Neighbourhood Profiles & Summer 2018

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READER INFORMATION

Title Neighbourhood Profiles

Team CCG Business Intelligence Team; Public Health Epidemiology Team Author(s) Sophie Kelly, Andrea Hutchinson, Kate Hodgkiss

Contributor(s) Liverpool City Council Social Services Analysis Team; Liverpool Community Health Analysis Team Reviewer(s) Neighbourhood Clinical Leads; Locality Clinical Leads; Liverpol CCG Primary Care Team; Liverpool CCG Business Intelligence Team: Liverpool City Council Public Health Team; Liverpool Community Health Intelligence and Public Health Teams Circulated to Neighbourhood Clinical and Managerial Leads; Liverpool GP Bulletin; Liverpool CCG employees including Primary Care Team and Programme Managers; Adult Social Services (LCC); Public Health (LCC); Liverpool Community Health Version 1.0

Status Final

Date of release July 2018

Review date To be confirmed

Purpose The packs are intended for General Practice neighbourhoods to use to understand the needs of the populations they serve. They will support neighbourhoods in understaning health inequalities that may exist for their population and subsequently how they may want to configure services around patients. Description This series of reports contain intelligence about each of the 12 General Practice Neighbourhoods in Liverpool. The information benchmarks each neighbourhood 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 JSNA Documents 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 PCQF The Primary Care Quality Framework (PCQF) is a suite of indicators which are monitored on a monthly basis across all practices, neighbourhoods and localities in the city. It brings together indicators taken from various sources including QOF and GP spec. Many of the indicators are monitored using data extracted directly from practice systems, whilst others use hospital datasets or nationally published data. The aim of the framework is to improve quality and reduce variation in primary care. When practices identify that there may be scope for improvement against a particular indicator, they can choose to include it in their practice development plan. You can access the PCQF via Aristotle

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Contents 1. Potential Areas of Focus ...... 4 Social Care ...... 5 2. Introduction ...... 6 2.1 GP Practice ...... 6 2.2 Registered Population ...... 6 2.3 Registered Patient Ward Alignment ...... 6 2.4 Service Provision ...... 7 2.5 Assets ...... 8 3. Neighbourhood Map ...... 11 4. Population Map ...... 12 5. Co – Morbidities ...... 14 6. Population Structure, Demographics, Risk Factors and Determinants of Health ...... 15 7. Neighbourhood Health Profile ...... 15

See separate Metadata document for indicator definitions, sources and timeframes

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1. Potential Areas of Focus

Health • Older People Income deprivation affecting older people is significantly higher with 40%, compared to 34.4% for Liverpool. One in every 8 people aged over 65+ live alone (12.8%), although the proportion of people aged 65+ is significantly lower. Dementia prevalence is comparable to Liverpool. However, the proportion of patients aged 75+, with a fragility fracture treated with a bone sparing agent, is significantly lower than the total Liverpool position (36.1% compared to 58.2% for Liverpool). The proportion of patients on who are on 10 or more prescribed items is 7.5%, compared to 6.2% for Liverpool as a whole. The rate of emergency hospital admissions at end of life is significantly higher, at 28.9 per 1,000 compared to 21.7 for Liverpool – this neighbourhood has the highest rate in the city.

• Risk of Hospital Admission Risk stratification allows GP practices to identify patients at risk of a hospital admission based on risk score. 1.6% of the Anfield and Everton neighbourhood population fall into risk score bracket >50% <90% (significantly above the Liverpool average of 1.3%) although a reduction from last year (2.2%). Active case management of these identified patients and targeted proactive care in the community will prevent unnecessary visits to hospital.

• Hypertension Management 90% of risk factors for hypertension are modifiable. High blood pressure accounts for 80% of all cases of CHD and contributes to 9% of the burden of disease in the UK, second only to tobacco. Recorded Hypertension prevalence in this neighbourhood is significantly higher than the city average (17,897 per 100,000 compared to the Liverpool average of 16,840). This is also true for management of BP below 140/90 with 71.9% patients, compared to 70.6% for Liverpool. The proportion of patients aged 40-74 years offered a health check is significantly lower (57% compared to 73% for Liverpool), and the proportion of those who have completed their health check is 33.5%, ranked 4th lowest in the city.

• Children Over a fifth of the neighbourhood population is aged 0-18 (22%), significantly higher than the city average. The birth rate is significantly higher with a rate per 1,000 of 68.2 compared to 55. The percentage of women smoking at the time of delivery is also significantly higher (19%). Breastfeeding rates are significantly lower at birth and 6 weeks post check-up. The neighbourhood has among the highest rates of children with a special education needs (SEN) support plan. There are a higher proportion of troubled families (8% compared to 5.4% for Liverpool). Educational attainment at GCSE grades A*-C is ranked the 2nd lowest when compared to all neighbourhoods, and pupil absenteeism is significantly higher than the city wide average with (14.3% in primary school and 21.4% in secondary school). Seasonal flu vaccine uptake for children at 2 & 3 years old and for pregnant women is significantly lower than the city-wide average. The number of accident and emergency attendances for LRTI, mental health and accidents are all significantly higher that the city average. Hospital admissions in 15-24 year olds for substance misuse is ranked 3rd highest when compared to all neighbourhood.

• Cancer Early detection of cancer is essential to ensure prompt appropriate treatment, thus reducing premature deaths. Cancer prevalence rates are significantly lower compared to Liverpool, although the overall cancer mortality rate is the highest in the city, at 426.2 per 100,000 population, compared to the Liverpool average of 320.5 per 100,000. Lung cancer mortality is ranked the highest, with a rate of 143.3 per 100,000, compared to 93.2 per 100,000 when compared to all neighbourhoods. Uptake rates for all three cancer screening programmes are significantly lower, suggesting late diagnosis of cancers detected.

• Respiratory Management Recorded COPD prevalence is significantly higher than the city average (5,345 compared to 3,853). Asthma prevalence is the highest, when compared to all neighbourhoods, with a rate of 7,639 per 100,000 population. Emergency admissions for COPD are ranked 2nd highest, when compared to all neighbourhoods, and disease management is also poor, with 52% of patients having a record of FEV1 in the previous 12 months, and reviews at 74%. Referrals to pulmonary rehab are comparable with Liverpool. Recording of asthma symptoms, day and night, is significantly lower with 58.9% compared to 65.4% for Liverpool.

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• CVD Primary prevention of CVD requires that patients at risk are identified before the disease has become established. Risk assessments in those likely to be at high risk of CVD (for example, people with hypertension and other modifiable risk factors) should be monitored periodically. 77.9% of patients with hypertension are recorded as having a BP <150/90 people , a significantly higher proportion of patients with a BMI >=30, and 15.1% of the population undertake some form of vigorous activity compared to 22.8% for Liverpool. These all contribute to the development of CVD. Prevalence of smoking (29.6% compared to 21.5%) and alcohol consumption (5.9 compared to 5.6), and the number of alcohol related admissions (493), are all significantly higher than the Liverpool average.

• Mental Health Dementia prevalence is comparable to Liverpool. However, the rate of patients per 100,000 population with a SMI is significantly higher than the city average (1,722 per 100,000). Patients with other co morbidities i.e. 1 or more LTC are comparable to Liverpool. The proportion of patients receiving a health check in the last 12 months remains lower than the city average (38.9%). Depression is significantly higher, with a rate of 14,838 per 100,000 population, although those with other co-morbidities remain comparable to Liverpool (except for those with Depression and COPD, which is ranked 2nd highest, when compared to all neighbourhoods). Patients with a record of depression and defined as a current smoker is significantly higher than Liverpool (31.7% compared to 26.3% in the city). This is the second-highest neighbourhood in the city

Social Care

• Social Services Total service users’ activity is comparable to Liverpool, with 1,061 service users recorded in the last year. All other services are comparable to Liverpool, except for learning disability which is significantly lower, with 46.6% compared to 55.5% for Liverpool. However, learning disability prevalence is significantly higher, with 541.9 per 100,000, compared to the 412.8 city average.

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2. Introduction

2.1 GP Practice The neighbourhood is made up of the following GP practices:

Practice Code CCG Lead Address Postcode N82011 Connolly S Belmont Grove, Liverpool L6 4EW N82052 Mendiguren J Townsend Lane Neighbourhood Health Centre, L6 0BB 98 Townsend Lane N82081 O’Connor H 45 Everton Road, Liverpool L6 2EH N82095 Keyser T 45 Everton Road, Liverpool L6 2EH N82099 Khan S Mere Lane Neighbourhood Health Centre 49- L5 0QW 51 Mere Lane N82103 Abdi Syed Townsend Lane Neighbourhood Health Centre L6 0BB 98 Townsend Lane N82623 Tanna S Mere Lane Neighbourhood Health Centre 49- L5 0QW 51 Mere Lane N82647 Primary Care Townsend Lane Neighbourhood Health Centre L6 0BB Connect 98 Townsend Lane N82665 Primary Care 45 Everton Road, Liverpool L6 2EH Connect N82669 Abrams Mere Lane Neighbourhood Health Centre L5 0QW 49-51 Mere Lane, Liverpool

2.2 Registered Population The registered population is 44,892.

2.3 Registered Patient Ward Alignment The wards that this neighbourhood is most aligned to are:

Everton & Anfield Wards %

Dominant Ward Anfield 27.8% Second Ward Everton 27.5% Third Ward and 12.4% Fourth Ward 11.4% Fifth Ward 4.1% Sixth Ward 3.8% Seventh Ward Kensington and Fairfield 3.4% Eighth Ward 2.0% Ninth Ward 1.3% Tenth Ward 1.0% Other Wards 5.3%

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2.4 Service Provision

Service provided by General Practice

Tanna S H O’Connor S Khan PCC PCC Connolly S Mendiguren

Practice Code & CCG Lead N82095 Keyser T Syed Abdi N82103 N82669 Abrams Simon N82623 N82081 N82099 N82647 N82665 N82011 N82052 QOF 1 1 1 1 1 1 1 1 1 1 DES Signup Returned 1 1 1 1 1 1 1 1 1 LES Signup Returned 1 1 1 1 1 1 1 1 1 Extended Hours Access 1 1 1 1 1 Learning Disabilities 1 1 1 1 1 1 1 1 Out Of Area Registration 1 1 Zero Tolerance Scheme 1 Minor Surgery Own Patients Excisions And Incisions 1 1 1 1 1 1 Minor Surgery Own Patients Injections 1 1 1 1 1 1 1 Liverpool Quality Improvement Scheme 1 1 1 1 1 1 1 1 1 1 Minor Surgery For Other Practices Excisions 1 1 1 1 1 1 And Incisions

Minor Surgery For Other Practices Injections 1 1 1 1 1

Drug Misusers 1 1 1 Near Patient 1 1 1 1 1 1 1 1 Sexual Health 1 1 1 1 Homeless 1 1 Asylum Seekers 1 1 1 Travellers 1 1 ABPI 1 1 1 ABPI - For Other Practices 1 1 H Pylori 1 1 1 1 1 1 1 1 H Pylori For Other Practices 1 1 1 1 1 1 Health Checks 1 1 1 1 1 1 1 1 1 IGR 1 1 1 1 1 1 1 1 1 Gonadorelin Therapy LES 1 1 1 1 1 1 1 1 Latent TB 1 1 1 1 1 1

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2.5 Assets 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 table below shows some of the physical assets that lie within the neighbourhood boundary (lower super output areas with => 350 registered patients) and includes GP practices from outside the neighbourhood:

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Care Homes Abbey Lawns Care Home L4 0TD Barnsbury Road L4 9TS Breckside Park Residential Home L6 4DL Broadway Nursing L4 8UD Broadway Residential L4 8UD Gordon House Care Home L6 4EH Gracefield Health Care Limited (GHC) - 31 St Domingo Grove L5 6RP PSS Tavy Road L6 2PW PSS Watford Road L4 2TR Rockfield House L6 4BB Rowan Garth Nursing Home L6 0AE Simonsfield L4 2TS Venmore Community Centre L5 1UW Walton Manor L4 4LG Children's Centre Anfield Children's Centre Oakfield L4 2QG Everton Children’s Centre Spencer Street L6 2WF Tuebrook Children's Centre 61 Lower Breck Road L6 4BX Vauxhall Children's Centre Titchfield Street L5 8UT GP N'hood Centre Everton NC 45 Everton Road L6 2EH Mere Lane NC Mere Lane L5 0QW Townsend Lane NC 98 Townsend Lane L6 0BB GP Practice N82011 Priory Medical Centre L6 4EW Townsend Lane Neighbourhood Health N82052 Centre - Singh L6 0BB N82060 Stanley Primary Care Practice L5 2QA N82067 Benim Medical Centre L6 3BY N82077 Bousfield Health Centre - Dr Shah L4 4PP N82078 Bousfield Health Centre - Roberts L4 4PP N82081 Islington House Surgery L3 8DD N82086 Abingdon Family Health Care Centre L4 8SJ N82095 Albion Surgery L6 2EH N82099 Mere Lane Group Practice L5 0QW N82101 Kirkdale Medical Centre L4 4QJ Townsend Lane Neighbourhood Health N82103 Centre - Syed L6 0BB N82113 Fairfield Medical Centre L6 3BY N82115 Vauxhall Health Centre L5 8XR N82623 Robson Street Medical Centre L5 0QW The Surgery - Townsend Lane MC c/o DR N82647 Syed L6 0BB N82651 Stanley Medical Centre L5 2QA N82657 Vauxhall at Townsend Lane L6 0BB N82665 SSP - Everton Road L6 2EH N82669 Great Homer Street Medical Centre L5 0QW GP Practice (Branch) Mersey View GP Access Centre (Branch) L6 2EH

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Leisure Centre Everton Park Great Homer Street L5 5PH Walton Walton Hall Avenue L4 9XP Library Breck Road Library 8-10 The Mall Breck Road L5 6PX Central Library William Brown Street L3 8EW Pharmacy Anfield Pharmacy 216/218 Walton Breck Road L4 0RQ Asda Breck Road Breck Road L5 6PX Asda Superstore Utting Avenue L4 9XU Boots Pharmacy 31 Broadway L11 1BY Charles S Bullen (Stomacare) Ltd Constance Street L3 8HL Cohens Chemist 45 Everton Road L6 2EH 49-51 Mere Lane L5 0QW Townsend Lane Neighbourhood HC L6 0BB Forshaw’s Pharmacy Belmont Grove L6 4EP Greencross Pharmacy 251 Breck Road L5 6PT John Hughes 225 Breck Road L5 6PT Kays Chemists 127 London Road L3 8JA Lloyds Pharmacy 202 Cherry Lane L4 8SG 503 West Derby Road L6 4BW 9 Townsend Lane L6 0AX P Robinson Pharmacy Vauxhall Health Centre L5 8XR Phillips Chemist 112/114 Road North L5 4QZ Rowlands Pharmacy 115-117 Townsend Avenue L11 8NB 150 Great Homer Street L5 3LQ 74-78 Priory Road L4 2SH Sedem Pharmacy 66-74 Stanley Road L5 2QA 79-81 Walton Road L4 4AF Bousfield Health Centre L4 4PP Your Local Boots Pharmacy 68/70 London Road L3 5NF Schools & Colleges All Saints Catholic Prim Primary Voluntary Anfield C.C. Secondary Community Anfield Inf Primary Community Anfield Jm Primary Community Breckfield Prim Primary Community Everton Early Childhood Centre Nursery Community Faith Prim FlorenceMelly Prim Primary Community Four Oaks Prim Primary Community Friary Prim Primary Voluntary Holy Cross & St Mary Prim Primary Voluntary Ipor Centre - Mill Road All Special Notre Dame Catholic College Secondary Community Our Lady Immaculate Prim Primary Voluntary Our Lady's RC High School Secondary Voluntary Pinehurst Prim Roscoe Prim Primary Community St Margarets (Anf) CE Prim Primary Voluntary St Matthews Catholic Prim Primary Voluntary St Michaels Prim Primary Voluntary The Beacon CE Prim Primary Voluntary The North Liverpool Academy Secondary Community Whitefield Prim Primary Community

Stop Smoking Service Community Bousfield Surgery L4 4PP Community Breckfield L5 6PX

Community Bridge Community Centre l4 9rg Community Clubmoor L13 9DY Community Everton Road Health Centre L6 2EW

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3. Neighbourhood Map

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4. Population Map

Everton and Anfield Neighbourhood - CCG Registered Population Pyramid [Source: Risk Stratification Dataset Effective Date: April 2018]

Everton and Anfield Neighbourhood - CCG Registered Everton and Anfield Neighbourhood - CCG Registered Population Pyramid Number Everton and Anfield As % of Total Everton and Anfield As % of Liverpool within Ageband Population Pyramid Age Band Male Female Person Male Female Person Male Female Person % Total Population Under 1 yrs 303 295 598 0.7% 0.7% 1.4% 4.9% 4.8% 9.7% -6.0% -4.0% -2.0% 0.0% 2.0% 4.0% 6.0% 1-4 yrs 1,164 1,114 2,278 2.7% 2.5% 5.2% 4.9% 4.7% 9.7% 90+ yrs 5-9 yrs 1,337 1,365 2,702 3.1% 3.1% 6.2% 4.7% 4.8% 9.4% 85-89 yrs 10-14 yrs 1,212 1,182 2,394 2.8% 2.7% 5.5% 4.7% 4.6% 9.4% 80-84 yrs 15-19 yrs 1,248 1,274 2,522 2.9% 2.9% 5.8% 4.1% 4.2% 8.4% 75-79 yrs 20-24 yrs 1,602 1,661 3,263 3.7% 3.8% 7.5% 3.1% 3.3% 6.4% 70-74 yrs 25-29 yrs 1,892 1,837 3,729 4.3% 4.2% 8.5% 4.2% 4.1% 8.4% 65-69 yrs 60-64 yrs 30-34 yrs 1,932 1,773 3,705 4.4% 4.1% 8.5% 4.7% 4.3% 8.9% 55-59 yrs 35-39 yrs 1,721 1,536 3,257 3.9% 3.5% 7.4% 4.8% 4.3% 9.0% 50-54 yrs 40-44 yrs 1,454 1,183 2,637 3.3% 2.7% 6.0% 4.9% 4.0% 9.0% 45-49 yrs 45-49 yrs 1,576 1,355 2,931 3.6% 3.1% 6.7% 4.9% 4.2% 9.1% Age Band 40-44 yrs 50-54 yrs 1,561 1,431 2,992 3.6% 3.3% 6.8% 4.7% 4.3% 8.9% 35-39 yrs 55-59 yrs 1,478 1,368 2,846 3.4% 3.1% 6.5% 4.6% 4.3% 8.9% 30-34 yrs 25-29 yrs 60-64 yrs 1,117 1,125 2,242 2.6% 2.6% 5.1% 4.2% 4.2% 8.5% 20-24 yrs 65-69 yrs 951 891 1,842 2.2% 2.0% 4.2% 4.3% 4.1% 8.4% 15-19 yrs 70-74 yrs 720 729 1,449 1.6% 1.7% 3.3% 4.0% 4.1% 8.1% 10-14 yrs 75-79 yrs 484 530 1,014 1.1% 1.2% 2.3% 3.8% 4.2% 8.0% 5-9 yrs 80-84 yrs 308 444 752 0.7% 1.0% 1.7% 3.1% 4.5% 7.6% 1-4 yrs 85-89 yrs 163 244 407 0.4% 0.6% 0.9% 2.8% 4.3% 7.1% Under 1 yrs 90+ yrs 54 107 161 0.1% 0.2% 0.4% 2.0% 3.9% 5.9% - - - - Liverpool CCG Registered Males Everton and Anfield Everton and Anfield Males All Ages 22,277 21,444 43,721 51.0% 49.0% 100.0% 4.4% 4.2% 8.5%

- - - - Liverpool CCG Registered Females Everton and Anfield Everton and Anfield Females

Pyramid excludes data for around 10,000 patients who have removed permission for their data to be shared.

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Everton and Anfield Neighbourhood CVD Population Everton and Anfield Neighbourhood COPD Population Everton and Anfield Neighbourhood Cancer Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018]

Everton and Anfield Neighbourhood CVD Population Everton and Anfield Neighbourhood COPD Population Everton and Anfield Neighbourhood Cancer Population

% Total Population % Total Population % Total Population -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% 10% -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% 10% 90+ yrs 90+ yrs 90+ yrs 85-89 yrs 85-89 yrs 85-89 yrs 80-84 yrs 80-84 yrs 80-84 yrs 75-79 yrs 75-79 yrs 75-79 yrs 70-74 yrs 70-74 yrs 70-74 yrs 65-69 yrs 65-69 yrs 65-69 yrs 60-64 yrs 60-64 yrs 60-64 yrs 55-59 yrs 55-59 yrs 55-59 yrs 50-54 yrs 50-54 yrs 50-54 yrs 45-49 yrs 45-49 yrs 45-49 yrs 40-44 yrs 40-44 yrs 40-44 yrs Age Band Age Band 35-39 yrs 35-39 yrs Age Band 35-39 yrs 30-34 yrs 30-34 yrs 30-34 yrs 25-29 yrs 25-29 yrs 25-29 yrs 20-24 yrs 20-24 yrs 20-24 yrs 15-19 yrs 15-19 yrs 15-19 yrs 10-14 yrs 10-14 yrs 10-14 yrs 5-9 yrs 5-9 yrs 5-9 yrs 1-4 yrs 1-4 yrs 1-4 yrs Under 1 yrs Under 1 yrs Under 1 yrs

- - - - Liverpool CVD Males CVD Everton and Anfield Males - - - - Liverpool COPD Males COPD Everton and Anfield Males - - - - Liverpool Cancer Males Cancer Everton and Anfield Males

- - - - Liverpool CVD Females CVD Everton and Anfield Females - - - - Liverpool COPD Females COPD Everton and Anfield Females - - - - Liverpool Cancer Females Cancer Everton and Anfield Females

Number diagnosed = 7087 Prevalence = 16.2% Number diagnosed = 1758 Prevalence = 4% Number diagnosed = 1165 Prevalence = 2.7% Includes patients with a diagnosis of Atrial Fibrilation, CHD, Heart Failure, Hypertension, PAD or Stroke

Everton and Anfield Neighbourhood Diabetes Population Everton and Anfield Neighbourhood Serious Mental Illness Population Everton and Anfield Neighbourhood Dementia Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018]

Everton and Anfield Neighbourhood Diabetes Population Everton and Anfield Neighbourhood Serious Mental Illness Everton and Anfield Neighbourhood Dementia Population Population % Total Population % Total Population % Total Population -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -15% -10% -5% 0% 5% 10% 15% 20% 90+ yrs 90+ yrs 90+ yrs 85-89 yrs 85-89 yrs 85-89 yrs 80-84 yrs 80-84 yrs 80-84 yrs 75-79 yrs 75-79 yrs 75-79 yrs 70-74 yrs 70-74 yrs 70-74 yrs 65-69 yrs 65-69 yrs 65-69 yrs 60-64 yrs 60-64 yrs 60-64 yrs 55-59 yrs 55-59 yrs 55-59 yrs 50-54 yrs 50-54 yrs 50-54 yrs 45-49 yrs 45-49 yrs 45-49 yrs 40-44 yrs 40-44 yrs 40-44 yrs Age Band Age Band 35-39 yrs 35-39 yrs Age Band 35-39 yrs 30-34 yrs 30-34 yrs 30-34 yrs 25-29 yrs 25-29 yrs 25-29 yrs 20-24 yrs 20-24 yrs 20-24 yrs 15-19 yrs 15-19 yrs 15-19 yrs 10-14 yrs 10-14 yrs 10-14 yrs 5-9 yrs 5-9 yrs 5-9 yrs 1-4 yrs 1-4 yrs 1-4 yrs Under 1 yrs Under 1 yrs Under 1 yrs - - - - Liverpool Serious Mental Illness Males - - - - Liverpool Diabetes Males Diabetes Everton and Anfield Males - - - - Liverpool Dementia Males Dementia Everton and Anfield Males Serious Mental Illness Everton and Anfield Males - - - - Liverpool Serious Mental Illness Females - - - - Liverpool Diabetes Females Diabetes Everton and Anfield Females - - - - Liverpool Dementia Females Dementia Everton and Anfield Females Serious Mental Illness Everton and Anfield Females

Number diagnosed = 2269 Prevalence = 5.2% Number diagnosed = 713 Prevalence = 1.6% Number diagnosed = 253 Prevalence = 0.6% Includes patients with a diagnosis of Schizophrenia, Bipolar or Other Pyschosis 13 | Page

5. Co – Morbidities Source: Risk Stratification Data Extract Effective Date: April 2018

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6. Population Structure, Demographics, Risk Factors and Determinants of Health

• 44,892 people are registered within this neighbourhood (8.4% of the CCG). • The live birth rate is significantly higher than the Liverpool average, with 68.2 births per 1,000, compared to 55 for Liverpool, and is ranked 3rd highest in the city. • It is estimated that 10.4% of the population are Not White British/Irish, compared to 15.7% for Liverpool and 19.2% for . 5.1% of the population’s main language is not English, compared to 7.5% for Liverpool, and 8% for England. • This neighbourhood has the highest Deprivation Score in the city (59.6 compared to 41.1) o 58.5% of the population have no access to a car/van, significantly higher than the Liverpool average of 47%. o The average household income is around £21,310, significantly lower than the Liverpool average of £27,565, and has decreased since last year. o Unemployment is significantly higher than the city rate (8.8% compared to 6.6%), and 11.7% of the population are long-term sick or disabled. o Two–fifths (40.9%) of the population are economically inactive, which is significantly higher than the city average of 37.9%. o A significantly higher proportion of housing tenure is social or privately rented; 61.2% compared to 52.2% across the city. o People aged 65 and over living alone account for 12.8% of households, significantly higher than the city rate of 11.9%. o The rate of violent crime and domestic violence is significantly higher than the Liverpool average, with a rate of 15.3 and 18.9 per 1,000, respectively. The rate of domestic violence is ranked the highest when compared to all neighbourhoods.

7. Neighbourhood Health Profile

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Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 1 DEMOGRAPHICS AND DETERMINANTS OF HEALTH 2 DEMOGRAPHICS 3 Deprivation Score (IMD) 2015 - 59.6 41.1 22.1 59.6 59.4 21.8 4 Not White British or Irish ethnic group (%) 4,688 10.44% 15.7% 4.6% 38.9% 10.40% 19.2% 5 White Other ethnic group (%) 1,061 2.36% 2.8% 0.9% 5.3% 2.35% 4.6% 6 Mixed/Multiple ethnic group (%) 771 1.72% 2.7% 0.9% 6.7% 1.71% 2.3% 7 Asian/Asian British ethnic group (%) 1,344 2.99% 5.0% 1.4% 14.4% 2.97% 7.8% 8 Black/African/Caribbean/Black British ethnic group (%) 975 2.17% 3.1% 0.6% 10.2% 2.18% 3.5% 9 Other ethnic group (including Arab) (%) 537 1.19% 2.1% 0.3% 8.3% 1.19% 1.0% 10 Main language not English (%) 2,306 5.13% 7.5% 2.1% 18.4% 5.11% 8.0% 11 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 582 68.2 55.0 24.8 81.2 67.4 62.5 12 Children aged 0-4 years (%) 2,816 6.3% 5.5% 2.0% 6.8% 6.3% 5.6% 13 Population 65+ (%) 6,008 13.4% 14.4% 3.8% 20.2% 13.3% 17.9% 14 Population 75+ (%) 2,492 5.5% 6.3% 1.3% 9.4% 5.6% 8.1% 15 Population 85+ (%) 607 1.4% 1.7% 0.3% 2.9% 1.4% 2.4% 16 Population 95+ (%) 40 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 17 Population 40+ with 1 or more LTC (%) 5,507 28.6% 27.9% 26.5% 29.3% 28.9% n/a 18 Population 40+ with 2 or more LTC (%) 3,081 16.0% 15.2% 13.3% 16.5% 16.0% n/a 19 Population 40+ with 3 or more LTC (%) 1,572 8.2% 7.9% 6.9% 9.3% 7.9% n/a 20 Percentage of the population 40+ with risk score >=50% 324 1.7% 1.3% 0.7% 1.9% 2.3% n/a 21 Percentage of the population 40+ with risk score >=70% 101 0.5% 0.4% 0.2% 0.7% 0.8% n/a 22 Percentage of the population 40+ with risk score >=50% <=90% 301 1.6% 1.3% 0.7% 1.8% 2.2% n/a 23 WIDER DETERMINANTS - - 24 No car or van in household (%) - 58.5% 47.0% 29.1% 61.5% 58.4% 25.8% 25 Economically active (%) 20,052 59.1% 62.1% 51.4% 68.8% 59.2% 69.9% 26 Economically active: Unemployed (%) 2,999 8.8% 6.6% 4.1% 9.2% 8.8% 4.4% 27 Economically active: Long-term unemployed (%) 1,307 3.9% 2.7% 1.6% 3.9% 3.8% 1.7% 28 Economically inactive (%) 13,898 40.9% 37.9% 31.2% 48.6% 40.8% 30.1% 29 Economically inactive: Long-term sick or disabled (%) 3,968 11.7% 7.9% 4.6% 11.7% 11.7% 4.0% 30 Housing Tenure: Social or Private Rented (%) - 61.2% 52.5% 32.1% 77.0% 61.0% 36.7% 31 One person household: Aged 65 and over (%) - 12.8% 11.9% 7.8% 13.9% 12.8% 12.4% 32 Mean Household Income £ - £21,310 £27,565 £21,310 £38,138 £23,406 £39,472 33 Domestic violence rate per 1,000 766 18.9 12.0 6.4 18.9 14.2 - 34 Violent crime rate per 1,000 622 15.3 12.2 5.6 21.6 14.0 - 35 RISK FACTORS - - 36 CURRENT SMOKERS aged 15+ (QOF) (%) 10,837 29.6% 21.5% 13.5% 29.6% 29.8% 17.6% 37 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 9,233 85.2% 88.4% 83.7% 98.3% 90.8% 88.8% 38 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,651 13.2% 11.9% 5.2% 15.4% 12.5% 9.7% 39 People with BMI >=40 recorded in the last 12m (%) 1,445 3.2% 2.6% 1.2% 3.8% 3.1% - 40 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 581 40.2% 49.6% 38.4% 60.3% 44.7% - 41 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 76 15.1% 22.8% 15.1% 31.1% - n/a 42 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 22,440 63.0% 68.3% 63.0% 77.4% 59.4% - 43 People aged 18+ who have ALCOHOL above indicated levels (%) 2,072 9.2% 9.1% 5.6% 12.1% 6.7% - 44 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,845 89.0% 90.4% 85.0% 99.2% 92.8% - 45 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 493 1,237 797 419 1,522 1,430 n/a 46 LIFE EXPECTANCY / MORTALITY - - 47 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 74.4 77.0 74.4 83.6 74.7 79.5 48 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 79.5 80.8 78.5 86.4 80.3 83.1 49 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 76.8 78.9 76.8 85.0 77.3 81.3 50 ALL CAUSE Mortality - DSR per 100,000 population 1,293 1,428.1 1,136.4 729.3 1,428.1 1,341.3 968.7 51 CVD Mortality - DSR per 100,000 population 274 307.1 247.1 161.4 307.1 292.4 267.3 52 CANCER Mortality - DSR per 100,000 population 399 426.2 320.5 211.1 426.2 414.3 276.8 53 LUNG CANCER - DSR per 100,000 population 131 143.3 93.2 59.5 143.3 141.9 57.7 54 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 107 114.1 89.2 65.3 114.1 111.2 n/a 55 RESPIRATORY Mortality - DSR per 100,000 population 196 219.0 178.0 93.9 240.0 187.5 n/a 56 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 582 559.9 437.8 273.4 559.9 542.1 333.8 57 CVD Mortality Under 75 Years - DSR per 100,000 population 105 101.4 89.4 52.1 127.9 106.1 73.5 58 CANCER Mortality Under 75 Years - DSR per 100,000 population 209 206.4 163.5 106.6 206.4 204.6 136.8 59 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 66 70.3 49.9 24.9 79.6 69.8 33.6 60 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 58 57.9 46.7 31.4 59.8 50.9 n/a 61 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 84 84.9 57.5 25.7 84.9 79.5 33.8 62 DISEASE PREVALENCE / POPULATION GROUPS - - 63 CHD Prevalence DSR per 100,000 population 1,482 4,737.5 4,273.6 3,481.4 4,961.5 5,027.8 n/a 64 CANCER Prevalence DSR per 100,000 population 1,165 3,519.9 3,812.8 3,129.9 4,328.7 3,435.3 n/a 65 COPD Prevalence DSR per 100,000 population 1,758 5,344.8 3,853.2 2,297.3 5,344.8 5,269.9 n/a 66 ASTHMA Prevalence DSR per 100,000 population 2,969 7,369.1 6,465.9 6,095.6 7,369.1 6,767.7 n/a 67 DIABETES Prevalence DSR per 100,000 population 2,269 6,536.5 6,065.8 4,847.9 7,560.9 6,677.7 n/a 68 HYPERTENSION Prevalence DSR per 100,000 population 5,937 17,897.2 16,840.4 15,813.1 18,716.6 17,758.5 n/a 69 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,861 6,259.1 6,543.1 5,371.5 7,748.4 6,497.4 n/a 70 HEART FAILURE Prevalence DSR per 100,000 population 356 1,179.4 1,155.5 949.8 1,647.8 1,288.2 n/a 71 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 761 2,563.8 2,388.0 1,930.8 2,795.6 2,515.1 n/a 72 STROKE/TIA Prevalence DSR per 100,000 population 778 2,481.5 2,225.5 1,956.8 3,037.2 2,525.7 n/a 73 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 444 1,403.5 1,034.4 716.2 1,678.4 1,416.6 n/a 74 DEMENTIA Prevalence DSR per 100,000 population 253 942.8 898.1 613.5 1,363.2 947.7 n/a 75 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 713 1,722.4 1,425.4 1,043.9 2,441.8 1,696.0 n/a 76 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 6,166 14,838.3 14,022.1 11,956.3 21,198.7 14,801.2 n/a 77 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 394 1,330.1 1,516.3 1,237.6 1,984.8 1,526.0 n/a 78 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 2,467 6,876.7 6,797.5 5,387.3 8,000.4 6,948.6 n/a 79 LEARNING DISABILITIES Prevalence DSR per 100,000 population 243 541.9 412.8 264.8 577.9 693.2 n/a 80 CARERS Prevalence (GP Recorded) DSR per 100,000 population 1,281 3,464.2 2,788.8 1,949.5 4,193.2 3,398.9 n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 81 PREVENTION - - 82 RISK FACTORS - - 83 CURRENT SMOKERS aged 15+ (QOF) (%) 10,837 29.6% 21.5% 13.5% 29.6% 29.8% 17.6% 84 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 9,233 85.2% 88.4% 83.7% 98.3% 90.8% 88.8% 85 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,651 13.2% 11.9% 5.2% 15.4% 12.5% 9.7% 86 People with BMI >=40 recorded in the last 12m (%) 1,445 3.2% 2.6% 1.2% 3.8% 3.1% - 87 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 581 40.2% 49.6% 38.4% 60.3% 44.7% - 88 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 76 15.1% 22.8% 15.1% 31.1% - n/a 89 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 22,440 63.0% 68.3% 63.0% 77.4% 59.4% - 90 People aged 18+ who have ALCOHOL above indicated levels (%) 2,072 9.2% 9.1% 5.6% 12.1% 6.7% - 91 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,845 89.0% 90.4% 85.0% 99.2% 92.8% - 92 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 493 1,237.1 796.5 418.6 1,522.2 1,429.9 n/a 93 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 157 369.4 289.5 118.3 587.1 491.7 110.2 94 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,273 3,282.9 2,747.0 1,889.9 4,430.6 3,544.0 2,185.0 95 PREVENTION - - 96 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 15,738 91.0% 91.1% 88.8% 92.9% 92.0% 90.7% 97 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,897 56.8% 72.9% 55.7% 98.2% - 74.1% 98 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,477 59.0% 48.7% 33.4% 70.3% - 48.9% 99 Eligible persons 40-74 years with a HEALTH CHECK completed as % of eligible population 5 years cumulative 3,477 33.5% 35.5% 27.3% 46.7% - 36.2% 100 Persons 18+ with a learning disability and HEALTH CHECK completed (%) 100 38.5% 63.6% 38.5% 74.4% 26.7% 0.5 101 Persons 18+ with a learning disability eligible for a HEALTH CHECK and health action plan completed (%) 39 15.0% 34.3% 9.3% 59.7% 7.6% n/a 102 Health Trainer Referral rate per 1,000 persons 18+ 229 6.5 6.1 1.2 14.3 4.4 n/a 103 Referrals to Liverpool Community Alcohol Service (LCAS) Rate per 1,000 18+ 383 10.9 7.0 3.8 13.1 - n/a 104 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 9,233 85.2% 88.4% 83.7% 98.3% 90.8% 88.8% 105 CANCER SCREENING - - 106 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,951 45.9% 51.7% 43.4% 60.7% 44.7% 57.4% 107 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,752 47.5% 53.1% 44.9% 62.0% 46.6% 59.1% 108 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,310 64.7% 67.6% 59.6% 73.5% 65.9% 72.1% 109 36 month coverage for BREAST screening aged 50-70 2,913 56.3% 64.8% 54.4% 72.7% 60.0% 72.5% 110 CHILD HEALTH - - 111 Low birthweight of all babies <2500g (3 year pooled) (%) 181 10.6% 8.8% 6.9% 10.6% 10.3% 7.4% 112 Breastfeeding Initiation Rates (%) 158 32.4% 44.9% 27.8% 65.4% 32.9% 74.5% 113 Breastfeeding at 6-8 weeks (%) 117 23.6% 35.1% 18.0% 53.5% 24.2% 44.4% 114 Smoking Status at Time of Delivery (SATOD) % 98 19.0% 13.1% 5.0% 20.8% 22.4% 10.7% 115 Child Excess Weight Reception (age 4-5 years) (%) 374 27.0% 26.2% 23.4% 29.2% 27.1% 22.6% 116 Child Excess Weight Year 6 (age 10-11 years) (%) 486 42.4% 38.7% 33.0% 42.6% 40.5% 34.2% 117 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 124 890.8 716.9 531.3 1002.9 1814.9 n/a 118 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 54 629.8 446.6 157.9 933.6 647.6 n/a 119 Child AED attendance rate per 1,000 population aged 0-4 years 2,251 803.9 729.2 631.2 864.0 802.8 n/a 120 VACS AND IMMS - - 121 Children's DtaPipVHib at 1 Yr (%) 509 90.9% 94.2% 90.9% 96.9% 92.6% 93.4% 122 Children's PCV at 2 Yrs (%) 509 87.9% 90.6% 80.9% 95.3% 85.5% 91.5% 123 Children's MMR1 at 2 Yrs (%) 523 90.3% 92.5% 84.1% 96.0% 89.0% 91.6% 124 Children's Hib Men C at 2 Yrs (%) 529 91.4% 92.6% 83.5% 96.4% 87.6% 91.5% 125 Children's Pre School Booster at 5 Yrs (%) 455 83.0% 87.0% 78.1% 92.9% 85.5% n/a 126 Children's MMR2 at 5 Yrs (%) 447 81.6% 86.4% 76.8% 92.9% 85.1% 87.6% 127 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 2,062 90.1% 92.5% 76.8% 92.9% 88.7% n/a 128 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 161 26.9% 37.4% 26.9% 50.7% 24.6% 38.9% 129 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 192 33.6% 39.1% 26.7% 54.3% 31.9% 41.5% 130 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 251 38.9% 44.8% 37.6% 50.9% 36.6% 44.9% 131 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 4,268 71.1% 73.5% 64.9% 75.9% 70.9% 70.5% 132 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 3,011 44.4% 48.9% 44.4% 51.6% 47.3% 48.6% 133 Seasonal Flu Vaccine Uptake - Carers (%) 243 40.8% 46.9% 37.0% 57.5% 47.6% 41.9% 134 SEXUAL HEALTH - - 135 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 582 68.2 55.0 24.8 81.2 67.4 62.5 136 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,310 64.7% 67.6% 59.6% 73.5% 65.9% 72.1% 137 GP prescribed user dependent contraception per 1,000 females aged 15-44 1,085 114.7 139.4 84.9 164.0 126.1 n/a 138 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 322 34.0 28.6 12.5 49.7 37.0 n/a 139 GP prescribed condoms rate per 1,000 <5 - 0.97 - 6.34 0.11 n/a 140 Uptake of HIV testing in specialist sexual health services rate per 1,000 102 2.26 4.26 1.01 12.24 2.27 n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 141 HEALTHY AGEING - - 142 DEMOGRAPHICS - - 143 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 40.0% 34.0% 21.3% 45.9% 39.8% 15.3% 144 Population 65+ (%) 6,008 13.4% 14.4% 3.8% 20.2% 13.3% 17.9% 145 Population 75+ (%) 2,492 5.5% 6.3% 1.3% 9.4% 5.6% 8.1% 146 Population 85+ (%) 607 1.4% 1.7% 0.3% 2.9% 1.4% 2.4% 147 Population 95+ (%) 40 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 148 Population 40+ with 1 or more LTC (%) 5,507 28.6% 27.9% 26.5% 29.3% 28.9% n/a 149 Population 40+ with 2 or more LTC (%) 3,081 16.0% 15.2% 13.3% 16.5% 16.0% n/a 150 Population 40+ with 3 or more LTC (%) 1,572 8.16% 7.85% 6.87% 9.25% 7.9% n/a 151 Percentage of the population 40+ with risk score >=50% 324 1.68% 1.35% 0.72% 1.95% 2.3% n/a 152 Percentage of the population 40+ with risk score >=70% 101 0.52% 0.40% 0.20% 0.73% 0.8% n/a 153 Percentage of the population 40+ with risk score >=50% <=90% 301 1.56% 1.27% 0.69% 1.79% 2.2% n/a 154 People on 5 or more prescriptions (%) 10,276 23.50% 20.64% 7.48% 25.81% 23.6% n/a 155 People on 10 or more prescriptions (%) 3,284 7.51% 6.18% 2.31% 8.65% 7.4% n/a 156 Anitibiotic Prescribing rate per 1000 population 2,344 52.19 43.20 33.06 52.19 - n/a 157 Broad Spectrum anitbiotic prescribing rate per 1000 population 183 4.07 3.55 2.84 4.44 - n/a 158 People on Warfarin who have INR recorded in last 12 months (%) 465 98.5% 96.3% 89.0% 98.8% - n/a 159 OSTEOPOROSIS - - 160 People aged 50-74 with a record of a fragility fracture and a diagnosis of osteoporosis confirmed on a DXA scan 16 84.2% 84.8% 67.4% 94.7% - 95.8% 161 People aged 50-74 with a fragility fracture and osteoporosis treated with bone-sparing agent 14 66.7% 72.8% 60.0% 82.0% 83.3% 85.8% 162 People aged 75 and over with a record of fragility fracture and an osteoporosis diagnosis 47 94.0% 78.3% 50.9% 94.0% - 95.8% 163 People aged 75 or over with a fragility fracture and osteoporosis treated with bone-sparing agent. 22 36.1% 58.2% 36.1% 72.0% 58.3% 79.5% 164 DEMENTIA - - 165 DEMENTIA Prevalence DSR per 100,000 population 253 942.8 898.1 613.5 1,363.2 947.7 n/a 166 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 264 69.9% 66.5% 55.4% 104.7% 69.4% 61.1% 167 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 264 79.4% 75.0% 62.2% 117.7% 78.6% 68.6% 168 People with DEMENTIA with no other LTCs (%) 39 15.4% 13.9% 9.0% 17.4% 16.7% n/a 169 People with DEMENTIA with 1 other LTC (%) 55 21.7% 21.4% 14.1% 24.3% 21.6% n/a 170 People with DEMENTIA with 2 other LTCs (%) 50 19.8% 23.9% 17.8% 29.1% 22.4% n/a 171 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 199 74.8% 80.0% 69.4% 88.52% 84.9% 83.7% 172 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 33 78.6% 86.9% 78.6% 91.84% 75.6% 87.6% 173 Emergency admissions for DEMENTIA aged over 65 16 2.66 2.11 1.10 3.11 0.36 n/a 174 END OF LIFE - - 175 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 163 524 655 451 1,149 641 n/a 176 Reduction in Emergency admissions END OF LIFE 174 28.9 21.7 14.6 28.9 35.1 n/a 177 RESIDENTIAL AND CARE HOMES - - 178 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 208 33.3 30.1 9.6 86.4 21.6 n/a 179 Reduction in Emergency admissions from CARE HOMES 259 43.1 29.6 - 72.8 52.3 n/a 180 CARERS - - 181 CARERS Prevalence (GP Recorded) DSR per 100,000 population 1,281 3,464 2,789 1,950 4,193 3,399 n/a 182 EMERGENCY ADMISSIONS per 1000 HCHS weighted pop - - 183 Injuries due to FALLS 65+ 197 32.8 31.4 24.1 38.4 40.3 n/a 184 Emergency admissions for DEMENTIA aged over 65 16 2.66 2.11 1.10 3.11 0.36 n/a 185 Emergency admissions for HIP FRACTURES aged over 65 50 8.32 8.44 4.31 11.13 7.55 n/a 186 Emergency admissions for CELLULITIS 45 0.79 1.00 0.60 1.51 1.35 n/a 187 Emergency admissions for FLU & PNEUMO 166 2.90 2.69 2.10 3.38 3.17 n/a 188 Emergency admissions for PYLO NEFRITIS 34 0.59 0.53 0.31 0.81 0.55 n/a 189 Emergency admissons for GASTRO/DEHYDRATION 6 0.10 0.18 0.10 0.31 2.52 n/a 190 Emergency re-admissions within 30 days to hospital (%) 1,075 12.6% 12.8% 11.5% 14.4% 14.2% 0.1 191 COMMUNITY SERVICES per 1000 HCHS weighted pop - - 192 Community Matrons Face to Face Contacts 1,629 81.07 65.41 46.25 90.86 131.70 n/a 193 Community Matrons Case Load 27 1.34 1.18 0.17 3.15 2.65 n/a 194 District Nursing Face to Face Contacts 25,544 1,271.23 1,098.57 781.44 1,365.45 1,427.13 n/a 195 District Nursing Case Load 255 12.69 13.17 10.53 17.08 14.09 n/a 196 IV Therapy Face to Face Contacts 310 15.43 16.65 8.33 31.25 19.64 n/a 197 IV Therapy Case Load <5 0.20 0.28 0.06 0.48 0.20 n/a 198 Therapy Face to Face Contacts 7,959 396.09 405.91 363.03 462.54 355.28 n/a 199 Therapy Case Load 1,456 72.46 72.65 63.73 92.12 82.94 n/a 200 Treatment Rooms Face to Face Contacts 6,040 300.59 252.16 212.49 317.62 284.39 n/a 201 Treatment Rooms Case Load 135 6.72 6.61 1.22 14.52 6.05 n/a 202 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 203 Social Services Users OLDER PERSONS per 1000 65+ resident population 798 127.7 125.00 91.80 198.31 96.1 n/a 204 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 38 6.08 8.29 3.37 17.45 7.00 n/a 205 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 65+ resident population 612 97.9 93.85 70.68 144.75 77.9 n/a 206 Social Services Users DOMICILIARY CARE per 1000 65+ resident population 243 38.9 37.40 24.74 47.44 38.8 n/a 207 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 65+ resident population 46 7.4 7.80 4.53 13.71 22.5 n/a 208 Social Services Users OTHER COMMUNITY per 1000 65+ resident population 151 24.2 23.89 15.14 39.61 10.5 n/a 209 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 208 33.3 30.11 9.62 86.37 21.6 n/a 210 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 37 0.8 0.84 0.62 0.92 0.8 n/a 211 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 46 0.0 0.05 0.02 0.06 0.0 n/a 212 VACS AND IMMS - - 213 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 4,268 71.1% 73.5% 64.9% 75.9% 70.9% 0.7 Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 214 CHILDRENS - - 215 DEMOGRAPHICS - - 216 Income Deprivation Affecting Children Index (IDACI) 2015 - 44.4% 31.9% 16.1% 44.4% 44.2% 17.6% 217 16-18 year olds not in education, employment or training (%) 75 8.0% 5.6% 3.2% 8.3% 11.8% 6.0% 218 Children aged 0-4 years (%) 2,816 6.3% 5.5% 2.0% 6.8% 6.3% 5.6% 219 Children aged 5-10 years (%) 3,299 7.3% 6.5% 1.9% 8.5% 7.2% 7.3% 220 Children aged 11-18 years (%) 3,816 8.5% 7.9% 4.2% 9.4% 8.6% 8.8% 221 Young People aged 19-25 years (%) 4,664 10.4% 13.3% 7.0% 49.9% 10.6% 8.9% 222 Children and Young People aged 0-25 years (%) 14,595 32.5% 33.3% 26.5% 58.0% 32.6% 30.5% 223 CHILD HEALTH - - 224 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 582 68.2 55.0 24.8 81.2 67.4 62.5 225 Low birthweight of all babies <2500g (3 year pooled) (%) 181 10.6% 8.8% 6.9% 10.6% 10.3% 7.4% 226 Breastfeeding Initiation Rates (%) 158 32.4% 44.9% 27.8% 65.4% 32.9% 74.5% 227 Breastfeeding at 6-8 weeks (%) 117 23.6% 35.1% 18.0% 53.5% 24.2% 44.4% 228 Smoking Status at Time of Delivery (SATOD) % 98 19.0% 13.1% 5.0% 20.8% 22.4% 10.7% 229 Child Excess Weight Reception (age 4-5 years) (%) 374 27.0% 26.2% 23.4% 29.2% 27.1% 22.6% 230 Child Excess Weight Year 6 (age 10-11 years) (%) 486 42.4% 38.7% 33.0% 42.6% 40.5% 34.2% 231 SOCIAL CARE (LIVERPOOL CITY COUNCIL) - - 232 Children in Need - Rate per 10,000 under 18 years 315 372.2 381.2 288.3 618.0 512.1 330.4 233 Looked After Children - Rate per 10,000 under 18 years 97 114.7 117.5 88.8 190.4 188.8 62.0 234 Child Protection Plan - Rate per 10,000 under 18 years 33 38.5 39.5 29.9 64.0 72.0 43.3 235 Early Help Assessment Tool (EHAT) Family Assessments (%) 380 4.5% 4.6% 3.5% 7.5% 5.3% n/a 236 Troubled Families (%) 781 8.0% 5.4% 2.7% 8.2% 5.4% n/a 237 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 58 68.6 70.3 53.1 113.9 56.0 n/a 238 Children who are receiving Special Educational Needs (SEN) Support (%) 1,134 13.4% 11.4% 8.4% 19.5% 13.2% n/a 239 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 167 198.1 179.7 121.8 317.3 264.8 n/a 240 EDUCATIONAL ATTAINMENT - - 241 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 231 51.0% 55.7% 47.5% 64.6% 41.1% 61.1% 242 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 171 43.7% 53.4% 42.3% 67.6% 44.8% 59.3% 243 Pupil Persistent Absenteeism (10% Threshold) - Primary Schools (%) 414 14.3% 11.0% 7.1% 14.8% 14.4% 3.9% 244 Pupil Persistent Absenteeism (10% Threshold) - Secondary Schools (%) 426 21.4% 16.4% 11.5% 21.4% 22.8% 5.0% 245 VACS AND IMMS - - 246 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 2,062 90.1% 92.5% 85.2% 96.1% 88.7% n/a 247 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 161 26.9% 37.4% 26.9% 50.7% 24.6% 38.9% 248 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 192 33.6% 39.1% 26.7% 54.3% 31.9% 41.5% 249 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 251 38.9% 44.8% 37.6% 50.9% 36.6% 44.9% 250 DISEASE PREVALENCE - - 251 Children with ASTHMA 0-17 years (%) 412 4.4% 4.3% 3.4% 4.7% 4.6% n/a 252 Young People with ASTHMA aged 18-25 years (%) 237 4.7% 4.0% 2.6% 6.6% 5.3% n/a 253 Children with EPILEPSY 0-17 years (%) 20 0.2% 0.2% 0.2% 0.3% 0.3% n/a 254 Children with DIABETES 0-17 years (%) 22 0.2% 0.3% 0.2% 0.3% 0.2% n/a 255 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 423 2.9% 2.6% 2.1% 3.6% 3.2% n/a 256 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 41 0.3% 0.2% 0.1% 0.3% 0.3% n/a 257 SERVICE UTILISATION - - 258 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1000 aged 0-18 years 7 0.7 0.6 0.1 1.3 - n/a 259 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 33 3.5 4.4 3.3 5.7 2.5 n/a 260 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 124 890.8 716.9 531.3 1,002.9 1,814.9 n/a 261 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 15 53.9 40.4 17.4 64.0 61.4 39.6 262 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 31 174.4 102.3 30.8 182.8 201.1 89.8 263 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 54 629.8 446.6 157.9 933.6 647.6 n/a 264 Child AED attendance rate per 1,000 population aged 0-4 years 2,251 803.9 729.2 631.2 864.0 802.8 n/a 265 Child AED attendances - LRTI 668 67.4 59.3 48.5 209.0 66.2 n/a 266 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 128 4.5 3.6 2.5 8.4 3.7 n/a 267 Child AED attendances - ACCIDENTS 1,271 134.8 116.6 87.1 356.2 134.3 n/a 268 Child Emergency Admission Average Length of Stay <1 day 543 57.6 53.6 47.6 78.6 43.2 n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 269 CARDIOVASCULAR DISEASE AND DIABETES - - 270 RISK FACTORS - - 271 CURRENT SMOKERS aged 15+ (QOF) (%) 10,837 29.6% 21.5% 13.5% 29.6% 29.8% 17.6% 272 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 9,233 85.2% 88.4% 83.7% 98.3% 90.8% 88.8% 273 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,651 13.2% 11.9% 5.2% 15.4% 12.5% 9.7% 274 People with BMI >=40 recorded in the last 12m (%) 1,445 3.2% 2.6% 1.2% 3.8% 3.1% - 275 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 581 40.2% 49.6% 38.4% 60.3% 44.7% - 276 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 76 15.1% 22.8% 15.1% 31.1% - n/a 277 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 22,440 63.0% 68.3% 63.0% 77.4% 59.4% - 278 People aged 18+ who have ALCOHOL above indicated levels (%) 2,072 9.2% 9.1% 5.6% 12.1% 6.7% - 279 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,845 89.0% 90.4% 85.0% 99.2% 92.8% - 280 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 493 1,237.1 796.5 418.6 1,522.2 1,429.9 n/a 281 HYPERTENSION - - 282 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,861 6,259 6,543 5,372 7,748 6,497 n/a 283 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,776 96.7% 99.4% 80.4% 120.7% 85.0% 64.0% 284 HYPERTENSION Prevalence DSR per 100,000 population 5,937 17,897 16,840 15,813 18,717 17,758 n/a 285 Ratio of Observed (PCQF) to Expected HYPERTENSION Prevalence 5,952 52.7% 51.9% 25.8% 59.6% 52.8% 67.1% 286 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 15,738 91.0% 91.1% 88.8% 92.9% 92.0% 90.7% 287 People with hypertension whose latest BP reading is <150/90 (QOF) (%) 4,770 77.9% 80.7% 76.3% 85.7% 79.6% 83.9% 288 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 3,823 71.9% 70.6% 66.0% 76.5% 51.7% n/a 289 People aged >=80 with hypertension whose latest blood pressure reading is < 150/90 (%) 908 91.3% 89.8% 85.6% 91.5% - n/a 290 People with hypertension with physical activity recorded (%) 3,072 48.7% 53.8% 36.9% 69.2% - n/a 291 People with hypertension who do not meet recommended activity levels who have received brief advice (%) 1,697 94.2% 91.8% 81.3% 97.5% - n/a 292 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,897 56.8% 72.9% 55.7% 98.2% - 74.1% 293 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,477 59.0% 48.7% 33.4% 70.3% - 48.9% 294 Eligible persons 40-74 years with a HEALTH CHECK completed as % of eligible population 5 years cumulative 3,477 33.5% 35.5% 27.3% 46.7% - 36.2% 295 CHD - - 296 CVD Mortality - DSR per 100,000 population 274 307.1 247.1 161.4 307.1 292.4 267.3 297 CVD Mortality Under 75 Years - DSR per 100,000 population 105 101.4 89.4 52.1 127.9 106.1 73.5 298 CHD Prevalence DSR per 100,000 population 1,482 4,738 4,274 3,481 4,961 5,028 n/a 299 Ratio of Observed (QOF) to Expected CHD Prevalence 1,629 50.6% 49.5% 19.5% 63.8% - n/a 300 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,361 86.1% 88.3% 82.8% 90.8% 86.0% 92.4% 301 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,471 90.3% 91.8% 82.1% 109.0% 92.9% 96.3% 302 Emergency admissions for ANGINA 53 0.93 1.00 0.60 1.26 1.06 n/a 303 HEART FAILURE - - 304 HEART FAILURE Prevalence DSR per 100,000 population 356 1,179 1,156 950 1,648 1,288 n/a 305 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 319 75.6% 70.9% 59.2% 90.4% 81.9% 71.3% 306 Emergency admissions for CONGESTIVE HEART FAILURE 81 1.41 1.24 0.85 1.72 0.77 n/a 307 HEART FAILURE Team Face to Face Contacts 197 9.80 13.25 6.40 32.66 16.09 n/a 308 HEART FAILURE Team Case Load 5 0.25 0.40 0.00 1.19 0.75 n/a 309 ATRIAL FIBRILLATION and STROKE - - 310 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 761 2,564 2,388 1,931 2,796 2,515 n/a 311 People on the AF case finding search who have had their notes reviewed 18 58.1% 38.1% 13.0% 68.0% - n/a 312 People with AF with CHADS score >1 treated with anti-coagulation or anti-platelets therapy (%) 568 87.9% 83.0% 39.8% 92.5% 91.9% 88.5% 313 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 351 85.2% 80.8% 63.8% 112.3% 96.1% 96.9% 314 STROKE/TIA Prevalence DSR per 100,000 population 778 2,482 2,225 1,957 3,037 2,526 n/a 315 Ratio of Observed (QOF) to Expected STROKE Prevalence 828 50.0% 48.6% 26.0% 59.2% 46.4% 47.0% 316 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 432 96.0% 97.9% 96.0% 99.6% 91.2% 97.4% 317 People with stroke/TIA referred for further investigation after last stroke or first TIA (QOF) % 192 80.0% 83.4% 77.5% 88.9% - n/a 318 People aged 65 years and over excluding People with AF who have received a pulse check (%) 4,135 77.3% 77.2% 68.3% 84.8% 75.6% n/a 319 Emergency admissions for STROKE 86 1.50 1.46 0.83 1.78 1.42 n/a 320 DIABETES - - 321 DIABETES Prevalence DSR per 100,000 population 2,269 6,537 6,066 4,848 7,561 6,678 n/a 322 Ratio of Observed (PCQF) to Expected DIABETES Prevalence 2,390 85.7% 76.3% 45.2% 93.7% 87.0% 79.6% 323 Prevalence of Impaired Glucose Regulation (%) 1,537 3.4% 3.7% 1.2% 4.9% - n/a 324 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,487 60.0% 65.0% 56.4% 70.8% 56.4% n/a 325 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,504 60.7% 66.2% 60.3% 70.4% 56.9% n/a 326 People with DIABETES and HbA1c (%) 2,226 89.9% 93.1% 89.9% 94.5% 88.4% n/a 327 People with DIABETES and BP recorded (%) 2,281 92.1% 94.7% 92.1% 96.4% 91.9% n/a 328 People with DIABETES and Cholesterol recorded (%) 2,151 86.8% 89.5% 86.8% 92.0% 85.5% n/a 329 People with DIABETES and Microalb recorded (%) 1,710 69.0% 74.2% 69.0% 78.8% 67.3% n/a 330 People with DIABETES and Creatinine recorded (%) 2,204 89.0% 91.7% 89.0% 93.2% 87.7% n/a 331 People with DIABETES and Foot Check (%) 2,097 84.7% 87.0% 82.6% 93.2% 79.6% 89.8% 332 People with DIABETES and BMI recorded (%) 2,051 82.8% 87.7% 82.8% 92.2% 81.2% n/a 333 People with DIABETES and Smoking Status recorded (%) 2,228 89.9% 91.5% 88.6% 94.7% 86.7% n/a 334 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 951 38.4% 42.9% 37.5% 46.2% - n/a 335 People with DIABETES who have CHD and/or CKD (%) 799 32.3% 33.6% 28.5% 38.1% - n/a 336 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 213 40.3% 40.9% 33.1% 52.0% - n/a 337 Preventable sight loss - diabetic eye disease rate per 1000 573 23.1% 28.7% 23.1% 36.4% - n/a 338 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 170 80.6% 77.6% 65.9% 84.7% 80.3% n/a 339 Emergency admissions for DIABETIC COMPLICATIONS 35 0.61 0.40 0.11 0.81 0.89 n/a 340 DIABETES Specialist Nurses Face to Face Contacts 982 48.87 38.19 20.17 60.77 40.87 n/a 341 DIABETES Case Load 118 5.87 5.50 3.36 8.77 5.55 n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 342 RESPIRATORY - - 343 RISK FACTORS - - 344 CURRENT SMOKERS aged 15+ (QOF) (%) 10,837 29.6% 21.5% 13.5% 29.6% 29.8% 17.6% 345 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 9,233 85.2% 88.4% 83.7% 98.3% 90.8% 88.8% 346 MORTALITY - - 347 RESPIRATORY Mortality - DSR per 100,000 population 196 219.0 178.0 93.9 240.0 187.5 n/a 348 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 84 84.9 57.5 25.7 84.9 79.5 33.8 349 DISEASE PREVALENCE - - 350 COPD Prevalence DSR per 100,000 population 1,758 5,345 3,853 2,297 5,345 5,270 n/a 351 Ratio of Observed (PCQF) to Expected COPD Prevalence 1,950 119.9% 84.5% 60.3% 119.9% 105.5% 72.1% 352 ASTHMA Prevalence DSR per 100,000 population 2,969 7,369 6,466 6,096 7,369 6,768 n/a 353 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 2,922 71.1% 63.2% 38.5% 77.4% 66.9% 63.8% 354 RESPIRATORY CONDITIONS - - 355 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 911 51.6% 59.3% 49.5% 71.0% 68.3% 86.8% 356 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,305 73.9% 81.8% 67.5% 88.3% 87.2% 96.7% 357 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 260 22.7% 27.3% 19.6% 36.2% 57.8% n/a 358 People with ASTHMA Day and Night Symptoms Recorded (%) 1,737 58.9% 65.4% 48.6% 74.1% 62.0% n/a 359 SERVICE UTILISATION Rate per 1000 - - 360 Referrals to Pulmonary Rehab 71 1.58 1.34 0.34 2.22 2.48 n/a 361 Emergency admissions for COPD 236 4.12 2.94 1.74 4.59 3.85 n/a 362 Community RESPIRATORY team Face to Face contacts 856 42.60 24.59 8.20 42.60 40.87 n/a 363 Community RESPIRATORY Team Case Load <5 0.15 0.19 - 0.65 0.35 n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 364 CANCER - - 365 RISK FACTORS - - 366 CURRENT SMOKERS aged 15+ (QOF) (%) 10,837 29.6% 21.5% 13.5% 29.6% 29.8% 17.6% 367 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 9,233 85.2% 88.4% 83.7% 98.3% 90.8% 88.8% 368 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 76 15.1% 22.8% 15.1% 31.1% - n/a 369 MORTALITY - - 370 CANCER Mortality - DSR per 100,000 population 399 426.2 320.5 211.1 426.2 414.3 276.8 371 LUNG CANCER - DSR per 100,000 population 131 143.3 93.2 59.5 143.3 141.9 57.7 372 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 107 114.1 89.2 65.3 114.1 111.2 n/a 373 CANCER Mortality Under 75 Years - DSR per 100,000 population 209 206.4 163.5 106.6 206.4 204.6 136.8 374 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 66 70.3 49.9 24.9 79.6 69.8 33.6 375 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 58 57.9 46.7 31.4 59.8 50.9 n/a 376 PREVALENCE - - 377 CANCER Prevalence DSR per 100,000 population 1,165 3,520 3,813 3,130 4,329 3,435 n/a 378 CANCER SCREENING - - 379 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,951 45.9% 51.7% 43.4% 60.7% 44.7% 57.4% 380 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,752 47.5% 53.1% 44.9% 62.0% 46.6% 59.1% 381 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,310 64.7% 67.6% 59.6% 73.5% 65.9% 72.1% 382 36 month coverage for BREAST screening aged 50-70 2,913 56.3% 64.8% 54.4% 72.7% 60.0% 72.5% 383 SERVICE UTILISATION rate per 1000 HCHS Weighted population - - 384 Emergency admissions for CANCER 295 5.2 5.0 3.2 7.1 4.8 n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 385 MENTAL HEALTH - - 386 DEMENTIA - - 387 DEMENTIA Prevalence DSR per 100,000 population 253 942.8 898.1 613.5 1,363.2 947.7 n/a 388 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 264 69.9% 66.5% 55.4% 104.7% 69.4% 61.1% 389 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 264 79.4% 75.0% 62.2% 117.7% 78.6% 68.6% 390 People with DEMENTIA with no other LTCs (%) 39 15.4% 13.9% 9.0% 17.4% 16.7% n/a 391 People with DEMENTIA with 1 other LTC (%) 55 21.7% 21.4% 14.1% 24.3% 21.6% n/a 392 People with DEMENTIA with 2 other LTCs (%) 50 19.8% 23.9% 17.8% 29.1% 22.4% n/a 393 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 199 74.8% 80.0% 69.4% 88.5% 84.9% 83.7% 394 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 33 78.6% 86.9% 78.6% 91.8% 75.6% 87.6% 395 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 38 6.1 8.3 3.4 17.5 7.0 n/a 396 SERIOUS MENTAL ILLNESS - - 397 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 713 1,722 1,425 1,044 2,442 1,696 n/a 398 People with SMI with no other LTCs (%) 259 36.3% 34.9% 28.3% 44.3% 33.4% n/a 399 People with SMI with 1 other LTC (%) 296 41.5% 41.5% 34.6% 46.5% 39.8% n/a 400 People with SMI with 2 other LTCs (%) 100 14.0% 15.2% 12.3% 18.4% 15.4% n/a 401 People with SMI and CHD (%) 22 3.1% 4.2% 2.9% 7.1% 3.1% n/a 402 People with SMI and COPD (%) 68 9.5% 7.0% 5.3% 9.5% 6.0% n/a 403 People with SMI and CANCER (%) 26 3.6% 4.4% 1.8% 8.0% 2.4% n/a 404 People with SMI and Diabetes (%) 71 10.0% 11.4% 6.9% 15.2% 10.5% n/a 405 People with SMI and CMHP (%) 326 45.7% 47.3% 38.5% 58.5% 48.2% n/a 406 People with SMI and Hypertension (%) 100 14.0% 16.3% 10.3% 21.5% 13.8% n/a 407 People with SMI and Current Smoker 15+ (%) 357 50.1% 46.5% 32.9% 54.0% 46.9% n/a 408 People with MH Conditions given list of physical checks previous 12 months (%) 114 38.9% 62.5% 38.9% 73.8% 38.0% n/a 409 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 52 88.1% 94.1% 82.2% 115.1% 94.8% 97.2% 410 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 538 79.7% 83.6% 76.9% 99.3% 85.4% 90.3% 411 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 511 75.7% 82.1% 72.9% 95.5% 83.2% 90.4% 412 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 555 82.2% 86.0% 77.4% 100.1% 84.8% 90.7% 413 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 128 60.1% 63.8% 49.5% 78.4% 85.1% 84.4% 414 Referrals to Community MENTAL HEALTH rate per 1000 2,641 46.11 33.85 20.52 46.82 13.68 n/a 415 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 173 24.6% 27.6% 15.3% 50.5% 17.5% n/a 416 COMMON MENTAL HEALTH PROBLEMS - - 417 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 6,166 14,838 14,022.1 11,956.3 21,198.7 14,801.2 n/a 418 People with CMHP with no other LTCs (%) 3,839 62.3% 61.4% 58.3% 70.5% 62.7% n/a 419 People with CMHP with 1 other LTC (%) 1,298 21.1% 21.0% 16.9% 23.1% 21.0% n/a 420 People with CMHP with 2 other LTCs (%) 571 9.3% 9.8% 7.1% 11.0% 9.0% n/a 421 People with CMHP and CHD (%) 348 5.6% 5.8% 4.3% 6.4% 6.0% n/a 422 People with CMHP and COPD (%) 490 7.9% 6.8% 5.0% 8.2% 7.8% n/a 423 People with CMHP and Cancer (%) 306 5.0% 6.4% 4.0% 8.5% 3.5% n/a 424 People with CMHP and Diabetes (%) 496 8.0% 8.4% 5.8% 9.7% 8.1% n/a 425 People with CMHP and Hypertension (%) 1,154 18.7% 20.6% 13.0% 23.4% 18.2% n/a 426 People with CMHP and SMI (%) 326 5.3% 4.8% 3.7% 7.8% 5.5% n/a 427 People with CMHP and Current Smoker 15+ (%) 1,956 31.7% 26.3% 16.1% 32.0% 28.9% n/a 428 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 455 59.2% 61.9% 53.7% 68.5% 80.1% 83.6% 429 SERVICE UTILISATION - - 430 Access to early intervention teams rate per 1000 11 0.31 0.32 0.18 0.77 0.43 n/a 431 IAPT referral rate per 1000 1,396 39.9 31.7 23.5 39.9 30.6 n/a 432 Referrals to Community MENTAL HEALTH rate per 1000 2,641 46.1 33.9 20.5 46.8 13.7 n/a 433 Emergency admissions for MENTAL HEALTH 171 2.99 2.55 1.76 3.37 1.59 n/a 434 MH emergency admissions Mental and Behavioural - ALCOHOL 104 1.82 1.58 0.63 3.21 2.52 n/a 435 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 8 0.14 0.14 0.05 0.33 0.08 n/a 436 Emergency admissions for VIOLENCE 215 3.75 2.87 1.45 5.68 2.23 n/a 437 Emergency admissions for SELF HARM 140 2.44 2.23 1.17 3.70 2.57 n/a 438 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 173 24.6% 27.6% 15.3% 50.5% 17.5% n/a 439 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 144 46.6% 55.5% 40.4% 83.1% 43.8% n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 440 SERVICE UTILISATION - - 441 PRIMARY CARE ACCESS - - 442 111 call rate per 1000 weighted population 5,803 129.0 105.4 72.8 129.0 - n/a 443 Patient Experience: Overall good experience of making an appointment 431 79.7% 77.2% 71.6% 83.3% - n/a 444 EMERGENCY CARE (rate per 1000 HCHS weighted population) - - 445 Rate per 1000 HCHS weighted pop for GP Spec AE attendances 661 11.54 8.60 5.21 12.46 11.82 n/a 446 Walk in Centre attendances 8,875 155.0 199.1 105.9 259.3 152.0 n/a 447 Rate per 1000 HCHS weighted pop for GP Spec ACS admissions 651 11.37 10.05 8.01 12.94 9.26 n/a 448 Emergency admissions for ANGINA 53 0.93 1.00 0.60 1.26 1.06 n/a 449 Emergency admissions for CONGESTIVE HEART FAILURE 81 1.41 1.24 0.85 1.72 0.77 n/a 450 Emergency admissions for STROKE 86 1.50 1.46 0.83 1.78 1.42 n/a 451 Emergency admissions for DIABETIC COMPLICATIONS 35 0.61 0.40 0.11 0.81 0.89 n/a 452 Emergency admissions for ASTHMA 70 1.22 1.18 0.72 1.85 1.18 n/a 453 Emergency admissions for COPD 236 4.12 2.94 1.74 4.59 3.85 n/a 454 Emergency admissions for CELLULITIS 45 0.79 1.00 0.60 1.51 1.35 n/a 455 Emergency admissions for FLU & PNEUMO 166 2.90 2.69 2.10 3.38 3.17 n/a 456 Emergency admissions for CANCER 295 5.15 5.00 3.19 7.11 4.81 n/a 457 Emergency admissions for MENTAL HEALTH 171 2.99 2.55 1.76 3.37 1.59 n/a 458 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 157 369.4 289.5 118.3 587.1 491.7 110.2 459 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,273 3,282.9 2,747.0 1,889.9 4,430.6 3,544.0 2,185.0 460 Reduction in Emergency admissions END OF LIFE 174 28.94 21.69 14.62 28.94 35.06 n/a 461 Reduction in Emergency admissions from CARE HOMES 259 43.07 29.57 - 72.84 52.30 n/a 462 Injuries due to FALLS 65+ 197 32.76 31.42 24.06 38.38 40.29 n/a 463 Emergency admissions for DEMENTIA aged over 65 16 2.66 2.11 1.10 3.11 0.36 n/a 464 Emergency admissions for HIP FRACTURES aged over 65 50 8.32 8.44 4.31 11.13 7.55 n/a 465 Emergency admissions for PYLO NEFRITIS 34 0.59 0.53 0.31 0.81 0.55 n/a 466 Emergency admissons for GASTRO/DEHYDRATION 6 0.10 0.18 0.10 0.31 2.52 n/a 467 Emergency re-admissions within 30 days to hospital (%) 1,075 12.6% 12.8% 11.5% 14.4% 14.2% 12.8% 468 Emergency admissions for VIOLENCE 215 3.75 2.87 1.45 5.68 2.23 n/a 469 Emergency admissions for SELF HARM 140 2.44 2.23 1.17 3.70 2.57 n/a 470 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1000 HCHS population) - - 471 GP ref, 1st outpatient attendances 3,159 55.2 65.1 44.5 123.1 65.8 n/a 472 GP ref, 1st outpatient attendances CARDIOLOGY 609 10.6 9.9 7.9 12.4 - n/a 473 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 408 0.7% 0.7% 0.5% 0.9% - n/a 474 GP ref, 1st outpatient attendances DERMATOLOGY 528 9.2 11.1 8.0 14.6 9.5 n/a 475 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 240 0.4% 0.6% 0.4% 0.9% - n/a 476 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 137 0.2% 0.3% 0.2% 0.4% - n/a 477 GP ref, 1st outpatient attendances ENT 528 9.2 9.9 7.9 11.6 16.3 n/a 478 GP ref, 1st outpatient attendances ENT - % referred on 2WW 78 0.14% 0.15% 0.10% 0.20% - n/a 479 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 151 0.3% 0.3% 0.2% 0.4% - n/a 480 GP ref, 1st outpatient attendances GASTRO 623 10.9 11.0 9.6 13.3 - n/a 481 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 85 0.1% 0.3% 0.1% 0.6% 0.6% n/a 482 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 327 0.6% 0.5% 0.4% 0.8% 0.1% n/a 483 GP ref, 1st outpatient attendances GYNAECOLOGY 466 8.1 9.1 7.8 10.1 9.7 n/a 484 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 64 0.11% 0.18% 0.09% 0.27% - n/a 485 GP ref, 1st outpatient attendances RESPIRATORY 142 2.5 2.4 1.4 4.3 - n/a 486 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 31 0.1% 0.1% 0.0% 0.1% - n/a 487 GP ref, 1st outpatient attendances RHEUMATOLOGY 144 2.5 2.3 1.7 3.0 2.2 n/a 488 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 55 0.1% 0.1% 0.1% 0.1% - n/a 489 GP ref, 1st outpatient attendances UROLOGY 387 6.8 7.3 0.0 0.0 6.6 n/a 490 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 159 0.3% 0.3% 0.2% 0.4% - n/a 491 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 106 0.2% 0.2% 0.1% 0.3% - n/a 492 GP ref, 1st outpatient attendances VASCULAR 160 2.8 2.0 1.1 2.8 2.2 n/a 493 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 102 0.2% 0.1% 0.1% 0.2% - n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Everton and Anfield Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 494 COMMUNITY SERVICES (rate per 1,000 40+ population) - - 495 Community Matrons Face to Face Contacts 1,629 81.1 65.4 46.3 90.9 131.7 n/a 496 Community Matrons Case Load 27 1.34 1.18 0.17 3.15 2.65 n/a 497 Community RESPIRATORY team Face to Face contacts 856 42.6 24.6 8.2 42.6 40.9 n/a 498 Community RESPIRATORY Team Case Load <5 0.15 0.19 - 0.65 0.35 n/a 499 DIABETES Specialist Nurses Face to Face Contacts 982 48.9 38.2 20.2 60.8 40.9 n/a 500 DIABETES Case Load 118 5.87 5.50 3.36 8.77 5.55 n/a 501 District Nursing Face to Face Contacts 25,544 1,271.2 1,098.6 781.4 1,365.4 1,427.1 n/a 502 District Nursing Case Load 255 12.69 13.17 10.53 17.08 14.09 n/a 503 HEART FAILURE Team Face to Face Contacts 197 9.80 13.25 6.40 32.66 16.09 n/a 504 HEART FAILURE Team Case Load 5 0.25 0.40 - 1.19 0.75 n/a 505 IV Therapy Face to Face Contacts 310 15.43 16.65 8.33 31.25 19.64 n/a 506 IV Therapy Case Load <5 0.20 0.28 0.06 0.48 0.20 n/a 507 Therapy Face to Face Contacts 7,959 396.1 405.9 363.0 462.5 355.3 n/a 508 Therapy Case Load 1,456 72.5 72.7 63.7 92.1 82.9 n/a 509 Treatment Rooms Face to Face Contacts 6,040 300.6 252.2 212.5 317.6 284.4 n/a 510 Treatment Rooms Case Load 135 6.7 6.6 1.2 14.5 6.1 n/a 511 Intermediate Care Bed Based Admissions <5 0.15 0.15 - 0.58 0.15 n/a 512 Telehealth referrals rate per 1000 adult registered pop 1,325 65.94 28.04 0.62 80.50 66.20 n/a 513 Referrals to Community MENTAL HEALTH rate per 1000 2,641 46.1 33.9 20.5 46.8 13.7 n/a 514 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 515 Social Services Users TOTAL per 1000 40+ resident population 1,061 56.9 56.1 39.2 87.8 49.7 n/a 516 Social Services Users OLDER PERSONS per 1000 65+ resident population 798 127.7 125.0 91.8 198.3 96.1 n/a 517 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 173 24.6% 27.6% 15.3% 50.5% 17.5% n/a 518 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 144 46.6% 55.5% 40.4% 83.1% 43.8% n/a 519 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 38 6.1 8.3 3.4 17.5 7.0 n/a 520 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 40+ resident population 697 37.4 36.5 27.4 53.1 31.5 n/a 521 Social Services Users DOMICILIARY CARE per 1000 40+ resident population 275 14.7 14.5 9.3 18.4 15.1 n/a 522 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 40+ resident population 84 4.5 4.4 2.9 6.6 10.6 n/a 523 Social Services Users OTHER COMMUNITY per 1000 40+ resident population 245 13.1 13.4 8.2 22.0 12.3 n/a 524 RESIDENTIAL & NURSING placements TOTAL per 1000 40+ resident population 236 12.7 11.3 4.5 31.7 12.6 n/a 525 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 43 693.6 812.4 203.9 1,854.3 737.3 n/a 526 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 37 0.8 0.8 0.6 0.9 0.8 n/a 527 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 46 0.0 0.0 0.0 0.1 0.0 n/a 528 CHILDREN'S SERVICE UTILISATION - - 529 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1000 aged 0-18 years 7 0.71 0.57 0.08 1.33 - n/a 530 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 33 3.50 4.44 3.25 5.72 2.45 n/a 531 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 124 890.8 716.9 531.3 1,002.9 1,814.9 n/a 532 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 15 53.9 40.4 17.4 64.0 61.4 39.6 533 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 31 174.4 102.3 30.8 182.8 201.1 89.8 534 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 54 629.8 446.6 157.9 933.6 647.6 n/a 535 Child AED attendance rate per 1,000 population aged 0-4 years 2,251 803.9 729.2 631.2 864.0 802.8 n/a 536 Child AED attendances - LRTI 668 67.4 59.3 48.5 209.0 66.2 n/a