Dr Kate MackayDirector of Public

Health

QUALITY AND OUTCOMES DATA

Quality and Outcomes Framework

4 Domains:

• Clinical

• Organisational

• Patient Experience

• Additional Services

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ROLES OF THE DIRECTOR OF PUBLIC HEALTH

To advise the PCT, the public and partner organisations on the health needs and relative priorities of the population, and how to meet those health needs and reduce inequalities.

ROLES OF THE DIRECTOR OF PUBLIC HEALTH

• DPH Annual Report

• Needs Assessment

• Equity Audit

DPH Annual Report

Description of the population

Health ProfileInequalities

IMD

1 - 3

4 - 7

8 - 10

11 - 14

15 - 17

St Albans and Harpenden PCTIndex of Multiple Deprivation

St. Albans District

Redbourn Ward

Wheathampstead Ward

Sandridge Ward

Park Street WardSt. Stephen Ward

Colney Heath WardVerulam Ward

London Colney Ward

Sopwell Ward

Harpenden South Ward

Harpenden North Ward

Harpenden West Ward

Cunningham Ward

Batchwood Ward

Harpenden East Ward

Clarence Ward

Marshalswick South Ward

Ashley WardSt. Peters Ward

Marshalswick North Ward

Current Health

Overall health is goodbut

Prevalence of CHD lower than general population but still high

Prevalence of diabetes lower than the general population but still high and rising

Breast and colorectal cancer rates high MMR immunisation falling and rates of measles

rising . Rates of TB are significantly high

Current Health

Higher than average

rates

of

breast cancer

Mortality from Breast Cancer, DSR per 100,000, 1999 - 2001, ages 50 - 69 years 2001

0

20

40

60

80

100

120

140

160

Bedford PCT BedfordshireHeartlands PCT

Luton PCT Dacorum PCT Watford andThree Rivers PCT

St Albans and

Harpenden PCT

Hertsmere PCT NorthHertfordshire andStevenage PCT

Welwyn HatfieldPCT

South EastHertfordshire PCT

Royston,Buntingford and

Bishop's StortfordPCT

DS

R p

er 1

00,0

00

Rate for SHA Rate for England & Wales

Bars show 95% confidence intervals

Rate for SHA

Rate for England & Wales

Source:National statistics compendium of clinical Indicators

Current Health

Higher than average

rates

of

Colorectal cancer in men

COLORECTAL CANCER (Male & Female): PCT Mortality Rate, all ages, 1998 - 2000 pooled

0

5

10

15

20

25

30

35

40

DS

R p

er

100,0

00

Males Females

Source:National Statistics of Clinical Health Indicators 2001

Current Health

Current Health

Too many people smoke Too little physical activity Despite the large number of restaurants diet is not

high enough in fruit and vegetables Dental health of 5 year olds is better than national

average it is not the best in Beds and Herts and is only marginally better than the national average

HOW CAN WE USE THE NEW DATA TO INFORM OUR KNOWLEDGE OF THE

POPULATION’S HEALTH?

QUALITY AND OUTCOME DATA

Coronary Heart Disease

CHD Prevalence in 35-74 yr olds 2002- 3

012345

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Surgery

pe

rce

nta

ge

Source: Practice Audit

Diabetes

Diabetes Prevalence by Practice 2002

2.4 2.7

1.82.5

1.42.2 2.2

1.71.3

2.6 2.4

4.3

2.53.1

0

1

2

3

4

5

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Practice

%

Source:Practice Audit

Diabetes

Type 2BMI >25 %

0

1020

30

4050

60

70

8090

100

Practice

%

2002

2003

Source: Practice Audit

Diabetes

Type 2BP <135/80

0

20

40

60

80

100

Practice

%

2002

2003

Source: Practice Audit

COLORECTAL CANCER (Male & Female): PCT Mortality Rate, all ages, 1998 - 2000 pooled

0

5

10

15

20

25

30

35

40

DS

R p

er

100,0

00

Males Females

Source:National Statistics of Clinical Health Indicators 2001

Colorectal cancer

Healthy Lifestyles

• Smoking

• Exercise

• BMI

• BP

• Lipids

QUALITY AND OUTCOMES DATA

• CHD• Stroke and TIA• HBP• Hypothyroidism• Diabetes• Mental Health• COPD• Asthma• Epilepsy• Cancer