Our Population

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our pop

lifestyle choices 2

Health needs

wider determinants

  • Sandwell and West Birmingham Clinical Commissioning Group (CCG) consists of 84 GP practices.
  • There are 570,124 patients registered with our GP practices. 
  • Our population is younger than most areas of England, particularly West Birmingham where 74% of the population is under 45 years of age.
  • The proportion of older people (aged 65 years and over) in the CCG is lower than England average.
  • The majority of our population live in areas deemed to be amongst the most disadvantaged in England.
  • The CCG population is one of the most diverse multi-racial, ethnic and cultural populations in England. 50% of our population are British White compared to 86% for West Midlands and 87% for England.
  • The main Black and Minority Ethnic (BME) groups are;
    • 12% Asian Indian
    • 8% Asian Pakistani
    • 6% Black British / Caribbean
  • BME classification alone does not highlight the true diversity of our population. Analysis of interpretation requests in primary care shows a total of 46 languages and dialects were utilised originating from many parts of the world including Asia, Africa and Europe.
  • The birth rate for live births is higher in our population than England. The proportion of women who are of child-bearing age is higher than in other populations, however this does not explain the higher birth rate. In 2014 over 60% of live births in West Birmingham were to first generation migrant mothers.

Lifestyle choices (prevention)

  • The number of people who smoke is reducing. Currently 1 in 6 of people smoke which is the average in England.
  • 1 in 10 adults are recorded as obese by GPs. This figure is likely to be much higher in reality with an estimated 27% of our population obese.
  • 2 in 5 children at year 6 are overweight or obese. This is worse than both West Midlands and England both with an average of 1 in 3. The number of children classified as overweight or obese is increasing. This is a particular concern as obesity is known to lead to poor health outcomes and increases the pressure on the local health and social care services.
  • Children and adults in Sandwell are significantly less physically active than England average.
  • Alcohol related or specific hospital admissions and deaths associated to alcohol consumption are significantly higher than our comparator CCGs, West Midlands and England.

Health needs

  • Our population experience ill-health and death earlier than most areas.
    • Men and women typically live 57.4 years disability free (five and six years less respectively to National average). This is in the bottom 5% of CCGs Nationally.
    • The average age that men and women are expected to live in the CCG (life expectancy) is lower than the England average.
      • Men on average live 76.8 years (England 79.2 years)
      • Women on average live 81.7 years (England 83 years)
    • Over half the difference in life expectancy between the CCG population and England can be attributed to circulatory disease, cancers and respiratory disease.
    • Deaths under the age of 75 years are significantly higher than England.
    • The rate of deaths in infants aged under one year per 1,000 live births is significantly higher than England average (2012-14 data). Whilst overall the rate for the CCG has been reducing, the gap between the CCG and England remains consistent and there is inequality within the CCG population.
      • Sandwell – 6.7 per 1,000 live births
      • West Birmingham – 8.6 per 1,000 live births
      • England – 4.0 per 1,000 live births
    • The number of people living with dementia is forecast to rise by 39.9% in Sandwell and 38.3% in Birmingham between 2014 and 2030. Currently the CCG are estimated to have diagnosed two thirds of the estimated number of people living with dementia.
    • Recorded prevalence for many conditions is similar to England, diabetes is significantly higher with 9% of adults diagnosed locally compared to 6% in England.

Wider determinants of health

  • Over 60% of our population live in areas classed as the 20% most deprived areas in England. There are no areas within the CCG boundary that are classed as the 20% least deprived in England.
  • Educational attainment is lower than both West Midlands and England average. Less than 1 in 4 adults has a qualification of NVQ 4 or above and GCSE attainment is significantly below England average.
  • Our population suffers from high levels of unemployment. This is particularly an issue for areas in West Birmingham which experience some of the highest levels of unemployment in England. Long term unemployment is associated with an increased likelihood of developing and living with mental and physical ill-health.
  • 1 in 10 households are defined as overcrowded.
  • 6% of households state they cannot speak English well or at all.