TRAFFORD-JSNA

Mental Health

Health & Wellbeing priority:

To reduce the impact of mental illness

Why is reducing the impact of mental illness a priority in Trafford?

Trafford adults with a serious mental illness are almost five times more likely to die early than the general population of England. Trafford fares worse than its nine nearest statistical neighbours on this measure.  (PHE - PHOF Indicator 4.09i)

How many people in Trafford are affected by mental illness?

Estimates for 2016/17 suggest that 13% of adult patients are affected by depression and anxiety, slightly higher than in 2015/16 (11.8%).  (NHS Digital – GP Patient Survey)

More than 1 in 10 adults (11.4%) is on a GP register for depression. 2,118 (0.9%) adults are on a Trafford GP register because they have a serious mental illness.  Smoking prevalence among this group is estimated at 42%.  (NHS Digital - QoF; 2016/17)

There is a 71 percentage point gap in the employment rate for those in contact with secondary mental health and the overall employment rate (significantly wider than the England average, and the 3rd widest in the North West).  (PHE - PHOF Indicator1.08iii)

Which groups within Trafford are most at risk from mental illness?

Gender: Many indicators of mental illness (e.g. hospital admissions for self-harm, prevalence of depression and anxiety) put females at higher risk of mental illness; however, the suicide rate remains much higher in males compared to females and this gap is not narrowing over time.

GP practice and deprivation: GP recorded depression varies more than 3-fold (from 6% to 20%).  Variation in serious mental illness is linked to deprivation with a prevalence of 1.4% in the most deprived fifth of GP practices compared to 0.7% in the least.  (NHS Digital - QoF, 2016/17)

Geographical area and deprivation: There is wide variation between electoral wards within Trafford in rates of hospital admissions for self-harm.  This variation is linked to deprivation: admissions in the most deprived ward of Trafford are 43% more than would be expected of people living in a ward which had experienced the same age specific rates as England.   (Source: PHE - Local Health)

What services are in place to reduce the impact of mental illness?

Psychological therapies have been shown to improve outcomes for people with mental health conditions.  Data for Trafford CCG in December 2017 indicate that about 1 in 10 (9.1%) of those estimated to have anxiety/depressions entered IAPT in the month.  This is lower than the England average and lowest among a group of similar CCGs.  (PHE - Mental Health and Wellbeing JSNA)

There is room for improvement in coverage of physical health checks in people on a serious mental illness register (blood pressure checks, record of alcohol consumption and cervical screening).  Coverage of cervical screening in particular among women on a GP mental health register is lower than the average for all women, and lowest among the 5th of GP practices with the highest deprivation levels.  (NHS Digital - QoF, 2016/17)


 

This page was last modified on 12/07/2018 14:19:00