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Liverpool Unintentional Injury Prevention Audit

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Liverpool Unintentional Injury Prevention Audit Liverpool Unintentional Injury Prevention Audit Final report June 2009 Dan Hungerford, Zara Anderson, Sara Hughes, Henry Edwards and Kazem Khundakar Centre for Public Health Faculty of Health and Applied Social Sciences Liverpool John Moores University 5th Floor, Kingsway House, Hatton Garden Liverpool L3 2AJ Tel: 0151 231 8728 Email: [email protected] and [email protected] Web: www.cph.org.uk and www.tiig.info Contents Executive summary.................................................................................................................. 7 1. Introduction ........................................................................................................................ 12 2. Audit aims and objectives.................................................................................................. 13 3. Methods ............................................................................................................................... 13 4. Report findings.................................................................................................................... 16 4.1 Availability, accessibility and quality of unintentional injury data in Liverpool................................ 16 4.2. Past and current data sharing agreements across Liverpool ............................................................. 18 4.3 Unintentional injuries in Liverpool............................................................................................................ 18 4.3.1 All unintentional injuries (ICD10 Codes V01 to X59) .................................................................................19 4.3.2 Road traffic accidents............................................................................................................................................24 4.3.3 Fire-related injuries.................................................................................................................................................35 4.3.4 Falls.............................................................................................................................................................................39 4.3.5 Poisonings..................................................................................................................................................................46 4.3.6 Drowning...................................................................................................................................................................50 4.3.7 Sports injuries...........................................................................................................................................................50 4.3.8 Events of undetermined intent............................................................................................................................55 4.3.9 Child injuries.............................................................................................................................................................55 4.3.10 Injuries in the workplace....................................................................................................................................62 4.4 Prevention initiatives and targets .............................................................................................................. 65 4.5 Partnership working, barriers and areas for development.................................................................. 69 4.6 Review of national and international research on interventions and policy to prevent unintentional injury in at-risk groups............................................................................................................... 70 5. Discussion............................................................................................................................ 76 Appendix 1: Description of P2 People and Places lifestyle groups .................................... 80 Appendix 2: Definitions of acronyms.................................................................................... 81 Appendix 3: Additional figures .............................................................................................. 82 Appendix 4: Additional tables ............................................................................................... 97 References ............................................................................................................................. 103 Acknowledgements We would like to thank Sacha Wyke and Dan Dedman at the North West Public Health Observatory, the Health and Safety Executive and Liverpool Primary Care Trust for providing key data sources; and all practitioners interviewed. 1 List of figures Figure 1: Number of deaths caused by unintentional injury for residents of Liverpool Local Authority, by gender and year, 2004 to 2007 combined............................................................................................... 19 Figure 2: Number of hospital admissions for unintentional injuries, Liverpool Local Authority residents only, by gender and year, 2004/05 to 2007/08 combined....................................................... 21 Figure 3: Middle Super Output Area of residence for patients admitted to hospital for unintentional injuries, Liverpool Local Authority residents only. Quintiles of directly standardised rates per 100,000 population, 2004/05 to 2007/08 combined................................................................................... 23 Figure 4: Number of casualties resulting from RTAs occurring in Liverpool Local Authority area, by casualty severity and year, STATS 19 data, 2004 to 2007 ........................................................................ 24 Figure 5: The severity of injuries sustained in RTAs in Liverpool Local Authority area by gender, STATS 19 data, 2005 to 2007 combined....................................................................................................... 25 Figure 6: The location of RTA casualties for incidents occurring within Liverpool City Centre, STATS 19 data, 2005 to 2007 combined..................................................................................................................... 26 Figure 7: The location of RTA casualties for incidents occurring in and around Speke, STATS 19 data, 2005 to 2007 combined..................................................................................................................................... 27 Figure 8: Number of hospital admissions for RTAs, Liverpool Local Authority residents only, by gender and year, 2004/05 to 2007/08 combined......................................................................................... 28 Figure 9: RTA attendances to Aintree and the Royal Liverpool AEDs, Liverpool Local Authority residents only, by gender and year, 2004/05 to 2007/08 combined....................................................... 30 Figure 10: Middle Super Output Area of residence for patients admitted to hospital for RTA, Liverpool Local Authority residents only. Quintiles of directly standardised rates per 100,000 population, 2004/05 to 2007/08 combined................................................................................................... 32 Figure 11: Middle Super Output Area of residence for patients attending the Royal Liverpool Hospital AED for RTAs, Liverpool Local Authority residents only. Quintiles of crude rates per 100,000 population, 2004/05 to 2007/08 combined................................................................................................... 33 Figure 12: Middle Super Output Area of residence for patients attending University Hospital Aintree AED for RTAs, Liverpool Local Authority residents only. Quintiles of crude rates per 100,000 population, 2004/05 to 2007/08 combined................................................................................................... 34 Figure 13: Number of fire-related injuries occurring in Liverpool Local Authority area recorded by Merseyside Fire and Rescue Service, by age group and year, 2004/05 to 2007/08 combined ......... 35 Figure 14: Number of fire-related injuries occurring in Liverpool Local Authority area recorded by Merseyside Fire and Rescue Service, by sex and age group, 2004/05 to 2007/08 combined*......... 35 Figure 15: Middle Super Output Area location of fire-related injuries occurring in Liverpool Local Authority area recorded by Merseyside Fire and Rescue Service. Quintiles of crude rate per 100,000 population, 2004/05 to 2007/08 combined................................................................................... 38 Figure 16: Number of hospital admissions for falls, Liverpool Local Authority residents only, by gender and year, 2004/05 to 2007/08 combined......................................................................................... 39 Figure 17: Fall attendances to the Royal Liverpool and Aintree AEDs, Liverpool Local Authority residents only, by gender and year, 2004/05 to 2007/08 combined....................................................... 41 Figure 18: Middle Super Output Area of residence for patients admitted to hospital for falls, Liverpool Local Authority residents only. Quintiles of directly standardised rates per 100,000 population, 2004/05 to 2007/08 combined................................................................................................... 43 Figure 19: Middle Super Output Area of residence for patients attending the Royal
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