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Neighbourhood Profiles West Derby Summer 2018

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Neighbourhood Profiles West Derby Summer 2018 Neighbourhood Profiles West Derby Summer 2018 1 | Page READER INFORMATION Title Neighbourhood Profiles Team Liverpool CCG Business Intelligence Team; Liverpool City Council Public Health Epidemiology Team Author(s) Sophie Kelly, Andrea Hutchinson, and 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 to support Health and Social Care partners to understand the neighbourhoods 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 2 | Page Contents 1. Potential areas of focus ................................................................................................................... 4 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 Service Assets for Health and Wellbeing ................................................................................ 8 3. Neighbourhood Map ..................................................................................................................... 12 4. Population Map ............................................................................................................................. 13 5. Co–Morbidities for People with Long Term Conditions ................................................................ 14 6. Population Structure, Demographics, Risk Factors and Determinants of Health ......................... 16 7. Neighbourhood Health Profile ...................................................................................................... 16 See separate Metadata document for indicator definitions, sources and timeframes 3 | Page 1. Potential areas of focus • Prevention A high take up of NHS Health Checks is important to identify early signs of poor health leading to opportunities for early interventions. The role of the NHS Health Check is to assess the patient’s level of risk of heart disease, stroke, kidney disease and diabetes, give feedback about that level of risk and provide information about how the patient can reduce their risk. West Derby has the third lowest completion rate (5 years cumulative) for health checks among the neighbourhoods. Obesity can lead to a number of serious and potentially life-threatening conditions and can also affect quality of life and lead to psychological problems, such as low self-esteem or depression. West Derby adults are significantly more likely to be obese compared to the Liverpool average. There are around 6,107 obese adults (BMI ≥30) in West Derby, and of these, almost one in every four are morbidly obese (BMI ≥40). Around one in every 10 adults (10.1%) in West Derby consume alcohol above indicative levels, significantly above the city level (9.1%) and the fourth highest rate among the neighbourhoods. There are 9,903 people who smoke and they are significantly less likely to be offered support and treatment, 85% compared to 88.4% citywide, the fourth lowest among the neighbourhoods. Referrals to health trainers are the third lowest in the city. • Children West Derby has a significantly higher rate of births compared to the Liverpool average. Breast milk provides the ideal nutrition for infants in the first stages of life and there is evidence that babies who are breast fed experience lower levels of gastro- intestinal and respiratory infection, while observational studies have shown that breastfeeding is associated with lower levels of child obesity. Rates of breastfeeding initiation and breastfeeding at 6-8 weeks in West Derby are significantly below the city level. Compared to the Liverpool average, West Derby has significantly higher prevalence of asthma among young people (18-25 years) as well as significantly higher rates of children’s A&E attendances for Lower Respiratory Tract Infections (LRTI) (854 attendances) and children’s accidents (1,745 attendances). The rate of emergency admission for intentional and deliberate injuries among children and young people (0- 24) is the second highest in the city. • Atrial Fibrillation Increasing screening by pulse palpation for atrial fibrillation in people aged 65+ can help to prevent stroke. Pulse checks among people aged 65 years and over without an AF diagnosis are the third lowest in Liverpool (around 2,100 eligible people did not have a pulse check). Compared to the Liverpool average, eligible people with atrial fibrillation in West Derby are significantly less likely to be treated with anti- coagulation or anti-platelets therapy or have their stroke risk assessed using CHA2DS2- VASc system. • Secondary Care Rates of A&E attendances and Walk-In Centre attendances in West Derby are significantly above the Liverpool average. GP referred 1st outpatient attendances are the third highest in the neighbourhoods and significantly higher for Dermatology, ENT and Rheumatology compared to the city average. 4 | Page Social Care • Social Services Demand for social care in West Derby is the second highest in the city. Compared to the Liverpool average there is significantly higher usage for older persons overall and for support with memory and cognition, domiciliary care and physical and sensory support. Among the 40+ population, overall usage is significantly high compared to Liverpool as well as for domiciliary care and physical and sensory support. Demand for social care among people with a learning disability and people with serious mental illness is also significantly above the city level. 5 | Page 2. Introduction 2.1 GP Practice The neighbourhood is made up of the following GP practices: Practice Code CCG Lead Address Postcode N82002 Razri Ayesha Berryford Rd L14 4ED N82003 Beyer J Longreach Rd L14 0NL N82024 Eccles David 3 Winterburn Crescent, West Derby L12 8TQ N82058 Ball D Crystal Close L13 2GA N82074 Kartikeyan R Crystal Close L13 2GA N82090 Davies H 15 Green Lane L13 7DY N82093 Gupta PL 88 Derby Lane, Liverpool L13 3DN N82104 Buhrs E Stoneville Rd L13 6QD N82633 Mirza S 411-413 East Prescot Road L14 2DE N82663 Pramanik Jayoti Hornspit Lane, Liverpool L12 5LT 2.2 Registered Population The registered population 58,700. 2.3 Registered Patient Ward Alignment The wards that this neighbourhood is most aligned to are: West Derby Wards % Dominant Ward Old Swan 21.9% Second Ward Yew Tree 18.6% Third Ward West Derby 16.7% Fourth Ward Tuebrook and Stoneycroft 13.8% Fifth Ward Knotty Ash 13.7% Sixth Ward Clubmoor 2.7% Seventh Ward Norris Green 2.0% Eighth Ward Kensington and Fairfield 1.9% Ninth Ward Swanside 1.6% Tenth Ward Childwall 1.6% Other Wards 5.6% 6 | Page 2.4 Service Provision Practice Code & Lead GP R Beyer J Beyer Davies
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