Vaccination inqualities in West Sussex

This section has been produced to explore inequalities or differences in vaccination uptake among different groups, be it different age groups or people in different geographical areas.

Not all age groups are currently being invited for a vaccination and so it can be simply that those areas with lower uptake have more people in younger groups or have less people from clinically extremely vulnerable or health and social care staff groups. As such, it is important to look at those groups where we expect all individuals should have been invited (e.g. those aged 25 and over and those aged 65 and over who have been eligible for some weeks now).

In addition to geographical differences, we explore measures of deprivation and how this may relate to vaccination uptake locally.

In addition to local variation, we also explore variation in uptake among different ethnic groups, although this is at a wider Integrated Care System (ICS) / Sustainability Transformation Partnership (STP) of Residence (of which Sussex Health and Care Partnership covers the whole of Sussex). Ethnicity data is not available at a more granular or local level and there are currently no denominator or population estimates available to indicate the proportions of uptake among these groups.

Finally, we explore potential inequalities in access to vaccination sites across the Sussex area.

Each week, NHS England publish additional data on vaccine uptake, with new age groups being added as more people are vaccinated. It is possible that

Local vaccination uptake

The table below shows the local areas with the lowest uptake of at least one dose of a COVID-19 vaccination.

By default, it shows neighbourhoods (MSOA's) in Adur but you can search for a local authority area in Sussex, or an MSOA by name. You can also sort the table by by clicking on any of the headers. Click the header again to change the direction of the sort (e.g. from ascending to descending order, and vice versa).

Local vaccination uptake and deprivation

A measure of local (neighbourhood) relative deprivation is available from the Ministry of Housing, Communities & Local Government which classifies small areas as more or less deprived compared to others. More information is available here.

The IMD 2019 score is provided at Lower layer Super Output Area (LSOA) level, and we have used population weighted averages to aggregate this up to Middle layer Super Output Area (MSOA) level to coincide with the geography at which vaccination statistics are published.

The IMD 2019 ranks areas from most (rank of 1) to least (rank of 6,791) deprived nationally. We have also calculated ranks within Sussex (Brighton and Hove, East Sussex, and West Sussex MSOAs).

The map below shows the relative neighbourhood deprivation across Sussex. Hover over the box in the top right hand corner to change from neighbourhoods ranked nationally or within Sussex, or to see the proportion of adults in the age groups currently eligible for vaccination. You can also see the locations of vaccination sites (and can remove these from the map by unchecking the boxes).

Looking at the map above gives us some idea that there may be lower uptake among areas where there is considered to be relatively more deprivation.

We can explore this relationship a bit further by plotting each neighbourhood on a scatterplot (below) which has deprivation along the bottom (from left to right) and percentage uptake along the side (from bottom to top).

West Sussex East Sussex Brighton and Hove

The figure shows that those neighbourhoods in more deprived areas tend to have lower uptake of COVID-19 vaccinations. This relationship appears to be more varied for Brighton and Hove neighbourhoods than for areas across West Sussex.

In West Sussex, the relationship between neighbourhood deprivation and uptake appears to be clearer for those aged 25-64 years, which we have taken as an approximation of those of working age who are currently eligible to receive a vaccination (whilst those aged 25+ are now eligible, it may not be reflected in the publicly available data until the end of April 2021.

There are clearly more factors involved in being able to or deciding to get a vaccination than the relative deprivation of where a person lives. Moreover, we are only able to examine uptake among those age groups for which data are available in the public domain.

Vaccination sites by district

The table below shows the latest available information on open vaccination sites across Sussex from NHS England by the type (GP led service, hospital hub, pharmacy, or vaccination centre) and the table below shows the number of sites open in each district. The list is updated once a week on a Friday by NHS England. Note that this may not include mobile or 'pop up' style sites which can be set up quickly to further support local needs.

Of course, each site will not just vaccinate the people in the immediate local area, but understanding how far away available sites are from areas which are more deprived may help to explore opportunities to increase uptake in those areas.

Area Total number of sites GP led services Pharmacies Hospital hubs Vaccination centres

Data source: NHS England