Dr Sohail Bhatti’s presentation on Health Inequality in Huddersfield to the Socialist Health Association Conference on the Black Report

9th September, 2005

Dr Sohail S Bhatti, Director of Public Health, Huddersfield Central PCT & South Huddersfield PCT

The Problem (The LOCK)

  • No agreed description of deprivation at a level below ward (14,000 residents) in 2002
  • SOA deprivation covers 5,000 residents
  • Census 2001 data at OA level (600 residents)
  • Real needs & real inequalities
  • Lots of routine activity data
  • Services delivered to individuals & households

Kirklees Council keen to tackle them

Mosaic (KEY)

  • Prof Richard Webber (ACORN) developed it
  • 61 Types – derived from 400 data items
  • Mapped to IMD 2004
  • Postcode level data
  • Commercially used & valued

Examples of Use:

  • In Epidemiology
  • In Service Planning & Monitoring
  • In Political Action

Population of Huddersfield:

 

FHS Registered Population FHS Ward Resident Population
March-05 Jan-03 March-05 Difference
Huddersfield Central PCT 136696 145255 146770 +1515
South Huddersfield PCT 91796 84142 86286 +2144
Huddersfield Total March 2005 *Includes 151 temporary patients 228492 229397 *233056 +3659

PCT Deprivation

UK-based Postcode Quintiles (Quintiles are large enough to compute robust statistics eg SMR, Life Expectancy)

Affluent Better Off Average Poor Deprived Unknown
Huddersfield Central 20,015 18,376 28,186 23,702 54,767 963
South Huddersfield 28,263 19,684 16,753 14,299 5,128 1,234
TOTAL 48,278 38,060 44,939 38,001 59,895 2197

Total 2003 FHS population = 231,370

Of the 20% residents in UK with the lowest economic profile, we have 59,895 Source: Experian (MOSAIC)

Locality Mosaic percentage deprivation score 2005

Affluent Better Off Average Poor Deprived Unknown
Ashbrow 22.81 4.10 11.56 12.62 48.38 0.52
Colcar and Colne Valley 8.52 17.65 28.25 23.66 20.78 1.14
CAND 10.41 13.25 13.77 19.99 41.65 0.93
Kirkburton & Denby Dale 44.94 25.52 11.61 13.69 1.27 2.97
Greenhead & Lindley 18.09 16.48 26.67 10.25 27.26 1.25
Total 34.02 20.44 25.72 11.65 6.48 1.69

Live Births 1994-2003 by Mosaic Average Annual Numbers

Resident PCT Affluent Better Off Average Poor Deprived Unknown
Central 197 150 323 247 856 10
South 280 179 173 126 68 9

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