Southend-on-Sea: 55,000 residents fall within the 30% most deprived areas of the country

The Southend-on-Sea Pharmaceutical Needs Assessment includes some very interesting data about the borough. I have previously reported on some of these numbers, but I think the data worth revisiting. The data rather presents a less than glowing picture of the borough.

The wards with the greatest percentage of over 65s:

1, Belfairs
2, Thorpe
3, Eastwood Park
4, Southchurch

Westborough has the lowest percentage of over 65s. Westborough has the highest percentage of under 19s, followed by West Shoebury, St Luke’s, and Victoria.

In the 2011 census, 87% of the population described themselves as White: English / Welsh / Scottish / Northern Irish / British. This compares to 79.8% for the whole of England. The level of diversity is increasing. Just over 10% come from Black, Asian and Minority Ethnic communities; a significant increase from the 2001 census. Victoria and Milton Wards have the highest proportion of BAME communities. 125 languages are spoken, with Polish, Bengali, Czech, Chinese, Shona and Tagalog/Filipino being the most common.

Southend-on-Sea is one of Essex’s most deprived areas: 55,000 residents fall within the 30% most deprived areas of the country and 16,000 fall within the 10& most deprived areas. The wards with the highest levels of deprivation are located within the East Locality with Kursaal, Victoria and Milton being ranked the highest on the IMD (2010). 1 in 4 children live in poverty compared with 1 in 5 across England.

This picture of deprivation, together with pockets of affluence, result in significant differences in both life expectancy and disability free years within Southend-on-Sea. Disablity-free life expectancy at birth is 13 years lower for men, and 11 years lower for women, living in Victoria & Kursaal wards compared with those in West Leigh.

Life expectancy is a measure of how long a person, born into an area, would be expected to live by reference to current observed rates of mortality. The gap in life expectancy, between the best and worst, helps to illustrate how inequalities affect the population differently. In Southend-on-Sea, the gap between the most deprived and least deprived areas is: Women 8.8 years, Men 9.1 years.

Starting from the most deprived to the least deprived, the wards in Southend-on-Sea are thus arranged: Kursaal, Victoria, Milton, Southchurch, Shoeburyness, St Luke’s, West Shoebury, Blenheim Park, Westborough, Prittlewell, St Laurence, Chalkwell, Belfairs, Leigh, Thorpe, Eastwood Park, West Leigh.

(IMD – Index of Multiple Deprivation)

Southend A&E 4 hour performance

There was a chart circulated at yesterday’s Place Scrutiny that I thought could have been simpler and easier to assimilate. So, here is my version:

Apr – Jun 2014 Jul – Sep 2014 Year to date
Basildon & Thurrock 95.95 94.68 95.34
Southend 94.14 96.46 95.28
Essex 93.45 93.10 93.28
Colchester 94.78 91.16 93.01
Mid Essex 91.20 92.23 91.70
Princess Alexandra 90.91 90.27 90.62

All figures are percentages and show how many were dealt with within the four hour target. This is not about being initially seen (triaged) but the length of time from entry into A&E to leaving.

Southend does not come out too badly as compared to other Essex hospitals, although any missed target is not good.

The target is 95%. The numbers in bold red are where the target was missed.

Southend Councillor warns Labour Conference of dangers of NHS privatisation

A Southend Labour councillor, Cheryl Nevin, recently warned the Labour Party Conference in Manchester of the dangers of expanding the private sector within the NHS. In a prepared speech, she said “Recent CQC reports have shown Taxpayers are picking up the compensation bills for complications within private healthcare botched operations, often occurring at a much higher rate than in the NHS” and cited several examples where patients were left with permanent damage.

Cheryl told a reporter “David Cameron said that the NHS was safe in his hands, but 50% of NHS trusts are now projected to be in the red by March 2015, 7,000 nursing positions have been axed across the NHS, whilst our local Hospital at Southend struggles to find the nurses it requires to provide adequate care in the Accident & Emergency Department.” Cheryl said ” 70% of all new tenders are now going into private hands, at a time when CQC have highlighted the costs already being imposed on the taxpayer in a new report.”

She added, “The latest world bank figures show the UK spends 9% of GDP on health in comparison to the USA who spend 18% yet we get similar patient outcomes. If your partner has ever had a baby, if your child has visited A&E, if your elderly mother has ever had a long term medical condition then you have benefited from NHS services. Now is the time to stop further Privatisation of the NHS, to have a proper debate about what health actually costs.”

SOUTHEND WEST PPC JOINS THE FIGHT AGAINST CANCER

088Julian Ware-Lane is backing Cancer Research UK’s ‘We will beat cancer sooner’ campaign to bring forward the day when all cancers are cured.

He attended the charity’s stand at the Labour party conference in Manchester to find out what he can do to beat cancer sooner in Southend West.

Thanks to research, survival rates in the UK have doubled in the last 40 years. But despite this success, Cancer Research UK says there is still much more to do to ensure UK survival rates are equal to the best in Europe.

As more people are diagnosed with cancer each year, the charity wants to accelerate progress to improve cancer outcomes. The earlier patients can be diagnosed and access the innovative treatments they need, the more lives will be saved.

Julian said: “I was inspired to find out what I can do to help beat this devastating disease and help the people in Southend West.

“More cancer patients are surviving than ever before, but with more and more people being diagnosed there is an urgent need to accelerate research. I want to do everything I can to ensure cancer is detected earlier and that brilliant research can be translated into treatments for patients faster.

“That’s why I’m backing Cancer Research UK’s ‘We will beat cancer sooner’ campaign and I hope local people will show their support by helping to raise vital funds.”

Today, two in four people survive cancer. Julian is encouraging people in Southend West to help make it three in four within the next twenty years by supporting Cancer Research UK in any way they can whether it’s making a regular donation, taking goods to their local shop, returning their Race for Life sponsorship money or signing up to March on Cancer this October.

To find out more visit cruk.org.

More cancer statistics for my home town

Here are some more statistics on cancer in relation to my home town. I have indicated where we do better or worse in comparison to the national average by colour coding the numbers (green means we are doing better, red worse).

National average South East Essex PCT
Breast incidence rate 125.7 121.5 Per 100,000
Breast mortality rate 24.8 28.1 Per 100,000
Breast screening 77 73.8 Proportion of women aged 53 – 70
Bowel incidence rate 46.5 43.4 Per 100,000
Bowel mortality rate 16.4 14.2 Per 100,000
Bowel screening 58.8 54 Proportion of those aged 60 – 69
Prostate incidence rate 105.8 97.1 Per 100,000
Prostate mortality rate 24 25.1 Per 100,000
Cervical incidence rate 8.8 5.4 Per 100,000
Cervical mortality rate 2.2 2 Per 100,000
Cervical screening for young women 71.5 72.7 Proportion of women aged 25 – 49
Cervical screening older women 77.5 76.7 Proportion of women aged 50 – 64
Oesophageal incidence rate 9.9 10.9 Per 100,000
Oesophageal mortality rate 9.9 10.9 Per 100,000
Ovarian incidence rate 16.7 19.7 Per 100,000
Ovarian mortality rate 8.9 8.5 Per 100,000
Stomach incidence rate 8.4 6.7 Per 100,00
Stomach mortality rate 5.2 5.5 Per 100,000

I would always suggest you check against the data source.

Can people with cancer access the best treatment in Southend West?

Waiting for radiotherapy

A higher proportion of patients (99.1%) in NHS Southend CCG received their radiotherapy within 31 days of first treatment compared to the national average (97.5%). (Timely access to treatment is crucial to saving lives: in England, meeting radiotherapy waiting time targets saves 2500 lives a year.)

Patient experience

83.1% of patients in Southend University Hospital NHS Foundation Trust said that staff definitely did everything possible to control side effects of their radiotherapy. This is higher than the national average (79.0%).

Age of equipment

Southend Radiotherapy Centre had 1 linear accelerator(s) (‘LINACs’) 8 years old or older in 2012. (It is recommended that LINACs should be replaced after 10 years.)

Lung cancer patients receiving radiotherapy

The percentage of patients receiving radiotherapy for lung cancer in Southend University Hospital NHS Foundation Trust (16.4%) is lower than the national average (29.6%).

Is cancer diagnosed early enough in Southend West?

More statistics from Cancer Research UK

One-year survival

One-year cancer survival in NHS Southend CCG (66.3%) is similar to the English average (68.2%). However, the English average is lower than in the best performing countries in Europe, so there is much room for improvement. (One-year survival can be improved by earlier diagnosis and better access to high quality treatment.)

Referral to a specialist

A similar proportion of patients urgently referred with suspected cancer see a specialist within two weeks in NHS Southend CCG (94.9%) than the English average (95.3%). (The two week wait standard supports early diagnosis.)

Referral for treatment

More patients (90.0%) in NHS Southend CCG receive their first treatment for cancer within 62 days of an urgent GP referral than the English average (85.8%), meeting the waiting time target of 85%. (The speed at which patients receive their first treatment can be an indicator of clinical success.)

Waiting for a diagnostic test

A higher proportion of patients wait 6 weeks or less for a diagnostic test for cancer (99.9%) in NHS Southend CCG than the English average (99.0%), meeting the waiting time target of 99%. (Early diagnosis is crucial to improving cancer survival, and quick access to diagnostic tests is important for the early diagnosis of cancer.)

Cancer awareness

Nearly 1 in 5 people in the East of England were not aware when prompted that a persistent cough or hoarseness is a symptom or sign of cancer. (Awareness raising campaigns such as Be Clear on Cancer are key to ensuring cancer is diagnosed at a stage when treatment is more successful.)

1,920 cancer cases per year
983 cancer deaths per year
(Former South East Essex PCT.)

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