Summary of data on cervical screening coverage by local authority, looking at reported health status from census data.

1. Cervical screening coverage and
census data
Please send questions to phe.screeninghelpdesk@nhs.net quoting the title of
this presentation
Public Health England leads the NHS Screening Programmes

2. Notes
Coverage is calculated as the number of eligible women having an adequate screening
result within the last 3.5 years (for 25 to 49 age group) or last 5.5 years (for 50 to 64 age
group).
Eligible women are those within the age group and not ceased from screening for clinical
reasons.
Coverage at CCG (clinical commissioning group) level is currently available 6 months in
arrears, so at the end of March 2017 the figures for September 2016 became available.
Sources of data:
Coverage data - National Health Application and Infrastructure Services (NHAIS) systems
accessed using Open Exeter: https://nww.openexeter.nhs.uk/nhsia
2011 Census data – Office of National Statistics
Indices of deprivation - Department for Communities and Local Government:
https://www.gov.uk/government/statistics/english-indices-of-deprivation-2015
2 Coverage vs Health September 2016

3. Census 2011: health questions
The statistics for self-assessed 'Good' general health are based on responders who
answered 'Very good' or 'Good' to the general health question in the 2011 Census.
Data is available shed at local authority level in age bands of ‘0 to15’, ‘16 to 24’, ‘25 to
34’, ‘35 to 49’, ‘50 to 64’, ‘65 to 74’ and ‘75 to 84’). For this presentation the ‘50 to 64’
figure was used with the average of ‘25 to 34’ & ‘35 to 49’ combined to give ‘25 to 49’.
Data was available for 150 local authorities.
Source:
Age-specific prevalence of self-assessed 'Good' general health by local and unitary
authority, English regions and Wales for males, females and all persons, 2011:
http://webarchive.nationalarchives.gov.uk/20160105160709/http://www.ons.gov.uk/ons/pu
blications/re-reference-tables.html?edition=tcm%3A77-332915
3 Coverage vs Health September 2016

4. Census 2011:
reporting good health
by local authority
ages 50 to 64
Showing proportion of women aged
50 to 64 who reported their health
as Good or Very good
4 Coverage vs Health September 2016
OPEN DATA. This file contains digital vector boundaries for counties and
unitary authorities in England and Wales as at December 2016.
Contains Ordnance Survey data © Crown copyright and database right.
Contains National Statistics data © Crown copyright and database right.
Source for Census data: Office of National Statistics

5. Census 2011: reporting good health by local
authority, ages 50 to 64
Summary for women aged 50 to 64 who reported their health as Good
or Very good:
Lowest reported good health 50.7% (Tower Hamlet)
Highest reported good health 84.3% (Wokingham)
Average reported good health 71.5% (Darlington, North East
Lincolnshire, North Lincolnshire)
5 Coverage vs Health September 2016
Source for Census data: Office of National Statistics

6. Census 2011:
reporting good health
by local authority
ages 25 to 49
Showing proportion of women aged
25 to 49 who reported their health
as Good or Very good
6 Coverage vs Health September 2016
OPEN DATA. This file contains digital vector boundaries for counties and
unitary authorities in England and Wales as at December 2016.
Contains Ordnance Survey data © Crown copyright and database right.
Contains National Statistics data © Crown copyright and database right.
Source for Census data: Office of National Statistics

7. Census 2011: reporting good health by local
authority, ages 25 to 49
Summary for women aged 25 to 49 who reported their health as Good or Very good:
Lowest reported good health 82.75% (Blackpool)
Highest reported good health 93.75% (Richmond upon Thames)
Average reported good health 88.1% (Bury, North Tyneside, Somerset, Westminster)
7 Coverage vs Health September 2016
Source for Census data: Office of National Statistics

8. 50
55
60
65
70
75
80
85
90
50 60 70 80 90 100
Coverage%
General health: Good or Very Good
25to49
50to64
Linear
(25to49)
Linear
(50to64)
Census 2011: percentage rating health as good
vs. cervical screening coverage at local authority
level
8 Coverage vs Health September 2016
NB Linear trend
lines are guides
only and may
not be
statistically
significant.
Source for census data: Office of
national statistics
Source for coverage data:
National Health Application and
Infrastructure Services (NHAIS)
systems accessed using Open
Exeter.
Data for September 2016
Green line indicates national
coverage standard of at least
80%
Notes:
Younger women (25 to 49)
rated their health as good
irrespective of where they
lived. There is no clear link
with coverage.
Older women (50 to 64) had
more variation in their health
assessment. The trend
suggests that areas where
women assessed their health
as good had higher coverage.

9. Census 2011: percentage rating health as
good vs. IMD Score at local authority level
9 Coverage vs Health September 2016
NB Linear trend
lines are guides
only and may
not be
statistically
significant.
Source for census data:
Office of national statistics
Source for IMD score:
Department for
Communities and Local
Government
Notes:
Both age groups
show a relationship
between deprivation
and self assessed
health even though
younger women
report generally good
health.
0
5
10
15
20
25
30
35
40
45
50
50 60 70 80 90 100
IMDScore
General health: Good or Very good
25to49
50to64
Linear
(25to49)
Linear
(50to64)

10. Census 2011: employment
Female employment (ages 16 to 74) at local authority level was part of the 2011 Census.
Unemployment rates:
Lowest female unemployment 1.1% (Isles of Scilly )
Highest female unemployment 6.5% (Newham)
Average unemployment 3.7% (Gateshead, Havering, Newcastle-U-Tyne,
Tameside, Wigan)
Employment rates (Full time+Part time+Self employed):
Lowest female employment 45.6% (Nottingham)
Highest female employment 76.2% (Isles of Scilly )
Average employment 57.6% (Hounslow, Medway, Northumberland, Tameside)
Source:
Table KS603EW - 2011 Census: Economic activity - Females, local authorities in England
& Wales
10 Coverage vs Health September 2016

11. 50
55
60
65
70
75
80
85
90
0 2 4 6 8
Coverage
Unemployment rate %
25to49
50to64
Linear
(25to49)
Linear
(50to64)
Census 2011: female unemployment rate vs.
cervical screening coverage at local authority
level
11 Coverage vs Health September 2016
NB Linear trend
lines are guides
only and may
not be
statistically
significant.
Source for census data: Office of
national statistics
Source for coverage data: National
Health Application and
Infrastructure Services (NHAIS)
systems accessed using Open
Exeter.
Data for September 2016
Green line indicates national
coverage standard of at least 80%

12. Census 2011: female employment rate vs.
cervical screening coverage at local authority
level
12 Coverage vs Health September 2016
NB Linear trend
lines are guides
only and may
not be
statistically
significant.
Source for census data: Office of
national statistics
Source for coverage data: National
Health Application and
Infrastructure Services (NHAIS)
systems accessed using Open
Exeter.
Data for September 2016
Green line indicates national
coverage standard of at least 80%
50
55
60
65
70
75
80
85
90
40 50 60 70 80
Coverage
Employment rate %
25to49
50to64
Linear
(25to49)
Linear
(50to64)