Young people (aged 10-24 years)
This section of our Joint Strategic Needs Assessment (JSNA) presents a comprehensive overview of the health and wellbeing of young people in Bury, drawing on publicly available data from the Fingertips tool. The focus on young people, typically defined as those aged 10 to 24 years, is vital. This age group represents a critical stage of transition from childhood to adulthood, a period marked by significant physical, cognitive and emotional development. The experiences, behaviours and health outcomes during these years can have profound and lasting impacts on an individual's health and wellbeing throughout their lifespan.
Many health-related behaviours including diet, exercise and substance use, are established during this time. By presenting and analysing data on these factors, we can identify trends and potential areas of concern, enabling us to intervene early and promote healthy behaviours. Moreover, many serious health conditions in adulthood have their roots in adolescence. Mental health problems, for instance, often first emerge in adolescence. By monitoring data on young people's mental health, we can inform early intervention strategies and prevent these conditions from becoming chronic and severe.
Please note: Data that are more relevant for understanding the health and wellbeing of school-age children and young people are presented in the section dedicated to the school year.
Demographics
The population of young people aged 10 to 24 years in Bury is 33,628, making up 17.3% of the total population. This figure is slightly below the national average for England, which is 17.8%. The sex distribution within this demographic in Bury includes 51.5% males (17,336 individuals) and 48.5% females (16,294 individuals). When we examine the distribution of young people across different wards in Bury, Sedgley and Redvales have the highest proportions, at 22.2% and 20% respectively. In contrast, North Manor and Pilkington Park have the smallest proportions of young people, with 14.4% and 14.2% respectively.
Figure 1, presented below, offers a detailed representation of the proportion of young people (aged 10-24 years) residing in each ward in Bury, expressed as a percentage of the total population within the respective ward.
Figure 1: Proportion of young people (aged 10-24 years) living in each ward in Bury as a percentage of the total population in that ward (Census 2021).
Education, Employment & Training
Young individuals not in education, employment, or training (NEET) face a higher risk of adverse outcomes, including health complications, mental health conditions such as depression and early parenthood. Examining this indicator can assist us in developing a more collaborative approach among various services, with the aim of supporting young people, especially the most vulnerable, in their pursuit of education, training and employment opportunities.
The government's strategy highlights the importance of increasing the participation of young people in learning and employment. This approach not only brings about substantial improvements to individual lives but is also a key component of the government's broader objectives to enhance social mobility and stimulate economic growth.
In a strategic move to encourage more young people to engage in studies, acquire skills and qualifications that lead to sustainable employment and to decrease the likelihood of young individuals becoming NEET, the Education and Skills Act 2008 introduced legislation in 2013 to raise the participation age. This legislation mandates that all young people must remain in some form of education or training until the end of the academic year in which they turn 17.
As of September 2016, the Department for Education (DfE) has revised the requirement for authorities to monitor academic age 18-year-olds. Local authorities (LAs) are now only required to track and report information about young people up to the end of the academic year in which they turn 18, i.e., academic age 16 and 17-year-olds. This adjustment reflects an ongoing commitment to focus resources where they are most needed and can have the most significant impact (Child and Maternal Health, 2023).
16 to 17 year olds not in education, employment or training (NEET) or whose activity is not known
This indicator is defined as the proportion of 16 to 17 year olds not in education, employment or training (NEET) or whose activity is not known.
In Bury, the proportion of individuals aged 16 to 17 years who are not engaged in education, employment, or training (NEET), or whose current activity status is unknown, is 4%lower (statistically significant) than the England average of 5.4% for the year 2023/24.
Over the period 2016/17 to 2022/24, the proportion of 16 to 17 year olds not in education, employment, or training (NEET) or whose activity is not known in Bury has remained relatively stable with some fluctuations. In 2016/17, the NEET proportion was 3.9%, which remained relatively stable at 4.0% in the years 2017/18 to 2019/20. In 2020/21, there was a slight decrease to 3.5% which rose to 3.6% in 2021/22, before rising to 3.9% in 2022/23 and 4% in 2023/24.
There is no significant change in trend based on the 5 most recent data points in Bury.
Data at the national level shows that in 2016/17, the NEET proportion in England was 6.0%, which remained relatively stable at 6.0% in 2017/18. This was followed by a slight decrease to 5.5% in 2018/19. The proportion then remained stable at 5.5% in 2018/19 and 2019/20. It decreased to 4.7% in 2021/22. The most recent data available for 2022/23 and 2023/24 shows an increase to 5.2% and 5.4% respectively (Child and Maternal Health, 2024).
Bury had lower NEET proportions compared to England, with NEET proportion in Bury consistently below the national average (statistically significant) throughout the period between 2016/17 to 2023/254..
Figure 2: Proportion of individuals aged 16 to 17 years who are not engaged in education, employment, or training (NEET), or whose current activity status is unknown for Bury and England from the year 2016/17 to 2023/24 (Child and Maternal Health, 2023)
Bury has the 2nd lowest NEET proportion in its group of 6 statistical children service neighbours with the highest proportion in Stockton-on-Tees at 7% and lowest in Sefton at 3.7% (Child and Maternal Health, 2024).
Data on inequalities in Bury are available by sex only. The proportion of males not in education, employment, or training (NEET) in Bury in 2023/24 is higher at 4.3%, compared to females at 3.7%. However, both male and female NEET proportions in Bury are statistically similar to the average NEET proportion in Bury.
Data on inequalities are available at England level by sex, ethnic groups and deprivation.
The proportion of males not in education, employment, or training (NEET) in England is higher at 6%, compared to females at 4.9%. When examining NEET proportions by deprivation decile in England, the data indicates that higher deprivation deciles generally have worse NEET proportions, with the most deprived decile having the highest proportion at 6.9%. However, an interesting finding is that the least deprived decile, despite its lower overall deprivation, has a higher NEET proportion at 6%, which is significantly worse compared to the England average.
Data by ethnicity suggests that the highest NEET proportions are in the White and Mixed ethnic groups. White at 5.9% is significantly worse than England average with Mixed at 5.6%. Conversely, the ethnic groups with the lowest proportions and significantly better than England average include Chinese (1.7%), Asian (2.7%) and Black (3.4%).
Immunisation Coverage
Immunisation coverage is the best indicator of the level of protection a population will have against vaccine preventable communicable diseases. Coverage is closely correlated with levels of disease. Monitoring coverage identifies possible drops in immunity before levels of disease rise. Previous evidence shows that highlighting vaccination programmes encourages improvements in uptake levels.
Data on immunisation relevant to young people (10-24 years) are available for Human Papilloma Virus (HPV) vaccine (one dose at 12-13 years and two doses 13-14 years) For HPV vaccine, we will present data on one dose only as the JCVI has advised move to 1 dose of HPV vaccine for adolescents. JCVI has stated that 1 dose of the vaccine is just as effective as 2 at preventing cancers caused by HPV in adolescents. Immunisations during the early years are available under the early years section of Starting Well in the Bury JSNA.
Human Papilloma Virus (HPV) Vaccine
HPV is a common infection that is spread by skin-to-skin contact, including sexual contact, which can lead to the development of cancers affecting both women and men, including the cervix, vulva, vagina, penis, anus and oral cavity.
On the advice of the Joint Committee on Vaccination and Immunisation (JCVI), a HPV national vaccination programme was introduced in 2008, to protect adolescent females against cervical cancer. From September 2019, 12 to 13 year old males became eligible for HPV immunisation alongside females, based on JCVI advice. This was the first year that males in year 9 were offered the HPV vaccine (OHID, 2024).
Research has shown that in England cervical cancer has almost been eliminated among young women who were offered the HPV vaccine (NIHR, 2022).
Population vaccination coverage: HPV vaccination coverage for one dose (12 to 13 year old)
This indicator is defined as ‘All persons in school year 8 (aged 12 to 13 years) who have received the HPV vaccine as a percentage of all eligible persons in school year 8 (aged 12 to 13 years) within each area’. HPV vaccination coverage in Bury for the period 2023/24 is at 67.4%, lower than England average of 72.9% and lower than the national target of 90% or higher (Child and Maternal Health, 2024). Bury would have needed to vaccinate 264 additional individuals aged 12-13 years to reach the national target of 90% or higher in 2023/24.
Examining trend data for Bury from 2019/20 to 2023/24, coverage increased from 78% in 2019/20 to 84.7% in 2021/22, followed by a period of decline to 79.4% in 2022/23 and 67.4% in 2023/24. Throughout this period, Bury coverage has not met the national target of 90%. Coverage in England increased sharply from 59.2% in 2019/20 to 76.7% in 2020/21, followed by a decline to 69.6% before increasing to 71.3% in 2022/23 and 72.9% in 2023/24.
Throughout the period from 2019/20 to 2023/24, coverage in Bury consistently remained higher than England (Figure 3).
Figure 3: HPV vaccination coverage for one dose (12 to 13 year old) for Bury and England from the period 2013/14 to 2023/24 (Child and Maternal Health, 2024)
Bury has the 3rd lowest coverage in its group of statistical neighbours with the highest in Stockport at 88.3% and lowest in Rochdale at 65.4%Â (Child and Maternal Health, 2024).
Data on inequalities for Bury and England are only available by sex. Coverage in males in Bury (58.6%) is lower than females (67.4%). Similarly, coverage in males (67.7%) is lower than females (72.9%) in England.
No geographical by PCN or GP level data are present for the HPV vaccine.
Emergency care
This section provides data on emergency cases requiring immediate attention for young people in Bury. The data can assist in identifying gaps in care, effective resource allocation, assessment of management of diseases, informing prevention efforts and evaluating healthcare services.
Common causes for emergency hospital admissions in young people often include respiratory ailments like asthma and pneumonia, which can make them susceptible to infections. Certain chronic conditions like diabetes and epilepsy may require hospitalisation for effective management and monitoring.
Accidental injuries resulting from falls and mishaps, leading to fractures and head trauma, also contribute significantly. Moreover, mental health concerns, including self-harm and contemplation of self-harm, have emerged as crucial matters, highlighting the need for comprehensive support and assistance. Admissions from injuries and mental health concerns will be presented in their relevant sections.
Certain indicators included in the section on school-age children are also relevant to young people. Therefore, these indicators are included here to provide a comprehensive overview of the health and well-being of young individuals.
Emergency admissions (aged under 18 years)
Emergency admissions for children and young people under 18 years of age are available as crude rate per 1,000 population aged under 18 years.
Emergency admissions for children and young people under 18 years of age in Bury for period 2023/24 is 46.7 declining from 70 in 2022/23, statistically better than the England average of 69.1. No trend data are available for Bury and England.
Bury has the lowest rate of emergency admissions in its group of 6 statistical children service neighbours with the highest rate in Stockton-on-Tees at 105.7(Child and Maternal Health, 2025).
Data on inequalities for Bury are available by sex only with statistically similar rates to Bury average for both males (46.7 per 1,000) and females (46.5 per 1,000) (Child and Maternal Health, 2025). England data are available by sex and levels of deprivation. Males aged under 18 years have a higher admission rate (72.6 per 1,000) compared with females (64.7 per 1,000). Data by deprivation in England suggests a deprivation gradient with higher emergency admission rates in the most deprived decile of 81.5 compared with 62.8 in the least deprived decile for the year 2023/24 (Child and Maternal Health, 2025).
A&E attendances (under 18 years)
A&E visits among children and young individuals under the age of 18 are often avoidable and commonly caused by accidental injuries or minor illnesses that could have been treated in primary care settings. From 2008 to 2012, there were over 320,000 road-related injuries and 2,300 road fatalities involving children and young people under the age of 25 in England. In the year 2014/15, there were 19.6 million recorded attendances at major A&E departments, single specialty A&E departments, walk-in centres and minor injury units in England. Approximately one-quarter (25.9%) of these attendances were made by children and young people aged 0-19 years.
This indicator covers A&E attendances for children as crude rates per 1,000 population aged under 18 years. We have included this indicator as the age range covers school-aged children.
A&E attendances for children and young people as crude rates per 1,000 population aged under 18 years under in Bury for 2023/24 was 438.3 per 1,000 population aged under 18 years and statistically better than England average of 460.3 (Child and Maternal Health, 2024). The rates in Bury declined from 458.5 in 2021/22 to 448.2 in 2022/23 and 438.3 in 2023/24. Rates in England remained increased with a slight fluctuation from 439.8 in 2021/22 to 460.3 in 2023/24.
Figure 4: A&E attendance rate per 1,000 population aged 0-17 years for Bury and England from the period 2021/22 to 2023/24 (Child and Maternal Health, 2024)
Bury has the 7th highest rate of A&E attendance rates in its group of 16 similar local authorities neighbours with the highest rate in Stockton-on-Tees of 684.6 and lowest rate in Bracknell Forest at 288 for the year 2023/24 (Child and Maternal Health, 2024).
Data on inequalities for Bury are available by sex only with higher rates in males (459.4 per 1,000) and lower in females (415.9 per 1,000) compared to Bury average (Child and Maternal Health, 2024). England data are available by sex and levels of deprivation. Similar to Bury, Males under 18 years of age have a higher (483.9 per 1,000) A&E attendance rate and females have lower (435.6 per 1,000) compared to England average. Data by deprivation based on deprivation deciles suggests decreasing emergency admission rates with increasing levels of deprivation. The most deprived decile in England has an attendance rate of 560.7 compared with 354.2 in the least deprived decile for the year 2023/24 (Child and Maternal Health, 2024).
Asthma
Asthma is the most common chronic medical condition in children and young people in the UK (1.1 million) and it is characterised by varying levels of inflammation in the airways. Symptoms of airways inflammation include coughing, wheezing, shortness of breath and chest tightness. Standard asthma therapies, when used regularly and correctly, can control inflammation and symptoms in most children. Having well-controlled asthma reduces the likelihood of needing hospital care.
Acute asthma episodes are preventable. Often, asthma symptoms are accepted as normal, leaving airway inflammation untreated, increasing chances of those suffering from asthma having a life-threatening asthma attack. As a result, there are increased rates of acute care episodes and preventable deaths.
Understanding local trends in emergency admissions for asthma in children and young people with this long-term condition, as well as benchmarking against geographical and statistical neighbours, will aid in service review and redesign (Child and Maternal Health, 2024).
Hospital admissions for Asthma (under 19 years)
This indicator covers emergency admissions for asthma under 19 years of age as crude rates per 100,000 population
Emergency admissions crude rate for asthma under 19 years in Bury for 2023/24 was 107.9 per 100,000 population aged under 19 years, statistically better compared to England average of 148.6 (Child and Maternal Health, 2024).
Asthma hospital admissions among under-19s in Bury have shown a significant overall decline from 2013/14 to 2023/24. In 2013/14, asthma hospital admissions among under 19 years in Bury was 279.6 per 100,000. This rose to a peak of 343.7 in 2014/15 and remained high through 2015/16. However, from 2016/17 onward, the trend began to decline with some fluctuations and a particularly sharp drop in 2020/21, where the rate fell to 108.4. This was likely influenced by pandemic-related factors. Although there was a slight rebound in 2021/22 to 174.0, the rate continued to decline again, reaching the lowest rate of 107.9 in 2023/24. Based on 5 most recent data points, trend in Bury shows no significant change.
Asthma hospital admissions among under-19s in England have also shown a general downward trend from 2013/14 to 2023/24. In 2013/14, the admission rate in England was 197.6 per 100,000. This rose slightly to 217.1 in 2014/15, before gradually declining over the following years. By 2016/17, the rate had dropped to 204.7 and continued to fall to 181.3 in 2018/19. A more pronounced decrease occurred in 2020/21, when the rate fell to 76, likely due to reduced exposure to asthma triggers during the COVID-19 pandemic. Although there was a modest increase to 131.5 in 2021/22, the rate declined again in subsequent years, reaching 148.6 in 2023/24. Based on the five most recent data points, the trend in England shows no significant change (Figure 5).
Figure 5: Emergency hospital admissions for asthma under 19 years of age as crude rates per 100,000 population for Bury and England from the period 2013/14 to 2023/24
Bury has the 4th lowest rate of emergency admissions for asthma in its group of 16 statistical neighbours with the highest rate in Tameside of 420.4 and lowest rate in Bracknell Forest at 66.2 for the year 2023/24 (Child and Maternal Health, 2024).
Data on inequalities for Bury are available by sex and age. Males have higher emergency admissions (125.1) compared to females (89.5) but both remain similar to Bury average. Inequities by age suggests higher rates in 0-9 years age group (151.2) compared with 10-18 years (86.3). England data are available by age, sex and levels of deprivation. Rates in males are statistically higher (171.4) and in females, lower (123.6) compared with England average. Data by age suggests higher rates in 0-9 years (186.6) and lower rates in 10-18 years (109.6) compared with England average. Data by levels of deprivation suggests a deprivation gradient with higher rates in the most deprived decile (216.3) and lowest rates in the least deprived decile (84).
Diabetes
Insulin-dependent diabetes mellitus (IDDM), commonly known as type 1 diabetes, is a chronic (long-term) condition characterised by the inability of the pancreas to produce sufficient insulin. It primarily affects children and young individuals.
Effective management of insulin-dependent diabetes in children and young people plays a crucial role in preventing emergency admissions. With proper education and support, children and their families can learn to recognise and respond to warning signs and symptoms of complications. Timely monitoring of blood glucose levels, adherence to insulin regimens and regular healthcare follow-ups are key to preventing acute episodes. Additionally, promoting healthy behaviour including a balanced diet and regular physical activity, can help maintain stable blood sugar levels and reduce the risk of emergencies. By implementing comprehensive diabetes care programs, ensuring access to necessary medications and supplies and fostering awareness among healthcare providers, families and schools, the occurrence of emergency admissions related to insulin-dependent diabetes in children can be significantly reduced.
Hospital admissions for diabetes (under 19 years)
This indicator covers emergency admissions for diabetes among children and young people as crude rates per 100,000 population aged under 19 years of age.
For the year 2023/24, the crude rate of emergency admissions for diabetes in under-19s for Bury was 32.4 per 100,000 population, statistically similar to England average of 32.4 (Child and Maternal Health, 2024). Emergency admissions for diabetes among children and young people in Bury have shown a fluctuating trend from 2013/14 to 2023/24. In 2013/14, the crude rate was 67.1 per 100,000. This decreased to 55.4 in 2014/15 and dropped significantly to 22.1 in 2015/16. However, the rate rose again to 65.8 in 2016/17 and remained relatively high through 2018/19, reaching 76.2. A sharp increase occurred in 2019/20, with the rate peaking at 108.3. Since then, the trend has been downward, falling to 54.2 in 2020/21 and 43.3 in 2022/23. By 2023/24, the rate had declined further to 32.4 per 100,000. Based on the five most recent data points, the trend in Bury is decreasing and getting better.
Emergency admissions for diabetes among children and young people in England have remained relatively stable from 2013/14 to 2023/24. In 2013/14, the crude rate was 57.1 per 100,000. This remained fairly consistent over the next few years, with rates of 56.1 in 2014/15, 55.8 in 2015/16 and 55.6 in 2016/17. A slight decline followed, with the rate dropping to 52.0 in 2017/18 and 51.5 in 2018/19. The rate remained steady at 52.9 in 2019/20 and dipped to 49.4 in 2020/21. A small increase occurred in 2021/22 to 58.0, followed by a decline to 52.4 in 2022/23 and 49.8 in 2023/24 (Figure 6).
Figure 6: Emergency hospital admissions for diabetes under 19 years of age as crude rates per 100,000 population for Bury and England from the period 2013/14 to 2023/24
In 2023/24, Bury had the 2nd lowest rate of emergency admissions for diabetes among its group of 16 similar statistical neighbours, with Calderdale having the highest rate at 84.1 and Sutton the lowest rate of 28.6 for the same period (Child and Maternal Health, 2024).
Data on inequalities for Bury are available by sex for males only. Males have an admission rate of 41.7 in 2023/24. England data are available by age, sex and levels of deprivation. Rates in males are statistically lower (47.8) and in females (51.2) statistically similar compared with England average. Data by age suggests lower rates in 0-9 years (28.9) and higher rates in 10-18 years (71.1) compared with England average. Data by levels of deprivation suggests a deprivation gradient with higher rates in the most deprived decile (216.3) and lowest rates in the least deprived decile (84).
For 2021/22 admission rates in males and females are statistically similar to average for Bury, however females have slightly higher rates (92.3) compared with males (86.1). Data by sex in England indicates statistically lower rates in males (69.1) and statistically higher rates in females (77.5) when compared to the overall average for England. Data by deprivation based on deprivation deciles suggests increasing emergency admission rates with increasing levels of deprivation. However for 2023/24, the second most deprived decile had the highest admission rate of 54.4 compared to 41.5 in most deprived decile in England and 52.4 in the least deprived decile.
Epilepsy
Epilepsy is a neurological condition characterised by recurring seizures. Seizures occur due to abnormal electrical activity in the brain, causing temporary disruptions in normal functioning. These seizures can present in various ways, such as convulsions, loss of consciousness, confusion, or unusual sensations. The causes of epilepsy in children and young people can be diverse, including genetic factors or brain injuries, although some cases have unknown origins. Collaborating closely with healthcare professionals is crucial for developing an individualised treatment plan, which may involve medications or other interventions to effectively manage and control seizures.
Emergency hospital admissions of children and young people aged 10-19 years with a primary diagnosis of epilepsy provides valuable insights into the management and impact of epilepsy in this age group. These admissions reveal instances where individuals with epilepsy experienced seizures that required immediate medical attention and hospitalisation. Monitoring the frequency and causes of these emergency admissions can help identify potential gaps in epilepsy management, including medication adherence, seizure control and access to specialised care. It also highlights the need for effective education and support for families, caregivers and healthcare professionals in managing epilepsy and preventing seizures. By analysing these admissions, healthcare providers and policymakers can work towards improving epilepsy care, reducing the occurrence of status epilepticus and improving the overall wellbeing of children and young people with epilepsy.
Hospital admissions for epilepsy (under 19 years)
This indicator covers emergency admissions for epilepsy among young people presenting the crude rates per 100,000 population aged under 19 years. The inclusion of this indicator is based on the age range's relevance to young people.
For the year 2023/24, the crude rate of emergency admissions for epilepsy among young people under 19 years of age in Bury was 32.4 per 100,000 population, which is statistically better than the England average of 79.3 (Child and Maternal Health, 2024).
Emergency admissions for epilepsy among children and young people in Bury have shown a fluctuating trend from 2013/14 to 2023/24. In 2013/14, the crude rate was 55.9 per 100,000. This rose sharply to 99.8 in 2014/15 and remained high at 88.4 in 2015/16. The rate then dropped to 54.9 in 2016/17, followed by a slight increase to 65.4 in 2017/18. Another rise occurred in 2018/19, reaching 87 and remained similar at 86.6 in 2019/20. Since then, the trend has been downward, falling to 75.9 in 2020/21 and 54.4 in 2021/22. By 2023/24, the rate had declined further to 32.4 per 100,000. Based on the five most recent data points, the trend in Bury is decreasing and getting better (Figure 7).
Emergency admissions for epilepsy among children and young people in England have shown a gradual decline from 2013/14 to 2021/22. In 2013/14, the crude rate was 77.8 per 100,000. This decreased slightly to 75 in 2014/15 and remained relatively stable at 77.1 in 2015/16. A more noticeable decline began in 2016/17, with the rate falling to 72.8, followed by 73.0 in 2017/18. The rate remained steady at 77.9 in 2018/19 and 79.6 in 2019/20. However, a sharper decline occurred in 2020/21, when the rate dropped to 67.1. By 2021/22, the rate started increasing from 73.5 to 79.3 per 100,000 in 2023/24.
Figure 7: Emergency hospital admissions for epilepsy under 19 years of age as crude rates per 100,000 population for Bury and England from the period 2013/14 to 2023/24
Regarding inequalities, sex data are available for females in Bury at 44.7 per 100,000, statistically similar to Bury overall average. Data by age for Bury are only available for the 0-9 age groups at 43.2 per 100,000 and statistically similar to Bury average. However, data by sex for England reveals statistically higher admission rates for epilepsy among males (84.3 per 100,000) and statistically lower rates for females (72.8 per 100,000) when compared to overall England average. Data by age suggests higher rates in 0-9 years (96) and lower rates in 10-18 years (62.3) compared with England average. A slight deprivation gradient is observed by deprivation decile, with less deprived deciles (64.6 in least deprived and 60.4 in third less deprived deciles) having lower emergency admission rates. Conversely, children in the most deprived decile (87.3) have the highest emergency admission rate (Child and Maternal Health, 2024).
Injuries
Injuries are a leading cause of hospitalisation and premature mortality in children and young people. They are also a source of long-term health problems, such as mental health issues related to the experience(s).
Examining hospital admissions caused by unintentional and deliberate injuries in young people is fundamental for public health surveillance, injury prevention planning, resource allocation, policy development and evaluation of interventions. Understanding the causes of hospital admissions helps shape child safety policies, ensures appropriate allocation of healthcare resources and allows evaluation of preventive measures. This helps create safer environments for young people and promotes their overall well-being.
Hospital admissions caused by unintentional and deliberate injuries in young people aged 15-24 years
Data on hospital admissions for young people aged 15-24 due to unintentional and deliberate injuries are available in the form of a crude rate. This rate represents the number of admissions per 10,000 population in the same age group. Specifically, for Bury, in the period of 2023/24, the rate of hospital admissions caused by unintentional and deliberate injuries was 83.9 per 10,000 population 15-24 years of age. This rate is statistically similar to the national average of 88.6 for England (Child and Maternal Health, 2025). In Bury, rates declined with some fluctuations from 143.9 in 2010/11 to 120.6 in 2015/16. This was followed by a steady increase, reaching a peak of 163.4 in 2019/20. However, rates then began to fall sharply: dropping to 141.3 in 2020/21, 118.4 in 2021/22, 93.9 in 2022/23 and reaching a current low of 83.9 in 2023/24.
In contrast, rates in England showed a more gradual decline from 143.9 in 2010/11 to 112.1 in 2020/21. A slight increase occurred in 2021/22, bringing the rate to 118.4, followed by a sharp drop to 93.9 in 2022/23 and further to 88.6 in 2023/24 (Figure 8).
Figure 8: Hospital admissions per 10,000 caused by unintentional and deliberate injuries in young people aged 15-24 years for Bury and England from the period 2010/11 to 2023/24 (Child and Maternal Health, 2024).
In comparison to its six neighbouring statistical children services, Bury has the 2nd lowest rate of hospital admissions within this age range. The highest rate among Bury neighbours is observed in Sefton, with a rate of 110.6 per 10,000 population 15-24 years of age, while the lowest rate is in Calderdale, at 71.8 per 10,000 residents (Child and Maternal Health, 2024).
Data on inequalities in Bury are present by sex only with rates of hospital admissions in females of 99 per 100,000 and in males of 70.5 per 100,000. Both the rates are statistically similar to Bury average (Child and Maternal Health, 2024).
Data for England by sex shows lower rates for females at 86.9 hospital admissions per 10,000 residents 15-24 years of age (statistically better compared to overall England average) and rate for males at 89 per 10,000 residents 15-24 years of age, (Child and Maternal Health, 2024).
Examining the data based on levels of deprivation, there is a reverse gradient by levels of deprivation. The highest rate of admissions are in the 3rd least (94.9) and fourth less deprived decile (93) and the lowest rates are observed in the 3rd most (79.9) and 2nd most deprived decile, with a rate of 82.8 per 10,000 residents (Child and Maternal Health, 2024).
Mental Health
Understanding and addressing mental health in children is essential for their overall well-being. Various risk factors, including adverse childhood experiences, family dynamics, socioeconomic factors and access to mental health services, can impact children's mental well-being.
Hospital admissions for mental health conditions (<18 years of age)
One in ten children and young people aged 5-16 years has a clinically diagnosable mental health problem and, of adults with long-term mental health problems, half will have experienced their first symptoms before the age of 14. Self-harming and substance abuse are known to be much more common in children and young people with mental health disorders, with 10% of 15-16 year olds having self-harmed. Failure to treat mental health disorders in children and young people can have a devastating impact on their future, resulting in reduced job and life expectations.
Hospital admissions for mental health conditions are presented as crude inpatient admission rate for mental health disorders per 100,000 population aged 0-17 years. The crude rate in Bury for 2023/24 was at 68.2, statistically similar to England’s average of 80.2 (Child and Maternal Health, 2024). Hospital admissions for mental health conditions among children and young people aged 0–17 in Bury have shown a fluctuating trend from 2010/11 to 2023/24. In 2010/11, the crude rate was 119.4 per 100,000. This was followed by a sharp decline to 71.5 in 2011/12. The rates then steadily increased over the following years to a peak of 140.1 in 2014/15. This was followed by a sharp decline to 93.0 in 2015/16 and 57.7 in 2016/17. A rebound occurred in 2017/18 with a rate of 91.6, but the trend gradually declined again, reaching 79.8 in 2018/19 and remaining relatively stable through 2020/21. A slight increase to 91.4 was observed in 2021/22, followed by a drop to 68.4 in 2022/23 and 68.2 in 2023/24. Based on the five most recent data points, the trend in Bury shows no statistically significant change.
The trend in England has seen an overall decline with slight fluctuations from 2010/11 to 2022/23. In 2010/11, the crude rate was 92.1 per 100,000, steadily declining over the following years to 82.3 in 2016/17. This was followed by a period of increase to 99.8 in 2021/22, a decline to 80.8 in 2022/23 and 80.2 in 2023/24.From 2019/20 to 2023/24, the trend in England mirrored Bury (Figure 9).
Figure 9: Crude rates of hospital admissions for mental health conditions per 100,000 population aged 0-17 years for Bury and England from the period 2010/11 to 2023/24 (Child and Maternal Health, 2024).
Bury has the 7th highest admission rates from its group of 16 similar statistical neighbours with the highest rate in Swindon at 103.8 and lowest in Trafford at 44.6 (Child and Maternal Health, 2024)
Data on inequalities in Bury are available by sex only. The admission rate for females was 94 per 100,000, which is in line with the Bury average. For males, the rate was 44.1 per 100,000, also similar to the Bury average (Child and Maternal Health, 2024).
England data by sex shows higher admission rates in Females at 106.8 (statistically significant compared to overall England average) and males (statistically better compared to overall England average) at 53.5 (Child and Maternal Health, 2024). Examining data by deprivation for England shows increasing rates of hospital admissions for mental health conditions (<18 years) by decreasing levels of deprivation. The highest rate is in the third less deprived decile (86.6) and the lowest rate (71.1) is in the most deprived decile for 2023/24 (Child and Maternal Health, 2024).
Hospital admissions as a result of self-harm (10-24 years)
Analysing data on hospital admissions for self-harm in young people provides valuable insights into the prevalence, patterns and severity of self-harm behaviours among young people. Hospital admissions for self-harm in young people have increased in recent years, with admissions for young women being much higher than admissions for young men. With links to other mental health conditions such as depression, the emotional causes of self-harm may require psychological assessment and treatment. This information helps identify high-risk groups, tailor interventions and provide timely support and prevention strategies. Accurate and comprehensive data on hospital admissions for self-harm in children is essential for shaping effective mental health policies, improving service provision and promoting the mental well-being of young people.
Data for this indicator are presented as directly standardised rate of finished admission episodes for self-harm per 100,000 population aged 10-24 years. Hospital admissions rate as a result of self-harm for Bury during the period 2023/24 was 255.9 per 100,000 population aged 10-24 years, statistically similar to England average of 266.6 (Child and Maternal Health, 2024). Rates for Bury remained relatively stable with slight fluctuations from 400.6 in 2010/11 to 402.9 in 2015/16. The rates then increased gradually from 448.1in 2016/17 to 545.8 in 2020/21 before declining gradually to 407.9 in 2021/22 and the lowest rate of 255.9 in 2023/24.
Data for Bury suggests that the rates in Bury increased from 347.4 in 2010/11 to 429.3 in 2016/17. The rates then remained fairly stable with slight fluctuations to 426.7 in 2021/22, before declining gradually to 266.6. Figure 10 shows the trend for Bury, which is decreasing (statistically significant) and getting better.
Figure 10: Hospital admissions as a result of self-harm (10 to 24 years), directly standardised rate per 100,000 population for Bury and England from the period 2011/12 to 2023/24 (Child and Maternal Health, 2024)
In comparison to its six neighbouring statistical children services, Bury has the 3rd highest rate of hospital admissions within this age range (255.9). The highest rate among Bury neighbours is observed in Sefton, with a rate of 316.1 per 100,000 population 10-24 years of age, while the lowest rate is in Calderdale, at 202.6 per 100,000 population (Child and Maternal Health, 2024).
Data on inequalities in Bury are present by sex only. They indicate significantly higher rates of hospital admissions in females (statistically significant), with a rate of 408.2 per 100,000. On the other hand, males in Bury have a rate of 118.6 per 100,000, which is statistically lower than the England average (Child and Maternal Health, 2024).
Data for England by sex suggests a similar pattern with higher (statistically significant compared to overall England average) hospital admissions rates in females of 432.8 per 100,000 and lower (statistically significant) rates in males of 104.3 per 100,000 (Child and Maternal Health, 2024).
Generally, higher rates of hospital admissions related to self-harm among females reflects complex emotional and societal realities. Females often find themselves navigating a path that can lead to feelings of intense pressure or distress, sometimes culminating in acts of self-harm. Influences such as societal expectations around appearance and traditional roles can intensify this journey. It's worth noting that females also tend to experience certain mental health challenges, like anxiety and depression, at a higher rate. These conditions are known to increase vulnerability to self-harming behaviours. However, these numbers solely represent hospital admissions and don't necessarily encompass the full spectrum of individuals who self-harm. In fact, males might not always reach out for or receive the help they need as readily.
Examining the England data based on levels of deprivation, the lowest rates of admission are in the 3rd more deprived decile (210.5) and the highest rate of admissions are in the 3rd less deprived (316.8), the 2nd least less deprived (309.8) and the 4th less deprived decile (197.1) (Child and Maternal Health, 2024).
Substance misuse
This section presents publicly available information on substance misuse, including alcohol, in young people in Bury. It is important to note that substance misuse goes beyond recreational drug use and includes alcohol consumption. There are indications that young individuals engaging in recreational drug use and excessive alcohol consumption face potential harm to their mental well-being, including the risk of suicide, depression and disruptive behaviour disorders. Consistent usage of cannabis, other substances and alcohol can also result in dependency. For individuals aged 10 to 15, an elevated probability of substance misuse, including alcohol, is associated with various negative encounters and behaviours, such as skipping school, being expelled, experiencing homelessness, being in foster care and engaging in serious or frequent criminal activities.
Admission episodes for alcohol-specific conditions - Under 18s
The role of alcohol consumption in hospital admissions and mortality from various health conditions is noteworthy. Estimated annual expenditures stand around £3.5 billion for the NHS and £21 billion for society due to alcohol misuse. The government states that collective efforts are required to mitigate the excessive use of alcohol. In this context, this indicator serves as a pivotal strategy by the government and the Department of Health, to facilitate tangible, data-driven prevention activities at the local level. It aligns with the national goals outlined in the Government's Alcohol Strategy to decrease harm and is monitored through the Responsibility Deal Alcohol Network. Alcohol-related admissions can be reduced via local strategies aimed at lessening alcohol misuse and related harm.
This indicator presents admissions to hospital for under 18s where the primary diagnosis or any of the secondary diagnoses are an alcohol-specific (wholly attributable) condition as crude rate per 100,000 population under 18 years of age. (OHID, 2025)
For the period 2021/22-23/24, the crude rate of admission episodes for alcohol-specific conditions for children and young people under 18 years of age in Bury was 9.9 per 100,000 statistically better compared to England average (Child and Maternal Health, 2024).
Examining trend for Bury, alcohol-specific admission rate steadily declined from the highest rate of 43.1 in 2012/13-14/15 to 26.7 in 2016/17-18-2019. This was followed by an increase in 2017/18-19/20 to 34.2 before declining each period to 9.9 in 2021/22-23/24. The decline in Bury signals a reduction in alcohol-specific admissions in the area, suggesting possible successful interventions or changes in drinking behaviours amongst this age group.
England saw a consistent gradual decline, although at a less pronounced rate as Bury, from 39.2 in 2012/13-14/15 to 22.6 in 2021/22-23/24 (Child and Maternal Health, 2024) (Figure 11). The trend for Bury could not be calculated.
Figure 11: Crude rates of admission episodes for alcohol-specific conditions rate per 100,000 population under 18 years of age for Bury and England from the years 2012/13-14/15 to 2021/22-23/24 (Child and Maternal Health, 2024)
For 2021/22-23/24 Bury has the lowest crude rates of admission episodes for alcohol-specific conditions rate per 100,000 population under 18 years of age in its group of 6 statistical children service neighbours with the highest rate in Stockton-on-Tees at 29.8 and Lancashire the 2nd lowest at 23.5 (Child and Maternal Health, 2024).
Data on inequalities for Bury are available by sex only, with higher rates of admissions in females (11.0) compared with males (8.8). The rates in males and females are statistically similar to Bury average. Data by sex for England suggests that there are higher rates (30.0) of alcohol admissions in females compared with males (15.4). The rates in males are statistically lower and the rates in females are statistically higher than England average. Examining data by deprivation decile for alcohol-specific conditions admission rates in children under 18 years of age, the 5th more (26.2) and 3rd less deprived decile (25.7) in England has the highest rate and lowest rate of 19.1 is in the least deprived decile for the period 2021/22-2023/24 (Child and Maternal Health, 2024).
Hospital admissions due to substance misuse (15 to 24 years)
This indicator presents directly standardised rate of hospital admission for substance misuse, per 100,000 population aged 15 to 24 years. (OHID, 2025)
For the year period 2021/22-23/24, the directly standardised rate of hospital admission for substance misuse, per 100,000 population aged 15 to 24 years in Bury was 44.7 per 100,000, statistically similar to England average of 47.4 per 100,000 (Child and Maternal Health, 2024).
Examining the trend in the directly standardised rate of hospital admission for substance misuse per 100,000 population aged 15 to 24 years in Bury from 2008/09 to 2020/21, the admission rate increased from 79.7 in 2008/09–10/11 to a peak of 133.2 in 2011/12-13/14. The rate dropped to 91.0 in 2014/15-16/17 and continued to decline to 71.8 in 2016/17-18/19 then continued to fluctuate until dropping to its lowest rate of 44.7 in 2021/22-23/24.
When examining the trend for England, the directly standardised rate per 100,000 of hospital admission for substance misuse among young people aged 15 to 24 years showed a steady increase in 2008/09-10/11 from 63.5 to its highest rate of 94.9 in 2013/14-15/16. It then steadily declined to 47.4, its lowest rate, in 2021/22-23/24 (Figure 12).
Figure 12: Directly standardised rate of hospital admissions for substance misuse among young people aged 15 to 24 years for Bury and England from period 2008/09-10/11 to 2021/22-23/24 (Child and Maternal Health, 2024)
Bury has the 2nd lowest rate of hospital admission for substance misuse per 100,000 population aged 15 to 24 years in its group of 6 statistical children service neighbours with the highest rate in Sefton at 61.1 and the lowest in Lancashire at 43.5 (Child and Maternal Health, 2024).
Data on inequalities for Bury are available by sex only, with higher rates of admissions in females (55.0) compared with males (35.9). The rates in males and females are statistically similar to Bury average. Data by sex for England suggests that there are slightly higher rates (81.6) of hospital admission for substance misuse in females (48.9) compared with males (46.1). The rates in males is statistically similar to England average but the rate in females is statistically worse. Examining data by deprivation decile for hospital admission for substance misuse, the highest rates of hospital admission for substance misuse per 100,000 population aged 15 to 24 years are in the 5th less deprived decile at 60.6 and the lowest in the least deprived decile at 37.9.
Sexual and Reproductive Health
The term ‘sexual and reproductive health’ can be defined as a person’s right to a healthy body and the autonomy, education and healthcare to freely decide who to have sex with and how to avoid sexually transmitted infections or unintended pregnancy. sexual health is an integral part of overall health and well-being, ensuring everyone can have pleasurable and safe sexual experiences, free of coercion, discrimination or health risks.
The Sexual and Reproductive Health Profiles have been developed by the UK Health Security Agency (UKHSA) and Office for Heath improvement & Disparities (OHID) to support local authorities, public health leads and other interested parties to monitor the sexual and reproductive health of their population and the contribution of local public health related systems.
Next, we present the indicators available in the profiles that are specifically relevant to the age group of young people.
Under 18 conception rates
Maternal age is an important factor for pregnancy outcomes. Younger women are at higher risk of adverse pregnancy outcomes. For example, they are less likely to take a folic acid supplement which protects against the risk of neural tube defects such as spina bifida (Bestwick et al, 2014). Babies born to women under the age of 20 are also approximately 20% more likely to be of low birthweight (ONS, 2023). Teenage mothers are less likely to complete their education, are more likely to raise their child alone and in poverty and are at a greater risk for mental illness than their older counterparts. The infant mortality rate for babies born to teenage mothers is approximately 60% higher than that of babies born to older mothers. The children of teenage mothers are more likely to live in poverty and substandard housing and to experience accidents and behavioural issues. Raising a child as a teenager is difficult and frequently results in negative outcomes for the baby's health, the mother's emotional health and well-being and the likelihood of both parent and child living in long-term poverty (OHID, 2023).
Under 18 conception rate is measured as conceptions in women aged under 18 per 1,000 females aged 15-17 years. The rate for Bury in the year 2021 was 14.4 per 1,000 females aged 15-17 years statistically similar to England average of 13.1 (Sexual and Reproductive Health Profiles, 2024). Trend data are available for Bury and England (Figure 13).
Figure 13: Under 18 conception rate is measured as conceptions in women aged under 18 per 1,000 females aged 15-17 years (Sexual and Reproductive Health Profiles, 2021).
Compared to Bury 16 statistical neighbours, Bury has the 11th highest under-18 conception rate, with the highest rate in St. Helens at 25.9 and lowest in Swindon at 9.7 (Sexual and Reproductive Health Profiles, 2021). There are no data on inequalities at Bury level but England data suggests increasing conception rates with increasing levels of deprivation. The most deprived decile in England has an under-18 conception rate of 18.1 compared with 6.8 in the least deprived decile for the year 2021 (Sexual and Reproductive Health Profiles, 2021).
Under 18 conceptions leading to abortion
It is increasingly common for pregnant young women under 18 to have an abortion. Access to family planning and sexual health services and the availability of independent sector abortion provision, directly affect abortion proportions. More deprived areas in England have both higher conception rates and a lower proportion of under-18 pregnancies ending in abortion.
Most recent data for Bury for the year 2021 shows that 66% of under 18 conceptions led to abortion, higher (not statistically significant) than England average of 53.4%. Figure 14 presents the percentage of conceptions to those aged under 18 years that led to an abortion in Bury and England from the year 1998 to 2010. The percentage of abortions in Bury ranged from 38.6% in 2000 to 71.2% in 2019. From the year 1998 to 2000, there was a decrease in the percentage of abortions from 42.4% to 38.6% and then started to increase again. From the year 2001, the percentage of under 18 conceptions leading to abortion continued to increase from 46.8% to reach a peak of 71.2% in 2019, before declining to 70.5% in 2020 and 66% in 2021. The large fluctuation in data for Bury may be due to small numbers at the local level.
The trend in England is different from that observed in Bury with less fluctuation in the data ranging from 42.4% to 53.4% from 1998 to 2021. The percentage of abortions in under-18s increased steadily from 42.4% in 1998 to 50.5% in 2007, remaining stable until 2012 at 49.1% before steadily increasing to the peak in 2019 at 54.7% and slightly declining to 53.4% in 2021 (Figure 14). There is no significant change in trend in Bury based on the 5 most recent data points.
Figure 14: Percentage of under 18 conceptions leading to abortions for the years 1998 to 2021 for Bury and England (Sexual and Reproductive Health Profiles, 2021).
Bury has the 4th highest under 18 conceptions leading to abortion in its group of 16 similar local authorities with the highest percentage in Stockport at 71.2% and lowest percentage in Derby at 27.3%Â (Sexual and Reproductive Health Profiles, 2021). There are no data on inequalities within Bury but England data suggests increasing percentage of under 18 conceptions leading to abortion with increasing levels of deprivation. The most deprived decile in England has an under-18 abortion percentage of 47.9% compared with 63.5% in the least deprived decile for the year 2021 (Sexual and Reproductive Health Profiles, 2021).
Teenage mothers
Percentage (%) of births to teenage mothers in Bury for the year 2023/24 was 0,5%, statistically similar to England average of 0.6% (Sexual and Reproductive Health Profiles, 2024). The trend in teenage mothers (%) has shown a declining pattern from 2011/12 to 2017/18, with the rate decreasing from 1.4% to 0.4%. However, from 2018/19, there has been a slight increase in the rate, reaching 0.7% in 2019/20. It is important to note that no data are available for Bury for the year 2020/21, possibly due to the suppression of small numbers. The most recent data for the year 2022/23 and 2023/24 shows a slight decline to 0.5%.
The trend in teenage mothers (%) in England followed a steady decline from 1.5% in 2010/11 to 0.6% in 2018/19. The rate remained relatively stable from 2019/20, with slight fluctuations within the range of 0.6% to 0.7%. (Figure 15).
Figure 15: Percentage (%) of births to teenage mothers for Bury and England from the period 2010/11 to 2023/24 for Bury and England (Child and Maternal Health, 2024).
Bury has the 4th highest percentage of teenage mothers in its group of 6 statistical children service neighbours with the highest percentage in Sefton at 0.9% and the lowest percentage in Stockport at 0.4% (Child and Maternal Health, 2024). There are no data on inequalities within Bury but England data suggests increasing percentage of teenage mothers with increasing levels of deprivation. The most deprived decile in England has percentage of teenage mothers at 1.3% (statistically worse than England average) compared with 0.2% in the least deprived decile for the year 2024 (Child and Maternal Health, 2024). Data by ethnic groups suggest highest proportion of teenage mothers in the Mixed/Multiple ethnic groups (0.8%) and White (0.7%) ethnic groups and lowest in the Asian/Asian British including Chinese (0.0%).
Chlamydia
Chlamydia is the most commonly diagnosed bacterial sexually transmitted infection in England, particularly affecting young adults more than any other age group. It poses risks to sexual and reproductive health, including acute infections with symptoms and complications such as pelvic inflammatory disease (PID), ectopic pregnancy and infertility.
The National Chlamydia Screening Programme (NCSP) plays a crucial role in promoting opportunistic screening for sexually active individuals under 25 years old. In June 2021, changes to the program were implemented to prioritise reducing the reproductive harm caused by untreated infections, with a specific focus on offering screening to young women under 25 years old.
The chlamydia detection rate among individuals under 25 years old serves as a measure of chlamydia control efforts, aiming to decrease the incidence of reproductive complications associated with chlamydia and interrupting its transmission. A higher detection rate indicates increased control activities, although it does not directly measure morbidity. The inclusion of this indicator in the Public Health Outcomes Framework (PHOF) enables monitoring of progress in controlling chlamydia and ensuring the delivery of accessible and high-volume chlamydia screening services. It serves as a tool to assess the effectiveness of chlamydia control strategies and their impact on public health outcomes.
Chlamydia detection rate per 100,000 aged 15 to 24 (persons)
This indicator is defined as all chlamydia diagnoses in 15 to 24 year olds attending sexual health services (SHSs) and community-based settings, who are residents in England, expressed as a crude rate per 100,000 population. Data excludes people accessing services located in England who are residents in Wales, Scotland, Northern Ireland or abroad. The England total includes tests which did not have sufficient location information to be attributed to a local authority of residence.
Chlamydia detection rate in young people aged 15-24 years in Bury for the year 2024 was 1,240 per 100,000 population aged 15-24 years, statistically similar to benchmark goal of 2,400 to 3,250. In Bury, the trend for Chlamydia detection crude rates per 100,000 population aged 15 to 24 has fluctuated. The rates started at 2,366 in 2012 and gradually decreased to 1,160 in 2021. However, there was a slight increase to 1,662 in 2022, further increase in 2023 to 1,838 before declining to the lowest rate of 1,240 per 100,000 in 2024.
The trend in Chlamydia detection crude rates per 100,000 population aged 15 to 24 in England was the lowest in 2024. The rates started at 2,095 in 2012 and steadily declined to 1,914 in 2015. It then increased each period to 2,050 in 2019 then declined for the next 2 years. Following this, the rates increased again in 2022 to 1,609 before declining to 1,516 in 2023 and 1,250 in 2024 (Figure 16).
Figure 16: Chlamydia detection rate in young people aged 15-24 presented as crude rate per 100,000 population aged 15-24 years for the years 2012 to 2024 for Bury and England (Sexual and Reproductive Health Profiles, 2024).
Bury has the 8th highest Chlamydia detection rate in its group of 16 similar local authorities with the highest rate in Rochdale at 1,792 per 100,000 and lowest rate in Bolton at 877 per 100,000 (Sexual and Reproductive Health Profiles, 2024). Detailed information on inequalities is not available for Bury for 2023. England data for deprivation suggests increasing chlamydia detection rate with increasing levels of deprivation. The highest detection rates are in the 4th more (1,449) and the lowest rates are in least (948) decile (Sexual and Reproductive Health Profiles, 2024).
Chlamydia detection rate per 100,000 aged 15 to 24 (female)
In Bury, the Chlamydia detection rate per 100,000 population aged 15 to 24 (female) in 2024 was 1,455, which was statistically worse than benchmark goal of <2,400. In Bury, the trend in Chlamydia detection crude rates per 100,000 population aged 15 to 24 (female) declined slightly with some fluctuations from 3,254 in 2012 to 2,781 in 2019. In 2020, the rate declined sharply to 1,928 and to 1,566 in 2021. The rates then increased to 1,831 in 2022 and 2,371 in 2023, before sharply declining to 1,455 in 2024. Based on the five most recent data points, Bury has not shown any significant trend in Chlamydia detection rates.
In England, the trend in Chlamydia detection crude rates per 100,000 population aged 15 to 24 (female) remained stable with some fluctuations from 2,723 in 2012 to 2,717 in 2019.The rate then sharply declined to 1,687 in 2021. In 2022, the rate increased to 2,044 before sharply declining to 1,589 (Figure 17).
Figure 17: Chlamydia detection rate in young people aged 15-24 (female) presented as crude rate per 100,000 population aged 15-24 years for the years 2012 to 2024 for Bury and England (Sexual and Reproductive Health Profiles, 2024).
Among its group of 16 similar local authorities, Bury has the 9th highest Chlamydia detection rate per 100,000 population aged 15 to 24 (female). The highest rate within this group is observed in Rotherham at 2,375 per 100,000, while the lowest rate is seen in Bedford at 1,176 per 100,000 (Sexual and Reproductive Health Profiles, 2024). No data on inequalities are present for Bury. England data suggests increasing chlamydia detection rate with increasing levels of deprivation. The highest detection rates are in 2nd most (1,819) and most deprived decile (1,778) in England and the lowest rates are in least (1,131) deprived decile (Sexual and Reproductive Health Profiles, 2024).
Chlamydia detection rate per 100,000 aged 15 to 24 (Male)
Chlamydia detection rate per 100,000 aged 15 to 24 (male) in Bury for the year 2024 was 899 per 100,000 population aged 15-24 years. Chlamydia detection rates among males aged 15 to 24 in Bury have shown a fluctuating but overall declining trend from 2012 to 2024. In 2012, the detection rate was 1,484 per 100,000, which dropped to 1,148 in 2013. After a brief rise to 1,310 in 2014, the rate declined again to 924 by 2016. A slight increase occurred in 2017 to 1,017, followed by another dip to 944 in 2018. The rate peaked again at 1,208 in 2019 before falling sharply to 757 in 2020 and further to 506 in 2021, likely influenced by reduced testing during the COVID-19 pandemic. Since then, the rate has gradually increased, reaching 899 in 2024. Based on the five most recent data points, the trend in Bury shows no significant change.
Detection rates among males aged 15 to 24 in England have also declined overall from 2012 to 2024. The rate was 1,447 per 100,000 in 2012 and remained relatively stable through 2014. A gradual decline followed, with the rate falling to 1,290 in 2016 and remaining around that level until 2019. A sharp drop occurred in 2020 to 912, followed by a further decrease to 871 in 2021. Although there was a slight recovery to 1,071 in 2022, the rate declined again to 837 in 2024 (Figure 18).
Figure 18: Comparison of Chlamydia detection rate in young people aged 15-24 (male) presented as crude rate per 100,000 population aged 15-24 years for the period 2012 to 2024 for Bury and England (Sexual and Reproductive Health Profiles, 2024).
Among its group of 16 similar local authorities, Bury has the 3rd highest Chlamydia detection rate per 100,000 population aged 15 to 24 (male). The highest rate within this group is observed in Rochdale at 957 per 100,000, while the lowest rate is seen in Bolton at 478 per 100,000 (Sexual and Reproductive Health Profiles, 2024). No data on inequalities are present for Bury. England data suggests increasing chlamydia detection rate with increasing levels of deprivation. The highest detection rates are in the 4th more (1,069) and third more deprived decile (992) in England and the lowest rates are in least (642) and 2nd least deprived (669) decile (Sexual and Reproductive Health Profiles, 2024).