1. DRAFT
Wisbech PCN
Data pack
July 2019

2. Wisbech PCN – summary
There are almost 50,500 people registered with Wisbech PCN, with a higher older population compared to the North Alliance, CCG and England. The population is estimated to increase by 2.8% between 2021 and 2026, and remain fairly static to 2031
The PCN has higher proportions of White British and White Other populations compared to the North Alliance, CCG and England
Relative deprivation is higher in the PCN compared to the North Alliance, CCG and England. Approximately a quarter of children and a fifth of older people live in poverty
It is estimated that there are 520 births a year in the PCN. Birth rates and the proportion of babies born with a low birth weight are statistically similar to the North Alliance, which in itself has a noticeably high birth rate compared to the CCG
It is estimated that male life expectancy is around 78.2 years in the PCN and female life expectancy 82.8 years, with both statistically significantly lower than the North Alliance average
Recorded obesity in adults is statistically significantly higher than the North Alliance
It is estimated that a quarter of adults smoke, which is statistically significantly higher than the North Alliance
Estimates of people reporting long-term activity-limiting illness and being in Good or Very Good health are statistically worse than the averages for the North Alliance, which may be a reflection of the relative older population in the area
There are almost 515 deaths a year in the PCN, with around a third of these in people aged under 75 years
The PCN has statistically significantly high recorded prevalence of CHD, hypertension, stroke, COPD and diabetes compared to the North Alliance averages
Overall mortality rates at PCN are currently available. However, at practice level two practices have statistically significantly high all- age all-cause mortality compared to the North Alliance, with these also having a high all-age all-cause premature mortality rate. Mortality rates for circulatory disease are also statistically significantly high in these two practices, with one of these also having a statistically significantly high premature mortality rate for cancer.

3. Demography

4. GP registered population Cambridgeshire and Peterborough CCG
Wisbech PCN has a notably high older people population compared to the North Alliance, CCG and England.
The population of Wisbech PCN is forecast to grow at a slower rate than the CCG as whole.
The population is expected to increase by 5.2% between 2019 and 2026 and then stabilise to 2031
Source: GP registered population, April 2019, NHS Digital. Population forecasts based on population distribution at ward level (Apr 19), Mid 2015 based population forecasts Cambridgeshire County Council
Age band
Wisbech PCN
North
Alliance
Cambridgeshire and Peterborough CCG
England
Number %
Total
50,424
549,834
983,597
59,759,638
0-4 years
2,669
5.3%
5.8%
5.4%
5.5%
5-14 years
5,390
10.7%
12.5%
11.7%
11.8%
Under 18 years
9,566
19.0%
21.6%
20.3%
20.4%
16-64 years
31,697
62.9%
63.4%
65.6%
64.3%
65+ years
10,145
20.1%
17.1%
16.3%
17.4%
75+ years
4,575
9.1%
7.6%
7.3%
8.0%
85+ years
1,312
2.6%
2.2%
2.3%
Population forecasts
PCN
2019
2021
2026
2031
2036
2019 to 2021
2021 to 2026
2026 to 2031
2031 to 2036
Number %
Wisbech PCN
50,424
51,595
53,042
53,185
53,997
1,171
2.3%
1,448
2.8%
143
0.3%
812
1.5%
C&P CCG
982,987
1,011,368
1,072,891
1,097,528
1,110,295
28,381
2.9%
61,522
6.1%
24,637
12,767
1.2%

5. Population distribution
Source: GP registered population data by Lower Super Output Area, April 19, NHS Digital
Population
distribution
PCN dominant
population

6. ethnic groups compared to the North Alliance, CCG and England averages
Ethnicity
Wisbech PCN has higher proportions of population from White British and White Other
ethnic groups compared to the North Alliance, CCG and England averages
Source: Census 2011 data applied to GP registered population using Census 2011 ethnic group proportions; England data from NOMIS (patients registered at a GP Practice by LSOA, July 2018, NHS Digital)
PCN
White British
White Other
Mixed
Black
Asian: Indian/
Bangladeshi/
Pakistani
Asian: Chinese/Other
Other
Wisbech PCN
86.1%
11.2%
0.9%
0.4%
0.6%
0.2%
North Alliance
80.6%
8.8%
1.9%
1.4%
5.1%
1.7%
0.5%
Cambridgeshire and Peterborough CCG
80.0%
9.5%
2.1%
1.3%
4.1%
2.4%
0.7%
England
79.8%
5.7%
2.3%
3.5%
5.6%
1.0%

7. Deprivation
Relative deprivation is higher in Wisbech PCN and each of the constituent
practices when compared to the North Alliance, CCG and England
Approximately a quarter of children and a fifth of older people live in
income deprived households in Wisbech PCN; higher than the
averages for North Alliance, CCG and England.
Source: C&P PHI derived from Indices of Multiple Deprivation 2015, DCLG and GP registered population data for July 2018
Index of Multiple Deprivation
Income Affecting Children Index
Income Affecting Older People Index
Clarkson Surgery
32.8
25.7%
19.4%
North Brink Practice
32.5
25.2%
19.0%
Parson Drove Surgery
29.8
22.2%
16.6%
Trinity Surgery
35.8
26.7%
20.9%
Wisbech PCN
33.2
25.3%
19.3%
North Alliance
22.0
19.1%
16.7%
C&P CCG
17.2
15.4%
14.3%
England
21.8
19.9%
16.2%
Index of Multiple Deprivation, 2015, by ward

8. Birth rate per 1,000 female population weight births (under 2,500g)
Births and Fertility
Birth rates and low birth weight births in Wisbech PCN are higher, but not
statistically significantly higher, than the averages for the North Alliance
Note: Relates to Cambridgeshire residents only
Source: C&P PHI based on NHS Digital Civil Registration Data, and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = North Alliance)
Birth rates by ward
Estimated
Number of live
births
( )
Birth rate per 1,000 female population
aged 15 to 44 years
Low birth
weight births (under 2,500g)
Wisbech PCN
1,555
67.1
7.3%
North Alliance
19,067
65.8
6.9%
Cambridgeshire and Peterborough CCG
31,348
58.2
6.5%
England
1,989,052
62.4
7.4%

9. Cambridgeshire and Peterborough CCG 81.2 84.3
Life expectancy
Male and female life expectancies in Wisbech PCN are statistically
significantly lower than the North Alliance.
Source: C&P PHI based, derived from NHS Digital Civil Registration data and GP registered population data (benchmark = North Alliance), 2013 – 2017
Males
(years)
Females
Wisbech PCN
78.2
82.8
North Alliance
80.4
83.7
Cambridgeshire and Peterborough CCG
81.2
84.3

10. Risk factors

11. compared to the average for North Alliance
Risk factors
Recorded prevalence of obesity is statistically significantly higher in Wisbech PCN
compared to the average for North Alliance
Estimated smoking prevalence is statistically significantly higher in Wisbech PCN
Source: Obesity - C&P PHI derived from NHS Digital QOF data for 2017/18 (benchmark = North Alliance)
Estimated smoking - C&P PHI derived from the QOF based smoking prevalence estimate from the Public Health England (PHE) National General Practice Profiles at (benchmark = North Alliance)
Obesity
Estimated
Smoking
Number %
Wisbech PCN
4,758
11.7%
10,810
25.6%
North Alliance
43,190
10.2%
88,127
20.1%
Cambridgeshire and Peterborough CCG
65,496
8.5%
136,560
17.1%
England
4,530,447
9.8%
8,301,429
17.2%

12. Long-term activity-limiting illness Good or very good health
Self-reported limiting long-term illness and general health status
It is estimated that the proportion of people that reported that they had a long-term activity-limiting illness
in the 2011 Census was statistically significantly higher than the North Alliance average
It is estimated that the proportion of people that reported that they were in good or very good health
in the 2011 Census was statistically significantly lower than the North Alliance average
These proportions could be associated with Wisbech PCN having a generally older population than the other areas reported
Source: C&P PHI from Census 2011, NOMIS and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = North Alliance)
Long-term activity-limiting illness
Good or very good health
Wisbech PCN
22.3%
75.7%
North Alliance
16.9%
81.7%
Cambridgeshire and Peterborough CCG
15.5%
83.6%
England
17.6%
81.4 %

13. Diseases

14. Mortality – all causes
There are on average 515 deaths a year in Wisbech PCN, approximately a third are in people aged under 75 year olds
North Brink Practice and Trinity Surgery have statistically significantly high all-age all cause mortality rates compared to North Alliance. These two practices also have statistically significantly high premature mortality rates compared to North Alliance.
DASR = directly age standardised rate per 100,000 population
Source: C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance) Note: Wisbech PCN rates are currently unavailable
All ages
Under 75 year olds
Number
DASR per 100,000
Clarkson Surgery
697
1038.7
204
360.3
North Brink Practice
1,196
1109.2
362
399.0
Parson Drove Surgery
278
889.7
109
314.2
Trinity Surgery
406
1146.6
164
438.1
Wisbech PCN
2,577
n/a
839
North Alliance
20,875
954.3
6,676
313.5
Cambridgeshire and Peterborough CCG
34,464
901.5
10,385
286.4

15. Mortality (circulatory) Coronary heart disease
Circulatory disease
The prevalence rates of CHD, hypertension and stroke are statistically significantly high compared to North Alliance.
Circulatory disease all-age mortality rates are statistically significantly high in North Brink Practice and Trinity Surgery compared to the North Alliance, with all practices having statistically similar rates of premature mortality compared to the Alliance.
Note: Wisbech PCN rates are currently unavailable. Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures
DASR = Directly age standardised rate per 100,000 population
Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance)
Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance)
Prevalence
Mortality (circulatory)
Coronary heart disease
Hypertension
Stroke
All ages
Under 75
year olds
Number %
DASR per 100,000
Clarkson Surgery
470
4.0%
2,079
17.7%
328
2.8%
190
285.3 52
92.3
North Brink Practice
806
4.1%
3,454
17.6%
432
2.2%
326
297.4 77
83.9
Parson Drove Surgery
261
3.9%
1,168
144 79
252.1 33
93.1
Trinity Surgery
318
2.6%
1,230
10.0%
180
1.5%
108
319.7 32
94.2
Wisbech PCN
1,855
3.7%
7,931
15.8%
1,084
702
n/a
194
North Alliance
16,636
3.1%
75,523
13.9%
8,735
1.6%
5,267
241.9
1,499
70.9
C&P CCG
26,602
1,122,348
12.6%
14,132
9,004
236.7
2,288
63.9
England
1,827,352
8,141,488
1,030,869
1.8%
Not available

16. Chronic Obstructive Pulmonary
Respiratory disease
Asthma prevalence is statistically similar to the North Alliance, with variance between practices
COPD prevalence is statistically significantly high compared to the North Alliance
Mortality rates for respiratory diseases, for people of all ages and under 75 years, are similar to the North Alliance rates
Note: Wisbech PCN rates are currently unavailable. Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures
DASR = Directly age standardised rate per 100,000 population
Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance)
Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance)
Prevalence
Mortality
Asthma
Chronic Obstructive Pulmonary
Disease
All ages
Under 75 years
Number %
DASR per 100,000
Clarkson Surgery
823
7.0%
348
3.0% 98
144.2 29
50.1
North Brink Practice
1,149
5.9%
536
2.7%
166
152.0 41
44.9
Parson Drove Surgery
452
6.8%
154
2.3% 40
142.1 7
18.1
Trinity Surgery
556
4.5%
331 62
181.8 18
51.6
Wisbech PCN
2,980
1,369
366
n/a 95
North Alliance
31,904
10,762
2.0%
3,043
141.2
673
32.4
C&P CCG
57,830
6.0%
16,513
1.7%
4,533
119.9
942
26.8
England
3,463,893
1,113,417
1.9%
Not available

17. Long term conditions
Diabetes prevalence is statistically significantly higher than the North Alliance
Cancer prevalence is statistically similar to the North Alliance average,
with three practices having statistically significantly high prevalence
All practices have statistically similar all-age cancer mortality rates to the North Alliance,
with one practice having a statistically significantly high rate in under 75 year olds
Note: Wisbech PCN rates are currently unavailable. Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures
DASR = Directly age standardised rate per 100,000 population
Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance)
Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance)
Prevalence
Mortality - Cancer
Diabetes
(17+ years)
Cancer
All ages
Under 75
year olds
Number %
DASR per 100,000
Clarkson Surgery
877
8.9%
378
3.2%
190
283.2 77
133.7
North Brink Practice
1,314
8.1%
586
3.0%
319
302.3
140
152.3
Parson Drove Surgery
506
9.2%
231
3.5% 98
286.1 47
130.9
Trinity Surgery
593
6.2%
205
1.7%
109
299.2 63
180.3
Wisbech PCN
3,290
8.0%
1,400
2.8%
716
n/a
327
North Alliance
30,354
7.0%
14,449
2.7%
5,963
269.2
2,745
130.0
C&P CCG
46,573
6.0%
25,700
9,902
259.4
4,411
123.2
England
3,196,124
6.8%
1,593,302
Not available

18. Schizophrenia, bipolar affective disorder
Mental health
Prevalence rates of severe mental illness and depression are statistically similar to the North Alliance averages
Prevalence rates of dementia and learning disabilities are statistically similar to the North Alliance averages
Clarkson Surgery has a statistically significantly high depression prevalence compared to the North Alliance
North Brink Practice has statistically significantly high dementia prevalence compared to the North Alliance
Note: Wisbech PCN rates are currently unavailable. Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures
Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance)
Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, (benchmark = North Alliance)
Schizophrenia, bipolar affective disorder
and other psychoses
Depression
(18+ years)
Dementia
Learning
disabilities
Number %
Clarkson Surgery 82
0.7%
1,251
12.9% 95
0.8% 72
0.6%
North Brink Practice
113
1,299
8.1%
206
1.1%
116
Parson Drove Surgery 29
0.4%
315
5.8% 23
0.3% 32
0.5%
Trinity Surgery 56
839
8.9% 52 64
Wisbech PCN
280
3,704
9.1%
376
284
North Alliance
4,010
40,449
9.5%
4,049
2,626
C&P CCG
7,750
68,112
6,551
4,057
England
550,918
0.9%
4,589,213
9.9%
446,548
284,422