Brent Demographics
Brent Teaching Primary Care Trust (tPCT) Board Update
Quarter 1 2002/03.
Introduction:
Figure 1: Brent PCT's 2002 population projection by age and gender.
Source: LRC/GLA 2000 mid year population projection (1991 ONS Census).
* 21% of the population are in age group 0-14yrs.
Figure 2: Population by locality in Brent PCT for 2001 estimated using old ward areas.
Source: LRC/GLA 2001 mid year population projection (1991 ONS Census).
* Out of the five localities Wembley has the highest population.
Figure 3: Locality map and new ward layout in Brent (2002).
Source: London borough of Brent (2002).
Figure 4: Brent population distribution by old ward boundaries.
Source: 1991 Census.
Brent is the most ethnically diverse and multi-cultural borough in Europe.
Figure 6: Brent deprivation levels by old ward boundaries.
Source: Department of the Environment (Index of local conditions, 1991).
Brent has the second highest unemployment rate of all Outer London boroughs in June 1998 (London Borough of Brent, ONS).
Health Status:
Life expectancy and infant mortality
The national health inequalities targets
1. Infant mortality (deaths in the first year of life)
"Starting with children under one year, by 2010 to reduce by at least 10% the gap in mortality between manual groups and the population as a whole (excludes sole registrations)."
Table 1: Infant mortality (1993-1998):
| |
Infant deaths per 1000 births |
| Brent |
6.7 |
| London |
6.1 |
| England & Wales |
6.0 |
Source: ONS linked mortality file (1993-1998).
* Brent has a higher infant death rate than London, England and Wales.
2. Expectation of life
"Starting with health authorities, by 2010 to reduce by at least 10% the gap between the fifth of areas with the lowest life expectancy at birth and the population as a whole."
Table 2: Life expectancy in years (1997-1999):
| |
Men |
Women |
| Brent |
74.94 |
80.03 |
| London |
75.10 |
80.10 |
| England & Wales |
75.20 |
80.40 |
Source: ONS (1997-1999)
Table 3: Number of deaths from selected causes:
| Year: |
1999/2000 |
2000/2001 |
2001/2002 |
| Cause of death |
Male |
Female |
Male |
Female |
Male |
Female |
| Heart disease and stroke |
173 |
162 |
215 |
194 |
274 |
205 |
| All cancers |
215 |
204 |
229 |
216 |
227 |
218 |
| Accidents |
29 |
15 |
26 |
16 |
7 |
10 |
| Suicides |
26 |
8 |
12 |
3 |
4 |
2 |
Source: Public Health Mortality File (ONS).
Resources:
Spending and efficiency: (- finance department: Waiting for info from Chris Evans)
Table 4: Workforce in Brent PCT as a provider:
| Workforce type: |
Current number (16/08/2002) |
| Total headcount of all consultants employed. |
4 |
| Headcount of HCHS nurses. |
263 |
| Number of qualified therapists and other health professionals. |
133 |
| Number of GPs. |
163 |
| Number of GP practices. |
79 |
Source: Brent PCT Information and Human Resources, Aug 2002.
Emergency Vehicles:
Figure 7: LAS vehicle availability in 2002/3.
Source: London Ambulance Service (August 2002).
Access:
Table 5: Access to a GP or Primary Care Professional:
| Indicator description |
% |
March 2003 target. |
| Practices with appointment systems in place to see a GP. |
92.9% |
100% |
| Practices with an appointment to see a primary care professional within 1 working day. |
57.1% |
90% |
| Practices with an appointment to see a GP within 2 working days. |
73.8% |
90% |
| Practices with an appointment system in place to see a primary care professional. |
90.5% |
100% |
| Practices participating in Primary Care Access Survey. |
53% |
100% |
Source: Brent PCT Quarter 1 2002/2003 Primary Care Access Survey.
Table 6: GP referrals received and seen in 2002/3 for Brent patients:
| Month |
Total no. GP written referral requests RECEIVED (cumulative) |
Total no. GP written referralrequests SEEN (cumulative) |
| Actual |
Plan |
% Variance from Plan |
Actual |
Plan |
% Variance from Plan |
| Apr-2002 |
4,086 |
4,220 |
-3.2% |
3,454 |
3,469 |
-0.4% |
| May-2002 |
8,191 |
8,561 |
-4.3% |
7,035 |
7,044 |
-0.1% |
| Jun-2002 |
12,676 |
12,978 |
-2.3% |
10,137 |
10,585 |
-4.2% |
| Jul-2002 |
17,227 |
17,419 |
-1.1% |
13,547 |
14,230 |
-4.8% |
| Aug-2002 |
|
21,604 |
|
|
17,572 |
|
| Sep-2002 |
|
25,777 |
|
|
21,057 |
|
| Oct-2002 |
|
30,288 |
|
|
24,742 |
|
| Nov-2002 |
|
34,652 |
|
|
28,449 |
|
| Dec-2002 |
|
38,694 |
|
|
31,782 |
|
| Jan-2003 |
|
43,009 |
|
|
35,422 |
|
| Feb-2003 |
|
47,224 |
|
|
39,006 |
|
| Mar-2003 |
|
51,329 |
|
|
42,603 |
|
Source: Waiting list data (QM08 returns), 2002/3.
Figure 8: Brent outpatient GP referrals waiting 13 weeks and over.
Source: Waiting list data (QM08 returns), 2002/3.
Note that zero 21 week + waiters are planned for March 2003, 398 between 17 and 26 weeks and 529 between 13 and 16 weeks.
The ambulance service:
Figure 9: Category A call response performance from August 2001 to July 2002.
Source: London Ambulance Service (August 2002).
All ambulance trusts to meet the 75% target by December 2002.
Figure 10: Category B call response performance from August 2001 to July 2002.
Source: London Ambulance Service (August 2002).
Figure 11: Mental Health admissions of Brent patients during 2001/2002.
Source: Central and North West London Mental Health NHS Trust (2002)
Patient Experience
Patient Satisfaction
Brent HAZ in partnership with Brent Council and Brent Police has set up a citizens panel which aims to gauge the views of Brent residents towards local public services. Mori recruited the people to the panel. Brent Citizens panel consists of a representative sample of 1200 Brent residents.
Brent HAZ funding covers the cost of an annual health survey, the last one was conducted in April 2001.
Some key survey results:
- 60% of people said they had visited their GP two or three times during the last year and 50% had had visited the dentist in this period.
- 30% of people interviewed had used complementary therapy in the last 5 years
- 41% of people strongly agreed that complementary therapies should to be provided free by the NHS.
- Asked which three things people would like more money spent on locally in the NHS, 39% said reduce waiting times for operations, 35% employing more nurses, 25% employ more General Practitioners (GPs), however only 8% said additional money should be spent on complementary therapies.
Figure 12: How long did you have to wait to see your GP?
Figure 13: Where would you like extra money spent on in the health service?
Source: Brent HAZ Citizens Panel Survey, Brent HAZ, (2001).
Table 7: Delays in Brent patients leaving hospital:
| Reasons for delay: |
Week ending 11/08/2002 |
Week ending 18/08/2002 |
Week ending 25/08/2002 |
etc… |
| Awaiting funding |
1 |
3 |
|
|
| Awaiting completion of assessment |
2 |
1 |
|
|
| Awaiting further (non acute) NHS care (including intermediate care, rehabilitation services etc) |
2 |
2 |
|
|
| Awaiting residential/nursing home placement or availability |
5 |
4 |
|
|
| Awaiting domiciliary package (including adaptations and equipment) |
1 |
0 |
|
|
| Patient or Family choice |
3 |
3 |
|
|
| Other reason (e.g. disagreements, family/patient arranging care) |
4 |
1 |
|
|
| Waiting less than 7 days |
6 |
3 |
|
|
| Waiting 8 to 14 days |
3 |
3 |
|
|
| Waiting 15 to 28 days |
5 |
5 |
|
|
| Waiting more than 28 days |
4 |
3 |
|
|
| Total: |
18 |
14 |
|
|
Source: Weekly SITREP, Social Services (August 2002).
Health Outcomes
Figure 14: Helping people to stop smoking
Source: Smoking Cessation Services Quarterly Monitoring returns 2001/2, Brent HAZ.
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