REDDITCH AND BROMSGROVE 3 POPULATION PROFILE
Purpose
The locality profiles have been produced to – Support shared understanding of the health and care needs and experiences of local people accessing services Provide insights into how people are currently using health services and their outcomes Help to identify opportunities for collaborative working within and across localities
These profiles have not been produced for the purposes of performance management. They are intended to support Neighbourhood Team in identifying their priorities for the forthcoming year. Although some of the data might be familiar to you, it is hoped that you will be able to gain a greater insight into the challenges facing the local population when viewing this in the context of a wider data set.
This is the first attempt at compiling this data at Neighbourhood Team level. We would expect that as teams have had the opportunity to use this information, we may need to refine the data set over the initial period. If this data proves useful, we will refresh and refine the profiles on an annual basis. It only provides a snapshot across a broad range of indicators, but in producing this, we have compiled a comprehensive data set which we can drill down into as requested. Neighbourhood teams will also be provided with a monthly dashboard of indicators which will demonstrate the performance of their integrated community team. Once the Neighbourhood Teams have identified their priorities for the year, we will provide support in developing a monthly dataset to help you to monitor the effectiveness of any new developments you put in place.
Limitations
The primary and community care localities are not fully aligned to the local authority area council geographies Public health data, for example, rates of obesity and smoking, is based on council wards whereas the disease prevalence data (QOF) and hospital episode data (SUS) is based on GP registered lists
Key for tables Highlighted Data based on local authority population Not highlighted Data based on GP registered lists
Patient level data is not matched across different health and care providers so provides limited information around how patients use and move through the system as a whole
DEMOGRAPHICS
Data sources
NHS Digital GP practices Number of New Road Surgery Bromsgrove Patients Registered at a Davenal House Surgery GP Practice Churchfields Surgery Barnt Green Surgery St Johns Surgery Catshill Village Surgery The Glebeland Surgery
Total registered population = 64,574 Black and Black and minority ethnic population Number of 65yrs+ living alone minority ethnic population and pensioners living 4.3% alone 27.0% Census 2011 Worcestershire Avg NT Level Lower than Worcestershire Avg – 28.7% Carers - Census Carers provides 20 or more hours Homelessness (per 1,000 households) 2011, NT Level unpaid care a week Homelessness 3.0 applications total decisions made: 3.6% rate per 1,000 Lower than England Avg – 5.0 households 15/16, Lower than Worcestershire Avg – 3.7% PHE NT Level
R&B 3 Worcestershire
85+yrs 65-84yrs 25-64yrs 15-24yrs 0-14yrs
0% 10% 20% 30% 40% 50% 60% % Population
POPULATION HEALTH
Data sources Neighbourhood Team Limiting long term illness or Worcestershire General health bad or very bad data (self-reported) disability (self-reported)
Life expectancy PHOF Life expectancy male 79.4 79.7 4.8% 17.3% indicator 2013-15 (3 years pooled data) Life expectancy female Council district figure 83.7 83.5 Lower than Worcestershire Avg – 5.2% Lower than Worcestershire Avg – 17.9% General health and limiting long term illness or disability, Census 2011, NT level
Obese children (Year 6), Obese children Adults with excess weight National Child (Year 6) Measurement Programme (NCMP) 3 years combined data 2014/15 - 2016/17 15.0% 59.7% Obese adults, PHOF indicator 2015/16 (Active 115 (estimated total) Lower than Worcestershire Avg – 62.4% Lives Survey) Council district figure Lower than Worcestershire – 18.8% Healthy eating adults, Healthy eating adults Percentage of physically active Admissions for alcohol related PHOF indicator 2015/16 (self-reported, meeting the (Active Lives Survey) Smoking prevalence (adults) adults conditions recommended ‘5-a-day’) NT figure (self-reported, moderate 150 minutes Smoking Prevalence QOF 14.0% per week) 15/16, NT figure 608 64.6% Physical activity, Lower than Worcestershire Avg – 17.3% Alcohol admissions PHE Higher than Worcestershire Avg – 61.5% 67.0% Lower than Worcestershire Avg - 624 Fingertips 15/16 (number of admissions per 100,000 population – directly Lower than Worcestershire Avg – 67.2% standardised rate), NT figure
Prevalence within total Learning disabilities Mental Health Depression Dementia Asthma COPD population of health conditions QOF 16/17 NT level 0.45% 0.72% 8.71% 1.02% 7.14% 1.64%
Higher than Worcestershire Higher than Worcestershire Higher than Worcestershire Higher than Worcestershire Higher than Worcestershire Higher than Worcestershire Avg – 0.29% Avg – 0.50% Avg – 5.87% Avg – 0.56% Avg – 4.22% Avg – 1.29% National Cancer New cancer diagnosis Registration Service14/15 – crude (rate per 100,000 population) incidence rate per 100,000 population 645.6 excluding non-melanoma skin cancer Higher than Worcestershire rate FINANCE AND UTILISATION OF SERVICES
Data sources Emergency Admission Costs Cost of A&E attendances per Average bed day costs for patients with 5 or Cost of admissions with zero day Business Intelligence, CCG from SUS data per 1000 population 1000 population more admissions during 16/17 per 1000 length of stay per 1000 population population £155,314 £35,445 £299 £19,877
Lower than Worcestershire Avg - Higher than Worcestershire Avg - Lowest in Worcestershire Higher than Worcestershire Avg - £17,254 £158,945 £33,410
Adult Social Care Residential home packages – spend per head of Nursing home packages – spend per head of Home care packages – spend per head of population 16/17 population 16/17 population 16/17
Awaiting Adult Social Care data
Work Programme Priorities for 2017/18
Improving access to care Integrating primary, community & social care
Integrating specialist support Promoting self care & self management
Comms & HR, Workforce Governance, £ & IT OD & Culture Estates engagement & role redesign technical support ALLIANCE BOARD PRIORITY 1 IMPROVING ACCESS TO CARE
Data sources
MORI National GP Patient Ease of getting through to Survey – July 2017 Able to get an appointment to someone at GP surgery on the Convenience of appointment Satisfaction with opening hours see or speak to someone phone
Range based on practices within the NT 85.20% 89.71% 95.87% 79.15%
Higher than Worcestershire average Higher than Worcestershire average Higher than Worcestershire average Higher than Worcestershire average (NT Range 26.4% – 75.59%) (NT Range 67.22% - 99.45%) (NT Range 75.7% - 100%) (NT Range 58.38% – 94.56%)
Social Care Access
A&E attendance and emergency A&E Attendance rates 16/17 Emergency admission rates 16/17 Emergency readmission rate admission data, SUS data Rate per 1,000 population NT level data 349 89.34 5.6%
Increase in AE attendance rates compared to 15/16 Increase in EA rates compared to 15/16 Higher than Worcestershire Avg – 4.9%
End of Life Audits – preferred place of death, primary care
Caseloads
Waiting times
Data is being sourced around NT caseloads for social workers and community teams
ALLIANCE BOARD PRIORITY 2 INTEGRATING PRIMARY, COMMUNITY & SOCIAL CARE
Data sources
CCG Performance Data – 16/17 Admission rate per bed Ambulance call out rate per bed % of ambulance call outs conveyed financial year all care home beds
Frequent attenders – frequent Patients attending A&E who attenders SUS data re-attend in a 12 month period
Total No. 3 or more in a year 10 or more in a year
Recovery Beds Utilisation of community Length of stay for patients in a Number of delayed transfers of care hospital beds community hospital in community hospitals
% % %
Recovery Beds: working with WHCT to get the data split out by GP practice
ALLIANCE BOARD PRIORITY 3 INTEGRATING SPECIALIST SUPPORT
Data sources
National diabetes audit 16/17 Diabetes (type 1) Diabetes (type 2) neighbourhood Achievement of the NICE recommended treatment targets for neighbourhood average average diabetes – BP, cholesterol, HbA1c NT level 23.8% 43.6%
Worcestershire average 19.5% Worcestershire average 43.8% Range at practice level 14.3 - 50% Range at practice level 40.5 – 46.8% QOF 16/17 DM03 – BP DM04 – Cholesterol DM07 – HbA1c Achievement of diabetes QOF indicators – NT level 81.9% 80.8% 72.5%
Worcestershire average 81.1% Worcestershire average 82.6% Worcestershire average 74% Range at practice level 76 – 86% Range at practice level 76.1 – 87.8% Range at practice level 67.3 – 80.5%
Urology admission data - CCG UTI admissions 16/17 Urinary catheter related performance monitoring data 16/17 financial year, with benchmark against admissions 16/17 15/16 data 227 12 Increase compared to 15/16 Increase compared to 15/16
EMIS Frailty register % >65 population with mild, moderate and severe frailty
Mild Moderate Severe Total **
7% 4% 2% 13% ** Caveat – there appears to be some discrepancy with how frailty is coded, therefore, this will need to be reviewed next year.
Falls data – CCG performance Standardised rate of falls per Standardised rate of fall per 1000 monitoring data 16/17 1000 with fracture without fracture
4.6 3.6 Lower than Worcestershire Average Higher than Worcestershire Average ALLIANCE BOARD PRIORITY 4 PROMOTING SELF-CARE AND SELF-MANAGEMENT
Data sources
Flu Vaccination - 25% of practices Flu vaccine uptake % with highest uptake, or if National 65 and over Change from Target met within the CCG, are shown Surgery RBCCG in GREEN. The 25% with lowest Jan 2016 uptake shown in RED. Percentages New Road Surgery Bromsgrove 73.1 shown are from period ending January 2017. Davenal House Surgery 68.4 Churchfields Surgery 70.8 Barnt Green Surgery 72.8 St Johns Surgery 69.8 Catshill Village Surgery 70.1 The Glebeland Surgery 77.2 NHS RBCCG 71.0
Childhood immunisations
Screening programmes
Pre diabetes