Network Profile Croxteth & Norris Green November 2019

Home , Anfield (ward), Clubmoor (ward), County (ward), Croxteth (ward), Knotty Ash (ward), Norris Green

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READER INFORMATION

Title Network Profile – Croxteth & Norris Green

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 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

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Contents 1. Introduction ...... 4 1.1 Network Profiles ...... 4 1.2 Population Segmentation ...... 4 1.3 Care setting usage rates by population segments (Total registered population) ...... 5 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 ...... 10 1.10 Service Assets for Health and Wellbeing ...... 10 2. Network Maps ...... 13 3. Population Map ...... 14 4.Demographics and Wider Determinants of Health ...... 16 4.1 Demographics ...... 16 4.2 Wider Detainments of Health ...... 16 5. Potential Areas of Focus ...... 16 5.1 Healthy Adults and Children (Segment 1) ...... 16 5.2 Long term conditions (Segment 2) ...... 16 5.3 Complex Lives (Segment 4) ...... 17 5.4 Frailty, Dementia and End of Life (Segment 5&6) ...... 17 5.5 Settings of Care ...... 17 6. Network Spine Chart ...... 18

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

SecondaryCare Contacts Face -to-FaceCommunityContacts

EOL Frailty & Dementia Complex Lives Cancer LTC Pre-Conditions Learning Disability Physical Disability Healthy People

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)

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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 Croxteth and Norris Green Network moved in line with the Liverpool average rate potentially there could be;

1. 77 less domestic violence cases 2. 61 less people with a risk strat score >=50 3. 436 fewer smokers 4. 920 less adults classed as obese 5. 491 more adults with alcohol consumption recorded 6. 1,638 more eligible patients offered a health check 7. 150 more eligible patients receiving bowel screening 8. 62 more babies breastfed at birth 9. 282 fewer patients on 5 or more prescriptions 10. 42 fewer cancer emergency admissions 11. 100 more diabetes patients having all 8 care processes 12. 183 more hypertension, CKD, BMI >30 patients with a risk score 13. 154 more patients with stage 3 CKD receiving a CVD risk assessment 14. 155 more patients <80 with hypertension managing BP to recommended levels 15. 609 more hypertension patients with physical activity recorded 16. 19 less angina admissions 17. 17 more patients on warfarin with INR recorded 18. 30 more COPD patients receiving flu vaccination 19. 18 more patients with COPD offered pulmonary rehab 20. 87 fewer COPD emergency admissions 21. 138 more undiagnosed asthma cases diagnosed 22. 361 less troubled families 23. 242 fewer child AED attendances following accidents 24. 66 fewer admissions due to unintentional or deliberate injuries to 0-24 year olds 25. 93 fewer admissions due to falls (aged 65+) 26. 953 fewer AED attendances (where patient is discharged with advice only) 27. 57 less referrals to gastroenterology (where patients are discharged following first attendance) 28. 39 less referrals to urology (where patients are discharged following first attendance)

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1.6 GP Practice The network is made up of the following GP practices:

Practice Code CCG Lead Address and Postcode N82018 Paula Finnerty 24 Carr Lane, Norris Green, Liverpool, L11 2YA

N82019 Murugesh Velayudham Broad Lane, Norris Green, L11 1AD

N82083 Jane Foster 52 Croxteth Hall Lane, Croxteth, L11 4UG

N82087 Tej Rastogi 48 Petherick Road, Gilmoss, L11 0AG

N82655 Rauf Kukaswadia 51-53 Moss Way, Croxteth, L11 0BL

N82676 Christina Sendegeya Fir Tree Drive South, L12 0JE

1.7 Registered Population The registered population is 36,192, 6.7% of overall CCG registered population.

1.8 Registered Patient Ward Alignment The wards that this network is most aligned to are:

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Croxteth and Norris Green Wards % Dominant Ward Croxteth 36.8% Second Ward Norris Green 32.6% Third Ward Clubmoor 13.6% Fourth Ward West Derby 8.1% Fifth Ward Yew Tree 2.4% Sixth Ward Fazakerley 1.0% Seventh Ward Tuebrook and Stoneycroft 0.9% Eighth Ward Knotty Ash 0.8% Ninth Ward Anfield 0.6% Tenth Ward County 0.5% Other Wards 2.7%

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1.9 Service Provision

National Code N82018 N82676 N82087 N82083 N82019 N82655 QOF 111111 DES signup returned 1 1 1 1 1 1 LES signup returned 1 1 1 1 1 1 Extended Hours Access 1 1 Learning Disabilities 1 1 1 1 1 Out of Area Registration 1 Zero Tolerance Scheme Minor surgery own patients excisions and incisions 1 1 1 Minor surgery own patients injections 1 1 1 1 1 Learning Disabilities Health Check Scheme 1 1 1 1 1 1 GMS/PMS Core Contract Data Collection 1 1 1 1 1 1 Alcohol Risk Reduction 1 1 1 1 1 1 Liverpool Quality Improvement Scheme 1 1 1 1 1 1 Minor surgery FOR OTHER PRACTICES excisions and incisions Minor surgery FOR OTHER PRACTICES injections Drug Misusers 1 1 1 Near Patient 1 1 1 1 1 1 Sexual Health 1 1 1 Homeless Asylum Seekers 1 1 Travellers ABPI 1 1 ABPI - For other practices H Pylori 1 1 1 1 1 1 H Pylori for other practices 1 Health checks 1 1 1 1 1 1 IGR 111111 Gonadorelin Therapy LES 1 1 1 1 1 1 Latent TB 1 1 1 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.

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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 13 | Page

3. Population Map

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4.Demographics and Wider Determinants of Health 4.1 Demographics  36,192 people are registered in this network (6.7% of population)  Life expectancy and healthy life expectancy in Croxteth and Norris Green network are significantly below the Liverpool average.  Around 452 children are born each year and there are 2,446 children aged under 5 years old, accounting for 6.8% of the population.  This network has a significantly higher proportion of children aged 0-18 years (25% compared to 19%). The proportion of the population aged 65+ is comparable to the Liverpool average, however those aged 95+ is significantly higher.  Croxeth and Norris Green network has a significantly higher deprivation score compared to the city average with a score of 45.6 compared to 41.1 and a signifcanly higher proportion of (35.5%) and adults (36.8%) are affected by income deprivation 4.2 Wider Detainments of Health

 Two in five (41.7%) households have no access to a car/van which is significantly lower than the Liverpool average (47.3%)  The median household income is £22,217, comparable to Liverpool average  Just under two thirds (65.3%) are classed as being economically active which is signicantly higher than the Liverpool average (62.4%).  Levels of unemployment including long-term unemployment is significantly higher in this network  A significantly lower proportion of housing is social or privately rented (47.5% compared to 52.9%)  People aged 65 and over living alone account for 12.7% of households, significantly higher than the city rate of 11.8%.  Domestic crime is significantly above the Liverpool average (19.0 compared to 16.7), while the violent crime rate is significantly lower (9.7 compared to 13.1)

5. Potential Areas of Focus 5.1 Healthy Adults and Children (Segment 1)  Prevention A high take up of NHS Health Checks is important to identify early signs of poor health leading to opportunities for early interventions. Approximatley half (50.8%) of patients eligible patients were offered a health check in this network, which is significantly lower than the Liverpool aveage rate of 70.5%. One to three out of 4 people with impaired glucose tolerance will develop diabetes within a decade (diabetes.co.uk). This network reports the second highest prevalence of Impaired glucose regulation with 1,318 people reporting IGR equating to 4.7% of network population. A significantly higher proportion of 18+ year olds in this network have a BMI >30 and BMI >40 equating to 4,214 adults classed as obese. Alcohol consumption recording is significantly lower in this network with just under two thirds (63.9% n=17,602) having consumption recorded. 5.2 Long term conditions (Segment 2)  Long Term Conditions 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. Prevalence of heart failure is significantly above the Liverpool average. Emergency admissions for angina are significantly above the Liverpool average. Disease management measures are generally comparable to or better than the Liverpool average rates, however in this network a significantly lower proportion of diabetes patients have all 8 care processes (59.1% compared to 63.8%) and recording of INR for patients on warfarin is also significantly below the

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Liverpool average (92.8% compared to 96.9%). For people with high blood pressure, adopting a healthy lifestyle often along with medication can help bring it under control and reduce the risk of life- threatening complications. This network reports the lowest rate of people aged <80 years with their blood pressure managed to optimum levels (< 140/90 mm Hg) (67.3% compared to 71.1%). Recording of physical activity among people with hypertension is also significantly below the Liverpool average (42.8% compared to 57.4%).  Cancer More than one in three people will develop cancer at some point in their life. Early detection of cancers is essential to ensure prompt appropriate treatment and reduce premature deaths. Although not significantly higher, deaths rates from Cancer (Under 75 and all ages) in this network are higher than the Liverpool average. Bowel screening uptake rates are significantly lower than the Liverpool average with just over half of those eligible being screened (50.9% compared to 53.9%). This network reports the second highest rates of emergency admissions for cancer compared to all other networks, 6.6 admission per 1,000 population compared to 5.6 for Liverpool.  Respiratory COPD prevalence is significantly higher in this network with a rate of 4,441 cases per 100,000 population compared to 4,118 for Liverpool. Observed to expected prevalence ratio stands at 115% suggesting there are fewer undiagnosed COPD cases in this network compared to other areas. Croxeth and Norris Green Network report the lowest achievement compared to all other networks for the proportion of COPD patients MRC dyspnoea grade >3 recorded (92.8%) and of those who are offered pulmonary rehab (92.8%). COPD emergency admission rates are significantly higher in this network with 5.53 admissions reported per 1,000 population equating to 230 admissions during 2018/19. A signifcantly higher proportion of young people aged 18-25 are reported to have asthma in this network, 5.1% (n=172) of the population compared to 3.9% for Liverpool. Observed to expected asthma prevalence is significantly lower with just over half (55%) of those expected to have asthma diagnosed, suggesting this network has a relatively large number of undiagnosed asthma cases. 5.3 Complex Lives (Segment 4)  Complex Lives Compared to the Liverpool average, Croxteth and Norris Green network has significantly higher rates of Early Help Family Assessment and Troubled Families. Child AED attendances following accidents are significantly higher than the Liverpool average with 1,241 attendances recorded in 2018/19. The highest rate of emergency admissions due to unintentional and deliberate injuries (0-24 years) is reported in this network with 207 admissions reported during a 12 month period. 5.4 Frailty, Dementia and End of Life (Segment 5&6)  Frailty Population aged 65 – 95 is in line with the Liverpool average, however Croxteth & Norris Green have a significantly higher population of 95+ year olds. Income deprivation affecting older people is also significantly higher in this network. The majority of patients with a frailty score recorded are classed as having ‘Moderate’ (65.5%) or ‘Severe’ (33.2%) frailty equating to 1,885 older people with moderate or severe frailty. The highest rate of emergency admissions for injuries due to falls is reported in this network with a rate of 51.0 per 1,000 population compared to 33.0 for Liverpool. Emergency admissions for Angina are also significantly higher in this network with 57 admissions recorded in 2018/19. Social service use overall is significantly lower for 65+ population with a rate of 103.1 compared to 115.9, this is particularly true for domiciliary care and equipment and adaptions services. Croxteth and Norris Green has the highest dementia prevalence rate across all networks with a rate of 1,142 cases per 100,000 population equating to 284 cases in this network. Observed and estimated prevalence is the highest across networks, suggesting there are fewer undiagnosed dementia cases. Dementia management measures are all in line with the Liverpool average. 5.5 Settings of Care  Emergency Care Compared to all other networks, Croxteth and Norris green report the highest rate of COPD admissions and Injuries due to falls admissions. The second highest NHS 111 call rate, Angina emergency admissions and Cancer admissions and a significantly higher proportion of Child AED attendances.  Outpatient Setting The highest rate of 2 week referrals to Gastro and Urology clinics are reported from this network. This network also reports the highest rate of patients who are discharged following first

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attendance to the same specialities; in both cases over half of the patients who are referred for treatment are discharged following first attendance.  Community Setting A significantly lower proportion of Croxteth and Norris Green population are recorded on community matron caseload and have fewer contacts with diabetes specialist nurses and treatment room contacts.  Social Care Setting Demand for social care in this network is relatively in line with the city average. However by service line social service usage is significantly below the Liverpool average for domiciliary care (40+ and 65+) and equipment and adaptions (65+). A comparable rate of admissions to residential and nursing care homes and older people still at home 91 days after discharge is reported for this network.

6. Network Spine Chart

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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 25th percentile 75th percentile Croxteth & Norris Green Primary Care Network Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 1 DEMOGRAPHICS AND WIDER DETERMINANTS OF HEALTH 2 DEMOGRAPHICS n/a 3 Deprivation Score (IMD) 2015 - 45.6 41.1 21.7 60.8 21.8 4 Income Deprivation Affecting Children Index (IDACI) 2015 - 35.5% 32.0% 16.3% 47.6% 17.6% 5 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 36.8% 34.2% 21.4% 47.0% 15.3% 6 Not White British or Irish ethnic group (%) 2,511 6.9% 15.0% 4.6% 35.1% 19.2% 7 White Other ethnic group (%) 658 1.8% 2.7% 0.9% 5.6% 4.6% 8 Mixed/Multiple ethnic group (%) 422 1.2% 2.6% 0.9% 6.4% 2.3% 9 Asian/Asian British ethnic group (%) 806 2.2% 4.7% 1.2% 16.7% 7.8% 10 Black/African/Caribbean/Black British ethnic group (%) 470 1.3% 2.9% 0.6% 9.1% 3.5% 11 Other ethnic group (including Arab) (%) 155 0.4% 2.0% 0.3% 7.6% 1.0% 12 Main language not English (%) 1,158 3.2% 7.1% 2.1% 20.9% 8.0% 13 People registered as asylum seekers or refugees (%) 60 0.2% 1.0% 0.0% 6.4% n/a 14 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 452 67.2 53.4 21.1 71.1 62.5 15 Children aged 0-4 years (%) 2,446 6.8% 5.5% 1.3% 6.8% 5.5% 16 Children aged 5-10 years (%) 3,096 8.6% 6.5% 1.1% 8.6% 7.2% 17 Children aged 11-18 years (%) 3,488 9.6% 7.9% 3.1% 9.6% 8.8% 18 Young People aged 19-25 years (%) 3,032 8.4% 13.2% 6.9% 56.0% 8.8% 19 Children and Young People aged 0-25 years (%) 12,062 33.4% 33.2% 26.4% 61.5% 30.3% 20 Population 65+ (%) 5,186 14.3% 14.4% 1.8% 20.4% 17.9% 21 Population 75+ (%) 2,292 6.3% 6.3% 0.5% 9.4% 8.1% 22 Population 85+ (%) 681 1.9% 1.7% 0.1% 2.9% 2.4% 23 Population 95+ (%) 70 0.2% 0.1% 0.0% 0.2% 0.2% 24 WIDER DETERMINANTS - 25 No car or van in household (%) - 41.7% 47.3% 29.2% 62.6% 25.8% 26 Economically active (%) 16,998 65.3% 62.4% 50.4% 68.8% 69.9% 27 Economically active: Unemployed (%) 1,969 7.6% 6.6% 3.6% 9.0% 4.4% 28 Economically active: Long-term unemployed (%) 816 3.1% 2.7% 1.4% 3.8% 1.7% 29 Economically inactive (%) 9,030 34.7% 37.6% 31.2% 49.6% 30.1% 30 Economically inactive: Long-term sick or disabled (%) 2,407 9.2% 7.9% 4.2% 11.7% 4.0% 31 Housing Tenure: Social or Private Rented (%) - 47.5% 52.9% 32.2% 77.9% 36.7% 32 One person household: Aged 65 and over (%) - 12.7% 11.8% 6.4% 14.0% 12.4% 33 Median Household Income £ - £22,217 £23,249 £17,754 £33,290 £32,650 34 Domestic violence rate per 1,000 627 19.0 16.7 8.9 26.5 - 35 Violent crime rate per 1,000 319 9.7 13.1 5.7 24.2 - 36 SEGMENT 1. HEALTHY ADULTS AND CHILDREN - 37 HEALTHY LIFE EXPECTANCY at birth - males (3 Year Pooled) - 60.6 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) - 61.7 62.3 60.6 64.4 63.6 40 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 76.3 78.2 74.5 82.4 79.6 41 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 80.5 81.4 77.9 85.4 83.1 42 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 78.4 79.8 76.6 84.0 81.4 43 ALL CAUSE Mortality - DSR per 100,000 population 1,108 1,371.4 1,101.2 794.2 1,420.3 959.0 44 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 369 449.5 425.5 257.9 595.2 332.0 45 Population 40+ with no LTCs (%) 6,279 39.3% 40.4% 35.6% 53.2% n/a 46 Population 40+ with 1 LTC (%) 4,727 29.6% 27.7% 25.4% 29.6% n/a 47 Population 40+ with 2 LTC (%) 2,587 16.2% 15.9% 11.3% 18.0% n/a 48 Population 40+ with 3 or more LTC (%) 2,385 14.9% 15.9% 10.2% 19.4% n/a 49 Percentage of the population 40+ with risk score >=50% 405 2.5% 2.1% 1.0% 2.9% n/a 50 Percentage of the population 40+ with risk score >=70% 142 0.9% 0.7% 0.3% 1.6% n/a 51 Percentage of the population 40+ with risk score >=50% <=90% 376 2.4% 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) (%) 13,406 92.0% 90.9% 86.2% 93.1% 89.2% 54 HYPERTENSION Prevalence DSR per 100,000 population 4,802 16,857.4 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 (%) 3,558 78.3% 75.8% 64.8% 82.0% n/a 56 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 665 2,554.5 2,518.6 2,194.0 3,012.8 n/a 57 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 1,318 4.7% 3.4% 0.8% 4.8% n/a 58 CURRENT SMOKERS aged 15+ (QOF) (%) 6,198 21.6% 20.1% 12.1% 27.8% 17.2% 59 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,691 91.8% 90.0% 75.9% 98.6% 89.2% 60 Child Excess Weight Reception (age 4-5 years) (%) 379 28.0% 26.1% 21.7% 29.6% 22.4% 61 Child Excess Weight Year 6 (age 10-11 years) (%) 447 40.2% 38.8% 33.1% 44.2% 34.3% 62 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,214 15.3% 12.0% 3.9% 16.1% 9.8% 63 People with BMI >=40 recorded in the last 12m (%) 1,237 3.5% 2.7% 0.9% 4.0% n/a 64 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 550 44.5% 46.6% 25.1% 61.2% n/a 65 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 77 18.9% 22.8% 14.9% 31.1% n/a 66 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 17,602 63.9% 65.7% 63.5% 70.0% n/a 67 People aged 18+ who have ALCOHOL above indicated levels (%) 1,740 9.9% 9.7% 6.1% 12.2% n/a 68 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,510 86.8% 88.5% 80.4% 99.9% n/a 69 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 4,233 50.8% 70.5% 47.6% 94.1% 90.0% 70 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,298 77.9% 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 3,298 39.6% 34.0% 19.9% 51.5% 43.3% 72 Health Trainer Referral rate per 1,000 persons 18+ 244 8.9 6.8 3.8 15.2 n/a 73 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,826 49.3% 52.2% 42.8% 61.2% 57.4% 74 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,519 50.9% 53.9% 44.9% 62.6% 59.1% 75 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,732 71.0% 68.1% 52.2% 75.2% 72.1% 76 36 month coverage for BREAST screening aged 50-70 2,894 64.0% 65.5% 54.5% 74.4% 72.5% 77 VACS AND IMMS - 78 Children's DtaPipVHib at 1 Yr (%) 434 93.3% 92.0% 87.6% 96.5% 93.4% 79 Children's PCV at 2 Yrs (%) 433 92.3% 89.2% 80.6% 94.2% 91.5% 80 Children's MMR1 at 2 Yrs (%) 432 92.1% 90.2% 81.3% 94.2% 91.6% 81 Children's Hib Men C at 2 Yrs (%) 437 93.2% 90.9% 83.8% 95.3% 91.5% 82 Children's Pre School Booster at 5 Yrs (%) 427 89.0% 88.2% 77.9% 95.5% n/a 83 Children's MMR2 at 5 Yrs (%) 426 88.8% 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 (%) 1,736 92.7% 90.6% 83.5% 95.0% n/a 85 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 177 34.6% 29.5% 16.2% 46.9% 43.8% 86 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 190 33.6% 33.2% 20.9% 47.1% 45.9% 87 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,770 73.3% 71.4% 64.8% 74.6% 72.0% 88 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 3,334 52.5% 49.7% 42.5% 54.2% 48.0% 89 Seasonal Flu Vaccine Uptake - Carers (%) 325 58.1% 48.8% 35.3% 58.6% n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 90 SEXUAL HEALTH - 91 GP prescribed user dependent contraception per 1,000 females aged 15-44 1,007 138.0 125.5 84.8 152.0 n/a 92 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 283 38.8 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 60 1.7 4.5 1.2 13.5 n/a 95 MATERNITY - 96 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 452 67.2 53.4 21.1 71.1 62.5 97 Low birthweight of all babies <2500g (3 year pooled) (%) 138 10.1% 8.5% 6.4% 10.3% 7.3% 98 Breastfeeding Initiation Rates (%) 148 34.0% 48.1% 34.0% 68.1% 74.5% 99 Breastfeeding at 6-8 weeks (%) 96 24.0% 38.4% 23.6% 59.7% 42.7% 100 Smoking Status at Time of Delivery (SATOD) % 61 13.8% 12.9% 5.8% 19.9% 10.8% 101 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 227 40.6% 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 (%) 236 58.8% 56.4% 45.5% 64.1% 61.6% 104 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 116 32.2% 34.9% 23.0% 48.4% 56.6% 105 Children who are receiving Special Educational Needs (SEN) Support (%) 1,267 20.1% 16.4% 13.2% 20.1% 14.4% 106 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 174 0.03 0.02 0.02 0.03 n/a 107 Children's Speech and language Therapy referrals - Rate per 1,000 267 21.9 20.3 3.5 51.5 n/a 108 SEGMENT 2. LONG TERM CONDITIONS - 109 Population 40+ with 1 LTC (%) 4,727 29.6% 27.7% 25.4% 29.6% n/a 110 Population 40+ with 2 LTC (%) 2,587 16.2% 15.9% 11.3% 18.0% n/a 111 Population 40+ with 3 or more LTC (%) 2,385 14.9% 15.9% 10.2% 19.4% n/a 112 People on proactive care (%) 97 0.3% 0.1% 0.0% 0.3% n/a 113 People on 1 to 5 or more prescriptions (%) 21,608 61.7% 56.2% 38.4% 64.4% n/a 114 People on 5 or more prescriptions (%) 7,949 22.7% 21.9% 4.0% 28.4% n/a 115 People on 10 or more prescriptions (%) 2,560 7.3% 7.2% 1.0% 10.0% n/a 116 Antibiotic Prescribing rate per 1,000 population 1,575 35.3 43.2 33.1 52.2 n/a 117 Broad Spectrum antbiotic prescribing rate per 1,000 population 150 3.4 3.5 2.8 4.4 n/a 118 Proportion of people who use services who have control over their daily life (ASCOF 1B) 40 81.6% 79.4% 50.0% 90.0% n/a 119 The proportion of users and carers receiving self directed support (ASCOF 1C1A) 381 90.1% 86.1% 64.3% 92.5% n/a 120 The proportion of carers who receive self directed support (ASCOF 1C1B) 70 49.6% 49.2% 37.6% 55.4% n/a 121 The proportion of people who use services who receive direct payments (ASCOF 1C2A) 92 21.7% 19.9% 14.3% 31.9% n/a 122 The proportion of carers who receive direct payments (ASCOF 1C2B) 57 40.4% 36.8% 28.1% 44.0% n/a 123 The outcome of short term service: sequel to service (ASCOF 2D) 70 62.5% 60.7% 47.3% 67.3% n/a 124 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 47 937.3 724.3 306.0 1,220.8 n/a 125 CANCER - 126 New CANCER cases (Crude incidence rate: new cases per 100,000 population) 201 563.1 505.9 88.9 640.4 520.8 127 People with a review within 6 mths of CANCER diagnosis 103 96.3% 93.0% 83.0% 96.6% 69.3% 128 Percentage reporting CANCER in the last 5 years 19 4.9% 3.6% 1.6% 4.9% 3.2% 129 CANCER Prevalence DSR per 100,000 population 1,552 5,552.7 5,601.0 4,302.0 6,470.9 n/a 130 CANCER Mortality - DSR per 100,000 population 269 323.9 303.7 246.8 391.1 268.0 131 LUNG CANCER - DSR per 100,000 population 80 99.7 85.7 49.2 148.3 56.3 132 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 71 85.5 87.5 63.7 119.4 n/a 133 CANCER Mortality Under 75 Years - DSR per 100,000 population 140 169.3 157.3 119.8 201.8 134.6 134 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 33 41.3 45.4 22.9 84.0 n/a 135 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 41 51.0 46.4 32.2 59.8 n/a 136 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,826 49.3% 52.2% 42.8% 61.2% 57.4% 137 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,519 50.9% 53.9% 44.9% 62.6% 59.1% 138 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,732 71.0% 68.1% 52.2% 75.2% 72.1% 139 36 month coverage for BREAST screening aged 50-70 2,894 64.0% 65.5% 54.5% 74.4% 72.5% 140 Emergency admissions for CANCER 274 6.6 5.6 2.9 6.8 n/a 141 DIABETES - 142 Children with DIABETES 0-17 years (%) 16 0.2% 0.2% 0.1% 0.4% n/a 143 DIABETES Prevalence DSR per 100,000 population 1,959 6,751.7 6,483.7 5,101.5 7,872.4 n/a 144 Ratio of Observed (QOF) to Expected DIABETES Prevalence 1,999 86.3% 76.6% 29.1% 97.1% 81.6% 145 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 1,318 4.7% 3.4% 0.8% 4.8% n/a 146 Prevalence of MI last 12m, Stroke, CKD stage 5 in people with DIABETES aged 17+ (%) 37 1.8% 1.5% 0.4% 2.2% n/a 147 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,279 60.5% 58.7% 50.2% 63.4% 79.4% 148 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,252 59.1% 63.8% 53.1% 73.9% n/a 149 People with DIABETES and HbA1c (%) 1,981 93.5% 92.8% 88.4% 95.9% n/a 150 People with DIABETES and BP recorded (%) 2,030 95.8% 94.0% 90.7% 96.7% n/a 151 People with DIABETES and Cholesterol recorded (%) 1,889 89.1% 88.8% 84.2% 92.4% n/a 152 People with DIABETES and Microalb recorded (%) 1,569 74.0% 72.3% 62.5% 79.5% n/a 153 People with DIABETES and Creatinine recorded (%) 1,966 92.8% 91.7% 86.8% 94.8% n/a 154 People with DIABETES and Foot Check (%) 1,844 87.0% 85.4% 79.3% 90.1% 81.2% 155 People with DIABETES and BMI recorded (%) 1,847 87.2% 86.9% 79.9% 92.8% n/a 156 People with DIABETES and Smoking Status recorded (%) 1,760 83.1% 89.8% 83.1% 95.1% n/a 157 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 1,499 44.3% 43.1% 37.5% 46.2% n/a 158 People with DIABETES who have CHD and/or CKD (%) 1,203 35.5% 33.6% 28.5% 38.1% n/a 159 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 400 40.4% 40.9% 33.1% 52.0% n/a 160 Preventable sight loss - DIABETIC eye disease rate per 1,000 1,004 29.7% 29.0% 23.1% 36.4% n/a 161 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 87 68.0% 75.5% 38.1% 93.2% n/a 162 Emergency admissions for DIABETIC COMPLICATIONS 19.00 0.46 0.45 0.19 0.92 n/a 163 DIABETES Specialist Nurses Face to Face Contacts 494 29.6 33.6 20.2 54.9 n/a 164 DIABETES Case Load 142 8.52 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 4,233 50.8% 70.5% 47.6% 94.1% 90.0% 167 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,298 77.9% 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 3,298 39.6% 34.0% 19.9% 51.5% 43.3% 169 People 40-74 with HYPERTENSION, CKD, BMI>30 who have had a risk score ever (%) 3,644 74.4% 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 (%) 416 24.0% 33.0% 19.6% 50.3% n/a 171 Over 40 prevalence of PERIPHERAL VASCULAR DISEASE (%) 278 1.7% 1.8% 1.2% 2.7% n/a 172 Ratio of Observed (QOF) to Expected PAD Prevalence 280 79.0% 76.9% 39.8% 305.6% 57.9% 173 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 257 955.9 1,047.4 734.5 1,514.8 n/a 174 GP ref, 1st outpatient attendances VASCULAR 77 1.85 1.90 0.82 2.37 n/a 175 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 61 79.2% 70.5% 59.6% 87.7% n/a 176 HYPERTENSION - 177 CKD Prevalence DSR per 100,000 population 1,766 6,606.1 6,549.4 4,653.5 8,229.4 n/a 178 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,768 109.7% 99.8% 52.7% 117.6% 62.3% 179 HYPERTENSION Prevalence DSR per 100,000 population 4,802 16,857.4 17,355.1 15,143.5 19,591.8 n/a 180 Ratio of Observed (QOF) to Expected HYPERTENSION Prevalence 4,877 52.5% 52.9% 18.4% 61.3% 50.6% 181 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 13,406 92.0% 90.9% 86.2% 93.1% 89.2% 182 People with HYPERTENSION whose latest BP reading is <150/90 (QOF) (%) 4,005 83.2% 82.7% 78.5% 86.9% 86.8% 183 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 2,806 67.3% 71.1% 67.3% 76.1% n/a 184 People aged >=80 with HYPERTENSION whose latest blood pressure reading is < 150/90 (%) 803 89.5% 89.6% 86.7% 93.7% 86.8% 185 People with HYPERTENSION with physical activity recorded (%) 1,785 42.8% 57.4% 36.7% 82.0% n/a 186 People with HYPERTENSION who do not meet recommended activity levels who have received brief advice (%) 1,252 70.1% 57.4% 32.0% 70.1% n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 187 CHD - 188 CVD Mortality - DSR per 100,000 population 218 268.8 239.8 168.1 320.8 n/a 189 CVD Mortality Under 75 Years - DSR per 100,000 population 81 99.4 90.2 56.0 150.9 72.5 190 CHD Prevalence DSR per 100,000 population 1,264 4,655.2 4,434.2 3,593.1 5,614.3 n/a 191 Ratio of Observed (QOF) to Expected CHD Prevalence 1,319 55.0% 44.0% 20.5% 110.5% 41.5% 192 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,162 92.6% 91.6% 88.9% 95.4% 92.4% 193 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,192 97.3% 96.9% 94.2% 99.4% n/a 194 People with CHD whose latest total cholesterol (previous 12m) is 5mmol or less (%) 854 64.8% 66.6% 58.0% 74.3% n/a 195 People with CHD prescribed statins (%) 1,034 78.5% 79.3% 75.6% 83.0% n/a 196 Emergency admissions for ANGINA 57 1.4 0.9 0.6 1.7 n/a 197 GP ref, 1st outpatient attendances CARDIOLOGY 408 9.8 14.1 9.8 17.7 n/a 198 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 266 0.7 0.6 0.5 0.7 n/a 199 HEART FAILURE - 200 HEART FAILURE Prevalence DSR per 100,000 population 426 1,617.5 1,343.3 1,096.6 1,760.9 n/a 201 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 395 113.1% 92.1% 59.8% 122.1% 72.8% 202 People with HEART FAILURE eligible who are prescribed a beta blocker (%) 132 95.7% 92.1% 86.3% 100.0% n/a 203 Emergency admissions for CONGESTIVE HEART FAILURE 64 1.5 1.3 0.6 1.9 n/a 204 HEART FAILURE Team Face to Face Contacts 555 33.3 13.3 6.6 33.3 n/a 205 HEART FAILURE Team Case Load 19 1.1 0.4 - 1.1 n/a 206 ATRIAL FIBRILLATION and STROKE - 207 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 665 2,554.5 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 29 9.8% 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 (%) 564 78.8% 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) % 369 51.5% 42.4% 34.6% 71.2% 93.6% 211 People on Warfarin who have INR recorded in last 12 months (%) 374 92.8% 96.9% 92.8% 100.0% n/a 212 STROKE/TIA Prevalence DSR per 100,000 population 620 2,300.5 2,317.6 1,909.9 2,907.9 n/a 213 Ratio of Observed (QOF) to Expected STROKE Prevalence 652 61.2% 56.2% 10.8% 73.4% 56.8% 214 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 611 89.1% 89.7% 86.0% 93.3% 91.7% 215 People with STROKE/TIA referred for further investigation after last stroke or first TIA (QOF) % 249 94.3% 88.3% 78.1% 94.3% 83.4% 216 People with STROKE/TIA whose latest total cholesterol (prev 12m) is 5mmol or less (%) 401 58.5% 60.0% 54.4% 66.9% n/a 217 Emergency admissions for STROKE 53 1.27 1.39 0.56 1.74 n/a 218 EPILEPSY - 219 Children with EPILEPSY 0-17 years (%) 32 0.4% 0.3% 0.2% 0.4% n/a 220 EPILEPSY Prevalence DSR per 100,000 population 369 1,137.6 969.5 693.0 1,137.6 n/a 221 Emergency admissions for EPILEPSY 57 1.4 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 (%) 360 3.0% 3.3% 2.3% 4.7% n/a 225 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 5,809 17,818.9 15,284.2 12,409.6 19,842.4 n/a 226 People with CMHP with no other LTCs (%) 3,423 58.9% 57.2% 50.7% 76.0% n/a 227 People with CMHP with 1 other LTC (%) 1,273 21.9% 22.1% 15.0% 23.8% n/a 228 People with CMHP with 2 other LTCs (%) 602 10.4% 10.9% 5.6% 12.8% n/a 229 People with CMHP and CHD (%) 341 5.9% 6.3% 2.2% 8.2% n/a 230 People with CMHP and COPD (%) 416 7.2% 7.4% 4.0% 9.5% n/a 231 People with CMHP and Cancer (%) 409 7.0% 7.1% 2.0% 10.0% n/a 232 People with CMHP and Diabetes (%) 536 9.2% 9.1% 3.5% 11.1% n/a 233 People with CMHP and Hypertension (%) 1,166 20.1% 21.8% 7.7% 28.0% n/a 234 People with CMHP and SMI (%) 196 3.4% 4.7% 3.4% 6.7% n/a 235 People with CMHP and Current Smoker 15+ (%) 1,783 30.7% 31.5% 19.9% 39.1% n/a 236 Children and Adolescent Mental Health Services (CAMHS) Referrals per 1,000 355 29.4 22.5 2.1 40.3 n/a 237 Children and Adolescent Mental Health Services (CAMHS) Assessments per 1,000 276 22.9 15.7 1.5 27.7 n/a 238 Children and Adolescent Mental Health Services (CAMHS) 1st Interventions per 1,000 237 19.6 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) (%) 390 84.6% 79.3% 55.9% 86.9% 64.2% 240 Access to early intervention teams rate per 1,000 14 0.39 0.60 0.35 0.99 n/a 241 IAPT referral rate per 1,000 950 33.6 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 (%) 15 0.1% 0.2% 0.1% 0.2% n/a 244 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 370 1,176.2 1,443.2 1,034.5 2,704.9 n/a 245 People with SMI with no other LTCs (%) 79 21.4% 27.8% 21.4% 35.5% n/a 246 People with SMI with 1 other LTC (%) 158 42.7% 39.0% 33.3% 43.0% n/a 247 People with SMI with 2 other LTCs (%) 72 19.5% 18.3% 12.1% 23.3% n/a 248 People with SMI and CHD (%) 30 8.1% 5.0% 2.6% 8.1% n/a 249 People with SMI and COPD (%) 37 10.0% 8.1% 5.1% 11.3% n/a 250 People with SMI and CANCER (%) 29 7.8% 5.1% 1.8% 8.3% n/a 251 People with SMI and Diabetes (%) 60 16.2% 12.9% 7.0% 16.2% n/a 252 People with SMI and CMHP (%) 196 53.0% 50.5% 43.8% 59.2% n/a 253 People with SMI and Hypertension (%) 71 19.2% 18.7% 10.6% 23.1% n/a 254 People with SMI and Current Smoker 15+ (%) 189 51.1% 49.8% 34.2% 63.6% n/a 255 People with SMI receiving list of physical checks previous 12 months (%) 148 37.4% 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) (%) 28 96.6% 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) (%) 285 92.8% 88.5% 70.4% 94.2% 78.2% 258 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 305 92.7% 86.8% 77.9% 93.6% 81.5% 259 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 300 94.6% 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) (%) 85 95.5% 84.4% 76.4% 95.5% 69.6% 261 Referrals to Community MENTAL HEALTH rate per 1,000 650 18.0 17.7 10.1 23.1 n/a 262 Community MENTAL HEALTH contacts rate per 1,000 650 18.0 17.7 10.1 23.1 n/a 263 Referrals to PSYCHIATRIC LIAISON rate per 1,000 403 11.16 10.29 5.74 16.27 n/a 264 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 112 29.9% 34.1% 5.7% 53.9% n/a 265 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 64 2.51 3.45 1.96 6.69 n/a 266 Emergency admissions for MENTAL HEALTH 89 2.14 2.30 1.55 3.63 n/a 267 MUSCULOSKELETAL - 268 RHEUMATOID ARTHRITIS prevalence 279 1.0% 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) 264 94.6% 93.5% 86.2% 97.5% 84.1% 271 People with OSTEOPOROSIS aged 50-74 with a fragility fracture (QOF) 42 82.4% 80.9% 42.9% 97.7% n/a 272 People with OSTEOPOROSIS aged 75 and over with a fragility fracture (QOF) 62 62.0% 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) 32 80.0% 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) 51 83.6% 70.7% 50.0% 100.0% 59.7% 275 Admission rate FACET JOINT INJECTIONS (3+ Admissions) 25 0.60 0.23 0.00 0.66 n/a 276 Admission rate EPIDURAL/SPINAL NERVE ROOT INJECTIONS FOR NON ESPECIFIC BACK/ PAIN (3+ admissions) <5 0.02 0.04 0.00 0.13 n/a 277 GP ref, 1st outpatient attendances RHEUMATOLOGY 123 2.96 3.38 2.09 4.72 n/a 278 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 62 50.4% 51.6% 39.5% 66.9% n/a 279 RESPIRATORY - 280 RESPIRATORY Mortality - DSR per 100,000 population 140 179.1 180.0 122.3 276.4 n/a 281 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 37 47.2 58.2 23.7 119.3 34.3 282 Community RESPIRATORY team Face to Face contacts 689 41.3 26.1 9.8 44.5 n/a 283 Community RESPIRATORY Team Case Load <5 0.18 0.31 - 0.79 n/a 284 Child AED attendances - LRTI 569 66.1 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 40 4.4 5.3 3.8 7.9 n/a 286 Emergency admissions for FLU & PNEUMO 156 3.75 4.21 3.21 5.37 n/a 287 GP ref, 1st outpatient attendances RESPIRATORY 178 4.28 4.42 2.76 5.35 n/a 288 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 44 24.7% 22.3% 14.8% 32.8% n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 289 COPD - 290 COPD Prevalence DSR per 100,000 population 1,235 4,441.8 4,118.6 2,499.2 5,885.0 n/a 291 Ratio of Observed (QOF) to Expected COPD Prevalence 1,218 115.4% 102.4% 58.0% 1923.8% 61.9% 292 People with COPD and diagnosis confirmed by post bronchodilator spirometry (QOF) (%) 690 87.8% 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) (%) 499 92.8% 96.1% 92.8% 98.9% 95.6% 294 People with COPD and an influenza vaccination in the preceeding Aug-March (QOF) (%) 858 90.3% 93.5% 86.3% 98.7% 80.0% 295 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 637 75.5% 77.3% 61.6% 83.1% 71.1% 296 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,012 88.8% 88.7% 80.8% 93.3% 79.4% 297 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 499 92.8% 96.1% 92.8% 98.9% n/a 298 Emergency admissions for COPD 230 5.53 3.43 1.66 5.53 n/a 299 ASTHMA - 300 Children with ASTHMA 0-17 years (%) 306 3.6% 4.1% 3.4% 4.8% n/a 301 Young People with ASTHMA aged 18-25 years (%) 172 5.1% 3.9% 2.4% 5.9% n/a 302 ASTHMA Prevalence DSR per 100,000 population 2,074 6,353.2 6,692.0 5,986.4 7,696.2 n/a 303 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 1,833 55.8% 60.0% 30.9% 74.8% 117.4% 304 People with ASTHMA Day and Night Symptoms Recorded (%) 1,419 70.5% 68.4% 59.7% 75.0% n/a 305 People with ASTHMA aged 8+ with measures of variability or reversibility recorded (QOF) (%) 682 92.8% 93.0% 90.1% 94.9% 84.9% 306 People with ASTHMA with asthma review, including assessment using 3 RCP questions (QOF) (%) 1,384 81.8% 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) (%) 102 88.7% 90.8% 85.6% 95.7% 83.5% 308 Emergency admissions for ASTHMA 66 1.59 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 117 150.5 123.2 75.8 175.8 n/a 311 LEARNING - 312 LEARNING DISABILITIES Prevalence DSR per 100,000 population 129 378.2 412.7 106.3 606.4 n/a 313 Persons 18+ with a LEARNING DISABILITY and HEALTH CHECK completed (%) 123 76.4% 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 (%) 72 44.7% 28.9% 6.4% 48.6% n/a 315 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 108 82.7% 84.8% 49.3% 110.5% n/a 316 PHYSICAL - 317 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 379 1,403.2 1,538.9 1,092.5 2,223.6 n/a 318 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 2,327 7,847.4 6,941.5 5,045.5 7,917.7 n/a 319 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 343 68.7 76.4 43.4 112.3 n/a 320 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 155 31.0 43.8 24.8 60.0 n/a 321 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 101 20.3 26.1 15.9 35.1 n/a 322 SEGMENT 4. COMPLEX LIVES - 323 Children in Need - Rate per 10,000 under 18 years 302 388.5 375.9 192.3 571.4 330.4 324 Looked After Children - Rate per 10,000 under 18 years 81 104.2 128.2 55.6 233.1 62.0 325 Child Protection Plan - Rate per 10,000 under 18 years 46 59.2 58.9 38.9 87.6 43.3 326 Early Help Assessment Tool (EHAT) Family Assessments (%) 337 4.3% 3.0% 2.0% 0.0 n/a 327 Troubled Families - Rate per 1,000 population 1,238 36.5 25.9 12.8 49.8 n/a 328 Child AED attendances - ACCIDENTS 1,241 144.1 116.0 74.7 155.6 n/a 329 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 207 1,869.6 1,298.1 685.9 1,869.6 n/a 330 Emergency admissions for SELF HARM under 18s 21 2.4 1.5 - 2.4 n/a 331 Hospital admissions as a result of SELF-HARM (10-24 years) DSR per 100,000 37 577.8 403.1 113.5 723.9 421.2 332 Persons under 18 admitted to hospital for ALCOHOL-SPECIFIC conditions crude rate per 100,000 (3 Year Pooled) 18 70.8 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) 14 111.4 84.0 21.6 190.5 87.9 334 MH emergency admissions MENTAL & BEHAVIOURAL - ALCOHOL 57 1.6 1.6 0.7 2.6 n/a 335 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 63 1.7 1.8 0.8 2.9 n/a 336 Emergency admissions for VIOLENCE 94 2.3 2.6 1.1 6.6 n/a 337 Emergency admissions for SELF HARM over 18s 78 2.9 2.9 1.4 5.5 n/a 338 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 267 841.0 868.9 459.3 2,269.5 n/a 339 ALCOHOL SPECIFIC admissions DSR per 100,000 104 303.6 315.1 118.6 875.9 118.3 340 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 942 2,927.4 2,914.7 1,963.6 6,096.5 2,224.0 341 People registered as homeless by their GP rate per 1,000 9 0.3 1.9 0.1 14.8 - 342 People with 10 or more Accident and Emergency attendances in last 12 months rate per 1,000 76 2.1 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 - 36.8% 34.2% 21.4% 47.0% 15.3% 346 Population 65+ (%) 5,186 14.3% 14.4% 1.8% 20.4% 17.9% 347 Population 75+ (%) 2,292 6.3% 6.3% 0.5% 9.4% 8.1% 348 Population 85+ (%) 681 1.9% 1.7% 0.1% 2.9% 2.4% 349 Population 95+ (%) 70 0.2% 0.1% 0.0% 0.2% 0.2% 350 People with a MILD frailty score (%) 25 1.3% 17.3% 0.8% 35.7% n/a 351 People with a MODERATE frailty score (%) 1,251 65.5% 51.3% 40.1% 65.5% n/a 352 People with a SEVERE frailty score (%) 634 33.2% 31.3% 24.2% 47.6% n/a 353 Injuries due to FALLS 65+ 263 51.0 33.0 25.5 51.0 n/a 354 Emergency admissions for HIP FRACTURES aged over 65 48 9.3 7.2 5.2 9.4 n/a 355 Emergency admissions for ANGINA 57 1.4 0.9 0.6 1.7 n/a 356 Emergency admissions for CELLULITIS 58 1.4 1.7 1.4 2.3 n/a 357 Emergency admissions for CONGESTIVE HEART FAILURE 64 1.5 1.3 0.6 1.9 n/a 358 Emergency admissions for DEMENTIA aged over 65 16 1.2 1.7 0.2 7.3 n/a 359 Emergency admissions for FLU & PNEUMO 156 3.8 4.2 3.2 5.4 n/a 360 Emergency admissons for GASTRO/DEHYDRATION 10 0.2 0.2 - 0.5 n/a 361 Emergency admissions for PYLO NEFRITIS 32 0.8 0.6 0.4 1.0 n/a 362 Emergency admissions for STROKE 53 1.3 1.4 0.6 1.7 n/a 363 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 179 36.0 28.8 9.4 56.7 n/a 364 Emergency admissions from CARE HOMES 316 23.8 22.6 2.3 81.6 n/a 365 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 47 937.3 724.3 306.0 1,220.8 n/a 366 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 11 87% 84% 74% 96% n/a 367 Social Services Users OLDER PERSONS per 1,000 65+ resident population 503 103.1 115.9 85.7 147.2 n/a 368 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 43 8.5 9.2 4.3 14.5 n/a 369 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 343 68.7 76.4 43.4 112.3 n/a 370 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 155 31.0 43.8 24.8 60.0 n/a 371 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 101 20.3 26.1 15.9 35.1 n/a 372 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 241 48.4 40.3 15.3 71.2 n/a 373 CARERS Prevalence (GP Recorded) DSR per 100,000 population 699 2,204.9 2,854.9 1,781.5 3,873.6 n/a 374 DEMENTIA - 375 DEMENTIA Prevalence DSR per 100,000 population 284 1,142.9 792.0 565.2 1,142.9 n/a 376 Ratio of Observed (QOF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 342 92.0% 64.7% 43.1% 92.0% 60.0% 377 Ratio of Observed (QOF) to Expected DEMENTIA (CFAS II) Prevalence 342 104.2% 73.0% 48.7% 104.2% 67.4% 378 People with DEMENTIA with no other LTCs (%) 32 11.3% 9.3% 4.8% 14.3% n/a 379 People with DEMENTIA with 1 other LTC (%) 57 20.1% 19.3% 14.3% 26.9% n/a 380 People with DEMENTIA with 2 other LTCs (%) 84 29.6% 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) (%) 289 86.5% 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) (%) 47 88.7% 84.3% 50.0% 92.0% 68.0% 383 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 43 8.5 9.2 4.3 14.5 n/a 384 Emergency admissions for DEMENTIA aged over 65 16 1.2 1.7 0.2 7.3 n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest 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 294 1,071.9 642.8 430.0 1,071.9 n/a 388 Emergency admissions END OF LIFE 102 19.8 19.4 13.3 23.9 n/a 389 CANCER Mortality - DSR per 100,000 population 269 323.9 303.7 246.8 391.1 268.0 390 LUNG CANCER - DSR per 100,000 population 80 99.7 85.7 49.2 148.3 56.3 391 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 71 85.5 87.5 63.7 119.4 n/a 392 CANCER Mortality Under 75 Years - DSR per 100,000 population 140 169.3 157.3 119.8 201.8 134.6 393 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 33 41.3 45.4 22.9 84.0 n/a 394 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 41 51.0 46.4 32.2 59.8 n/a 395 CANCER Prevalence DSR per 100,000 population 1,552 5,552.7 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 426 1,617.5 1,343.3 1,096.6 1,760.9 n/a 399 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 395 113.1% 92.1% 59.8% 122.1% 72.8% 400 CKD Prevalence DSR per 100,000 population 1,766 6,606.1 6,549.4 4,653.5 8,229.4 n/a 401 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,768 109.7% 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 6,334 175.4 149.7 99.1 179.0 n/a 405 Walk in Centre attendances 5,716 137.5 213.6 107.4 324.2 n/a 406 A&E not admitted (using discharge method, discharge with no treatment, no follow up) 11,208 269.5 246.6 187.7 329.1 n/a 407 Total NEL admissions <=1 day LOS rate per 1,000 3,613 86.9 72.0 55.1 97.1 n/a 408 Total NEL admissions >2 day LOS rate per 1,000 2,573 61.9 53.0 39.6 61.9 n/a 409 Child AED attendance rate per 1,000 population aged 0-4 years 2,106 854.9 740.7 567.4 878.2 n/a 410 Child AED attendances - ACCIDENTS 1,241 144.1 116.0 74.7 155.6 n/a 411 Child AED attendances - LRTI 569 66.1 63.2 47.8 80.1 n/a 412 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 64 2.5 3.4 2.0 6.7 n/a 413 Child Emergency Admission Average Length of Stay <1 day 448 52.0 56.7 47.3 77.5 n/a 414 Rate per 1,000 HCHS weighted pop for GP Spec AE attendances 369 8.9 7.4 4.0 12.0 n/a 415 Rate per 1,000 HCHS weighted pop for GP Spec ACS admissions 581 14.0 12.2 7.9 14.5 n/a 416 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 942 2,927.4 2,914.7 1,963.6 6,096.5 2,224.0 417 ALCOHOL SPECIFIC admissions DSR per 100,000 104 303.6 315.1 118.6 875.9 118.3 418 Emergency admissions for ANGINA 57 1.4 0.9 0.6 1.7 n/a 419 Emergency admissions for ASTHMA 66 1.6 1.3 0.5 2.0 n/a 420 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1,000 aged 0-18 years 12 1.3 0.8 0.3 1.3 n/a 421 Emergency admissions for CANCER 274 6.6 5.6 2.9 6.8 n/a 422 Emergency admissions for CELLULITIS 58 1.4 1.7 1.4 2.3 n/a 423 Emergency admissions for CONGESTIVE HEART FAILURE 64 1.5 1.3 0.6 1.9 n/a 424 Emergency admissions for COPD 230 5.5 3.4 1.7 5.5 n/a 425 Emergency admissions for DEMENTIA aged over 65 16 1.2 1.7 0.2 7.3 n/a 426 Emergency admissions for DIABETIC COMPLICATIONS 19 0.5 0.5 0.2 0.9 n/a 427 Emergency admissions for ENT 106 2.5 2.0 0.9 3.6 n/a 428 Emergency admissions for EPILEPSY 57 1.4 1.4 0.5 3.6 n/a 429 Emergency admissions for FLU & PNEUMO 156 3.8 4.2 3.2 5.4 n/a 430 Emergency admissons for GASTRO/DEHYDRATION 10 0.2 0.2 - 0.5 n/a 431 Emergency admissions for HIP FRACTURES aged over 65 48 9.3 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 40 4.4 5.3 3.8 7.9 n/a 433 Emergency admissions for MENTAL HEALTH 89 2.1 2.3 1.6 3.6 n/a 434 Emergency admissions for PYLO NEFRITIS 32 0.8 0.6 0.4 1.0 n/a 435 Emergency admissions for SELF HARM over 18s 78 2.9 2.9 1.4 5.5 n/a 436 Emergency admissions for STROKE 53 1.3 1.4 0.6 1.7 n/a 437 Emergency admissions for VIOLENCE 94 2.3 2.6 1.1 6.6 n/a 438 Injuries due to FALLS 65+ 263 51.05 32.96 25.54 51.05 n/a 439 Emergency re-admissions within 30 days to hospital (%) 1,055 0.1 0.1 0.1 0.2 0.1 440 Emergency admissions END OF LIFE 102 19.8 19.4 13.3 23.9 n/a 441 Emergency admissions from CARE HOMES 316 23.8 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 2,891 69.5 80.3 69.5 91.7 n/a 444 GP ref, 1st outpatient attendances CARDIOLOGY 408 9.8 14.1 9.8 17.7 n/a 445 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 266 65.2% 62.6% 53.1% 72.9% n/a 446 GP ref, 1st outpatient attendances DERMATOLOGY 422 10.1 12.6 8.8 17.4 n/a 447 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 176 41.7% 54.1% 41.7% 63.8% n/a 448 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 140 33.2% 33.1% 27.3% 41.5% n/a 449 GP ref, 1st outpatient attendances ENT 571 13.7 16.1 11.8 18.1 n/a 450 GP ref, 1st outpatient attendances ENT - % referred on 2WW 90 15.8% 15.6% 10.2% 21.8% n/a 451 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 235 41.2% 42.7% 37.6% 48.2% n/a 452 GP ref, 1st outpatient attendances GASTRO 381 9.2 9.4 7.6 11.0 n/a 453 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 196 51.4% 31.7% 14.2% 52.6% n/a 454 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 215 56.4% 41.5% 29.6% 56.4% n/a 455 GP ref, 1st outpatient attendances GYNAECOLOGY 383 9.2 8.9 5.8 10.3 n/a 456 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 78 20.4% 20.6% 16.3% 28.0% n/a 457 GP ref, 1st outpatient attendances RESPIRATORY 178 4.3 4.4 2.8 5.3 n/a 458 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 44 24.7% 22.3% 14.8% 32.8% n/a 459 GP ref, 1st outpatient attendances RHEUMATOLOGY 123 3.0 3.4 2.1 4.7 n/a 460 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 62 50.4% 51.6% 39.5% 66.9% n/a 461 GP ref, 1st outpatient attendances UROLOGY 348 8.4 9.0 6.3 10.5 n/a 462 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 184 52.9% 41.6% 30.8% 53.5% n/a 463 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 163 46.8% 34.5% 25.2% 46.8% n/a 464 GP ref, 1st outpatient attendances VASCULAR 77 1.9 1.9 0.8 2.4 n/a 465 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 61 79.2% 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 (%) 284 69.1% 70.4% 60.4% 80.3% n/a 468 Patient experience: Overall Experience of General Practice (%) 375 82.7% 85.7% 77.8% 92.0% n/a 469 Community Matrons Face to Face Contacts 1,080 64.8 59.4 22.9 106.4 n/a 470 Community Matrons Case Load 6 0.4 0.9 0.4 2.9 n/a 471 Community RESPIRATORY team Face to Face contacts 689 41.3 26.1 9.8 44.5 n/a 472 Community RESPIRATORY Team Case Load <5 0.2 0.3 - 0.8 n/a 473 DIABETES Specialist Nurses Face to Face Contacts 494 29.6 33.6 20.2 54.9 n/a 474 DIABETES Case Load 142 8.5 8.8 6.5 12.2 n/a 475 District Nursing Face to Face Contacts 20,512 1,230.3 1,102.6 719.9 1,402.3 n/a 476 District Nursing Case Load 233 14.0 12.8 10.3 16.7 n/a 477 HEART FAILURE Team Face to Face Contacts 555 33.3 13.3 6.6 33.3 n/a 478 HEART FAILURE Team Case Load 19 1.1 0.4 - 1.1 n/a 479 IV Therapy Face to Face Contacts 347 20.8 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 7,314 438.7 388.1 195.2 483.1 n/a 482 Therapy Case Load 1,320 79.2 67.4 30.5 84.5 n/a 483 Treatment Rooms Face to Face Contacts 3,052 183.1 216.3 73.3 332.5 n/a 484 Treatment Rooms Case Load 89 5.3 5.8 1.0 13.3 n/a 485 Telehealth referrals rate per 1,000 adult registered pop 578 34.7 23.8 1.0 125.8 n/a 486 Referrals to Community MENTAL HEALTH rate per 1,000 650 18.0 17.7 10.1 23.1 n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 487 SOCIAL CARE NEED (LIVERPOOL CITY COUNCIL) - 488 Social Services Users TOTAL per 1,000 40+ resident population 1,278 189.9 185.9 71.7 348.5 n/a 489 Social Services Users OLDER PERSONS per 1,000 65+ resident population 503 103.1 115.9 85.7 147.2 n/a 490 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 112 29.9% 34.1% 5.7% 53.9% n/a 491 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 108 82.7% 84.8% 49.3% 110.5% n/a 492 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 43 8.5 9.2 4.3 14.5 n/a 493 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 40+ resident population 383 57.0 57.3 18.4 105.2 n/a 494 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 343 68.7 76.4 43.4 112.3 n/a 495 Social Services Users DOMICILIARY CARE per 1,000 40+ resident population 175 26.0 32.5 10.1 55.5 n/a 496 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 155 31.0 43.8 24.8 60.0 n/a 497 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 40+ resident population 135 20.1 22.8 8.2 36.0 n/a 498 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 101 20.3 26.1 15.9 35.1 n/a 499 Social Services Users OTHER COMMUNITY per 1,000 40+ resident population 201 29.8 29.6 14.1 49.8 n/a 500 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 241 48.4 40.3 15.3 71.2 n/a 501 RESIDENTIAL & NURSING placements TOTAL per 1,000 40+ resident population 187 27.8 20.7 3.5 42.1 n/a 502 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 179 36.0 28.8 9.4 56.7 n/a 503 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 47 937.3 724.3 306.0 1,220.8 n/a 504 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 11 86.7% 84.2% 74.0% 96.0% n/a