Maternity Health Needs Data Pack for Humber, Coast, and Vale STP

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"Access restricted Maternity Health Needs Data Pack for local needs assessment. Explore population data, maternity services overview, and ways to interpret and use the information effectively."

  • Maternity Health
  • Local Data Pack
  • Population Insights
  • Maternity Services
  • Data Interpretation
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  1. Restricted: not for release into the public domain. This pack contains some unpublished statistics, to which LMS leads are being given privileged access for developing local HNA. Your logo here Maternity Health Needs Data Pack Humber, Coast and Vale STP

  2. About this pack Implementing Better Births requires STPs to develop their understanding of the local population and its needs from maternity services This pack presents a selection of nationally available data to support STPs in undertaking their own Health Needs Assessment. It takes a population perspective, following the journey of families through maternity services. 2 Local Maternity Service Packs about this pack

  3. How to use these packs (1) Domains The pack groups the indicators produced into 7 domains: Domain 1 Population Domain 2 - System Overview Domain 3 Pre-conception and conception Domain 4 Antenatal care Domain 5 Birth Domain 6 Postnatal care Domain 7 Health issues (Domains 3 to 6 broadly follow the maternity pathway) Geographies Indicators have been produced by CCG where available, otherwise we have used LA and sometimes provider level data depending on how the data is reported. We have derived STP values either based on CCG values or estimated using local authority values. See appendix 1 for description of methodologies. Inequalities Where there is data available we have produced some inequalities charts based on deprivation deciles, please note this is only available at England level. There is a breakdown provided of the proportion of the STP population in each decile in the Population domain. 3 Local Maternity Service Packs about this pack

  4. How to use these packs (2) Interpreting the data The charts and tables include source and web links at the bottom of every slide. The notes section for each slide also includes something about the rationale behind why the indicator is considered relevant, any known caveats about the data and if there is any more information considered important. The charts, maps and tables can be copied and pasted elsewhere but please include the source and links information. The charts show statistical significance using the following key: Lower or higher does not necessarily mean better or worse, this depends on the indicator. For STP areas where the name of the STP is the same as one of the local authorities, the STP value is always above England at the bottom of the chart. 4 Local Maternity Service Packs about this pack

  5. Your logo here Domain 1: Population

  6. Total population, females aged 15 44 and number of births Total females aged 15-44, registered population (2017) 11,525,729 253,814 Total registered population (2017) 58,437,363 1,413,036 302,237 296,374 169,168 173,213 119,692 352,352 Number of births (2015) 2017/18 CCG boundaries England Humber, Coast and Vale NHS East Riding of Yorkshire CCG NHS Hull CCG NHS North East Lincolnshire CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG NHS Vale of York CCG 2016/17 CCG boundaries England Humber, Coast and Vale NHS East Riding of Yorkshire CCG NHS Hull CCG NHS North East Lincolnshire CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG NHS Vale of York CCG 665,260 14,671 2,757 3,602 1,927 1,883 1,088 3,414 46,702 59,705 29,520 29,313 18,652 69,922 Source data: NHS Digital, 2017 and ONS births, 2015 Link: https://digital.nhs.uk/catalogue/PUB24180 and https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths 6 Local Maternity Service Packs - Population Local Maternity Service Packs Population

  7. Registered population Females aged 15-44 Proportion of total population females aged 15-44 (%), 2017, Humber, Coast and Vale (CCG) NHS Hull CCG NHS Vale of York CCG NHS North East Lincolnshire CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG NHS East Riding of Yorkshire CCG Humber, Coast and Vale 18% England 0% 5% 10% 15% 20% 25% Source data: NHS Digital, 2017 Link: https://digital.nhs.uk/catalogue/PUB24180 7 Local Maternity Service Packs - Population

  8. Deprivation Proportion of STP population (2015) by IMD (2015) decile, Humber, Coast and Vale 11% 12% 10% 10 - least deprived 9 8 11% 7 6 10% 5 4 9% 3 2 8% 1 - most deprived 8% 6% 16% Source data: IMD 2015, DCLG Link: https://www.gov.uk/government/statistics/english-indices-of-deprivation-2015 8 Local Maternity Service Packs - Population Local Maternity Service Packs - Population

  9. Population projections Females 15-44 2014-based Subnational Population Projections, females aged 15-44 (CCG) 2014 2019 2024 80,000 2029 2034 3.2% 70,000 60,000 -3.7% -5.8% 50,000 Population 40,000 -3.4% -4.8% 30,000 -4.5% 20,000 10,000 0 NHS East Riding of Yorkshire CCG NHS Hull CCG NHS North East Lincolnshire CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG NHS Vale of York CCG Values in red show increase or decrease in population from 2014 to 2034 Source data: 2014-based Subnational population projections, ONS Link: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationprojections 9 Local Maternity Service Packs - Population

  10. Birth projections 2014-based Subnational Population Projections of births (LA) 6,000 2015 2020 2025 2030 2035 -1.8% 5,000 4,000 -2.9% Births 0.0% 3,000 4.8% -5.6% -5.6% 2,000 1,000 0 Kingston upon Hull, City of East Riding of Yorkshire North East Lincolnshire North Lincolnshire York North Yorkshire Values in red show increase or decrease in births from 2015 to 2035 Source data: 2014-based Subnational population projections, ONS Link: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationprojections 10 Local Maternity Service Packs - Population

  11. % of deliveries to mothers from Black and Minority Ethnic (BME) groups Percentage of deliveries to mothers from Black and Minority Ethnic (BME) groups (%), 2015/16, Humber, Coast and Vale (CCG) NHS Hull CCG NHS East Riding of Yorkshire CCG NHS Vale of York CCG NHS North Lincolnshire CCG NHS North East Lincolnshire CCG NHS Scarborough and Ryedale CCG Humber, Coast and Vale 6.5 England 0 5 10 15 20 25 30 35 Source data: Fingertips Pregnancy and birth profile, 2015/16 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 11 Local Maternity Service Packs - Population

  12. Births to parents born outside the UK Births to non-UK parents: proportion of live births (%), 2015, Humber, Coast and Vale (CCG) NHS Hull CCG NHS North Lincolnshire CCG NHS Vale of York CCG NHS Scarborough and Ryedale CCG NHS East Riding of Yorkshire CCG NHS North East Lincolnshire CCG Humber, Coast and Vale 16.8 England 0 5 10 15 20 25 30 35 40 Source data: Fingertips Perinatal Mental Health Profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/mental-health/profile/perinatal-mental-health 12 Local Maternity Service Packs - Population

  13. Percentage of delivery episodes where the mother is aged under 18 Teenage mothers (%), 2015/16, Humber, Coast and Vale (CCG) NHS North East Lincolnshire CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG NHS Hull CCG NHS Vale of York CCG NHS East Riding of Yorkshire CCG Humber, Coast and Vale 1.2 England 0 0.5 1 1.5 2 2.5 3 Source data: Fingertips Pregnancy and birth profile, 2015/16 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 13 Local Maternity Service Packs - Population

  14. Teenage mothers by deprivation decile Teenage mothers, 2015/16, County & UA deprivation deciles in England (IMD2015) Most deprived decile (IMD2015) Second most deprived decile (IMD2015) Third more deprived decile (IMD2015) Fourth more deprived decile (IMD2015) Fifth more deprived decile (IMD2015) Fifth less deprived decile (IMD2015) Fourth less deprived decile (IMD2015) Third less deprived decile (IMD2015) Second least deprived decile (IMD2015) Least deprived decile (IMD2015) 0 0.2 0.4 0.6 0.8 1 1.2 Source data: Fingertips Pregnancy and birth profile, 2015/16 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 14 Local Maternity Service Packs Population

  15. Percentage of deliveries to women aged 35 years or above Percentage of deliveries to women aged 35 years or above (%), 2015/16, Humber, Coast and Vale (LA) York North Yorkshire East Riding of Yorkshire North Lincolnshire North East Lincolnshire Kingston upon Hull, City of Humber, Coast and Vale 15.6 England 0 5 10 15 20 25 Source data: Fingertips Pregnancy and birth profile, 2015/16 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 15 Local Maternity Service Packs - Population

  16. General fertility rate General fertility rate (Crude rate per 1000), 2015, Humber, Coast and Vale (CCG) NHS North East Lincolnshire CCG NHS Hull CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG NHS East Riding of Yorkshire CCG NHS Vale of York CCG Humber, Coast and Vale 59.2 England 0 10 20 30 40 50 60 70 80 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 16 Local Maternity Service Packs - Population

  17. General fertility rate by deprivation decile General fertility rate , 2015, County & UA deprivation deciles in England (IMD2015) Most deprived decile (IMD2015) Second most deprived decile (IMD2015) Third more deprived decile (IMD2015) Fourth more deprived decile (IMD2015) Fifth more deprived decile (IMD2015) Fifth less deprived decile (IMD2015) Fourth less deprived decile (IMD2015) Third less deprived decile (IMD2015) Second least deprived decile (IMD2015) Least deprived decile (IMD2015) 0 10 20 30 40 50 60 70 80 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 17 Local Maternity Service Packs - Population

  18. Total period fertility rate Total period fertility rate 2014 (LA) North East Lincolnshire North Yorkshire East Riding of Yorkshire Kingston upon Hull, City of North Lincolnshire York Humber, Coast and Vale 1.8 England 0 0.5 1 1.5 2 2.5 Source data: NHS Digital: Compendium of population health indicators, 2014 Link: https://indicators.hscic.gov.uk/webview/ 18 Local Maternity Service Packs - Population

  19. Your logo here Domain 2: System overview

  20. Births by trust (2015/16) Source data: Hospital Episode Statistics (HES) data, prepared by LKIS Yorkshire and Humber 20 Local Maternity Service Packs system overview

  21. Patient flows in the region RWA RJL RCB Hull and East Yorkshire Hospitals NHS Trust Northern Lincolnshire and Goole NHS Foundation Trust York Teaching Hospital NHS Foundation Trust Source data: Hospital Episode Statistics Produced by: Local Knowledge and Intelligence Service (Yorkshire and Humber) 21 Local Maternity Service Packs System overview Local Maternity Service Packs - Population

  22. Your logo here Domain 3: Pre-conception and conception

  23. IVF treatment by region Number of clinics performing IVF (in vitro fertilisation) and DI (donor insemination) by region and the number of women receiving fertility treatment (2014) Region Clinics performing IVF Clinics performing DI Clinics Cycles Patients Clinics Cycles Patients North East 5 2363 1760 5 185 100 North West 5 7227 5633 5 593 292 Yorkshire & Humber 4 3706 2795 3 268 145 East Midlands 4 3422 2786 5 281 158 West Midlands 7 3984 3235 7 165 95 East of England 6 4020 3133 6 169 93 London 20 19849 15234 22 1558 826 South East 11 7219 5380 11 504 275 South West 6 2994 2267 6 251 155 Northern Ireland 3 1795 1469 3 84 45 Scotland 7 4804 3637 7 416 198 Wales 4 2190 1600 4 188 128 Source data: Fertility treatment - trends and figures, 2014 Link: https://www.hfea.gov.uk/about-us/publications/ 23 Local Maternity Service Packs Preconception and conception

  24. UK IVF trends Source data: Fertility treatment - trends and figures, 2014 Link: https://www.hfea.gov.uk/about-us/publications/ 24 Local Maternity Service Packs Preconception and conception

  25. All conceptions All conceptions (Crude rate per 1000), 2015, Humber, Coast and Vale, (LA) Kingston upon Hull, City of North East Lincolnshire North Lincolnshire North Yorkshire East Riding of Yorkshire York Humber, Coast and Vale 71 England 0 10 20 30 40 50 60 70 80 90 Source data: Conception statistics England and Wales, ONS, 2015 Link: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/conceptionandfertilityrates 25 Local Maternity Service Packs Preconception and conception

  26. Miscarriage and ectopic pregnancies which resulted in an NHS hospital stay (NHS Hospitals, England) Source data: NHS Digital Link: http://digital.nhs.uk/pubs/maternity1516 26 Local Maternity Service Packs Preconception and conception

  27. Under 18 conceptions Under 18 conceptions (Crude rate per 1000), 2015, Humber, Coast and Vale (LA) Kingston upon Hull, City of North East Lincolnshire York East Riding of Yorkshire North Lincolnshire North Yorkshire Humber, Coast and Vale 23.9 England 0 5 10 15 20 25 30 35 40 45 50 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 27 Local Maternity Service Packs Preconception and conception

  28. Under 18 conceptions by deprivation decile Under 18 conceptions, 2015, County & UA deprivation deciles in England (IMD2015) Most deprived decile (IMD2015) Second most deprived decile (IMD2015) Third more deprived decile (IMD2015) Fourth more deprived decile (IMD2015) Fifth more deprived decile (IMD2015) Fifth less deprived decile (IMD2015) Fourth less deprived decile (IMD2015) Third less deprived decile (IMD2015) Second least deprived decile (IMD2015) Least deprived decile (IMD2015) 0 5 10 15 20 25 30 35 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 28 Local Maternity Service Packs Preconception and conception

  29. Under 16s conception rate Under 16s conception rate / 1,000 (Crude rate per 1000), 2015, Humber, Coast and Vale (LA) North East Lincolnshire Kingston upon Hull, City of East Riding of Yorkshire North Lincolnshire North Yorkshire York Humber, Coast and Vale 3.9 England 0 2 4 6 8 10 12 14 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy / 29 Local Maternity Service Packs Preconception and conception

  30. Under 16s conception rate by deprivation decile Under 16s conception rate / 1,000, 2015, County & UA deprivation deciles in England (IMD2015) Most deprived decile (IMD2015) Second most deprived decile (IMD2015) Third more deprived decile (IMD2015) Fourth more deprived decile (IMD2015) Fifth more deprived decile (IMD2015) Fifth less deprived decile (IMD2015) Fourth less deprived decile (IMD2015) Third less deprived decile (IMD2015) Second least deprived decile (IMD2015) Least deprived decile (IMD2015) 0 1 2 3 4 5 6 7 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 30 Local Maternity Service Packs Preconception and conception

  31. Under 18s conceptions leading to abortion (%) Under 18s conceptions leading to abortion (%), 2015, Humber, Coast and Vale (LA) East Riding of Yorkshire York North Yorkshire Kingston upon Hull, City of North Lincolnshire North East Lincolnshire Humber, Coast and Vale 46.4 England 0 10 20 30 40 50 60 70 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 31 Local Maternity Service Packs Preconception and conception

  32. Under 18s conceptions leading to abortion (%) by deprivation decile Under 18s conceptions leading to abortion, 2015, County & UA deprivation deciles in England (IMD2015) Most deprived decile (IMD2015) Second most deprived decile (IMD2015) Third more deprived decile (IMD2015) Fourth more deprived decile (IMD2015) Fifth more deprived decile (IMD2015) Fifth less deprived decile (IMD2015) Fourth less deprived decile (IMD2015) Third less deprived decile (IMD2015) Second least deprived decile (IMD2015) Least deprived decile (IMD2015) 0 10 20 30 40 50 60 70 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 32 Local Maternity Service Packs Preconception and conception

  33. Abortions Legal abortions (ASR per 1000 resident women aged 15-44), 2016, Humber, Coast and Vale, (LA) ** ** North Yorkshire York North East Lincolnshire Kingston upon Hull, City of North Lincolnshire East Riding of Yorkshire Humber, Coast and Vale 13.3 England 0 2 4 6 8 10 12 14 16 18 20 ** value suppressed to protect patient confidentiality Source data: Abortion statistics in England and Wales for 2016, DH, 2016 Link: https://www.gov.uk/government/statistics/report-on-abortion-statistics-in-england-and-wales-for-2016#history 33 Local Maternity Service Packs Preconception and conception

  34. Repeat abortions Repeat abortions all ages (%), 2016, Humber, Coast and Vale, (LA) ** North Yorkshire ** York North Lincolnshire North East Lincolnshire Kingston upon Hull, City of East Riding of Yorkshire Humber, Coast and Vale 34 England 0 5 10 15 20 25 30 35 40 45 ** value suppressed to protect patient confidentiality Source data: Abortion statistics in England and Wales for 2016, DH, 2016 Link: https://www.gov.uk/government/statistics/report-on-abortion-statistics-in-england-and-wales-for-2016#history 34 Local Maternity Service Packs Preconception and conception

  35. Your logo here Domain 4: Antenatal care

  36. Antenatal screening ST1: Antenatal sickle cell and thalassaemia screening coverage 98.9 99.7 97.8 ST2: Antenatal sickle cell and thalassaemia screening timeliness of test 37.7 78.1 72.9 ST3: Antenatal sickle cell and thalassaemia screening completion of FOQ 99.8 99.8 96.8 FA1: Fetal anomaly screening completion of laboratory request forms 99.1 97.1 94.9 ID1: Antenatal infectious disease screening HIV coverage 99.2 98.6 99.4 Humber, Coast and Vale Hull and East Yorkshire Hospitals NHS Trust Northern Lincolnshire and Goole NHS Foundation Trust York Teaching Hospital NHS Foundation Trust Acceptable 95.0% Acceptable 50.0% Acceptable 95.0% Acceptable 95.0% Acceptable 97.0% Achievable 99.0% Achievable 75.0% Achievable 99.0% Achievable 99.0% Achievable = 100% Definitions: ST1: The proportion of pregnant women eligible for antenatal sickle cell and thalassaemia screening for whom a conclusive screening result is available at the day of report ST2: The proportion of women having antenatal sickle cell and thalassaemia screening for whom a screening result is available by 10+0 weeks gestation ST3: The proportion of antenatal sickle cell and thalassaemia samples submitted to the laboratory with a completed FOQ ID1: The proportion of pregnant women eligible for HIV screening for whom a confirmed screening result is available at the day of report FA1: The proportion of laboratory request forms including complete data prior to screening analysis, submitted to the laboratory within the recommended timeframe of 10+0 to 20+0 weeks gestation. Source data: PHE Screening Data, 2016/17 Link: https://www.gov.uk/government/publications/nhs-screening-programmes-kpi-reports-and-briefings-2016-to-2017 36 Local Maternity Service Packs Antenatal care

  37. Flu vaccinations pregnant women Seasonal Flu Vaccine Uptake (GP) in all pregnant women (%), 2016/17, Humber, Coast and Vale, (CCG) NHS Scarborough and Ryedale CCG NHS Vale of York CCG NHS East Riding of Yorkshire CCG NHS Hull CCG NHS North East Lincolnshire CCG NHS North Lincolnshire CCG Humber, Coast and Vale 43% England 0% 10% 20% 30% 40% 50% 60% Source data: Flu Vaccination data, PHE, 2017 Link: https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-in-england-winter-season-2016-to-2017 37 Local Maternity Service Packs Antenatal care

  38. Pertussis vaccinations pregnant women Prenatal pertussis vaccine programme coverage (%) in pregnant women, 2016/17 average, Humber, Coast and Vale, (CCG) NHS Vale of York CCG NHS Scarborough and Ryedale CCG NHS North Lincolnshire CCG NHS East Riding of Yorkshire CCG NHS North East Lincolnshire CCG NHS Hull CCG Humber, Coast and Vale 76 England 0 10 20 30 40 50 60 70 80 90 Source data: Pertussis Vaccination data, PHE, 2017 Link: https://www.gov.uk/government/publications/pertussis-immunisation-in-pregnancy-vaccine-coverage-estimates-in-england-october-2013-to-march-2014 38 Local Maternity Service Packs Antenatal care Local Maternity Service Packs

  39. CQC indicators The start of your care in pregnancy National Scores Min: 3.6 ; Max: 7.3 Provider Antenatal check-ups National Scores Min: 6 ; Max: 7.9 During your pregnancy National Scores Min: 7.8 ; Max: 9.3 Hull and East Yorkshire Hospitals NHS Trust Northern Lincolnshire and Goole NHS Foundation Trust York Teaching Hospital NHS Foundation Trust 4.5 5.2 5.1 7.2 6.7 7.3 8.8 8.9 9.0 Source data: CQC Patient Survey Data, 2015 Link: http://www.cqc.org.uk/publications/surveys/maternity-services-survey-2015 39 Local Maternity Service Packs Antenatal care

  40. Your logo here Domain 5: Birth

  41. Births by sex Sex ratio: live male births per 1,000 live female births Male births (2015) Female births (2015) Humber, Coast and Vale districts England Humber, Coast and Vale Kingston upon Hull East Riding of Yorkshire North East Lincolnshire North Lincolnshire York West Lindsey Hambleton Ryedale Scarborough Selby 341096 7458 1817 1516 980 927 1072 454 376 248 501 473 323300 7071 1762 1384 938 945 951 447 388 228 475 456 1055 1055 1031 1095 1045 981 1127 1016 969 1088 1055 1037 Source data: ONS births data, prepared by LKIS Yorkshire and Humber August 2017 41 Local Maternity Service Packs - births

  42. Birth setting Place of delivery; 2015-16, Humber, Coast and Vale, (trust) Consultant Ward GP Ward Consultant / Midwife / GP ward Midwife / Other ward Unknown York Teaching Hospital NHS Foundation Trust Northern Lincolnshire and Goole NHS Foundation Trust Hull and East Yorkshire Hospitals NHS Trust 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Source data: NHS Digital, 2015/16 Link: http://www.content.digital.nhs.uk/catalogue/PUB22384 42 Local Maternity Service Packs Birth

  43. Professional delivering Person conducting delivery; 2015-16, Humber, Coast and Vale, (trust) Hospital doctor Midwife Other (inc GP) Not known York Teaching Hospital NHS Foundation Trust Northern Lincolnshire and Goole NHS Foundation Trust Hull and East Yorkshire Hospitals NHS Trust 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Source data: NHS Digital, 2015/16 Link: http://www.content.digital.nhs.uk/catalogue/PUB22384 43 Local Maternity Service Packs Birth

  44. Type of delivery Method of delivery; 2015-16, Humber, Coast and Vale, (trust) Caesarean Instrument Spontaneous York Teaching Hospital NHS Foundation Trust Northern Lincolnshire and Goole NHS Foundation Trust Hull and East Yorkshire Hospitals NHS Trust 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Source data: NHS Digital, 2015/16 Link: http://www.content.digital.nhs.uk/catalogue/PUB22384 44 Local Maternity Service Packs Birth

  45. Caesarean section % Caesarean section (%), 2015/16, Humber, Coast and Vale (CCG) NHS Hull CCG NHS East Riding of Yorkshire CCG NHS Vale of York CCG NHS Scarborough and Ryedale CCG NHS North Lincolnshire CCG NHS North East Lincolnshire CCG Humber, Coast and Vale 24.4 England 0 5 10 15 20 25 30 Source data: Fingertips Pregnancy and birth profile, 2015/16 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 45 Local Maternity Service Packs Birth

  46. Multiple births Multiple births (Crude rate per 1000), 2015, Humber, Coast and Vale (CCG) NHS Hull CCG NHS North East Lincolnshire CCG NHS East Riding of Yorkshire CCG NHS Vale of York CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG Humber, Coast and Vale 12.9 England 0 5 10 15 20 25 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 46 Local Maternity Service Packs Birth

  47. Multiple births by deprivation decile Multiple births, 2015, County & UA deprivation deciles in England (IMD2015) Most deprived decile (IMD2015) Second most deprived decile (IMD2015) Third more deprived decile (IMD2015) Fourth more deprived decile (IMD2015) Fifth more deprived decile (IMD2015) Fifth less deprived decile (IMD2015) Fourth less deprived decile (IMD2015) Third less deprived decile (IMD2015) Second least deprived decile (IMD2015) Least deprived decile (IMD2015) 0 2 4 6 8 10 12 14 16 18 20 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 47 Local Maternity Service Packs Birth

  48. Low birth weight of all babies Low birth weight of all babies (%), 2015, Humber, Coast and Vale (CCG) NHS Hull CCG NHS North East Lincolnshire CCG NHS North Lincolnshire CCG NHS Scarborough and Ryedale CCG NHS East Riding of Yorkshire CCG NHS Vale of York CCG Humber, Coast and Vale 6.8 England 0 2 4 6 8 10 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 48 Local Maternity Service Packs - Birth

  49. Low birth weight of all babies by deprivation decile Low birth weight of all babies, 2015, County & UA deprivation deciles in England (IMD2015) Most deprived decile (IMD2015) Second most deprived decile (IMD2015) Third more deprived decile (IMD2015) Fourth more deprived decile (IMD2015) Fifth more deprived decile (IMD2015) Fifth less deprived decile (IMD2015) Fourth less deprived decile (IMD2015) Third less deprived decile (IMD2015) Second least deprived decile (IMD2015) Least deprived decile (IMD2015) 0 1 2 3 4 5 6 7 8 9 10 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 49 Local Maternity Service Packs Birth

  50. Very low birth weight of all babies Very low birth weight of all babies (%), 2015, Humber, Coast and Vale (CCG) NHS North East Lincolnshire CCG NHS Hull CCG NHS North Lincolnshire CCG NHS East Riding of Yorkshire CCG NHS Vale of York CCG NHS Scarborough and Ryedale CCG Humber, Coast and Vale 1.1 England 0 0.5 1 1.5 2 2.5 Source data: Fingertips Pregnancy and birth profile, 2015 Link: https://fingertips.phe.org.uk/profile-group/child-health/profile/child-health-pregnancy 50 Local Maternity Service Packs Birth

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