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Quality Outcomes Framework 2016-17

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Quality Outcomes Framework 2016-17 Shropshire County 2016-17 QOF Data Report by Place Plan Area The following report is based upon the Quality and Outcomes Framework data (QOF) for 2016-17 which records disease prevalence, achievements and exceptions at GP practice level and Clinical Commissioning Group (CCG) level. The 23 place plan areas are based on Lower Level Super Output Areas (LLSOAs) but may have been assigned to a Place Plan Area because it had the largest population where LLSOAs cross geographical boundaries. GP Practices were assigned to place plan areas according to their post code linked to Lower LLSOAs; disease prevalence (%) was calculated on place plan populations. The following maps show the QOF prevalence of disease based as a percentage of the place plan area population 2015i with red indicating a significantly higher prevalence to the Shropshire average, green significantly lower and yellow similar to the Shropshire average. Asthma Map 1: Prevalence of Asthma by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital i - Source: ONS Mid-year population 2015 based on LSOA11 Map 1 shows the areas of higher significance for Asthma highlighted in red; the majority of place plan areas were similar to the Shropshire average of 6.7% but Whitchurch, West & Central and South Shrewsbury Town, Pontesbury & Minsterly, Albrighton and Craven Arms had a significantly higher prevalence of Asthma compared to the Shropshire average. Shropshire average was significantly higher than either the West Midlands at 6.0% and England at 5.9%. Atrial Fibrillation The majority of place plan areas in map 2 were similar to the Shropshire average of 2.6% but Ellesmere, Albrighton, Church Stretton and Ludlow had a significantly higher prevalence of Atrial Fibrillation compared to the Shropshire average and also have significantly higher populations over the age of 65 (see table 1). Both the West Midlands (1.7%) and England (1.8%) were significantly lower than the Shropshire average. Map 2: Prevalence of Atrial Fibrillation by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Cancer The Shropshire cancer average was 3.4%; however, the majority of place plan areas that were significantly higher than the Shropshire average were in the South of the County and these included: Pontesbury & Minsterley, Church Stretton, Bishop’s Castle, Ludlow, Cleobury Mortimer, Bridgnorth and Albrighton. The remaining place plan areas were mainly similar to the Shropshire average except for North East and West & Central Shrewsbury, Whitchurch and Oswestry Town which were lower. Both the West Midlands (2.4%) and England (2.6%) were significantly lower than the Shropshire average Of the seven place plan areas that had a significantly higher prevalence, all except Pontesbury & Minsterley and Cleobury Mortimer also have significantly higher populations over the age of 65 (see table 1). Map 3: Prevalence of Cancer by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Congenital Heart Disease (CHD) Map 4 shows the areas of significantly higher prevalence of CHD compared to the Shropshire average of 3.7%. Those place plan areas which were significantly higher were Church Stretton, Craven Arms, Ludlow, Bridgnorth and Albrighton; all these areas also have significantly higher populations aged 65 and over (see table 1). Both the West Midlands (3.1%) and England (3.2%) were significantly lower than the Shropshire average. Map 4: Prevalence of Congenital Heart Disease by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Chronic Kidney Disease (CKD) (Aged 18+) Map 5 shows that the majority of place plan areas with a significantly higher prevalence of CKD were in the South of the county, but West & Central Shrewsbury Town, Ellesmere and Whitchurch in the North were also significantly higher than the Shropshire average of 5.6%. Both the West Midlands (4.5%) and England (4.1%) were significantly lower. Of the 10 place plan areas with a significantly higher prevalence, with the exception of Ellesmere, Whitchurch, Much Wenlock and West & Central Shrewsbury Town, the remaining six areas also have significantly higher populations over the age of 65 (see table 1). Map 5: Prevalence of Chronic Kidney Disease by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Chronic Obstructive Pulmonary Disease (COPD) The Shropshire average for COPD was 1.8% which was similar to the West Midlands at 1.8% but significantly lower than England at 1.9%. Seven place plan areas were significantly higher than the Shropshire average and these were: Oswestry Town, Ellesmere, Whitchurch, Pontesbury & Minsterely, Albrighton, Craven Arms and Highley. Four of these areas also have higher levels of deprivation (see map 23). Map 6: Prevalence of Chronic Obstructive Pulmonary Disease by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Cardio-Vascular Disease – Primary Prevention (CVD-PP) (Aged 30-74) The majority of place plan areas are either similar to or lower than the Shropshire average of 1.2%. Five place plan areas were significantly higher and these were: Oswestry Town, Pontesbury & Minsterley, Church Stretton, Highley and Ludlow. However, the Shropshire prevalence is significantly lower than either the West Midlands at 1.8% and England at 1.8%. Of the six place plan areas with a significantly higher prevalence, Church Stretton, Highley and Ludlow have a significantly higher population over the age of 65 (see table 1). Map 7: Prevalence of Cardio-Vascular Disease Primary Prevention by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Dementia Map 8 shows the prevalence of dementia in Shropshire by place plan area. There were six areas which were significantly higher than the Shropshire average of 1.1%: Whitchurch, South Shrewsbury Town, Church Stretton, Bridgnorth, Albrighton and Ludlow. The West Midlands at 0.7% and England at 0.8% were significantly lower than the Shropshire average. Of the six place plan areas with a significantly higher prevalence, all except Whitchurch have a significantly higher population aged over 65 (see table 1). Map 8: Prevalence of Dementia by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Depression (Aged 18+) The majority of place plan areas were lower than the Shropshire average of 9.9%, however, six areas were significantly higher than the Shropshire average and these were: Oswestry Town, North East Shrewsbury Town, Pontesbury & Minsterley, Craven Arms and Ludlow and with the exception of Pontesbury & Minsterley, the other five areas also have higher levels of deprivation (see map 23). Shropshire was significantly higher than the West Midlands at 8.9% and England at 9.1%. Map 9: Prevalence of Depression by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Diabetes (Aged 17+) The Shropshire average for diabetes was 6.8% and whilst the majority of place plan areas were similar to the Shropshire average, three areas were significantly higher; these were: Wem, Albrighton and Highley all of which have a significantly higher population of people aged 65+ (see table 1). The West Midlands was significantly higher at 7.7% whilst England was significantly lower at 6.7%. Map 10: Prevalence of Diabetes by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Epilepsy (Aged 18+) Oswestry Town was the only place plan area that was significantly higher than the Shropshire average of 0.9%; the remainder were either similar or significantly lower. Both the West Midlands and England were significantly lower than the Shropshire average at 0.8%. Oswestry Town is one of the most deprived areas in Shropshire. Map 11: Prevalence of Epilepsy by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Heart Failure Four place plan areas were significantly higher than the Shropshire average of 0.8% and these were Whitchurch, Albrighton, Bridgnorth and Ludlow. Of the four place plan areas with a significantly higher prevalence, all except Whitchurch have a significantly higher population aged over 65 (see table 1). Map 12: Prevalence of Heart Failure by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Hypertension Of the 23 place plan areas, six areas had a significantly higher prevalence compared to the Shropshire average of 16.2% all of which also have a significantly higher population over the age of 65 (see table 1); these were: Ellesmere, Church Stretton, Bishop’s Castle, Albrighton, Ludlow and Highley. Prevalence in both the West Midlands at 14.2% and England at 13.8% were significantly lower than the Shropshire average. Map 13: Prevalence of Hypertension by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Learning Disabilities The majority of place plan areas were either similar or lower than the Shropshire average of 0.52%; however, the prevalence in Oswestry Town and Bishop’s Castle were significantly higher than the Shropshire average; both these areas also have high levels of deprivation. The West Midlands had similar prevalence levels to the Shropshire average at 0.50% whilst England was significantly lower at 0.47%. Map 14: Prevalence of Learning Disabilities by Place Plan Area in Shropshire County 2016-17 QOF Data Source: QOF 2016-17 – NHS Digital Left Ventricular End-Systolic Dimension (LSVD) The QOF data for LSVD is not available at West Midland or England level so a bench mark comparison cannot be made, however, of the six place plan areas with a significantly higher prevalence, five are in the south of the county and one in the North; these are: Ellesmere, Albrighton, Broseley, Bridgnorth, Craven Arms and Cleobury Mortimer.
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