West Midlands Key Health Data 2008/09: CONTENTS

Chapter	Title
1	Health Geography
1.1	Introduction
1.2	Using Middle Super Output Areas to report Cancer Statistics
1.3	Super Output Area statistical geographies
1.4	Providing Time Series Population Denominators for MSOAs
1.5	Providing Deprivation Indices for MSOAs
1.6	Local Names for MSOAs
1.7	Using MSOAs to report Cancer Statistics
1.8	Cancer Statistics for MSOAs in 2000-2006
1.9	Cancer Network Geography
1.10	Access to Digital Map Data by NHS Organisations

2	Local Child Well-Being Index 2009 in the West Midlands
2.1	Introduction
2.2	Child Well-Being in the West Midlands
2.3	Local Child Well-Being Index by Primary Care Trust
2.4	Summary

3	Measuring Access to Breast Screening Services, Colposcopy and GUM Clinics
3.1	Introduction
3.2	GUM Clinics
3.2.1	Herefordshire PCT (GUM Clinics)
3.2.2	Sandwell PCT (GUM Clinics)
3.2.3	Warwickshire PCT (GUM Clinics)
3.2.4	GUM Clinic Summary
3.3	Breast Screening Units
3.3.1	Herefordshire PCT (Breast Screening Units)
3.3.2	Sandwell PCT (Breast Screening Units)
3.3.3	Warwickshire PCT (Breast Screening Units)
3.3.4	Breast Screening Units Summary
3.4	Colposcopy Clinics
3.4.1	Herefordshire PCT (Colposcopy Clinics)
3.4.2	Sandwell PCT (Colposcopy Clinics)
3.4.3	Warwickshire PCT (Colposcopy Clinics)
3.4.4	Colposcopy Summary
3.5	Summary and Conclusions

4	Recession and Health
4.1	The Recession
4.2	Unemployment in the West Midlands
4.3	Geographical Impact
4.4	Impact by Existing Deprivation
4.5	Demography
4.6	Ethnicity
4.7	Impact by Occupation
4.8	What is Health Impact?

5	The Carbon Footprint of Radiotherapy for Breast Cancer in the West Midlands 1990 and 2004
5.1	Introduction
5.2	Data Sources
5.3	Results
5.4	Conclusions
5.5	Implications of NHS Carbon Reduction Strategy on the Delivery of Cancer Services

6	Colon Cancer in the West Midlands
6.1.1	Colon Cancer – Introduction
6.1.2	Risk Factors
6.2	Epidemiology
6.2.1	Incidence and Mortality
6.2.2	Incidence and Mortality Age Profiles in the West Midlands
6.2.3	Incidence and Mortality Trends in the West Midlands
6.2.4	Variation in Incidence with Deprivation in the West Midlands
6.2.5	Incidence Rates in PCTs
6.2.6	Mortality Rates in PCTs
6.2.7	Mortality/Incidence Rate Ratios in PCTs
6.3.1	Survival
6.2.2	Survival and Deprivation in the West Midlands
6.3.3	1-year Relative Survival in PCTs
6.3.3	5-year Relative Survival in PCTs
6.4.1	Key Facts of Colon Cancer Incidence in the West Midlands

7	Environment and Health: Outdoor Air Pollution
7.1	Introduction
7.2	Particulate Matter
7.3	Nitrogen Oxides
7.4	Ozone
7.5	Sulphur Dioxide
7.6	Carbon Dioxide Emissions
7.7	Mortality and Admissions Data
7.8	Conclusion

8	Chronic Obstructive Pulmonary Diseases: The Epidemiology, Economics and Quality of Care in the West Midlands
8.1	Introduction
8.1.2	Diagnosis
8.1	Major Risk Factors
8.2.1	Smoking
8.2.2	Air Pollution
8.2.3	Occupation
8.2.4	Alpha Antitrypsin Deficiency
8.3	The Epidemiology of COPD
8.3.1	ICD10 Codes
8.3.2	Incidence of COPD
8.3.3	Admissions
8.3.4	Prevalence
8.3.5	Mortality
8.3.6	Quality of Care
8.3.6.1	COPD Confirmed by Spirometry
8.3.6.2	Influenza Vaccination
8.3.6.3	Inhaler Technique
8.3.6.4	Discharge Destinations
8.4	Economics
8.4.1	Average Length of Stay (LOS)
8.4.2	Admission Rates
8.5	Summary
8.6	Recommendations

9	Predictors of Emergency Department Use at Neighbourhood Level in the West Midlands
9.1	Introduction
9.2	Method
9.3	Results
9.4	Discussion

10	Accident and Emergency Activity in the West Midlands
10.1	Introduction
10.2	Age and Sex Demographics of A&E Attendees
10.3	When are People Attending A&E?
10.4	Do we know what is really happening whilst patients are in A&E?
10.5	Admissions from A&E
10.6	Deaths in A&E
10.7	Waiting Times
10.8	Conclusions

11	Meningococcal Disease in the West Midlands 1999-2008
11.1	Introduction
11.2	Age, Sex and Ethnicity
11.3	Meningococcal Disease by Primary Care Trust
11.4	Seasonality
11.5	Case Fatality Rate
11.6	Vaccination
11.7	Meningococcal Disease and Deprivation

12	Tuberculosis and Deprivation
12.1	Introduction
12.2	National Picture
12.3	Regional Picture
12.4	Tuberculosis and Deprivation
12.5	Summary

13	Stillbirths, Infant Deaths, and Social Deprivation, West Midlands 1997 – 2007/8
13.1	Introduction
13.2	Births
13.3	Stillbirths
13.4	Neonatal Deaths
13.5	Infant Deaths
13.6	Classification of Deaths
13.7	Post-mortems
13.8	Social Deprivation
13.9	Stillbirth, Perinatal and Infant Death Rates, West Midlands PCTs and Las 1997-2007/08

14	Stillbirths, Infant Deaths and Congenital Anomalies, West Midlands 2003 – 2007
14.1	Introduction
14.2	Mortality from Congenital Anomalies
14.3	Down's Syndrome (trisomy 21)
14.4	Edwards' Syndrome (trisomy 18) and Patau's Syndrome (trisomy 13)