Skin Cancer | Boltons Health Matters
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Skin Cancer

The Environment and Health Atlas for England and Wales is an independent publication produced by the Small Area Health Statistics Unit (SAHSU), an academic unit funded by the Medical Research Council and Public Health England. The aims of the atlas are:

  • To provide baseline information for policy makers and the public on geographic patterns of environmental agents and disease.
  • To help in development of hypotheses to understand and explain variability in disease risk that may relate to the environment, lifestyle factors and/or location.
  • Following on from this, to help in development of research to investigate potential causal relationships between environment and health factors – where either evidence or lack of evidence for an effect provides important information to inform public health and policy.

The atlas provides maps of the geographical variations for a range of health conditions and environmental agents at a small-area scale (census wards). The maps have been developed as a resource for those working in public health and public health policy and for the general public to better understand the geographic distribution of environmental factors and disease.

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This is the Incidence of skin cancer JSNA Indicator Sheet from the Disease and Ill Health section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.



  • Incidence of skin cancer in Bolton is lower than is average for the North West region, but is still higher than England;
  • Incidence has been steadily increasing nationally, regionally, and locally;
  • Bolton is higher than average for its statistical peers, and many peer local authorities have rates below the national average;
  • Bolton receives fewer hours of sunshine than is average for England, but the town has a much higher sunbed outlet density;
  • Lesser deprived areas such as Over Hulton, Daisy Hill, Westhoughton East, Turton, and Egerton & Dunscar have the highest incidence rates locally.

This guidance is for NHS and other commissioners, managers and practitioners who have a direct or indirect role in, and responsibility for, preventing skin cancer.

This includes for example, GPs, local authority planners, pharmacists, practice nurses, public health practitioners, school nurses and skin cancer specialists. It also includes those involved in, or responsible for, employee health and wellbeing.

In addition, it may be of interest to those working in the wider public, private, voluntary and community sectors and to members of the public.

The six recommendations aim to raise and maintain awareness – and increase knowledge – of the risks of exposure to natural and artificial ultraviolet (UV). They also aim to influence attitudes and prompt people to change their behaviour to protect themselves against skin cancer.  They focus on:

  • National mass-media campaigns and the provision of local information (including verbal advice and printed and visual material). 
  • Developing and evaluating information campaigns and interventions.
  • The factual content of information
  • The tone of messages and how to tailor them for specific audiences.
  • The workplace – to help protect children, young people and outdoor workers. 
  • The provision of shade as part of the design of new buildings.

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This study investigated the geographical distribution of sunbed outlets in the UK by level of area deprivation. The report shows that the distribution of sunbed locations varies by level of area deprivation, with higher rates in more deprived areas.

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