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CCG Localities Profile for Hertfordshire 2017-18

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CCG Localities Profile for Hertfordshire 2017-18 March 2018 CCG localities profile for Hertfordshire 2017-18 Purpose This report presents key population and health data for the ten NHS Clinical Commissioning Group (CCG) localities in Hertfordshire. It includes current and future population structures as well as rates of selected emergency hospital admissions, premature mortality and recorded disease prevalence. The data builds a picture of each CCG locality relative to others across the county and to its respective CCG. It is intended to provide clinical commissioners with an overview of key indicators of health needs and health service demand in each locality area and is an update to the 2016 report. Key messages There is considerable variation in health outcomes across Hertfordshire’s CCG localities, with rates of avoidable emergency admissions for acute and chronic conditions in localities with the highest rates double that of those with the lowest rates. The same is true for children admitted as an emergency for asthma, diabetes, epilepsy or lower respiratory tract infections, as well as premature mortality from respiratory disease and potential years of life lost from cerebrovascular disease. Rates of emergency admissions for children with lower respiratory tract infections have seen a statistically significant increase over the last three years across Hertfordshire’s two main CCGs, whilst rates of emergency re-admissions within 30 days have decreased. Hypertension (13%), obesity (8-9%) and depression (8-9%) have the highest prevalence of the GP QOF registers, in line with national trends. Authors This profile was created by Claire Tiffany (Senior Public Health Analyst, Hertfordshire County Council), with input from David Hodson (Head of Information, NHS East and North Hertfordshire CCG) and Julia Lisk (Public Health & Programmes Information Lead, NHS Herts Valleys CCG). It was reviewed by David Conrad (Consultant in Public Health, Hertfordshire County Council). www.hertshealthevidence.org.uk 1 [email protected] CCG localities profile for Hertfordshire 2017-18 March 2018 Contents Introduction ......................................................................................................................................................................................... 3 Clinical Commissioning Group (CCG) localities in Hertfordshire .................................................................................... 3 About the data ................................................................................................................................................................................ 4 Summary: NHS East and North Hertfordshire CCG localities ............................................................................................... 6 Summary: NHS Herts Valleys CCG localities .............................................................................................................................. 9 Population ........................................................................................................................................................................................... 11 NHS East and North Hertfordshire CCG registered population .................................................................................... 11 NHS Herts Valleys CCG registered population ................................................................................................................... 15 CCG resident population projections ..................................................................................................................................... 18 Deprivation ......................................................................................................................................................................................... 19 GP recorded (QOF) disease prevalence Tartan Rug ............................................................................................................... 21 Emergency admissions and mortality Tartan Rug ..................................................................................................................... 22 Emergency admissions ..................................................................................................................................................................... 23 Avoidable emergency admissions (acute and chronic) ........................................................................................................ 23 Acute conditions that should not require hospital admission ........................................................................................... 24 Unplanned hospitalisation for chronic ambulatory care sensitive conditions................................................................ 25 Emergency re-admissions within 30 days ............................................................................................................................... 26 Children with asthma, diabetes and epilepsy ......................................................................................................................... 27 Children with lower respiratory tract infection ................................................................................................................... 28 Mortality .............................................................................................................................................................................................. 29 Potential years of life lost (PYLL) from causes considered amenable to healthcare ................................................... 29 Potential years of life lost (PYLL) from ischaemic heart disease ...................................................................................... 30 Potential years of life lost (PYLL) from neoplasms .............................................................................................................. 31 Potential years of life lost (PYLL) from cerebrovascular disease ...................................................................................... 32 Potential years of life lost (PYLL) from respiratory diseases ............................................................................................. 33 Premature mortality from cancer............................................................................................................................................. 34 Premature mortality from cardiovascular disease ................................................................................................................ 35 Premature mortality from respiratory disease ...................................................................................................................... 36 Premature mortality from liver disease .................................................................................................................................. 37 www.hertshealthevidence.org.uk 2 [email protected] CCG localities profile for Hertfordshire 2017-18 March 2018 Introduction Clinical Commissioning Group (CCG) localities in Hertfordshire Clinical Commissioning Groups (CCGs) are NHS organisations responsible for planning, designing and buying health services on behalf of their local populations. Hertfordshire has two main CCGs: NHS East and North Hertfordshire CCG and NHS Herts Valleys CCG. Both CCGs consist of smaller geographical areas called ‘localities’ based on the registered populations of groups of GP practices. There are ten CCG localities in total, only three of which (Dacorum, St Albans and Harpenden, Stevenage) are coterminous with Hertfordshire’s ten local authority districts as shown in Figure 1. NHS East and North Hertfordshire CCG Localities: CCG encompasses the areas covered by: • Lower Lea Valley • Broxbourne Borough Council • North Hertfordshire • East Hertfordshire District Council • Stevenage • North Hertfordshire District Council* • Stort Valley and Villages • Stevenage Borough Council • Upper Lea Valley • Welwyn Hatfield Borough Council • Welwyn Hatfield *except for the Royston area which is covered by NHS Cambridgeshire and Peterborough CCG NHS Herts Valleys CCG Localities: CCG encompasses the areas covered by: • Dacorum • Dacorum Borough Council • Hertsmere • Hertsmere Borough Council • St Albans and Harpenden • St Albans City & District Council • Watford and Three Rivers • Three Rivers District Council • Watford Borough Council Figure 1: CCG localities and local authority districts in Hertfordshire (Royston is not included in ENHCCG) www.hertshealthevidence.org.uk 3 [email protected] CCG localities profile for Hertfordshire 2017-18 March 2018 Introduction About the data Summaries of key findings for each of the CCG localities have been provided followed by a detailed breakdown of the data. Data are presented on population, deprivation, emergency admissions, mortality and Quality and Outcomes Framework (QOF) prevalence data for each CCG and for each CCG locality. GP practice level QOF prevalence tartan rugs for Hertfordshire’s two main CCGs are available from the data tools and reports section of www.hertshealthevidence.org . Methodology and definitions Populations: All indicators in this report use GP registered populations, except for the population projection estimates which use the resident populations. Registered populations are based on the location of the GP practice, whilst resident populations are based on where people live. Directly age-standardised
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