. Measurement  Evaluation  Learning M·E·L Research
Self-rated health as ‘not good’, analysed
by age band: trends 2004 -2011
0 10 20 30 40 50
under 35
35-64
2011
2004
65 and over
Ave
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6. Measurement  Evaluation  Learning M·E·L Research
Self-rated health as ‘not good’, analysed
by gender: trends 2004 -2011
0 10 20 30 40
Male
2011
Female
2004
Ave
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7. Measurement  Evaluation  Learning M·E·L Research
Self-rated health as ‘not good’, by length
of CV residence: trends 2004 -2011
0 10 20 30 40
under 1
1 to 5
6 to 10 2011
11 to 20 2004
21 plus
Ave
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8. Measurement  Evaluation  Learning M·E·L Research
Health status: Long term limiting illness
2000, 2004 & 2011
Source: M·E·L Castle Vale Health Surveys
70
60
50
40 2000
30 2004
20 2011
10
0
Yes No
Self-reported LTLI is 10% higher in 2011 than
2004, and the 2011 figure is the same as that
from 2000 (46%)
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9. Measurement  Evaluation  Learning M·E·L Research
Long term limiting illness, analysed by
age band: trends 2004 -2011
0 20 40 60 80
under 35
35-64
2011
2004
65 and over
Ave
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10. Measurement  Evaluation  Learning M·E·L Research
Life expectancy by Ward (Kingsbury to
2003 then Tyburn for 2007-09)
Source: B’ham Public Health Directory 1997 & 2000. PHIT 2004 & 2011
90
80
70
60
Mid-80 est 1990-92 1994-98 1999-03 2007-09
Men Women All
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11. Measurement  Evaluation  Learning M·E·L Research
Teenage pregnancy (conception rates
females under 18 years of age)
rates per 1,000 women
 Source WMPHO 2004 and WMPHO PCT profiles 1997-
2001; PHIT data 2008/09
 Kingsbury Ward 2000: 57.14
 EBPCT 1997-2001: 66.57
 WMids 1997-2001: 48.32
 Tyburn Ward Aug 2008-July 2009: 70.6
 BEN PCT Aug 2008-July 2009 : 47.3
 Bham LA Aug 2008-July 2009 : 44.8
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12. Measurement  Evaluation  Learning M·E·L Research
New : A&E attendance and alcohol-
related
 A&E Attendances 2008/09 DSR per 100,000 pop:
 Castle Vale (by MSOA): 39,855
 BEN PCT: 37,398
 Bham LA: 36,110
 Alcohol Related Admissions 2008/09 DSR per 100,000
pop:
 Castle Vale (by MSOA): 1,845
 BEN PCT: 1,681
 Bham LA: 1,886
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13. Measurement  Evaluation  Learning M·E·L Research
Lifestyles: Smoking prevalence
Source: M·E·L Castle Vale Health Studies and PHIT data 2009
20
 40% smoked in 2004
15
 32% smoked in 2011
10 2004 (37% male, 30% female)
2011
5  Higher than data for
0
B’ham 2009 (23.3%
Light - under 10 per day Moderate - 10 to 19 per
day
Heavy - 20+ per day
smoke)
 2011: Fewer light
smokers; fewer heavy
smokers
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14. Measurement  Evaluation  Learning M·E·L Research
Smoking prevalence, analysed by age
band: trends 2004 -2011
0 10 20 30 40 50 60
under 35
35-65
2011
2004
65 and over
Ave
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15. Measurement  Evaluation  Learning M·E·L Research
Smoking prevalence analysed by gender:
trends 2004 -2011
0 10 20 30 40 50
Male
2011
Female
2004
Ave
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16. Measurement  Evaluation  Learning M·E·L Research
Lifestyles: Average consumption of fresh
fruit and vegetables
Source: M·E·L Castle Vale Health Studies and PHIT data 2003-05
 Only 1 in 5 residents eat the required 5+ portions
of fruit and vegetables a day in 2011 (same as
2004)
 Lower than Birmingham figure 2003-05 of 24.6%
(PHIT data)
 However, has been a 7% drop in the proportion
of residents eating none or only 1 portion a day
(now 9%, was 16% in 2004)
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17. Measurement  Evaluation  Learning M·E·L Research
Lifestyles: Body Mass Index
Source: M·E·L Castle Vale Health Studies and PHIT data 2003-05
Percent of respondents
0 10 20 30 40 50
 Increase in obesity levels
in 2011 (up from 19% to
Extreme obesity
25%)
Obesity  Shifted from proportion
overweight since 2004
Overw eight (35% down to 28%)
Normal
 Obesity figure similar to
B’ham data for 2003-05:
Underw eight 26.2% obese
2004 2011
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18. Measurement  Evaluation  Learning M·E·L Research
Lifestyles: % taking at least 30 mins moderate
exercise on at least 5 days a week
Source: M·E·L Castle Vale Health Surveys
 Considerable decrease of 16% in residents
taking at least 30 mins moderate exercise on 5+
days a week - from 46% in 2004 to 30% in 2011
 Also been an increase in % on average never
taking 30 mins moderate exercise a week - from
35% in 2004 to 42% in 2011
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19. Measurement  Evaluation  Learning M·E·L Research
Lifestyles: alcohol consumption
Source: M·E·L Castle Vale Health Studies
90
 Considerable increase in
80
70
% of residents above the
60 HDA guidelines for
50 2004
alcohol consumption (up
40 2011 from 15% in 2004 to 31%
30 in 2011)
20  2004: 55% drink alcohol
10
0  2011: 60% drink alcohol
Above HDA guidelines Below HDA guidelines
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20. Measurement  Evaluation  Learning M·E·L Research
Mental Health and Wellbeing
Source: M·E·L Castle Vale Health Tracker 2011
 WEMWBS: Warwick Edinburgh Mental Wellbeing
Scale
 Calculated from perceptions on a series of
statements
 The minimum score 14, maximum score is 70
 Castle Vale Mean Figure: 48.7
 Data lower than reference average (Nottingham 51)
(
 Need to benchmark this further
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21. Measurement  Evaluation  Learning M·E·L Research
Raising Aspirations KPI Baseline 2011
0 20 40 60 80 100
'There are people in CV I admire'
'My family can get on well'
'We feel proud of CV'
'People in Bham respect CV'
Feeling optimistic about future
Interested in other people
Feeling confident
Feeling good about myself
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22. Measurement  Evaluation  Learning M·E·L Research
Cohort tracker study
 Data matched for 71 individuals in 2004 and 2011surveys
 Self-rated health down, long term illness up, diseases up,
service satisfaction up
 Smoking down 10%, as for general survey
 Fewer drink but those that do, drink more
 Obesity static, fresh fruit up but so is fried food
 Generally less physical activity but the active ones (20%)
are doing more
 Unique community-based data set – NPB asset!
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23. Measurement  Evaluation  Learning M·E·L Research
Community and partner consultations
Residents – about 100 consulted
 Community Health Improvement event, 26 March
 Community Café, 8 April (42 attendees)
 Job Club
 Crafty Ladies
 Youth Group, Sanctuary
(under 12s)
 Parents, Astral Stay and Play
 Youth Group, Astral (over 12s)
Partners
 Castle Vale Nursery Nurse
 Castle Vale Childrens Centre
 MIND (Circle of Friends)
 Environment Trust
 Tenancy Support Worker, CVCHA
 Aquarius
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24. Measurement  Evaluation  Learning M·E·L Research
Partner Consultations
Young People
 Young people drinking alcohol – with local shops
providing it directly to young people
 Stopping smoking and alcohol use amongst young
people: awareness-raising does work but we need to get
the message to more people
 Smoking and alcohol still major issues in Castle Vale
 Mental Health – lack of understanding, stigma still exists,
impact on whole family health, well-being of children
linked to parents
 Residents at Community Café put this top
 Childhood Obesity
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25. Measurement  Evaluation  Learning M·E·L Research
Partner consultations
Residents generally
 Isolation: linked to mental health, but range of
groups suffer (empty nesters, single males, older
people)
 Healthy Lifestyles: in-active and poor diet
amongst residents generally, but particularly
“pre-retired”
 Residents taking responsibility for safeguarding
children
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26. Measurement  Evaluation  Learning M·E·L Research
Partner consultations
Other issues
 Need to engage GPs – missing link to inter-
agency work
 Get people involved in green space more –
allotments? Gardening? Fun-events?
 Lots of groups in Castle Vale – can we mobilise
better?
 Authority stops people engaging!
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27. Measurement  Evaluation  Learning M·E·L Research
Summary – key headline issues
 Smoking prevalence, especially mid-age men
 Growing obesity, poor diet, low physical activity
 Alcohol consumption especially young people
 Mental wellbeing? Isolation in mid-years?
 Low, declining self-rated health status generally
 Whole person / whole family approach (work,
skills, money, lifestyle, positive aspiration, quality
of life, civic engagement)
 Need to integrate GP and community based
actions better
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