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Public Health contributing to the Joint Strategic Needs Assessment process 2015
Profile of Chesterfield- Adults
1 INTRODUCTION
Chesterfield is the largest settlement in the county of Derbyshire. It is a relatively compact and mainly urban
area. Chesterfield is a major centre of employment (over 48,000 people work in the Borough) and attracts
almost 20,000 in-bound commuters on a daily basis. The Borough of Chesterfield has an estimated population of
over 100,000; just over 94% of whom are White British and just fewer than 6% are from other ethnic groups.
The population of the Borough will have risen to over 110,000 by 2035. The Borough is relatively deprived,
ranking 85th out of 326 English local authority areas in the 2015 English Index of Multiple Deprivation (1 is the
most deprived). Some 20 of the 68 Lower Super Output Areas in Chesterfield fall within the top 20% of most
deprived areas in England.
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2 POPULATION AND OTHER CHARACTERISTICS
2.1
2.2
Structure
Overall the population of Chesterfield is quite similar
to that of Derbyshire as a whole. There are a greater
proportion of people in their twenties and early
thirties, and of older women, but also fewer people in
middle-age.
Projections
Population projections show an ageing
population, such that by 2035 28% of the
population will be aged over 65, 15% over 75
and 6% over 85. Even if it can become healthier
this ageing population will require more in terms
of health and social care than ever before.
2.3
Density
As might be expected Chesterfield’s population
is fairly evenly dense across the district with a
number of healthcare centres.
2.4
Deprivation
The main areas of worst deprivation are to the
east around Staveley and to the west around
Chesterfield itself. There are areas of lower
deprivation in between and on the western edge
of the borough.
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2.5
Births
There were 1,144 live births in Chesterfield
during 2014. This equates to a birth rate of 60.2
live births per 1,000 females aged 11-44 years.
The birth rate in Chesterfield is statistically
similar to the Derbyshire average (57.5 per
1,000) and the second highest of all districts
within Derbyshire. The birth rate in Chesterfield is
also similar to the East Midlands (60.7 per
1,000) and England (62.2 per 1,000).
Data Source: Office for National Statistics (ONS)
The rate and number of births in Chesterfield
had slighty decreased in recent years with a
slight increase in 2013, reflecting Derbyshire
and national trends.
Data Source: Office for National Statistics (ONS)
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3 CHILDREN
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3 CHILDREN
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4 ADULT
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5 KEY FINDINGS
5.1
Breastfeeding
The percentage of mothers initiating
breastfeeding in Chesterfield (69.8%) during
2013/14 was slightly higher than the Derbyshire
average (68.9%), but statistically the difference
was not significant. However, compared to the
percentage of mothers initiating breastfeeding in
England (74.3%), initiation in Chesterfield was
significantly lower. The percentage drop-off in
mother’s breastfeeding from initiation to 6-8
weeks in Chesterfield (44.3%). Breastfeeding
prevalence at 6-8 in Chesterfield (38.9%) was
significantly lower than the England average
(43.8%).
Data Source :DCHS
31.2%
37.9%
40.2%
40.6%
43.7%
43.8%
44.3%
53.3%
Data Source :DCHS
5.2
Teenage conceptions
The Chesterfield rate of <18 teenage
conceptions (24.3 per 1,000) and <16 teenage
conceptions (6 per 1,000) are both statistically
similar to the Derbyshire average (19.4 per
1,000 and 4.5per 1,000 respectively).
5.4
Child obesity
Chesterfield has the second highest prevalence
of obesity among children aged 4-5 years
(reception year) of all districts within Derbyshire
(8.9%). However, statistically, this is not
significantly different to the Derbyshire average
(8.6%). The prevalence of obesity among 10-11
year olds (year 6) in Chesterfield (18.3%) is was
also not statistically different to the Derbyshire
average (17.1%).
Data source: NCMP
Percentage drop-off in Breastfeeding from initiation
to 6-8 weeks
District
% Drop-off in
Breastfeeding
England
41.0%
Derbsyhire
42.4%
Derbyshire Dales
High Peak
Erewash
North East Derbyshire
South Derbyshire
Amber Valley
Chesterfield
Bolsover
5.3
Smoking during pregnancy
The percentage of mothers smoking during
pregnancy in Chesterfield (14.7%) during
2013/14 was similar to the Derbyshire average
(16.3%), however significantly higher than
England (12.0%).
5.5
Hospital Activity
During 2011/12 -13/14 Chesterfield had the
second highest rate of under 18 year alcohol
admissions (53.3 per 100,000) within
Derbyshire, this was not significantly different to
the Derbyshire rate(45.4 per 100,000).
Hospital admission caused by unintentional and
deliberate injury in young people amongst 1524 year olds were significantly higher in
Chesterfield (215.3 per 10,000) when
compared to Derbyshire (156.3 per 10,000),
this was the highest of the eight Derbyshire
districts. Hospital admission caused by
unintentional and deliberate injury in young
people in 0-4years and 0-14 years had rates
that were higher than Derbyshire, but these were
not statistically higher.
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5.6
Children living in poverty
The level of child poverty in Chesterfield
(21.0%) is significantly worse than the
Derbyshire average (16.3%). The percentage
uptake of free school meals in Chesterfield
(17.6%) is also significantly higher than the
Derbyshire average (14.5%).
5.7
Education
In 2014/15 Chesterfield had the highest
percentage uptake of free school meals of the
eight Derbyshire districts (19.3%), this was
significantly higher than the Derbyshire average
(14.5%). In 2013/14 52.3% of pupils achieved
5 or more A*-C GCSEs including Maths and
English, this is statistically similar to the
Derbyshire average (55.7%).
The percentage of Early Years foundation Stage
pupils (Age 4-5 Years) achieving good
development overall was 57.5% in Chesterfield
during 2013/14. This was similar to the
Derbyshire average (61.3%). The percentage of
Key stage 2 children achieving level 4+ in
reading, writing and maths Chesterfield during
2013/14 was 79.6% and was similar to the
Derbyshire average 82.3%. The percentage of
fixed term exclusions in Chesterfield during
2013/14 (2.5%) was similar to the Derbyshire
average (2.9%).
5.8
5.9
Children living in need
Children in need are those children assessed to
be in need, by children’s social care, through an
initial assessment. They are children for which the
authority is committed to taking an initiative. The
prevalence of children in need in Chesterfield
during 2014/15 was 26.1 per 1,000 children.
This was significantly higher than the Derbyshire
average (30.2 per 1,000 children) and higher
than any other district in Derbyshire. The
prevalence of children in care in Chesterfield
(based on where the child came from rather than
placement location) was 6.2 per 1,000. This was
significantly higher than the Derbyshire average
(3.9 per 1,000). Children are made the subject
of a child protection plan when they are thought
to be at risk of harm. In Chesterfield during
2015 the percentage of children with a child
protection plan (6.2 per 1,000) was significantly
higher than the Derbyshire average (4.2 per
1,000), the highest proportion of the eight
districts.
Life Expectancy at age 65
Life expectancy at 65 for men stands at 17.8
years for Chesterfield, lower than for the County
at 18.3. Chesterfield has the second lowest male
life expectancy of all the districts. At 20.5, life
expectancy at 65 for women is about the same
as for Derbyshire and is the fourth highest in the
eight districts.
5.10
Lifestyle
These are measures of how people are adopting
healthy lifestyles and making healthy choices.
Generally speaking the people of Chesterfield
live more unhealthily than in the county as a
whole. In 2013/14 the district rate per 100,000
population of alcohol related admissions to
hospital was significantly higher than that for the
county and was the highest in the eight districts.
The percentage of adults in Chesterfield who
smoke is similar to Derbyshire overall: 20.3%,
this is the third highest rate in the eight districts.
In 2013/14 the level of diabetes recorded in
general practice was slightly higher in
Chesterfield than in Derbyshire.
5.11
Environment
These indicators include some of the wider issues
which can impact on health and wellbeing.
Chesterfield has about the same proportion of
households thought to be living in fuel poverty,
as Derbyshire overall. There were significantly
more cases of domestic violence per 1,000 head
of population in Chesterfield in 2014-15, than in
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Derbyshire as a whole and is the second highest
rate for the eight districts. There were also
significantly more violent crimes per 1000
people in 2014/15 in Chesterfield, this was the
second highest of the district rates. There is good
reason to believe that much of this violence is
alcohol-related. Between 2011 and 2013
Chesterfield had a significantly lower rate of
killed and seriously injured casualties on the
road than the county as a whole. It also had the
lowest rate amongst the eight districts by some
margin.
5.12
5.13
Living with a long-term condition
These indicators measure what is being done to
help people manage and live with their longterm condition. During 2014/15 the GP Survey
showed that in Chesterfield 69.7% of those
surveyed felt supported to manage their
condition, this was similar to Derbyshire as a
whole (67.1%). Chesterfield had the highest
proportion of recorded prevalence of dementia,
significantly higher than Derbyshire as a whole.
Chesterfield had a significantly higher rate of
unplanned hospitalisation for chronic ambulatory
care sensitive conditions than Derbyshire; this
was also significantly higher than all the
Derbyshire districts.
Healthcare
These indicators are about access to services,
early detection and appropriate treatment.
In 2014/15, 84.7% of survey respondents had
a favourable experience of GP Services in
Derbyshire Dales – the third lowest of the eight
districts. However, only 83.1% had a favourable
experience of Out of Hours services; the highest
amongst the eight districts.
The coverage rate in Chesterfield in 2014 for
cervical screening was lowest of the districts and
was significantly lower than the Derbyshire
average. The coverage rate for breast screening
was also significantly lower than across the
county and was the second lowest amongst the
districts. The rate of emergency admissions for
acute conditions that should not usually require
hospital for Chesterfield in 2013/14 was
significantly higher than Derbyshire and the
highest of the eight districts.
In 2011/12, there was a slightly higher
proportion of hospital discharges resulting in an
emergency readmission within 30 days for
Chesterfield than for the county as a whole.
The hospital admissions as a result of self-harm
per thousand population was significantly higher
than for Derbyshire and was the highest amongst
the districts. Chesterfield has the highest rate of
admissions as a result of a fall for over 65yrs, a
rate which is also significantly higher than the
Derbyshire rate.
5.14
Mortality
These indicators reflect premature deaths, some
of which could be avoided through treatment.
During 2012-14 under 75 Mortality rates from
all cancers was slightly higher in Chesterfield
than Derbyshire as a whole. Chesterfield had the
highest rate of cardiovascular disease among
the eight districts (91.5 per 100,000), a rate
significantly higher than Derbyshire (74.4 per
100,000).
In Chesterfield under 75 mortality from liver
disease was the highest of the districts. During
2011-13 mortality from cause considered
amendable to health care was significantly
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worse in Chesterfield than Derbyshire and the
rate was the highest of the eight districts.
Chesterfield had the lowest index for excess
winter deaths of the Derbyshire districts.
5.15
Deaths in usual home
Survey data suggests that many people would,
given the choice, prefer to die at home. 41.3%
of people who died in Chesterfield died so in
their usual home, compared to 45.6% across
Derbyshire.
6 LOCAL DATA SOURCES
Chesterfield Borough Council: http://www.chesterfield.gov.uk/
Derbyshire Observatory: http://observatory.derbyshire.gov.uk/IAS/
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