www.everybabymatters.org.uk
Summary
•There are approximately 8,600 births a year across
Bradford and Airedale.
•The Infant Mortality Rate (number of deaths under one
year per 1,000 live births) is slowly reducing in Bradford
from 8.3 in 2005-7 to 7.9 in 2008-10.
•Between 60 - 70 babies will die each year in Bradford.
•There is an excess of 22 deaths a year compared to a city
our size in England and Wales.
•58% of births are in the poorest 40% of the population.
•In the poorest 40% of the population, the IMR is above 10.
•Approximately 50 deaths occur in this population,
compared to 15 in the other 60% of Bradford’s population.
www.everybabymatters.org.uk
Number of births in Q2 of 2011-12
by Constituency
Q2_2010/11
2500
2000
1500
Q2_2010/11
1000
500
0
District total
Bradford
East
Bradford
South
Bradford
West
Keighley
Shipley
Infant Mortality Rate in 3 year Rolling Periods
16
Rate per 1000 live births
14
12
10
8
6
4
2
0
1998-2000
1999-2001
2000-2002
Bradford Rate
2001-2003
2002-2004
2003-2005
2004-2006
England & Wales Rate
BRADFORD VISION
BDIMC 2004 – 6 : www.everybabymatters.org.uk
www.everybabymatters.org.uk
2005-2007
2006-2008
Most Deprived Quintile
2007-2009
2008-2010
Stillbirth Rate in 3 year Rolling Periods
10
Rate per 1000 live + stillbirths
9
8
7
6
5
4
3
2
1
0
19931995
19941996
19951997
19961998
19971999
19982000
Bradford
19992001
20002002
20012003
20022004
20032005
20042006
20052007
20062008
20072009
England & Wales
Calendar Years
StillBirth
1993-1995 1994-1996 1995-1997 1996-1998 1997-1999 1998-2000 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009
Bradford No. deaths
151
153
144
129
135
142
163
158
162
169
192
192
198
178
187
Bradford Rate
6.8
7.0
6.7
6.1
6.3
6.6
7.6
7.3
7.3
7.5
8.2
8.0
8.0
7.1
7.3
Eng & Wales Rate
5.6
5.6
5.4
5.4
5.3
5.3
5.3
5.4
5.6
5.7
5.6
5.5
5.3
5.2
5.1
Infant Mortality Rate in Bradford compared to
areas of similar population/deprivation
10
9
Areas of similar population.
Bradford has higher rate for all
Periods.
7
6
5
4
3
2
1
0
19931995
19941996
19951997
19961998
19971999
19982000
Areas with Similar Deprivation
19992001
20002002
20012003
Bradford
20022004
20032005
20042006
20052007
20062008
19931995
19941996
19951997
England & Wales
10
9
8
Areas of similar deprivation.
Bradford has higher rates for
most periods.
Rate per 1000 live births
Rate per 1000 live births
8
7
6
5
4
3
2
1
0
19961998
19971999
19982000
19992001
Areas with Similar population
20002002
Bradford
20012003
20022004
20032005
England & Wales
20042006
20052007
20062008
Inequalities in infant mortality by deprivation 2000 - 2009
Infant Mortality Rate by Deprivation Quintile - Bradford District
Infant Mortality Rate per 1000 Live Births
16
14
12
10
8
6
4
2
0
2000-2002
2001-2003
Quintile 1 (Most deprived)
Deprivation Quintile
2002-2004
Quintile 2
2003-2005
Quintile 3
2004-2006
Quintile 4
2005-2007
2006-2008
Quintile 5 (Least deprived)
2007-2009
Bradford District
2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009
Quintile 1 (Most deprived)
Quintile 2
Quintile 3
Quintile 4
Quintile 5 (Least deprived)
13.7
11.2
7.0
5.6
1.1
13.0
10.7
7.1
5.1
1.5
10.8
9.4
6.9
4.8
1.5
10.4
7.9
5.8
6.2
3.7
10.0
7.5
5.3
4.8
4.0
10.9
9.8
5.7
5.3
5.1
10.8
10.5
5.1
5.0
3.6
10.2
10.0
5.1
6.0
5.0
Bradford District
9.4
9.0
7.9
7.7
7.2
8.3
8.2
8.1
Source : NHS Bradford and Airedale Public Health Observatory
www.everybabymatters.org.uk
Infant mortality rates by Ward across Bradford
2000-2009
City,
Little Horton,
Bradford Moor
Tong
Bowling &
Barkerend
Toller
Manningham
Keighley Central
Great Horton
Windhill &
Wrose
Eccleshill
www.everybabymatters.org.uk
Numbers of infant deaths 2007-10
2007-2010
Bingley 1, Bingley 2, Hirst
Craven, Ilkley 1, Worth Valley
Farcliffe/Lilycroft, Thornton
Bierley, Reevy Hill, Victoria Hall
Fagley, Parkland
Wyke
Woodside
Woodroyd
Tyersal
Strong Close
St Edmund's
Rainbow
Princeville
Owlet
Mortimer House
Midland Road
Low Fold
Lidget Green
Holme Wood
Highfield
Heaton
Gateway
Frizinghall
Farnham/Grange
Crossley Hall
Communityworks
Canterbury
Burnett Fields
Barkerend
Baildon
Allerton
Abbey Green
District total
2007-2010
0
2
4
6
8
Source: Health Intelligence and Analysis team NHS ABL PCT
Where numbers are small, children centres have been aggregated
10
12
14
16
18
Ten recommendations provided guidance for Every Baby
Matters steering group to implement.
•
•
•
•
•
To reduce poverty and
unemployment in families in
Bradford
To improve the availability of
good quality and affordable
housing for families
To improve the nutritional
status of pregnant women,
babies and women planning a
pregnancy and to increase
the numbers of women
breastfeeding
To reduce the numbers of
women and men smoking and
to reduce the numbers of
women with high levels of use
of alcohol and/or nonprescribed drugs in pregnancy
To increase community
understanding of genetics,
patterns of genetic inheritance
and congenital anomalies
www.everybabymatters.org.uk
•
•
•
•
•
To ensure equal access
to all aspects of preconception, maternal and
infant health care
To improve social and
emotional support for
parents, especially those
living in areas of social
disadvantage
To ensure these
recommendations are
shared widely and
understood by
communities across the
District
To develop further the
data collection and
monitoring procedures in
Bradford District
Future research to
understand both the
underlying and
immediate causes of
death
Key areas of action in the plan
• Child poverty (including unemployment, education
& housing) – Recommendations 1 & 2
• Nutrition and breast feeding (Recommendations 3a
& 3b)
• Early access to pre-conception , maternity and
infant care & prevention and early intervention for
at risk families (Recommendations 4 & 5)
• Smoking, alcohol and substance misuse
(Recommendations 6a & 6b)
• Genetic inheritance awareness (Recommendation 7)
www.everybabymatters.org.uk
Ab
be
Cr y G
Fa os re
r n s le e n
ha y
m Ha
/ G ll
Pr ran
St inc ge
Ed ev
m ille
u
Th nd's
or
n
Ba ton
Bi ildo
n n
Hi gle
rs y
tW 2
oo
d
Ba Ow
B
r le
Co urn ker t
e
m tt e n
m F d
u n ie
ity lds
w
G or k
at s
W ew
o o ay
dr
oy
W d
y
Ty ke
Re e rs
ev al
y
H
B i ill
er
l
Ilk ey
le
y
W Hig 1
o r hf
i
t
St h V e ld
r o al
ng ley
Cl
os
e
% known to breastfeed at 6-8 weeks
by children centre reach Q2 201112
%age known to breastfeed at 6-8 weeks (see notes)
70%
60%
50%
40%
30%
20%
10%
0%
Source: Health Intelligence and Analysis team NHS ABL PCT
%age known to
breastfeed at 68 weeks (see
notes)
Hospital admissions for feeding problems 2010-11 (0-4years)
Per 100 children
Feeding related problems
Wyke
Worth Valley
Woodside
Woodroyd
Victoria Hall
Tyersal
Thornton
Strong Close
St Edmund's
Reevy Hill
Rainbow
Princeville
Parkland
Owlet
Mortimer House
Midland Road
Low Fold
Lidget Green
Ilkley 2
Ilkley 1
Holme Wood
Hirst Wood
Highfield
Heaton
Gateway
Frizinghall
Farnham/Grange
Farcliffe/Lilycroft
Fagley
Crossley Hall
Craven
Communityworks
Canterbury
Burnett Fields
Bingley 2
Bingley 1
Bierley
Barkerend
Baildon
Allerton
Abbey Green
District total
0.00
Feeding related problems
0.50
1.00
1.50
2.00
Gestation week at booking-in to BRI
www.everybabymatters.org.uk
Smoking during Pregnancy
•
The following wards have significantly more smokers at delivery than Bradford
District (shown in red above):
Eccleshill, Keighley West, Royds, Thornton & Allerton, Tong, Wyke.
www.everybabymatters.org.uk
Source: NHS Bradford and Airedale Health Intelligence and Analysis team
www.everybabymatters.org.uk