network profile care enterprise network november 2019 ... · version 1.0 status final date of...

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Network Profile

Care Enterprise Network

November 2019

Summer 2019

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READER INFORMATION

Title Network Profile – Care Enterprise

Team Liverpool CCG Business Intelligence Team; Liverpool City Council Intelligence & Data

Analytics Team

Author(s) Sophie Kelly, AnnMarie Daley, Danielle Wilson, Karen Jones

Contributor(s) Liverpool City Council Social Services Analysis Team; Liverpool Community Health Analysis Team

Reviewer(s) Network Clinical Leads; Locality Clinical Leads; Liverpol CCG Primary Care Team;

Liverpool CCG Business Intelligence Team: Liverpool City Council Public Health Team;

Mersey Care Community Health Intelligence and Public Health Teams

Circulated to Network Clinical and Managerial Leads; Liverpool GP Bulletin; Liverpool CCG

employees including Primary Care Team and Programme Managers; Adult Social

Services (LCC); Public Health (LCC); Mersey Care, Provider Alliance

Version 1.0

Status Final

Date of release November 2019

Review date Annual update

Purpose The packs are intended for Primary Care Networks to use to understand the needs of

the populations they serve. They will support networks in understanding health

inequalities that may exist for their population and subsequently how they may want

to configure services around patients.

Description This series of reports contains Population Segmentation intelligence about each of the

14 Primary Care Network Units in Liverpool. The information benchmarks each

network against its peers so they can understand the the relative need, management

and service utilisation of people in their area. The pack contains information on wider

determinants of health, health, social care and community services.

Reference Documents

JSNA The Joint Strategic Needs Assessment (JSNA) identifies the key issues affecting the health and wellbeing of local people, both now and in the future. The JSNA looks at the strategic needs of Liverpool, as well as issues such as inequalities between different populations who live in the city. It is the main source of information on health and wellbeing, and acts as a reference for commissioners and policy makers across the Health & Care system. All the JSNA material is available via: www.liverpool.gov.uk/jsna

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Contents 1. Introduction .............................................................................................................................................................. 4

1.1 Network Profiles ..................................................................................................................................................... 4

1.2 Population Segmentation ................................................................................................................................. 4

1.4 Population segment profile (Total registered population) ............................................................................... 6

1.5 Headline Opportunities ........................................................................................................................................... 7

1.6 GP Practice .............................................................................................................................................................. 8

1.7 Registered Population ....................................................................................................................................... 8

1.8 Registered Patient Ward Alignment ................................................................................................................. 8

1.9 Service Provision ............................................................................................................................................... 9

1.10 Service Assets for Health and Wellbeing ........................................................................................................ 10

2. Network Maps ......................................................................................................................................................... 12

3. Population Map ....................................................................................................................................................... 13

4. Demographics and Wider Determinants of Health ............................................................................................... 15

4.1 Demographics ................................................................................................................................................. 15

4.2 Wider Determinants of Health ............................................................................................................................ 15

5. Potential Areas of Focus ......................................................................................................................................... 15

5.1 Healthy Adults and Children (Segment 1) ........................................................................................................... 15

5.2 Long Term Conditions (Segment 2) ...................................................................................................................... 16

5.3 Disability (Segment 3) ............................................................................................. Error! Bookmark not defined.

5.4 Complex Lives (Segment 4) .................................................................................................................................. 16

5.6 Care Settings ......................................................................................................................................................... 16

6.0 Network Profile Spine Chart ..................................................................................................................................... 17

See separate Metadata document for indicator definitions, sources and timeframes

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1. Introduction

1.1 Network Profiles The Network profiles are intended for Primary Care Networks to use to understand the needs of the populations they serve. They will support networks in understanding health inequalities that may exist for their population and subsequently how they may want to configure services around patients.

This series of reports contains Population Segmentation intelligence about each of the 14 Primary Care Network Units (PCN) in Liverpool. The information benchmarks each network against its peers to help understand population need, management and service utilisation across PCNs. The pack contains information on individual network demographics, wider determinants, population segments and care setting utilisation.

1.2 Population Segmentation For the purposes of this profile the population has been segmented into the following groupings according to similar

health need. The below are the emerging Population Segments for Liverpool. Technical definitions for each segment

are in development. Intelligence to date is based on working definitions.

This is an All Age model. Therefore, definitions for each segment have been considered in respect of both adults, children and families. So, except for Frailty and Dementia, which is an elderly specific segment, the other segments include children. Intelligence for each segment covers adults and children where available.

This model can evolve as the thinking of the system evolves. That means definitions, outcomes, profiles etc will be adapted based on feedback.

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1.3 Care setting usage rates by population segments (Total registered population)

Below is a summary of contacts to secondary and community care settings by population segmentation for Liverpool CCG registered patients.

Rate of Use Of Different Care Settings By Population Segment

Date Range is 1st October 2018 to 30th September 2019, apart from Community Contacts, where data range is 1st April 2018 to 31st March 2019 Rates are number of contacts in 12 months per 100 people in the segment Elective admissions include overnight and day case admissions and regular day/night attendances (e.g. dialysis)

Secondary Care Contacts Face -to-Face Community Contacts

EOL

Frailty & Dementia

Complex Lives

Cancer

LTC

Pre-Conditions

Learning Disability

Physical Disability

Healthy People

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1.4 Population segment profile (Total registered population) Data below is based on all registered patients for whom data is extracted in the monthly primary care dataflow, so anyone who dissents from the data sharing is not included below.

Segments are mutually exclusive, e.g. if a person's dominant segment is 'End of Life' then they will not be counted in any other segment. Cancer segment represents people coded

with Cancer in the last 2 years, rather than anyone who has ever had cancer.

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1.5 Headline Opportunities Using the latest data available for measures included within the network spine chart (Section 6), the following

opportunities have been calculated for measures where statistically this network reports a significantly worse rate

than the Liverpool average. The opportunity has been calculated based on the Network rate moving in line with the

Liverpool average rate. Below is a high‐level summary, further analysis is provided in section 5 of this report;

If Care Enterprise Network moved in line with the Liverpool average rate potentially there could be;

1. 600 fewer smokers 2. 442 fewer Adults classed as being overweight/Obese 3. 789 more patients offered a health check 4. 1,059 more eligible patients screened for cancer (Bowel, Cervical and Breast) 5. 189 more ‘at risk’ patients receiving flu jab 6. 39 more babies breastfed 7. 660 fewer patients on 5 or more prescriptions 8. 143 fewer patients prescribed antibiotics 9. 54 more Diabetes patients receiving 3 treatment targets 10. 250 more undiagnosed CKD stage 3‐5 patients diagnosed 11. 208 more Hypertension patients managing BP to 150/90 12. 661 more hypertension patients with physical activity recorded on record 13. 31 more CHD patients managing BP to 150/90 or less 14. 23 more CHD patients prescribed aspirin/anti platelet/ anticoagulant 15. 110 less cardiology referrals 16. 43 more undiagnosed Heart Failure patients diagnosed 17. 45 more AF patients receiving a stroke risk assessment 18. 29 more patients newly diagnosed with depressing receiving a review 19. 38 more COPD patients with a FEV1 recorded 20. 31 more COPD patients with a review 21. 66 more Asthma patients with a review 22. 48 less children in need 23. 96 fewer AED attendances following accidents in children 24. 41 less Alcohol specific admissions 25. 21 less admissions for Mental and Behavioural ‐ OTHER PSYCHOACTIVE SUBSTANCES 26. 111 less admissions to hospital from care homes 27. 261 fewer AED attendances for children aged 0‐4 years 28. 249 less GP outpatient referrals 29. 57 less gynaecology referrals

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1.6 GP Practice

The network is made up of the following GP practices:

1.7 Registered Population

The registered population is 33,386.

1.8 Registered Patient Ward Alignment

The wards that this network is most aligned to are:

Practice Code CCG Lead Address and Postcode

N82003 Dr J Beyer Longreach Rd, L14 0NL

N82074 Dr R Karthikeyan Crystal Close, L13 2GA

N82090 Howard Davies 15 Green Lane, L13 7DY

N82093 Parveen Gupta 88 Derby Lane, Liverpool, L13 3DN

N82663 Dr Jesika Pramanik Hornspit Lane, Liverpool, L12 5LT

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1.9 Service Provision

Care Enterprise Wards %

Dominant Ward Tuebrook and Stoneycroft 27.0%

Second Ward Old Swan 22.0%

Third Ward Knotty Ash 12.1%

Fourth Ward West Derby 10.5%

Fifth Ward Yew Tree 5.9%

Sixth Ward Clubmoor 4.8%

Seventh Ward Norris Green 3.8%

Eighth Ward Kensington and Fairfield 3.4%

Ninth Ward Swanside 2.0%

Tenth Ward Childwall 2.0%

Other Wards 6.6%

National Code N82093 N82003 N82090 N82663 N82074 N82670

QOF 1 1 1 1 1 1DES signup returned 1 1 1 1 1 1LES signup returned 1 1 1 1 1 1Extended Hours Access 1Learning Disabilities 1 1 1 1 1 1Out of Area RegistrationZero Tolerance SchemeMinor surgery own patients excisions and incisions 1 1 1 1 1Minor surgery own patients injections 1 1 1 1 1Learning Disabilities Health Check Scheme 1 1 1 1 1 1GMS/PMS Core Contract Data Collection 1 1 1 1 1 1Alcohol Risk Reduction 1 1 1 1 1 1Liverpool Quality Improvement Scheme 1 1 1 1 1 1Minor surgery FOR OTHER PRACTICES excisions and incisionsMinor surgery FOR OTHER PRACTICES injectionsDrug Misusers 1 1 1Near Patient 1 1 1 1 1 1Sexual Health 1 1 1Homeless 1Asylum Seekers 1 1 1 1TravellersABPI 1 1 1 1ABPI - For other practicesH Pylori 1 1 1 1 1H Pylori for other practicesHealth checks 1 1 1 1 1 1IGR 1 1 1 1 1 1Gonadorelin Therapy LES 1 1 1 1 1Latent TB 1 1 1 1 1

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1.10 Service Assets for Health and Wellbeing Asset‐based working is an approach that aims to strengthen individuals and communities so they can stay well or

better deal with illness. Asset mapping is a process for pulling together the people, places and services that are

available locally that can improve health and wellbeing and reduce preventable health inequities. The LiveWell

Directory, maintained by Healthwatch can be used to support patients and residents to access local services

https://www.thelivewelldirectory.com/ For people without internet access or who need to talk through their

situation the Healthwatch enquiry service (0300 7777007) can help.

The infographic below shows some of the physical assets that lie within the network boundary (lower super output

areas with population density => 1,000 registered patients per sq. km) which may include GP practices from outside

the network:

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2. Network Maps1

1 Maps Icons Collection https://mapicons.mapsmarker.com

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3. Population Map

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4. Demographics and Wider Determinants of Health

4.1 Demographics 33,386 currently registered in this network, 6.2% of overall CCG registered population

Care Enterprise has a significantly higher deprivation score compared to the city average with a score of 45.5 compared to 41.1.

This network has a significantly higher proportion of children aged between 0 –18 years and a significantly higher proportion of older people aged over 65. The proportion of people aged between 19‐25 is significantly below the Liverpool average.

This network has a significantly higher rate of births reported with 64.4 births reported per 1,000 female population equating to 394 births per year.

Life expectancy average age and healthy life expectancy average age is comparable to the city average (LE = 79.5 years compared to 79.8 years and HLE = 62.1 years compared to 62.3).

4.2 Wider Determinants of Health Just under half (45.1%) the households have no access to a car/van, however this is significantly lower

than the Liverpool average of 47.1%.

Two thirds (66%) of the population are economically activite which is significantly higher than the Liverpool average rate of 62.4%

Unemployment rates are significantly higher in this network and approx. 8.8% are classed as long‐term sick or disabled (significantly higher)

This network has the median household income of £22,817 which is just below the city average of £23,249

Domestic violence rates are significantly higher in this network (20.6 per 1,000) compared to city average rate of 16.7 cases per 1,000.

5. Potential Areas of Focus

5.1 Healthy Adults and Children (Segment 1) Prevention Smoking remains the biggest single cause of preventable mortality and morbidity in the

world. Smoking prevalence in this network is significantly higher than Liverpool average with 22.2% reported as smokers compared to 20.1%. A significantly higher proportion of adults (aged 18+) in this network have a BMI >30 (obese), this is also true for those with BMI >40. Health trainer referrals can be offered to any patients wanting to achieve and maintain a healthy lifestyle including healthy eating, losing weight physical activity. Health trainer referral rates in this network are in line with city average, however only 6.2 referrals per 1,000 population were made in 2018/19. A high take up of NHS Health Checks is important to identify early signs of poor health leading to opportunities for early interventions. The proportion of eligible people offered a health check in this network is significantly lower (61%) compared to the city average (70.5%), however the completion rate is significantly better with almost two‐fifths (38%) receiving a health check. A significantly lower proportion of people aged under 65 at risk of flu have their flu vaccination (46.5% compared to 49.5%).

Maternity A significantly higher proportion of births are reported in this network compared to the Liverpool average rate (64.4 per 1,000 population compared to 53.4). Breastfeeding initiation and 6‐8 week uptake rates are significantly lower in this network with just over a third (39.9% n=143) of babies being breastfed at birth and just over a quarter (29.6% n=103) at 6‐8 weeks compared to Liverpool average where just under half of births (48.1%) are breastfed at birth and over a third (38.4%) uptake at 6‐8 weeks .

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5.2 Long Term Conditions (Segment 2)

People with long term conditions can often be intensive users of health and social care services, including community services, urgent and emergency care and acute services and account for half of all GP appointments.

Cardiovascular Disease High blood pressure significantly increases your risk of CHD, stroke and kidney disease. In this network a significantly lower proportion of people with hypertension (78.5%) and CHD (88.9%) manage their BP to the NICE recommend guidelines of <150/90. Positive Lifestyle changes can reduce high blood pressure and being more active can lower a person’s blood pressure in a matter of weeks. A significantly lower proportion of people with hypertension in this network have their physical activity levels recorded; 41.3% compared to city average 57.4%. Health trainer referrals can be offered to any patients in this network wanting to achieve and maintain a healthy lifestyle including healthy eating, losing weight physical activity. Observed to expected prevalence of Heart Failure is significantly lower in the network, suggesting that more people in this network have undiagnosed heart failure. Only a third of AF patients (35.6%) received a stroke risk assessment during 2018/19 compared to 42.4% reported for Liverpool overall. Diabetes patient’s achievement 3 treatment targets is significantly lower in this network with just over a third (37.5%) achieving all 3 measures.

Respiratory Ratio of observed to expected prevalence for COPD is significantly higher, suggesting that people with COPD are detected more timelier in this network. Disease management of COPD is relatively poor compared to city average, with a significantly lower proportion of COPD patients receiving flu jab (86.3%), having a recorded FEV1 (73.4%) and receiving an annual review (85.7%).

5.3 Complex Lives (Segment 4) Child protection plans in place are the highest in the city; 87.6 per 10,000 population compared to city

average rate of 58.9. Compared to the city average Care Enterprise network reports significantly higher rates of Children in Need, Early help assessments and Troubled families. Hospital admissions for Alcohol specific conditions, alcohol related mental health and other psychoactive substances are significantly higher for patients registered within this network compared to all other networks.

5.5 Frailty, Dementia and End of Life (Segment 5&6)

Care Enterprise network has a significantly higher proportion of people are aged over 65; 15.8% compared to 14.4%. When compared to the Liverpool average, this network reports the highest rate of permanent admissions to residential or nursing care homes (1,220 per 100,000 population compared to 724.3), a significantly higher proportion of older people with a ‘Severe’ frailty score; 47.6% compared to 31.3% and significantly higher rates of emergency admissions from care homes (38.3 per 100,000 compared to 27.6). Carers prevalence (GP Recorded) rate is significantly higher with 960 carers currently registered in this network.

5.6 Care Settings Emergency Care Enterprise Network reports the highest rates of AED attendances for children aged 0‐4

years compared to all other networks. Significantly higher rates of Child AED attendances for Accidents, Lower Respiratory Tract Infections, Mental Health Conditions and Emergency admissions for Alcohol specific conditions (all ages) and admissions from care homes are also reported in this network.

Outpatient Referrals This network has the second highest first outpatient referral rate, with 86.4 referrals reported per 1,000 compared to 80.3. By specialty this network reports the highest Gynae referral rate compared to all other networks; 10.3 per 1,000 population compared to 8.9 and the second highest referral rate to cardiology 16.8 per 1,000 compared to 14.1. The percentage of referrals discharged following 1st appointment and those on 2‐week wait are comparable to or lower than Liverpool average rate.

General Practice and Community Services A significantly lower rate of community service face to face contacts are reported in this network across the following services; Community respiratory team, District nursing, Heart Failure team, IV Therapy team and Treatment rooms. Health Technology (or Telehealth) is a way of using technology to monitor your own health, with the support of health professionals. It can

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help you stay well, become more independent and give you peace of mind in your own home whilst reducing the likelihood of you needing emergency hospital treatment. Health Technology can help you learn more about your condition and how you can manage it more effectively. Care Enterprise network reports the second lowest referral rate to Telehealth with 1.1 referrals made per 1,000 population (n=18) compared to Liverpool average rate of 23.8.

Social Care Need Demand for social services in this network is generally higher than or comparable to the Liverpool average rates. This network has the highest rate of permanent admissions to residential and nursing care homes with 1,220 admissions per 100,000 residents compared to Liverpool average rate of 724.3.

6.0 Network Profile Spine Chart

Key:

Liverpool Key

Low

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool

LowestLiverpool Range

Liverpool

Highest

National

Average

1 DEMOGRAPHICS AND WIDER DETERMINANTS OF HEALTH

2 DEMOGRAPHICS n/a

3 Deprivation Score (IMD) 2015 - 45.5 41.1 21.7 60.8 21.8

4 Income Deprivation Affecting Children Index (IDACI) 2015 - 32.9% 32.0% 16.3% 47.6% 17.6%

5 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 33.3% 34.2% 21.4% 47.0% 15.3%

6 Not White British or Irish ethnic group (%) 2,983 8.9% 15.0% 4.6% 35.1% 19.2%

7 White Other ethnic group (%) 617 1.9% 2.7% 0.9% 5.6% 4.6%

8 Mixed/Multiple ethnic group (%) 605 1.8% 2.6% 0.9% 6.4% 2.3%

9 Asian/Asian British ethnic group (%) 928 2.8% 4.7% 1.2% 16.7% 7.8%

10 Black/African/Caribbean/Black British ethnic group (%) 521 1.6% 2.9% 0.6% 9.1% 3.5%

11 Other ethnic group (including Arab) (%) 311 0.9% 2.0% 0.3% 7.6% 1.0%

12 Main language not English (%) 1,292 3.9% 7.1% 2.1% 20.9% 8.0%

13 People registered as asylum seekers or refugees (%) 297 0.9% 1.0% 0.0% 6.4% n/a

14 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 394 64.4 53.4 21.1 71.1 62.5

15 Children aged 0-4 years (%) 1,935 5.8% 5.5% 1.3% 6.8% 5.5%



18 Young People aged 19-25 years (%) 2,909 8.7% 13.2% 6.9% 56.0% 8.8%

19 Children and Young People aged 0-25 years (%) 10,041 30.1% 33.2% 26.4% 61.5% 30.3%

20 Population 65+ (%) 5,287 15.8% 14.4% 1.8% 20.4% 17.9%

21 Population 75+ (%) 2,428 7.3% 6.3% 0.5% 9.4% 8.1%

22 Population 85+ (%) 651 2.0% 1.7% 0.1% 2.9% 2.4%

23 Population 95+ (%) 50 0.1% 0.1% 0.0% 0.2% 0.2%

24 WIDER DETERMINANTS -

25 No car or van in household (%) - 45.1% 47.3% 29.2% 62.6% 25.8%

26 Economically active (%) 16,420 66.0% 62.4% 50.4% 68.8% 69.9%

27 Economically active: Unemployed (%) 1,894 7.6% 6.6% 3.6% 9.0% 4.4%

28 Economically active: Long-term unemployed (%) 815 3.3% 2.7% 1.4% 3.8% 1.7%

29 Economically inactive (%) 8,447 34.0% 37.6% 31.2% 49.6% 30.1%

30 Economically inactive: Long-term sick or disabled (%) 2,182 8.8% 7.9% 4.2% 11.7% 4.0%

31 Housing Tenure: Social or Private Rented (%) - 43.8% 52.9% 32.2% 77.9% 36.7%

32 One person household: Aged 65 and over (%) - 12.5% 11.8% 6.4% 14.0% 12.4%

33 Median Household Income £ - £22,817 £23,249 £17,754 £33,290 £32,650

34 Domestic violence rate per 1,000 638 20.6 16.7 8.9 26.5 -

35 Violent crime rate per 1,000 375 12.1 13.1 5.7 24.2 -

36 SEGMENT 1. HEALTHY ADULTS AND CHILDREN -

37 HEALTHY LIFE EXPECTANCY at birth - males (3 Year Pooled) - 61.4 61.5 59.5 63.6 63.4

38 HEALTHY LIFE EXPECTANCY at birth - females (3 Year Pooled) - 62.9 63.1 61.2 65.1 63.8

39 HEALTHY LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 62.1 62.3 60.6 64.4 63.6

40 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 78.0 78.2 74.5 82.4 79.6

41 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 81.0 81.4 77.9 85.4 83.1

42 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 79.5 79.8 76.6 84.0 81.4

43 ALL CAUSE Mortality - DSR per 100,000 population 938 1,130.9 1,101.2 794.2 1,420.3 959.0

44 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 353 431.0 425.5 257.9 595.2 332.0

45 Population 40+ with no LTCs (%) 6,655 42.7% 40.4% 35.6% 53.2% n/a

46 Population 40+ with 1 LTC (%) 4,435 28.5% 27.7% 25.4% 29.6% n/a


48 Population 40+ with 3 or more LTC (%) 2,101 13.5% 15.9% 10.2% 19.4% n/a

49 Percentage of the population 40+ with risk score >=50% 280 1.8% 2.1% 1.0% 2.9% n/a

50 Percentage of the population 40+ with risk score >=70% 109 0.7% 0.7% 0.3% 1.6% n/a

51 Percentage of the population 40+ with risk score >=50% <=90% 263 1.7% 2.0% 1.0% 2.7% n/a

52 RISK FACTORS AND INTERVENTIONS -

53 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 13,034 91.8% 90.9% 86.2% 93.1% 89.2%

54 HYPERTENSION Prevalence DSR per 100,000 population 4,839 16,974.3 17,355.1 15,143.5 19,591.8 n/a

55 People aged 65 years and over excluding People with AF who have received a pulse check (%) 3,594 76.7% 75.8% 64.8% 82.0% n/a

56 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 674 2,474.2 2,518.6 2,194.0 3,012.8 n/a

57 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 891 3.3% 3.4% 0.8% 4.8% n/a

58 CURRENT SMOKERS aged 15+ (QOF) (%) 6,139 22.2% 20.1% 12.1% 27.8% 17.2%

59 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,587 91.0% 90.0% 75.9% 98.6% 89.2%

60 Child Excess Weight Reception (age 4-5 years) (%) 275 26.1% 26.1% 21.7% 29.6% 22.4%

61 Child Excess Weight Year 6 (age 10-11 years) (%) 370 41.1% 38.8% 33.1% 44.2% 34.3%

62 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,623 13.6% 12.0% 3.9% 16.1% 9.8%

63 People with BMI >=40 recorded in the last 12m (%) 1,108 3.3% 2.7% 0.9% 4.0% n/a

64 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 616 55.6% 46.6% 25.1% 61.2% n/a

65 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 81 20.2% 22.8% 14.9% 31.1% n/a

66 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 17,702 66.6% 65.7% 63.5% 70.0% n/a

67 People aged 18+ who have ALCOHOL above indicated levels (%) 1,727 9.8% 9.7% 6.1% 12.2% n/a

68 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,531 88.7% 88.5% 80.4% 99.9% n/a

69 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,059 61.0% 70.5% 47.6% 94.1% 90.0%

70 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,151 62.3% 48.3% 29.8% 81.0% 48.1%

71 Eligible persons 40-74 years with a Health Check completed as % of eligible population 5 years cumulative 3,151 38.0% 34.0% 19.9% 51.5% 43.3%

72 Health Trainer Referral rate per 1,000 persons 18+ 165 6.2 6.8 3.8 15.2 n/a

73 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,827 52.8% 52.2% 42.8% 61.2% 57.4%


75 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,138 71.4% 68.1% 52.2% 75.2% 72.1%

76 36 month coverage for BREAST screening aged 50-70 2,780 65.3% 65.5% 54.5% 74.4% 72.5%

77 VACS AND IMMS -

78 Children's DtaPipVHib at 1 Yr (%) 327 91.1% 92.0% 87.6% 96.5% 93.4%

79 Children's PCV at 2 Yrs (%) 342 90.2% 89.2% 80.6% 94.2% 91.5%

80 Children's MMR1 at 2 Yrs (%) 348 91.8% 90.2% 81.3% 94.2% 91.6%

81 Children's Hib Men C at 2 Yrs (%) 351 92.6% 90.9% 83.8% 95.3% 91.5%

82 Children's Pre School Booster at 5 Yrs (%) 334 90.8% 88.2% 77.9% 95.5% n/a

83 Children's MMR2 at 5 Yrs (%) 333 90.5% 87.6% 78.2% 94.6% 87.6%

84 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,368 91.4% 90.6% 83.5% 95.0% n/a

85 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 102 25.9% 29.5% 16.2% 46.9% 43.8%

86 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 122 30.2% 33.2% 20.9% 47.1% 45.9%

87 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,733 70.8% 71.4% 64.8% 74.6% 72.0%

88 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 2,738 46.5% 49.7% 42.5% 54.2% 48.0%

89 Seasonal Flu Vaccine Uptake - Carers (%) 243 48.8% 48.8% 35.3% 58.6% n/a

Care Enterprise Primary Care Network

Significantly better than Liverpool average

Not significantly different from Liverpool average

Significantly worse than Liverpool average

No significance can be calculated

25th percentile

England

Liverpool

75th percentile

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

90 SEXUAL HEALTH -

91 GP prescribed user dependent contraception per 1,000 females aged 15-44 790 121.6 125.5 84.8 152.0 n/a

92 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 260 40.0 28.0 18.8 48.3 n/a

93 GP prescribed condoms rate per 1,000 <5 0.1 0.7 0.0 3.9 n/a

94 Uptake of HIV testing in specialist sexual health services rate per 1,000 153 4.6 4.5 1.2 13.5 n/a

95 MATERNITY -

96 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 394 64.4 53.4 21.1 71.1 62.5

97 Low birthweight of all babies <2500g (3 year pooled) (%) 105 8.8% 8.5% 6.4% 10.3% 7.3%

98 Breastfeeding Initiation Rates (%) 143 39.9% 48.1% 34.0% 68.1% 74.5%

99 Breastfeeding at 6-8 weeks (%) 103 29.6% 38.4% 23.6% 59.7% 42.7%

100 Smoking Status at Time of Delivery (SATOD) % 58 15.8% 12.9% 5.8% 19.9% 10.8%

101 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 169 36.7% 41.0% 33.0% 46.7% 45.2%

102 EDUCATIONAL ATTAINMENT -

103 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 194 56.3% 56.4% 45.5% 64.1% 61.6%

104 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 97 31.6% 34.9% 23.0% 48.4% 56.6%

105 Children who are receiving Special Educational Needs (SEN) Support (%) 898 16.9% 16.4% 13.2% 20.1% 14.4%

106 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 133 0.03 0.02 0.02 0.03 n/a

107 Children's Speech and language Therapy referrals - Rate per 1,000 158 51.5 20.3 3.5 51.5 n/a

108 SEGMENT 2. LONG TERM CONDITIONS -



111 Population 40+ with 3 or more LTC (%) 2,101 13.5% 15.9% 10.2% 19.4% n/a

112 People on proactive care (%) 22 0.1% 0.1% 0.0% 0.3% n/a

113 People on 1 to 5 or more prescriptions (%) 18,710 58.9% 56.2% 38.4% 64.4% n/a

114 People on 5 or more prescriptions (%) 7,617 24.0% 21.9% 4.0% 28.4% n/a

115 People on 10 or more prescriptions (%) 2,353 7.4% 7.2% 1.0% 10.0% n/a

116 Antibiotic Prescribing rate per 1,000 population 1,399 33.1 43.2 33.1 52.2 n/a

117 Broad Spectrum antbiotic prescribing rate per 1,000 population 123 2.9 3.5 2.8 4.4 n/a

118 Proportion of people who use services who have control over their daily life (ASCOF 1B) 46 80.7% 79.4% 50.0% 90.0% n/a

119 The proportion of users and carers receiving self directed support (ASCOF 1C1A) 457 89.6% 86.1% 64.3% 92.5% n/a

120 The proportion of carers who receive self directed support (ASCOF 1C1B) 92 53.8% 49.2% 37.6% 55.4% n/a

121 The proportion of people who use services who receive direct payments (ASCOF 1C2A) 102 20.0% 19.9% 14.3% 31.9% n/a

122 The proportion of carers who receive direct payments (ASCOF 1C2B) 64 37.4% 36.8% 28.1% 44.0% n/a

123 The outcome of short term service: sequel to service (ASCOF 2D) 123 61.2% 60.7% 47.3% 67.3% n/a

124 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 61 1,220.8 724.3 306.0 1,220.8 n/a

125 CANCER -

126 New CANCER cases (Crude incidence rate: new cases per 100,000 population) 196 591.6 505.9 88.9 640.4 520.8

127 People with a review within 6 mths of CANCER diagnosis 114 95.0% 93.0% 83.0% 96.6% 69.3%

128 Percentage reporting CANCER in the last 5 years 13 3.3% 3.6% 1.6% 4.9% 3.2%

129 CANCER Prevalence DSR per 100,000 population 1,484 5,259.6 5,601.0 4,302.0 6,470.9 n/a

130 CANCER Mortality - DSR per 100,000 population 266 311.2 303.7 246.8 391.1 268.0

131 LUNG CANCER - DSR per 100,000 population 74 87.3 85.7 49.2 148.3 56.3

132 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 87 102.9 87.5 63.7 119.4 n/a

133 CANCER Mortality Under 75 Years - DSR per 100,000 population 132 160.8 157.3 119.8 201.8 134.6

134 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 42 52.3 45.4 22.9 84.0 n/a

135 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 34 41.2 46.4 32.2 59.8 n/a



138 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,138 71.4% 68.1% 52.2% 75.2% 72.1%

139 36 month coverage for BREAST screening aged 50-70 2,780 65.3% 65.5% 54.5% 74.4% 72.5%

140 Emergency admissions for CANCER 245 6.1 5.6 2.9 6.8 n/a

141 DIABETES -

142 Children with DIABETES 0-17 years (%) 22 0.3% 0.2% 0.1% 0.4% n/a

143 DIABETES Prevalence DSR per 100,000 population 1,926 6,637.7 6,483.7 5,101.5 7,872.4 n/a

144 Ratio of Observed (QOF) to Expected DIABETES Prevalence 1,972 85.8% 76.6% 29.1% 97.1% 81.6%

145 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 891 3.3% 3.4% 0.8% 4.8% n/a

146 Prevalence of MI last 12m, Stroke, CKD stage 5 in people with DIABETES aged 17+ (%) 29 1.4% 1.5% 0.4% 2.2% n/a

147 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,197 58.6% 58.7% 50.2% 63.4% 79.4%

148 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,338 65.0% 63.8% 53.1% 73.9% n/a

149 People with DIABETES and HbA1c (%) 1,868 90.8% 92.8% 88.4% 95.9% n/a

150 People with DIABETES and BP recorded (%) 1,898 92.3% 94.0% 90.7% 96.7% n/a

151 People with DIABETES and Cholesterol recorded (%) 1,803 87.7% 88.8% 84.2% 92.4% n/a

152 People with DIABETES and Microalb recorded (%) 1,544 75.1% 72.3% 62.5% 79.5% n/a

153 People with DIABETES and Creatinine recorded (%) 1,851 90.0% 91.7% 86.8% 94.8% n/a

154 People with DIABETES and Foot Check (%) 1,648 80.1% 85.4% 79.3% 90.1% 81.2%

155 People with DIABETES and BMI recorded (%) 1,767 85.9% 86.9% 79.9% 92.8% n/a

156 People with DIABETES and Smoking Status recorded (%) 1,802 87.6% 89.8% 83.1% 95.1% n/a

157 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 366 37.5% 43.1% 37.5% 46.2% n/a

158 People with DIABETES who have CHD and/or CKD (%) 297 30.4% 33.6% 28.5% 38.1% n/a

159 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 103 46.2% 40.9% 33.1% 52.0% n/a

160 Preventable sight loss - DIABETIC eye disease rate per 1,000 238 24.4% 29.0% 23.1% 36.4% n/a

161 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 131 85.6% 75.5% 38.1% 93.2% n/a

162 Emergency admissions for DIABETIC COMPLICATIONS 22.00 0.54 0.45 0.19 0.92 n/a

163 DIABETES Specialist Nurses Face to Face Contacts 549 33.6 33.6 20.2 54.9 n/a

164 DIABETES Case Load 136 8.32 8.84 6.48 12.16 n/a

165 CARDIOVASCULAR DISEASE -

166 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,059 61.0% 70.5% 47.6% 94.1% 90.0%

167 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,151 62.3% 48.3% 29.8% 81.0% 48.1%

168 Eligible persons 40-74 years with a Health Check completed as % of eligible population 5 years cumulative 3,151 38.0% 34.0% 19.9% 51.5% 43.3%

169 People 40-74 with HYPERTENSION, CKD, BMI>30 who have had a risk score ever (%) 4,049 85.4% 78.1% 72.8% 85.4% n/a

170 People with Stage 3 CKD who have received a CVD risk score & ACR in the last 12m (%) 478 37.0% 33.0% 19.6% 50.3% n/a

171 Over 40 prevalence of PERIPHERAL VASCULAR DISEASE (%) 297 1.8% 1.8% 1.2% 2.7% n/a

172 Ratio of Observed (QOF) to Expected PAD Prevalence 302 116.3% 76.9% 39.8% 305.6% 57.9%

173 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 294 1,050.6 1,047.4 734.5 1,514.8 n/a

174 GP ref, 1st outpatient attendances VASCULAR 79 1.95 1.90 0.82 2.37 n/a

175 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 51 64.6% 70.5% 59.6% 87.7% n/a

176 HYPERTENSION -

177 CKD Prevalence DSR per 100,000 population 1,312 4,762.3 6,549.4 4,653.5 8,229.4 n/a

178 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,370 84.5% 99.8% 52.7% 117.6% 62.3%

179 HYPERTENSION Prevalence DSR per 100,000 population 4,839 16,974.3 17,355.1 15,143.5 19,591.8 n/a

180 Ratio of Observed (QOF) to Expected HYPERTENSION Prevalence 4,968 54.0% 52.9% 18.4% 61.3% 50.6%

181 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 13,034 91.8% 90.9% 86.2% 93.1% 89.2%

182 People with HYPERTENSION whose latest BP reading is <150/90 (QOF) (%) 3,835 78.5% 82.7% 78.5% 86.9% 86.8%

183 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 2,780 68.0% 71.1% 67.3% 76.1% n/a

184 People aged >=80 with HYPERTENSION whose latest blood pressure reading is < 150/90 (%) 866 88.7% 89.6% 86.7% 93.7% 86.8%

185 People with HYPERTENSION with physical activity recorded (%) 1,686 41.3% 57.4% 36.7% 82.0% n/a

186 People with HYPERTENSION who do not meet recommended activity levels who have received brief advice (%) 965 57.2% 57.4% 32.0% 70.1% n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

187 CHD -

188 CVD Mortality - DSR per 100,000 population 215 261.6 239.8 168.1 320.8 n/a

189 CVD Mortality Under 75 Years - DSR per 100,000 population 81 100.0 90.2 56.0 150.9 72.5

190 CHD Prevalence DSR per 100,000 population 1,175 4,192.6 4,434.2 3,593.1 5,614.3 n/a

191 Ratio of Observed (QOF) to Expected CHD Prevalence 1,195 66.1% 44.0% 20.5% 110.5% 41.5%

192 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,034 88.9% 91.6% 88.9% 95.4% 92.4%

193 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,110 94.9% 96.9% 94.2% 99.4% n/a

194 People with CHD whose latest total cholesterol (previous 12m) is 5mmol or less (%) 805 67.4% 66.6% 58.0% 74.3% n/a

195 People with CHD prescribed statins (%) 968 81.0% 79.3% 75.6% 83.0% n/a

196 Emergency admissions for ANGINA 44 1.1 0.9 0.6 1.7 n/a

197 GP ref, 1st outpatient attendances CARDIOLOGY 680 16.8 14.1 9.8 17.7 n/a

198 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 401 0.6 0.6 0.5 0.7 n/a

199 HEART FAILURE -

200 HEART FAILURE Prevalence DSR per 100,000 population 301 1,096.6 1,343.3 1,096.6 1,760.9 n/a

201 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 287 80.0% 92.1% 59.8% 122.1% 72.8%

202 People with HEART FAILURE eligible who are prescribed a beta blocker (%) 128 94.8% 92.1% 86.3% 100.0% n/a

203 Emergency admissions for CONGESTIVE HEART FAILURE 36 0.9 1.3 0.6 1.9 n/a

204 HEART FAILURE Team Face to Face Contacts 118 7.2 13.3 6.6 33.3 n/a

205 HEART FAILURE Team Case Load 6 0.4 0.4 - 1.1 n/a

206 ATRIAL FIBRILLATION and STROKE -

207 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 674 2,474.2 2,518.6 2,194.0 3,012.8 n/a

208 People on the AF case finding search who have had their notes reviewed 26 12.3% 11.9% 3.5% 32.1% n/a

209 People with AF with CHADS2-VASc score 2 or more treated with anti-coagulation or anti-platelets therapy (%) 525 78.6% 77.7% 60.2% 81.1% 84.0%

210 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 238 35.6% 42.4% 34.6% 71.2% 93.6%

211 People on Warfarin who have INR recorded in last 12 months (%) 320 98.5% 96.9% 92.8% 100.0% n/a

212 STROKE/TIA Prevalence DSR per 100,000 population 601 2,167.9 2,317.6 1,909.9 2,907.9 n/a

213 Ratio of Observed (QOF) to Expected STROKE Prevalence 598 56.6% 56.2% 10.8% 73.4% 56.8%

214 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 583 91.0% 89.7% 86.0% 93.3% 91.7%

215 People with STROKE/TIA referred for further investigation after last stroke or first TIA (QOF) % 231 87.8% 88.3% 78.1% 94.3% 83.4%

216 People with STROKE/TIA whose latest total cholesterol (prev 12m) is 5mmol or less (%) 365 56.9% 60.0% 54.4% 66.9% n/a

217 Emergency admissions for STROKE 67 1.65 1.39 0.56 1.74 n/a

218 EPILEPSY -

219 Children with EPILEPSY 0-17 years (%) 15 0.2% 0.3% 0.2% 0.4% n/a

220 EPILEPSY Prevalence DSR per 100,000 population 288 948.7 969.5 693.0 1,137.6 n/a

221 Emergency admissions for EPILEPSY 40 1.0 1.4 0.5 3.6 n/a

222 MENTAL HEALTH -

223 COMMON MENTAL HEALTH PROBLEMS -

224 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 313 3.2% 3.3% 2.3% 4.7% n/a

225 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 4,312 13,785.9 15,284.2 12,409.6 19,842.4 n/a

226 People with CMHP with no other LTCs (%) 2,569 59.6% 57.2% 50.7% 76.0% n/a

227 People with CMHP with 1 other LTC (%) 971 22.5% 22.1% 15.0% 23.8% n/a

228 People with CMHP with 2 other LTCs (%) 457 10.6% 10.9% 5.6% 12.8% n/a

229 People with CMHP and CHD (%) 226 5.2% 6.3% 2.2% 8.2% n/a

230 People with CMHP and COPD (%) 278 6.4% 7.4% 4.0% 9.5% n/a

231 People with CMHP and Cancer (%) 244 5.7% 7.1% 2.0% 10.0% n/a

232 People with CMHP and Diabetes (%) 347 8.0% 9.1% 3.5% 11.1% n/a

233 People with CMHP and Hypertension (%) 830 19.2% 21.8% 7.7% 28.0% n/a

234 People with CMHP and SMI (%) 205 4.8% 4.7% 3.4% 6.7% n/a

235 People with CMHP and Current Smoker 15+ (%) 1,601 37.2% 31.5% 19.9% 39.1% n/a

236 Children and Adolescent Mental Health Services (CAMHS) Referrals per 1,000 335 33.4 22.5 2.1 40.3 n/a

237 Children and Adolescent Mental Health Services (CAMHS) Assessments per 1,000 245 24.4 15.7 1.5 27.7 n/a

238 Children and Adolescent Mental Health Services (CAMHS) 1st Interventions per 1,000 213 21.2 13.4 1.4 23.5 n/a

239 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 383 73.8% 79.3% 55.9% 86.9% 64.2%

240 Access to early intervention teams rate per 1,000 20 0.60 0.60 0.35 0.99 n/a

241 IAPT referral rate per 1,000 996 36.4 33.1 27.0 39.3 n/a

242 SERIOUS MENTAL ILLNESS -

243 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 20 0.2% 0.2% 0.1% 0.2% n/a

244 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 415 1,324.5 1,443.2 1,034.5 2,704.9 n/a

245 People with SMI with no other LTCs (%) 136 32.8% 27.8% 21.4% 35.5% n/a

246 People with SMI with 1 other LTC (%) 160 38.6% 39.0% 33.3% 43.0% n/a

247 People with SMI with 2 other LTCs (%) 75 18.1% 18.3% 12.1% 23.3% n/a

248 People with SMI and CHD (%) 17 4.1% 5.0% 2.6% 8.1% n/a

249 People with SMI and COPD (%) 21 5.1% 8.1% 5.1% 11.3% n/a

250 People with SMI and CANCER (%) 20 4.8% 5.1% 1.8% 8.3% n/a

251 People with SMI and Diabetes (%) 46 11.1% 12.9% 7.0% 16.2% n/a

252 People with SMI and CMHP (%) 205 49.4% 50.5% 43.8% 59.2% n/a

253 People with SMI and Hypertension (%) 64 15.4% 18.7% 10.6% 23.1% n/a

254 People with SMI and Current Smoker 15+ (%) 226 54.5% 49.8% 34.2% 63.6% n/a

255 People with SMI receiving list of physical checks previous 12 months (%) 145 31.3% 34.5% 21.6% 40.2% n/a

256 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 36 100.0% 97.3% 94.1% 100.0% 94.2%

257 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 333 85.8% 88.5% 70.4% 94.2% 78.2%

258 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 335 84.0% 86.8% 77.9% 93.6% 81.5%

259 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 365 89.7% 87.7% 75.7% 96.5% 80.6%

260 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 99 80.5% 84.4% 76.4% 95.5% 69.6%

261 Referrals to Community MENTAL HEALTH rate per 1,000 710 21.3 17.7 10.1 23.1 n/a

262 Community MENTAL HEALTH contacts rate per 1,000 710 21.3 17.7 10.1 23.1 n/a

263 Referrals to PSYCHIATRIC LIAISON rate per 1,000 344 10.30 10.29 5.74 16.27 n/a

264 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 184 43.6% 34.1% 5.7% 53.9% n/a

265 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 77 3.74 3.45 1.96 6.69 n/a

266 Emergency admissions for MENTAL HEALTH 77 1.90 2.30 1.55 3.63 n/a

267 MUSCULOSKELETAL -

268 RHEUMATOID ARTHRITIS prevalence 201 0.7% 0.7% 0.1% 1.0% 0.7%

269 RHEUMATOID ARTHRITIS estimated prevalence <5 100.0% 100.0% 100.0% 100.0% n/a

270 People with RHEUMATOID ARTHRITIS having a face by face review in last 12 months (QOF - RA002) 188 94.0% 93.5% 86.2% 97.5% 84.1%

271 People with OSTEOPOROSIS aged 50-74 with a fragility fracture (QOF) 24 68.6% 80.9% 42.9% 97.7% n/a

272 People with OSTEOPOROSIS aged 75 and over with a fragility fracture (QOF) 86 80.4% 67.0% 33.3% 87.5% n/a

273 People with OSTEOPOROSIS aged 50-74 with a fragility fracture treated with bone-sparing agent (QOF) 17 73.9% 82.1% 66.7% 100.0% 71.3%

274 People with OSTEOPOROSIS aged 75 and over with a fragility fracture treated with bone-sparing agent (QOF) 63 74.1% 70.7% 50.0% 100.0% 59.7%

275 Admission rate FACET JOINT INJECTIONS (3+ Admissions) 7 0.17 0.23 0.00 0.66 n/a

276 Admission rate EPIDURAL/SPINAL NERVE ROOT INJECTIONS FOR NON ESPECIFIC BACK/ PAIN (3+ admissions) <5 0.05 0.04 0.00 0.13 n/a

277 GP ref, 1st outpatient attendances RHEUMATOLOGY 150 3.71 3.38 2.09 4.72 n/a

278 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 80 53.3% 51.6% 39.5% 66.9% n/a

279 RESPIRATORY -

280 RESPIRATORY Mortality - DSR per 100,000 population 153 189.8 180.0 122.3 276.4 n/a

281 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 44 57.0 58.2 23.7 119.3 34.3

282 Community RESPIRATORY team Face to Face contacts 374 22.9 26.1 9.8 44.5 n/a

283 Community RESPIRATORY Team Case Load <5 0.12 0.31 - 0.79 n/a

284 Child AED attendances - LRTI 498 73.4 63.2 47.8 80.1 n/a

285 Emergency admissions for LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1,000 aged 0-18 years 46 6.5 5.3 3.8 7.9 n/a

286 Emergency admissions for FLU & PNEUMO 182 4.50 4.21 3.21 5.37 n/a

287 GP ref, 1st outpatient attendances RESPIRATORY 202 4.99 4.42 2.76 5.35 n/a

288 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 49 24.3% 22.3% 14.8% 32.8% n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

289 COPD -

290 COPD Prevalence DSR per 100,000 population 1,078 3,841.9 4,118.6 2,499.2 5,885.0 n/a

291 Ratio of Observed (QOF) to Expected COPD Prevalence 1,069 136.4% 102.4% 58.0% 1923.8% 61.9%

292 People with COPD and diagnosis confirmed by post bronchodilator spirometry (QOF) (%) 529 85.6% 88.0% 84.8% 91.1% 80.8%

293 People with COPD and MRC dyspnoea grade ≥3 and oxygen saturation value in last 12 months (QOF) (%) 487 95.3% 96.1% 92.8% 98.9% 95.6%

294 People with COPD and an influenza vaccination in the preceeding Aug-March (QOF) (%) 721 86.3% 93.5% 86.3% 98.7% 80.0%

295 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 715 73.4% 77.3% 61.6% 83.1% 71.1%

296 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 856 85.7% 88.7% 80.8% 93.3% 79.4%

297 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 487 95.3% 96.1% 92.8% 98.9% n/a

298 Emergency admissions for COPD 122 3.01 3.43 1.66 5.53 n/a

299 ASTHMA -

300 Children with ASTHMA 0-17 years (%) 276 4.2% 4.1% 3.4% 4.8% n/a

301 Young People with ASTHMA aged 18-25 years (%) 126 4.0% 3.9% 2.4% 5.9% n/a

302 ASTHMA Prevalence DSR per 100,000 population 2,114 6,893.5 6,692.0 5,986.4 7,696.2 n/a

303 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 2,052 67.4% 60.0% 30.9% 74.8% 117.4%

304 People with ASTHMA Day and Night Symptoms Recorded (%) 1,472 69.5% 68.4% 59.7% 75.0% n/a

305 People with ASTHMA aged 8+ with measures of variability or reversibility recorded (QOF) (%) 706 92.3% 93.0% 90.1% 94.9% 84.9%

306 People with ASTHMA with asthma review, including assessment using 3 RCP questions (QOF) (%) 1,444 73.1% 76.4% 71.1% 82.2% 70.2%

307 People with ASTHMA aged 14-19 years with record of smoking status in last 12 months (QOF) (%) 79 85.9% 90.8% 85.6% 95.7% 83.5%

308 Emergency admissions for ASTHMA 61 1.51 1.26 0.55 2.01 n/a

309 SEGMENT 3. DISABILITY -

310 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 88 135.3 123.2 75.8 175.8 n/a

311 LEARNING -

312 LEARNING DISABILITIES Prevalence DSR per 100,000 population 140 439.1 412.7 106.3 606.4 n/a

313 Persons 18+ with a LEARNING DISABILITY and HEALTH CHECK completed (%) 113 64.9% 58.2% 35.1% 76.4% 48.1%

314 Persons 18+ with a LEARNING DISABILITY eligible for a Health Check and health action plan completed (%) 55 31.6% 28.9% 6.4% 48.6% n/a

315 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 141 110.5% 84.8% 49.3% 110.5% n/a

316 PHYSICAL -

317 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 487 1,739.7 1,538.9 1,092.5 2,223.6 n/a

318 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 1,844 6,289.2 6,941.5 5,045.5 7,917.7 n/a

319 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 560 112.3 76.4 43.4 112.3 n/a

320 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 299 60.0 43.8 24.8 60.0 n/a

321 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 165 33.1 26.1 15.9 35.1 n/a

322 SEGMENT 4. COMPLEX LIVES -

323 Children in Need - Rate per 10,000 under 18 years 293 450.4 375.9 192.3 571.4 330.4

324 Looked After Children - Rate per 10,000 under 18 years 103 158.3 128.2 55.6 233.1 62.0

325 Child Protection Plan - Rate per 10,000 under 18 years 57 87.6 58.9 38.9 87.6 43.3

326 Early Help Assessment Tool (EHAT) Family Assessments (%) 243 3.7% 3.0% 2.0% 0.0 n/a

327 Troubled Families - Rate per 1,000 population 941 30.0 25.9 12.8 49.8 n/a

328 Child AED attendances - ACCIDENTS 883 130.2 116.0 74.7 155.6 n/a

329 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 149 1554.3 1,298.1 685.9 1,869.6 n/a

330 Emergency admissions for SELF HARM under 18s 13 1.9 1.5 - 2.4 n/a

331 Hospital admissions as a result of SELF-HARM (10-24 years) DSR per 100,000 23 407.0 403.1 113.5 723.9 421.2

332 Persons under 18 admitted to hospital for ALCOHOL-SPECIFIC conditions crude rate per 100,000 (3 Year Pooled) 11 54.7 49.1 21.8 106.7 32.9

333 Hospital admissions due to SUBSTANCE MISUSE (15-24 years) DSR per 100,000 (3 Year Pooled) 12 101.8 84.0 21.6 190.5 87.9

334 MH emergency admissions MENTAL & BEHAVIOURAL - ALCOHOL 77 2.3 1.6 0.7 2.6 n/a

335 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 82 2.5 1.8 0.8 2.9 n/a

336 Emergency admissions for VIOLENCE 108 2.7 2.6 1.1 6.6 n/a

337 Emergency admissions for SELF HARM over 18s 77 2.9 2.9 1.4 5.5 n/a

338 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 299 973.0 868.9 459.3 2,269.5 n/a

339 ALCOHOL SPECIFIC admissions DSR per 100,000 141 440.2 315.1 118.6 875.9 118.3

340 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 984 3,131.5 2,914.7 1,963.6 6,096.5 2,224.0

341 People registered as homeless by their GP rate per 1,000 31 0.9 1.9 0.1 14.8 -

342 People with 10 or more Accident and Emergency attendances in last 12 months rate per 1,000 89 2.7 2.4 1.6 3.1 n/a

343 SEGMENT 5. FRAILTY AND DEMENTIA -

344 FRAILTY -

345 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 33.3% 34.2% 21.4% 47.0% 15.3%

346 Population 65+ (%) 5,287 15.8% 14.4% 1.8% 20.4% 17.9%

347 Population 75+ (%) 2,428 7.3% 6.3% 0.5% 9.4% 8.1%

348 Population 85+ (%) 651 2.0% 1.7% 0.1% 2.9% 2.4%

349 Population 95+ (%) 50 0.1% 0.1% 0.0% 0.2% 0.2%

350 People with a MILD frailty score (%) 35 4.5% 17.3% 0.8% 35.7% n/a

351 People with a MODERATE frailty score (%) 371 47.8% 51.3% 40.1% 65.5% n/a

352 People with a SEVERE frailty score (%) 369 47.6% 31.3% 24.2% 47.6% n/a

353 Injuries due to FALLS 65+ 170 32.2 33.0 25.5 51.0 n/a

354 Emergency admissions for HIP FRACTURES aged over 65 40 7.6 7.2 5.2 9.4 n/a


356 Emergency admissions for CELLULITIS 77 1.9 1.7 1.4 2.3 n/a


358 Emergency admissions for DEMENTIA aged over 65 5 2.4 1.7 0.2 7.3 n/a


360 Emergency admissons for GASTRO/DEHYDRATION 13 0.3 0.2 - 0.5 n/a

361 Emergency admissions for PYLO NEFRITIS 28 0.7 0.6 0.4 1.0 n/a


363 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 238 47.7 28.8 9.4 56.7 n/a

364 Emergency admissions from CARE HOMES 159 76.1 22.6 2.3 81.6 n/a


366 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 22 83% 84% 74% 96% n/a

367 Social Services Users OLDER PERSONS per 1,000 65+ resident population 811 147.2 115.9 85.7 147.2 n/a

368 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 71 14.1 9.2 4.3 14.5 n/a




372 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 295 59.1 40.3 15.3 71.2 n/a

373 CARERS Prevalence (GP Recorded) DSR per 100,000 population 960 3,221.4 2,854.9 1,781.5 3,873.6 n/a

374 DEMENTIA -

375 DEMENTIA Prevalence DSR per 100,000 population 234 865.5 792.0 565.2 1,142.9 n/a

376 Ratio of Observed (QOF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 236 63.7% 64.7% 43.1% 92.0% 60.0%

377 Ratio of Observed (QOF) to Expected DEMENTIA (CFAS II) Prevalence 236 71.8% 73.0% 48.7% 104.2% 67.4%

378 People with DEMENTIA with no other LTCs (%) 22 9.4% 9.3% 4.8% 14.3% n/a

379 People with DEMENTIA with 1 other LTC (%) 59 25.2% 19.3% 14.3% 26.9% n/a

380 People with DEMENTIA with 2 other LTCs (%) 59 25.2% 25.5% 17.7% 31.9% n/a

381 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 201 83.8% 83.2% 70.8% 89.9% 77.5%

382 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 55 82.1% 84.3% 50.0% 92.0% 68.0%



IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

385 SEGMENT 6. END OF LIFE -

386 SHORT PERIOD OF DECLINE AND DYING (CANCER) -

387 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 212 752.9 642.8 430.0 1,071.9 n/a

388 Emergency admissions END OF LIFE 121 22.9 19.4 13.3 23.9 n/a

389 CANCER Mortality - DSR per 100,000 population 266 311.2 303.7 246.8 391.1 268.0

390 LUNG CANCER - DSR per 100,000 population 74 87.3 85.7 49.2 148.3 56.3

391 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 87 102.9 87.5 63.7 119.4 n/a

392 CANCER Mortality Under 75 Years - DSR per 100,000 population 132 160.8 157.3 119.8 201.8 134.6

393 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 42 52.3 45.4 22.9 84.0 n/a

394 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 34 41.2 46.4 32.2 59.8 n/a

395 CANCER Prevalence DSR per 100,000 population 1,484 5,259.6 5,601.0 4,302.0 6,470.9 n/a

396 NEUROLOGICAL (PARKINSONS, MND) -

397 ORGAN FAILURE (HEART, LUNG, LIVER) -

398 HEART FAILURE Prevalence DSR per 100,000 population 301 1,096.6 1,343.3 1,096.6 1,760.9 n/a

399 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 287 80.0% 92.1% 59.8% 122.1% 72.8%

400 CKD Prevalence DSR per 100,000 population 1,312 4,762.3 6,549.4 4,653.5 8,229.4 n/a

401 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,370 84.5% 99.8% 52.7% 117.6% 62.3%

402 ACUTELY ILL -

403 EMERGENCY CARE/GP Enhanced Access -

404 111 call rate per 1,000 weighted population 5,620 168.2 149.7 99.1 179.0 n/a

405 Walk in Centre attendances 8,723 215.5 213.6 107.4 324.2 n/a

406 A&E not admitted (using discharge method, discharge with no treatment, no follow up) 10,317 254.8 246.6 187.7 329.1 n/a

407 Total NEL admissions <=1 day LOS rate per 1,000 2,998 74.1 72.0 55.1 97.1 n/a

408 Total NEL admissions >2 day LOS rate per 1,000 2,258 55.8 53.0 39.6 61.9 n/a

409 Child AED attendance rate per 1,000 population aged 0-4 years 1,673 878.2 740.7 567.4 878.2 n/a

410 Child AED attendances - ACCIDENTS 883 130.2 116.0 74.7 155.6 n/a

411 Child AED attendances - LRTI 498 73.4 63.2 47.8 80.1 n/a

412 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 77 3.7 3.4 2.0 6.7 n/a

413 Child Emergency Admission Average Length of Stay <1 day 444 65.5 56.7 47.3 77.5 n/a

414 Rate per 1,000 HCHS weighted pop for GP Spec AE attendances 318 7.9 7.4 4.0 12.0 n/a

415 Rate per 1,000 HCHS weighted pop for GP Spec ACS admissions 494 12.2 12.2 7.9 14.5 n/a

416 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 984 3,131.5 2,914.7 1,963.6 6,096.5 2,224.0

417 ALCOHOL SPECIFIC admissions DSR per 100,000 141 440.2 315.1 118.6 875.9 118.3


419 Emergency admissions for ASTHMA 61 1.5 1.3 0.5 2.0 n/a

420 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1,000 aged 0-18 years 4 0.6 0.8 0.3 1.3 n/a

421 Emergency admissions for CANCER 245 6.1 5.6 2.9 6.8 n/a

422 Emergency admissions for CELLULITIS 77 1.9 1.7 1.4 2.3 n/a


424 Emergency admissions for COPD 122 3.0 3.4 1.7 5.5 n/a


426 Emergency admissions for DIABETIC COMPLICATIONS 22 0.5 0.5 0.2 0.9 n/a

427 Emergency admissions for ENT 72 1.8 2.0 0.9 3.6 n/a

428 Emergency admissions for EPILEPSY 40 1.0 1.4 0.5 3.6 n/a


430 Emergency admissons for GASTRO/DEHYDRATION 13 0.3 0.2 - 0.5 n/a

431 Emergency admissions for HIP FRACTURES aged over 65 40 7.6 7.2 5.2 9.4 n/a

432 Emergency admissions for LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1,000 aged 0-18 years 46 6.5 5.3 3.8 7.9 n/a

433 Emergency admissions for MENTAL HEALTH 77 1.9 2.3 1.6 3.6 n/a

434 Emergency admissions for PYLO NEFRITIS 28 0.7 0.6 0.4 1.0 n/a

435 Emergency admissions for SELF HARM over 18s 77 2.9 2.9 1.4 5.5 n/a


437 Emergency admissions for VIOLENCE 108 2.7 2.6 1.1 6.6 n/a

438 Injuries due to FALLS 65+ 170 32.18 32.96 25.54 51.05 n/a

439 Emergency re-admissions within 30 days to hospital (%) 898 0.1 0.1 0.1 0.2 0.1

440 Emergency admissions END OF LIFE 121 22.9 19.4 13.3 23.9 n/a

441 Emergency admissions from CARE HOMES 159 76.1 22.6 2.3 81.6 n/a

442 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1,000 HCHS population) -

443 GP ref, 1st outpatient attendances 3,499 86.4 80.3 69.5 91.7 n/a

444 GP ref, 1st outpatient attendances CARDIOLOGY 680 16.8 14.1 9.8 17.7 n/a

445 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 401 59.0% 62.6% 53.1% 72.9% n/a

446 GP ref, 1st outpatient attendances DERMATOLOGY 517 12.8 12.6 8.8 17.4 n/a

447 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 249 48.2% 54.1% 41.7% 63.8% n/a

448 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 167 32.3% 33.1% 27.3% 41.5% n/a

449 GP ref, 1st outpatient attendances ENT 691 17.1 16.1 11.8 18.1 n/a

450 GP ref, 1st outpatient attendances ENT - % referred on 2WW 109 15.8% 15.6% 10.2% 21.8% n/a

451 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 288 41.7% 42.7% 37.6% 48.2% n/a

452 GP ref, 1st outpatient attendances GASTRO 408 10.1 9.4 7.6 11.0 n/a

453 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 124 30.4% 31.7% 14.2% 52.6% n/a

454 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 136 33.3% 41.5% 29.6% 56.4% n/a

455 GP ref, 1st outpatient attendances GYNAECOLOGY 417 10.3 8.9 5.8 10.3 n/a

456 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 84 20.1% 20.6% 16.3% 28.0% n/a

457 GP ref, 1st outpatient attendances RESPIRATORY 202 5.0 4.4 2.8 5.3 n/a

458 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 49 24.3% 22.3% 14.8% 32.8% n/a

459 GP ref, 1st outpatient attendances RHEUMATOLOGY 150 3.7 3.4 2.1 4.7 n/a

460 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 80 53.3% 51.6% 39.5% 66.9% n/a

461 GP ref, 1st outpatient attendances UROLOGY 355 8.8 9.0 6.3 10.5 n/a

462 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 130 36.6% 41.6% 30.8% 53.5% n/a

463 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 128 36.1% 34.5% 25.2% 46.8% n/a

464 GP ref, 1st outpatient attendances VASCULAR 79 2.0 1.9 0.8 2.4 n/a

465 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 51 64.6% 70.5% 59.6% 87.7% n/a

466 COMMUNITY AND GENERAL PRACTICE SERVICES NEED AND EXPERIENCE -

467 Patient Experience: Overall good experience of making an appointment (%) 307 75.8% 70.4% 60.4% 80.3% n/a

468 Patient experience: Overall Experience of General Practice (%) 374 85.9% 85.7% 77.8% 92.0% n/a

469 Community Matrons Face to Face Contacts 1,071 65.5 59.4 22.9 106.4 n/a

470 Community Matrons Case Load 12 0.7 0.9 0.4 2.9 n/a

471 Community RESPIRATORY team Face to Face contacts 374 22.9 26.1 9.8 44.5 n/a

472 Community RESPIRATORY Team Case Load <5 0.1 0.3 - 0.8 n/a

473 DIABETES Specialist Nurses Face to Face Contacts 549 33.6 33.6 20.2 54.9 n/a

474 DIABETES Case Load 136 8.3 8.8 6.5 12.2 n/a

475 District Nursing Face to Face Contacts 14,280 873.9 1,102.6 719.9 1,402.3 n/a

476 District Nursing Case Load 211 12.9 12.8 10.3 16.7 n/a

477 HEART FAILURE Team Face to Face Contacts 118 7.2 13.3 6.6 33.3 n/a

478 HEART FAILURE Team Case Load 6 0.4 0.4 - 1.1 n/a

479 IV Therapy Face to Face Contacts 147 9.0 17.4 3.7 43.6 n/a

480 IV Therapy Case Load <5 0.1 0.2 - 0.3 n/a

481 Therapy Face to Face Contacts 6,191 378.9 388.1 195.2 483.1 n/a

482 Therapy Case Load 1,081 66.2 67.4 30.5 84.5 n/a

483 Treatment Rooms Face to Face Contacts 2,935 179.6 216.3 73.3 332.5 n/a

484 Treatment Rooms Case Load 54 3.3 5.8 1.0 13.3 n/a

485 Telehealth referrals rate per 1,000 adult registered pop 18 1.1 23.8 1.0 125.8 n/a

486 Referrals to Community MENTAL HEALTH rate per 1,000 710 21.3 17.7 10.1 23.1 n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

487 SOCIAL CARE NEED (LIVERPOOL CITY COUNCIL) -

488 Social Services Users TOTAL per 1,000 40+ resident population 2,131 348.5 185.9 71.7 348.5 n/a

489 Social Services Users OLDER PERSONS per 1,000 65+ resident population 811 147.2 115.9 85.7 147.2 n/a

490 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 184 43.6% 34.1% 5.7% 53.9% n/a

491 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 141 110.5% 84.8% 49.3% 110.5% n/a













504 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 22 82.6% 84.2% 74.0% 96.0% n/a