Ribble Valley is England's healthiest borough…how does your area fare?

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England’s healthiest borough is Ribble Valley with the Lancashire district ranking first out of 307 local authority areas, the Office of National Statistics (ONS) has declared.

The ONS has published its latest Health in England report assessing each of England’s local authority areas on how they perform in key areas of public health and have released an interactive tool enabling you to see how your area stands up. 

Called the Health Index, each area receives an assessment of three areas of health which are also further broken down into various sub-categories.

The three main areas are called ‘Healthy People’, which tracks aspects like mortality data, ‘Healthy Lives’ which tracks risk factors relating to individuals, such as healthy eating and high blood pressure, and lastly ‘Healthy Places’ which measures social and environmental health factors such as air pollution and access to green spaces. 

Each area receives a score comparing its 2019 performance to the national average for 2015.

The 2015 score is treated as a baseline of 100, with a score higher than this indicating an area is healthier than the average, and below that it is unhealthier.

Ribble Valley performed the best in England with a Health Index score of 112.9 in 2019, up 1.6 points on its 2018 score.

Ribble Valley, which includes the town of Clitheroe (here pictured in 2019) has been ranked by the Office of National Statistics as the healthiest borough in England in its Health Index report

Ribble Valley, which includes the town of Clitheroe (here pictured in 2019) has been ranked by the Office of National Statistics as the healthiest borough in England in its Health Index report

A breakdown of how Ribble Valley performed in a number of categories in the Health Index in 2019. A score above 100 indicates it performed better than the national average for England in 2015 in and a score less than 100 indicates it was below the national average. Ribble Valley was a high performed when it came to the health of children and young people, however scored lower in the 'access to services'c

A breakdown of how Ribble Valley performed in a number of categories in the Health Index in 2019. A score above 100 indicates it performed better than the national average for England in 2015 in and a score less than 100 indicates it was below the national average. Ribble Valley was a high performed when it came to the health of children and young people, however scored lower in the ‘access to services’ like GPs, distance to pharmacies, distance to sports or leisure facilities, and internet access

In terms of the North West, Ribble Valley performed second best in terms of physical health conditions in the North West but was far above the England average for 2019

In terms of the North West, Ribble Valley performed second best in terms of physical health conditions in the North West but was far above the England average for 2019

A similar pattern emerged in terms of living conditions with Ribble Valley  once again performing second best in the region but still far ahead of England average score for 2019

A similar pattern emerged in terms of living conditions with Ribble Valley  once again performing second best in the region but still far ahead of England average score for 2019

Ribble Valley did take the regional lead in terms of how its residents experienced difficulties in daily life which covers aspects like how residents live with issues like disability and frailty

Ribble Valley did take the regional lead in terms of how its residents experienced difficulties in daily life which covers aspects like how residents live with issues like disability and frailty

The ONS said Ribble Valley performed about 20 points better than the English average for physical health, driven by a decrease in cancer and diabetes among its population. 

The borough’s living conditions score also climbed up from 113.5 in 2015 to 119.6 in 2019, this being driven by a decrease in rough sleeping and air pollution. 

While Ribble Valley was a clear star in a number of categories such as the health of its children and young people and the physical health of its residents, scoring above 120 in each of these it still performed below average in some areas.

The borough performed below average in the access to services category which includes things like GP services , distance to pharmacies, distance to sports or leisure facilities, and internet access as well as access to green spaces, scoring below 100 in each of these. 

In contrast to Ribble Valley, Blackpool performed the worst of all boroughs in England, ranking dead last with a score of 90.6 which was actually a 0.1 rise compared to its 2018 score.

While some improvements were made in Blackpool’s physical health, particularly in dementia which improved by 14.7 points, it was still in the bottom 30 per cent of all England’s boroughs for this category. 

Blackpool’s living conditions also saw improvement, particularly for air pollution which scored 28.9 points higher in 2019 compared to 2015. But it was let down by a rise in rough sleeping which caused a 12 point drop.  

Blackpool was the worst ranking area in England in terms of health, scoring 90.6, the lowest score out of the 307 local authority areas (pictured Blackpool leisure beach)

Blackpool was the worst ranking area in England in terms of health, scoring 90.6, the lowest score out of the 307 local authority areas (pictured Blackpool leisure beach) 

Blackpool ranked the worst in terms of its Health Index score for England in 2019, performing worse than the 2015 national average in a host of areas, with mortality, difficulties in daily life such as frailty and disabilities, and crime being well behind the rest of the nation. However, Blackpool did have better than average access to services like GPs, distance to pharmacies, distance to sports or leisure facilities, and internet access

Blackpool ranked the worst in terms of its Health Index score for England in 2019, performing worse than the 2015 national average in a host of areas, with mortality, difficulties in daily life such as frailty and disabilities, and crime being well behind the rest of the nation. However, Blackpool did have better than average access to services like GPs, distance to pharmacies, distance to sports or leisure facilities, and internet access

This chart shows how the Health Index for England, and its three main categories 'Healthy People', 'Healthy Lives' and 'Healthy Places' have performed from 2015 and 2019.  This shows the overall score has remained stable in that time but rises in 'Healthy People' seen in from 2016 to 2018 have disappeared and even dropped below 2015 levels in 2019. However, there has been a recovery in 'Healthy Places' since a 2018 low, but this is still below the 2015 score

This chart shows how the Health Index for England, and its three main categories ‘Healthy People’, ‘Healthy Lives’ and ‘Healthy Places’ have performed from 2015 and 2019.  This shows the overall score has remained stable in that time but rises in ‘Healthy People’ seen in from 2016 to 2018 have disappeared and even dropped below 2015 levels in 2019. However, there has been a recovery in ‘Healthy Places’ since a 2018 low, but this is still below the 2015 score

When comparing national scores the ONS found that England’s health remained broadly stable between 2015 and 2019. As a whole England received a Health Index score of 99.5 for 2019, slightly worse than 2015. 

It should noted that as this Health Index only includes data for 2019 the impact of the Covid pandemic, both from the virus itself and disruption to both physical and mental health due to lockdowns, will not be reflected in the results.  

The ONS found that while improvements had been made in the ‘Healthy Lives’ portion of the index these were compensated by small declines in ‘Healthy People’ and ‘Healthy Places’.

Nationally, scores for health risk factors for children and young people showed the greatest improvement compared to 2015 increasing by six points while the impact of crime on health was the worst performer declining by four points.  

Declines in the ‘Healthy People’ score were driven by an increase in anxiety among the population.

The decline in ‘Healthy Live’s was driven by a rise in personal crime rates, which includes sexual offences, robbery and criminal damage.  

There were regional disparities, with the South East scoring the highest overall health index scores by region, and together with the East Midlands being among the only two of England’s regions to score higher in all three areas than they did in 2015. In comparison the North East was the worst performer by region. 

The ONS plans to release the health index for 2020 which will cover the first year of the Covid pandemic later this year.

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