Local Authority Health Profile 2019

This profile gives a picture of people’s health in Surrey. It is designed to act as a ‘conversation starter’, to help local government and health services understand their community’s needs, so that they can work together to improve people’s health and reduce health inequalities.

Visit https://fingertips.phe.org.uk/profile/health-profiles for more area profiles, more information and interactive maps and tools.

Contains National Statistics data © Crown copyright and database right 2019
Contains OS data © Crown copyright and database right 2019
Local authority displayed with full resolution clipped boundary

Health in summary

The health of people in Surrey is generally better than the England average. Surrey is one of the 20% least deprived counties/unitary authorities in England, however about 9.1% (18,310) children live in low income families. Life expectancy for both men and women is higher than the England average.

Health inequalities

Life expectancy is 5.8 years lower for men and 4.7 years lower for women in the most deprived areas of Surrey than in the least deprived areas.

Child health

In Year 6, 12.9% (1,448) of children are classified as obese, better than the average for England. The rate for alcohol-specific hospital admissions among those under 18 is 31*. This represents 82 admissions per year. Levels of teenage pregnancy, GCSE attainment (average attainment 8 score) and smoking in pregnancy are better than the England average.

Adult health

The rate for alcohol-related harm hospital admissions is 521*, better than the average for England. This represents 6,071 admissions per year. The rate for self-harm hospital admissions is 167*, better than the average for England. This represents 1,945 admissions per year. Estimated levels of excess weight in adults (aged 18+), smoking prevalence in adults (aged 18+) and physically active adults (aged 19+) are better than the England average. The rates of hip fractures in older people (aged 65+), new sexually transmitted infections and new cases of tuberculosis are better than the England average. The rate of killed and seriously injured on roads is worse than the England average. The rates of statutory homelessness, violent crime (hospital admissions for violence), under 75 mortality rate from cardiovascular diseases, under 75 mortality rate from cancer and employment (aged 16-64) are better than the England average.

* rate per 100,000 population

Health summary for Surrey

Key

Significance compared to goal / England average:

compEng	compEng2	text1	text2
Significantly worse	Significantly lower	Increasing / Getting worse	Increasing / Getting better
Not significantly different	Significantly higher	Decreasing / Getting worse	Decreasing / Getting better
Significantly better	Significance not tested	Increasing	Decreasing
		Increasing (not significant)	Decreasing (not significant)
		Could not be calculated	No significant change

Life expectancy and causes of death

Indicator	Age	Period	Count	Value (Local)	Value (Region)	Value (England)
1 Life expectancy at birth (male)	All ages	2016 - 18	n/a	81.8	80.7	79.6
2 Life expectancy at birth (female)	All ages	2016 - 18	n/a	85.1	84.1	83.2
3 Under 75 mortality rate from all causes	<75 yrs	2016 - 18	7815	253.3	292.3	330.5
4 Mortality rate from all cardiovascular diseases	<75 yrs	2016 - 18	1492	48.7	59.0	71.7
5 Mortality rate from cancer	<75 yrs	2016 - 18	3403	110.8	123.6	132.3
6 Suicide rate	10+ yrs	2016 - 18	249	8.03	9.21	9.64

Injuries and ill health

Indicator	Age	Period	Count	Value (Local)	Value (Region)	Value (England)
7 Killed and seriously injured (KSI) rate on England’s roads	All ages	2016 - 18	2026	57.0	49.6	42.6 &
8 Emergency hospital admission rate for intentional self-harm	All ages	2018/19	1945	166.6	199.7 ^	193.4
9 Emergency hospital admission rate for hip fractures	65+ yrs	2018/19	1250	502.8	516.6 ^	558.4
10 Percentage of cancer diagnosed at early stage	All ages	2017	2520	52.5	52.7	52.2
11 Estimated diabetes diagnosis rate	17+ yrs	2018	n/a	70.2	75.2	78.0
12 Estimated dementia diagnosis rate	65+ yrs	2019	10502	66.1 *	65.6 *	68.7 *

Behavioural risk factors

Indicator	Age	Period	Count	Value (Local)	Value (Region)	Value (England)
13 Hospital admission rate for alcohol-specific conditions	<18 yrs	2016/17 - 18/19	245	31.4	31.7 ^	31.6
14 Hospital admission rate for alcohol-related conditions	All ages	2018/19	6071	521.3	526.3 ^	663.7
15 Smoking prevalence in adults	18+ yrs	2018	94944	10.2	12.9	14.4
16 Percentage of physically active adults	19+ yrs	2017/18	n/a	72.8	69.8	66.3
17 Percentage of adults classified as overweight or obese	18+ yrs	2017/18	n/a	55.2	60.3	62.0

Child health

Indicator	Age	Period	Count	Value (Local)	Value (Region)	Value (England)
18 Teenage conception rate	<18 yrs	2017	197	9.89	13.9	17.8
19 Percentage of smoking during pregnancy	All ages	2018/19	701	6.08 $	9.70 &	10.6
20 Percentage of breastfeeding initiation	All ages	2016/17	10448	- ~	79.1	74.5
21 Infant mortality rate	<1 yr	2016 - 18	116	2.97	3.65	3.93
22 Year 6: Prevalence of obesity (including severe obesity)	10-11 yrs	2018/19	1448	12.9	16.8	20.2

Inequalities

Indicator	Age	Period	Count	Value (Local)	Value (Region)	Value (England)	Change from previous
23 Deprivation score (IMD 2015)	All ages	2015	n/a	9.39	-	21.8
24 Smoking prevalence in adults in routine and manual occupations	18-64 yrs	2018	n/a	21.5	25.0	25.4

Wider determinants of health

Indicator	Age	Period	Count	Value (Local)	Value (Region)	Value (England)
25 Percentage of children in low income families	<16 yrs	2016	18310	9.10	12.9	17.0
26 Average GCSE attainment (average attainment 8 score)	15-16 yrs	2018/19	519777	50.9	47.9	46.9
27 Percentage of people in employment	16-64 yrs	2018/19	582600	80.7	78.4	75.6
28 Statutory homelessness rate - eligible homeless people not in priority need	Not applicable	2017/18	55	0.11	0.66	0.79
29 Violent crime - hospital admission rate for violence (including sexual violence)	All ages	2016/17 - 18/19	1020	29.7	31.2 ^	44.9

Health protection

Indicator	Age	Period	Count	Value (Local)	Value (Region)	Value (England)
30 Excess winter deaths index	All ages	Aug 2017 - Jul 2018	892	29.1	30.2	30.1
31 New STI diagnoses rate (exc chlamydia aged <25)	15-64 yrs	2018	4284	576.2	708.1	850.6
32 TB incidence rate	All ages	2016 - 18	167	4.70	6.19	9.19

For full details on each indicator, see the definitions tab of the Local Authority Health Profiles online tool.
For a full list of profiles produced by Public Health England, see the fingertips website: https://fingertips.phe.org.uk/

Indicator value types

1,2 Life expectancy - years 3,4,5 Directly age-standardised rate per 100,000 population aged under 75 6 Directly age-standardised rate per 100,000 population aged 10 and over 7 Crude rate per 100,000 population 8 Directly age-standardised rate per 100,000 population 9 Directly age-standardised rate per 100,000 population aged 65 and over 10 Proportion - % of cancers diagnosed at stage 1 or 2 11 Proportion - % recorded diagnosis of diabetes as a proportion of the estimated number with diabetes 12 Proportion - % recorded diagnosis of dementia as a proportion of the estimated number with dementia 13 Crude rate per 100,000 population aged under 18 14 Directly age-standardised rate per 100,000 population 15,16,17 Proportion 18 Crude rate per 1,000 females aged 15 to 17 19,20 Proportion 21 Crude rate per 1,000 live births 22 Proportion 23 Index of Multiple Deprivation (IMD) 2015 score 24 Proportion 25,26 Slope index of inequality 27 Proportion 28 Mean average across 8 qualifications 29 Proportion 30 Crude rate per 1,000 households 31 Directly age-standardised rate per 100,000 population 32 Ratio of excess winter deaths to average of non-winter deaths 33 Crude rate per 100,000 population aged 15 to 64 (excluding Chlamydia) 34 Crude rate per 100,000 population

symbols	Data note
*	Value compared to a goal (see below)
~	Value not published for data quality reasons
$	There is a data quality issue with this value
^	Due to an issue with HES coding in East Sussex Healthcare NHS Trust in 2018/19, for which approximately 85,000 records erroneously had all diagnosis codes removed, this value should be treated with caution. In 2018/19, between 1 to 10% of patients that attended hospital from this area had records that were missing diagnosis codes
&	Aggregated from all known lower geography values

Thresholds for indicators that are compared against a goal

Indicator Name	Green	Amber	Red
12 Estimated dementia diagnosis rate (aged 65 and over)	>= 66.7% (significantly)	similar to 66.7%	< 66.7% (significantly)

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Surrey	Published on 03/03/2020
Area type: County Region: South East