The worst neighborhoods in all of England are in the north and in the Midlands, and almost a quarter of patients in some GP surgeries are seeking help for the condition, research by the Guardian.
But in these areas, psychiatrists are rare, with more than twice as many practitioners in London as in Yorkshire per head of population. More specialized psychiatric research and treatment is also carried out in the capital.
An analysis from the House of Commons library, on statistics from GP surgeries across England, shows that there is a seamless divide between London and elsewhere with regard to mental health in England.
Of the 15 neighborhoods with the lowest prevalence of depression, there were 12 in London, and the other three were Scilly Islands and two richest pockets of Kent. The London zoo, Westminster, London, had the lowest rate where a three bed apartment could cost £ 3.5m and only 3.1% of NHS patients had depression.
Conversely, of the 15 neighborhoods with the highest prevalence of depression, 12 out of 15 were among the poorest pockets in the north-west of England. The remaining three were in Sutton Hill, Telford & Wrekin; Kidderminster Town, in Wyre Forest, Worcestershire; and Dinnington South, in Rotherham, South Yorkshire.
The highest rate was in Brinnington, a suburb of Stockport, in Greater Manchester where 23.6% of patients had depression. The actual rate is likely to be even higher: one other GP said to the Guardian that 61% of patients who had seen it in the previous six weeks were in poverty or had previously suffered from the condition.
All areas where depression is suffering are disproportionately poor and above average levels of living alone, in poor physical health, unemployment and / or benefits: all well-established risk factors for mental health disorders, The Adult Psychiatrist Survey of Bias.
In Bidston, Birkenhead, Merseyside, which has the second highest level of depression in England (20.2%), more than half of the children live in poverty. Depression is known to affect neighborhoods where there are many smokers. In Brinnington, 30% of the population spend twice the average in England. In Bidston, 26.7% of pregnant women smoke.
Wendy Burn, president of the Royal College of Psychiatrists, urged the government to put more money into the most deprived parts of England. “They should be putting more money into tackling social deprivation rather than putting more money into dealing with depression. [for] housing and employment and all that, ”she said.
Areas where more people get jobseeker's allowance are more likely to have high depression rates, the Adult Psychiatric Surveillance Survey showed. In Brinnington and Central wards in Stockport, 9.9% of the population claim this benefit, compared to an English average of 3.3%.
Recent changes in benefits, in particular the replacement of new independence payments (DLA) with personal independence payments (PIP) changed mental health problems, Burn said: “If you have mental health problems, you are more likely to lose t your benefits than physical health problems. ”
Researchers from the University of York found that claimants of psychiatric condition were 2.4 times more likely than those with diabetes, back pain or epilepsy to lose their entitlement when transferring from DLA to PIP.
Despite over-representation of weak people outside London, there are more psychiatrists in the capital than anywhere else in England. The majority of psychiatrists per 100,000 population (27.7) are in London (north, central and eastern), followed by the remainder of the capital.
The figures, based on the September 2018 labor statistics from NHS Digital and the latest NSS population data for all clinical commissioning groups showed that only 15.2 psychiatrists per 100,000 population in the northwest, 12.7 in Yorkshire and the Humber , 15.4 in the West Midlands and 15 in the east Midlands. The base of the board was Wessex, with 12.5.
Burn says that early recruitment problems are emerging as student psychiatrists need to live in London, partly for lifestyle reasons and partly because of more specialized training opportunities. “Twenty-five per cent of psychiatrists are in training in London – that is a big skewer,” said Burn, who practiced psychiatry in Leeds. “When we recruit our young psychiatrists there is always competition for London.”
There are more psychiatric specialist centers in London, Burn said, for example, the Institute of Psychiatry, Europe's largest center for research and postgraduate education in psychiatry, psychology, basic and clinical neuroscience.
“There is a long tradition that specialist health services are based in London, not just mental health,” Burn said. “Think Ormond Main Street, which deals with very difficult child cases from people across the country who have been referred in. It is good and bad. You probably get better care somewhere that is very specialized but you might spend many miles away from home. ”
Paradoxically, mental health expenditure per person in 2018-19 (including dementia and learning disabilities) indicates that the expenditure per person in the north of England for the current financial year is £ 208, compared to £ 153 in the southeast.
The figures, based on the most recent population data from the NSS for all local commissioners (and planned expenditure drawn from the English Dashboard of England), received planned expenditure of £ 177 in the south west, £ 182 in the Midlands and east, and £ 187 in London. This may be because more people in London go privately for mental health treatment. According to research, Londoners are reluctant to get help for depression from their GPs, rather than people in other regions, said Burn.
Estimated prevalence of highest neighborhood depression
1. Brinnington, Stockport, Manchester City: 23.6% t
2. Bidston Hill, Wirral, Merseyside: 20.2%
3. Partington, Trafford, Greater Manchester: 19.4% t
4. Fleetwood North East, Wyre, Lancashire: 19.3%
5. Sutton Hill, Telford & Wrekin: 18.9%
6. Middleton Wood Side, Rochdale, Greater Manchester: 18.6% t
7. Tranmere, Wirral, Merseyside: 18.5%
8. North West Fleetwood, Wyre, Lancashire: 18.4%
9. Kidderminster Town, Wyre Forest, Worcestershire County: 18.3% t
10. Dinnington South, Rotherham, South Yorkshire: 18.2%
11. East Carrow & Newhey, Rochdale, Greater Manchester: 18.1% t
12. Woodchurch, Wirral, Merseyside: 18%
13. Central Birkenhead, Wirral, Merseyside: 17.9%
14. Belah, Carlisle, Cumbria 17.8%
15. West Milnrow & Kingscourt, Rochdale, Greater Manchester: 17.8%
Estimated prevalence of lowest neighborhood depression
1. Townshend & Zoo, Westminster, London: 3.1%
2. Scilly Islands: 3.2%
3. Southall Green, Ealing, London: 3.5%
4. Hainault East, Redbridge, London: 3.6%
5. Hainault West, Redbridge, London: 3.6%
6. Knightsbridge, Belgravia, Westminster, London: 3.6%
7. Mullion & St Keverne, Cornwall: 3.17% t
8. Wimbledon Common, Merton, London: 3.7%
9. Wembley West, Brent, London: 3.8%
10. Wood St John, Westminster, London: 3.8%
11. Istead Rise & Meopham, Gravesham, Kent: 3.8%
12. Joydens Wood, Dartford, Kent: 3.8%
13. Alperton East, Brent, London: 3.9%
14. Ilford North West, Redbridge, London: 3.9%
15. Queensbury East, Harrow, London: 3.9%
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