Neighbourhood Profiles Picton Summer 2018

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READER INFORMATION Title Neighbourhood Profiles Team Liverpool CCG Business Intelligence Team; Liverpool City Council Public Health Epidemiology Team

Author(s) Andrea Hutchinson, Sophie Kelly, 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 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 contain intelligence about each of the reconfigured 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

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Contents 1. Potential Areas to Focus ...... 4 2. Introduction ...... 6 2.1 GP Practices ...... 6 2.2 Population Size ...... 6 2.3 Registered Patient Ward Alignment ...... 6 2.4 Service Provision ...... 7 2.5 Service Assets for Health and Wellbeing ...... 9 3. Neighbourhood Map ...... 12 4. Population Map...... 13 5. Comorbidities for People with Long Term Conditions ...... 15 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.

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1. Potential Areas to 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. Picton has the second lowest completion rate for NHS health checks (5 years cumulative) among the neighbourhoods. Smoking remains the biggest single cause of preventable mortality and morbidity in the world. Smoking prevalence is the fourth highest in Liverpool at 27%, equating to 9,679 people, while referrals for smoking cessation are significantly below the Liverpool average. People who consume alcohol above recommended levels are significantly less likely to be offered brief interventions (87.7% compared to 90.4% citywide). High blood pressure is the second biggest risk factor for premature death and disability yet is often preventable. People aged 45 and over are significantly less likely to have their blood pressure recorded compared to the Liverpool average, 88.8% compared to 91.1%, the lowest in the city. Uptake rates for seasonal flu vaccine are among the lowest in Liverpool. Compared to the Liverpool average, Picton has significantly lower rates of GP prescribed user dependent contraception and long acting reversible contraception (LARC) per 1,000 females aged 15-44.

• Children Picton has a significantly higher proportion of children under 10 years old compared to the city level. The rate of troubled families is significantly above the Liverpool average. The percentage of children achieving the expected standard in reading, writing and mathematics at Key Stage 2 is the second lowest in the city. Around 38 children and young people (0-25 years) have a serious mental illness, the third highest level in Liverpool. Take up rates for childhood immunisations and vaccinations are among the lowest in Liverpool.

• Mental Health Levels of unemployment in Picton are significantly above the Liverpool average, the psychosocial effects of which include may stigma, isolation and loss of self-worth leading to poorer mental health. Picton has both the highest prevalence of serious mental illness (SMI) and emergency admission rate for mental health in Liverpool. Smoking prevalence among people with SMI is significantly above the city average, while physical checks, documentation of a care plan, recording of blood pressuring and alcohol consumption, as well as cervical screening among people with SMI are among the lowest in Liverpool. The percentage of people on lithium therapy with a record of serum creatinine and TSH in the last 9 months is the lowest in the neighbourhoods. Adults in Picton who are newly diagnosed with depression are least likely to have their care reviewed after diagnosis (53.7% compared to 61.9% citywide). Violent crime in Picton is significantly above the city average.

• CVD Secondary Prevention Atrial Fibrillation is the most common sustained cardiac arrhythmia and if left untreated is a significant risk factor for stroke and other morbidities. 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 second lowest in Liverpool (around 1,261 eligible people did not have a pulse check). People with AF are less likely to have their risk of stroke assessed using CHA2DS2-VASc system (64.4% compared to 80.8% citywide). Compared to the Liverpool average people with hypertension in Picton are significantly less to have their blood pressure controlled to less than 150/90 or have their physical activity recorded. Regular measurement of INR levels is an essential component in the management of patients receiving warfarin treatment; recording of INR for people on warfarin is the lowest in the city (89.0% compared to 96.3% citywide).

• Long Term Conditions People aged 40+ years in Picton are significantly more likely to have at least three long term conditions (8.4% compared to 7.9% citywide). Prevalence of Diabetes, COPD, CKD (Stages 1-5) and Serious Mental Illness are significantly above the Liverpool average. Polypharmacy (10 or more prescriptions) is significantly above the city level. Diabetes prevalence is the highest in

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the city. Picton performs significantly worse than the Liverpool average for management of diabetes in primary care, with blood sugar control (HbA1c), recording of micro albumin, BMI and creatinine, foot checks among the lowest in Liverpool. Picton has the third lowest rates among the neighbourhoods for recording of FEV1 and annual reviews among people with COPD while the percentage of eligible persons with COPD offered pulmonary rehabilitation ever is the lowest in Liverpool. Overall referrals to pulmonary rehab are the second lowest among the neighbourhoods. Walk in Centre attendances, 111 calls and GP referred outpatient (1st attendances) on 2 week waits for Dermatology, Gastrology and Urology are all significantly above the city level.

• Cancer Screening Early detection of cancers is essential to ensure prompt appropriate treatment thus reducing premature deaths; cancer screening rates for bowel cancer, cervical cancer and breast cancer are significantly below the Liverpool average and among the lowest in the city.

Social Care • Social Services Overall, demand for social care in Picton is significantly below the Liverpool average. Among people aged 65 and over usage of domiciliary care, other community services and physical and sensory support are the second lowest among the neighbourhoods. Among those aged 40+ usage of domiciliary care and physical and sensory support are the second lowest in Liverpool.

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2. Introduction

2.1 GP Practices The neighbourhood is made up of the following GP practices:

Practice Code CCG Lead Address Postcode N82046 O'Brien M Smithdown Road, Liverpool L15 2LQ N82054 Vithlani K Grove Street, Liverpool L7 7HG N82065 Noorpuri Ranbir 131 Earle Road, Liverpool L7 6HD N82076 Faint D Bentley Road, Toxteth, Liverpool L8 0SY N82082 Chatwin N 29 Great George Square, Liverpool L1 5DZ The Picton Medical and Children’s Centre, 137 N82089 Dhulipala R L7 6HD Earle Rd Hegde Raghu; N82646 Park Street, Toxteth L8 6QP Mahadaraachi N82662 Majeed Faisal ; 131 Earle Road, Liverpool L7 6HD

2.2 Population Size The registered population is 44,800 patients.

2.3 Registered Patient Ward Alignment The wards that this neighbourhood is most aligned to are:

Picton Wards %

Picton 28.0% Dominant Ward Princes Park 26.3% Second Ward Riverside 11.4% Third Ward Greenbank 9.0% Fourth Ward Wavertree 6.1% Fifth Ward Central 3.6% Sixth Ward St Michael's 2.7% Seventh Ward Kensington and Fairfield 2.3% Eighth Ward Church 1.4% Ninth Ward Cressington 1.2% Tenth Ward 8.1% Other Wards

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2.4 Service Provision

K Vithlani N82054 SSP Park Princess N82076 N82662 Majeed Faisal Ranbir Noorpuri N82065 R Dhulipala N82089 N82046 Flynn Michael N82082 Prasad Takashawar; Chatwin Raghu; Hegde N82646 Mahadaraachi

QOF 1 1 1 1 1 1 1

DES signup returned 1 1 1 1 1 1 1

LES signup returned 1 1 1 1 1 1 1

Extended Hours Access 1 1

Learning Disabilities 1 1 1 1 1 1

Out of Area Registration 1

Zero Tolerance Scheme

Minor surgery own patients excisions and 1 1 1 1 1 incisions

Minor surgery own patients injections 1 1 1 1 1 1 1

Learning Disabilities Health Check Scheme 1 1 1 1 1 1 1

GMS/PMS Core Contract Data Collection 1 1 1 1 1

Alcohol Risk Reduction 1 1 1 1 1

Liverpool Quality Improvement Scheme 1 1 1 1 1 1 1

Minor surgery FOR OTHER PRACTICES 1 1 1 excisions and incisions

Minor surgery FOR OTHER PRACTICES 1 1 1 injections

Drug Misusers 1 1 1 1

Near Patient 1 1 1 1 1 1

Sexual Health 1 1 1 1 1

Homeless 1

Asylum Seekers 1 1 1 1 1 1 1

Travellers

ABPI 1 1 1

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ABPI - For other practices 1

H Pylori 1 1 1 1 1

H Pylori for other practices 1 1 1

Health checks 1 1 1 1 1 1 1

IGR 1 1 1 1 1 1 1

Gonadorelin Therapy LES 1 1 1 1 1

Healthy Lung

Latent TB 1 1 1 1 1 1 1

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2.5 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.

The table below shows some of the physical assets that lie within the neighbourhood boundary (lower super output areas with => 350 registered patients) and includes GP practices from outside the neighbourhood:

Category Asset Name Address Postcode Care Homes Arundel Park L8 0WN Bentley Care Home L8 5SE Bishop's Court L8 0WN Granby Care Home L8 1YQ Greenheys Lodge L8 0WN Mersey Parks Residential and Nursing Home L8 5XW Redford Court L8 7SZ Rodney House Care Home L8 7NP Sunnyside Residential Home L17 3AS The Hamlets L8 5XW Children's Centre Granby Children's Centre Eversley Street L8 2TU Picton Children's Centre 139 Earle Road L7 6HD Wavertree Children's Centre 85 Wellington Road L15 4LE

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Supplementary Category Asset Name Address Postcode Information GP N'hood Centre Picton NC 137 Earle Road L7 6HD Princess Park HC Bentley Road L8 0SY Rope Walks HC 28 Argyle Street L1 5DL GP Practice N82033 Dingle Park Practice L8 6QP N82046 Sefton Park Medical Centre L15 2LQ N82054 Abercromby Health Centre L7 7HG N82059 Greenbank Drive Surgery L17 1AW N82065 Earle Road Medical Centre L7 6HD N82070 The Elms Medical Centre L8 3SS N82076 Princes Park Health Centre L8 0SY N82082 St James Health Centre L1 5DZ The Picton Medical and Childrens N82089 Centre L7 6HD N82091 The Riverside Centre For Health L8 6QP The Picton Medical Centre (branch) N82646 Hegde & Jude L7 6HD

The Riverside Centre for Health Dr Julian L8 6QP N82662 Earle Road Medical Centre L7 6HD GP Practice (Branch) Ropewalks (Branch) L1 5DL

Student Health Mount Pleasant (Branch) L69 3GD Hospital Trust Liverpool Women's Hospital L8 7SS Leisure Centre Liverpool Aquatics Centre 39 Wellington Road L15 4LE Liverpool Tennis Centre 41 Wellington Road L15 4LE Park Road Steble Street L8 6QH Wavertree Athletics Centre Wellington Road L15 4LE Library Toxteth Library Windsor Street L8 1XF Wavertree Library Picton Road L15 4LP One Stop Shop Dingle One Stop Shop 200 Park Road L8 6SJ Wavertree One Stop Shop Picton Road L15 4LP Pharmacy A Boyle 160 Windsor Street L8 8EH Absolute Pharmacy Unit 82-84 Commerce Way L8 7BA Asda Pharmacy Asda Stores Ltd L15 2LF Central Pharmacy Unit 2J Rialto Buildings L8 1XB Cohens Chemist 30 Argyle Street L1 5DL Euro Chemist 16/20 Berry Street L1 4JF Instore Tesco Superstore Pharmacy Park Road L8 4XF Jones Pharmacy Earle Road Health Centre L7 6HD Riverside Pharmacy Riverside Centre for Health L8 6QP Rowlands Pharmacy 157 Lodge Lane L8 0QQ 6 Lodge Lane L8 0QH Rowlands Pharmacy 1 The Elms L8 3SS 252 Park Road L8 4UE 37 Myrtle Street L7 7AJ 65 Picton Road L15 4LF Sefton Park Pharmacy Optichem House L15 3JR Schools & Colleges Abercromby Nursery Nursery Community Archbishop Blanch Secondary Voluntary Beaufort Park Prim Primary Community Bellerive Secondary Voluntary Blackburne House Nursery Further Education Chatham Place Nursery Nursery Community Christian Fellowship Greenbank Community Primary

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Supplementary Category Asset Name Address Postcode Information Greenbank Project (G'Bank Lane) Further Education Hey Green Prim Primary Community Holy Family Catholic Primary Primary Voluntary Kingsley Prim Primary Community Lawrence Prim Primary Community LCC Arts Centre LCC ClarenCE Street LCC Duke Street Centre Further Education LCC Learning Exchange Further Education LCC Mulberry LCC Myrtle Street Centre Further Education LCC Octagon Centre Liverpool College (Lower School) Primary Independent Our Lady Of Mount Carmel Prim Primary Voluntary Pleasant Street Prim Primary Community Nursery & Primary Princes Special Smithdown Prim Primary Community St Annes Prim Primary Voluntary St Clares Prim Primary Voluntary St Hildas C/E High School Secondary Voluntary St Hughs Prim Primary Voluntary St Malachys Prim Primary Voluntary St Margaret Of Antioch Prim Primary Voluntary St Nicholas Prim Primary Voluntary St Patricks Prim Primary Voluntary St Silas Prim Primary Voluntary St Vincent De Paul Primary Voluntary

The Belvedere Academy Secondary Independent The Hamlets Preparatory School Secondary Education Toxteth Pru Otherwise Windsor Prim Primary Community

Stop Smoking Service BME Abercromby Health Centre L7 7HG BME Asylum Link L7 3HJ BME Birley Court L8 7SE BME Central Pharmacy L8 1XB BME Earl Road Childrens Centre L7 6HD BME Picton Neighbourhood Centre L15 0EE BME Rowlands Pharmacy Lodge Lane L8 0QH BME St James L1 5DZ BME Toxteth Bentley Road L8 0SN BME Toxteth Library L8 1XF Community Referral L13 1FB Community Riverside Pharmacy L8 6QP Community Rowlands Pharmacy Park Road L8 4UE Community Rowlands Pharmacy Wavertree L15 4LF Community Roy castle Head Office L13 1FB Community Sefton Park Medical L15 2LQ Community The Elms Medical Centre (Mon Night) L8 3SS Community Wavertree Library L15 4LP Smithdown Road (near Asda Walk In Centre Smithdown Children's Walk-in Centre Supermarket) L15 2LQ

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3. Neighbourhood Map

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4. Population Map

Picton Neighbourhood - CCG Registered Population Pyramid [Source: Risk Stratification Dataset Effective Date: April 2018]

Picton Neighbourhood - CCG Registered Population Pyramid Picton Neighbourhood - CCG Registered Population Pyramid Number Picton As % of Total Picton As % of Liverpool within Ageband Age Band % Total Population Male Female Person Male Female Person Male Female Person Under 1 yrs 308 291 599 0.7% 0.7% 1.4% 5.0% 4.7% 9.7% -8.0% -6.0% -4.0% -2.0% 0.0% 2.0% 4.0% 6.0% 1-4 yrs 1,093 1,101 2,193 2.5% 2.5% 5.1% 4.6% 4.7% 9.3% 90+ yrs 5-9 yrs 1,344 1,357 2,701 3.1% 3.1% 6.3% 4.7% 4.7% 9.4% 85-89 yrs 10-14 yrs 1,216 1,166 2,382 2.8% 2.7% 5.5% 4.8% 4.6% 9.3% 80-84 yrs 15-19 yrs 1,105 1,104 2,209 2.6% 2.6% 5.1% 3.7% 3.7% 7.3% 75-79 yrs 70-74 yrs 20-24 yrs 1,860 1,990 3,850 4.3% 4.6% 8.9% 3.6% 3.9% 7.5% 65-69 yrs 25-29 yrs 2,419 2,106 4,525 5.6% 4.9% 10.5% 5.4% 4.7% 10.1% 60-64 yrs 30-34 yrs 2,364 1,891 4,255 5.5% 4.4% 9.8% 5.7% 4.6% 10.3% 55-59 yrs 35-39 yrs 2,159 1,419 3,578 5.0% 3.3% 8.3% 6.0% 3.9% 9.9% 50-54 yrs 40-44 yrs 1,716 1,062 2,778 4.0% 2.5% 6.4% 5.8% 3.6% 9.4% 45-49 yrs Age Band 45-49 yrs 1,571 1,144 2,714 3.6% 2.6% 6.3% 4.9% 3.5% 8.4% 40-44 yrs 50-54 yrs 1,530 1,101 2,630 3.5% 2.5% 6.1% 4.6% 3.3% 7.9% 35-39 yrs 30-34 yrs 55-59 yrs 1,294 1,022 2,315 3.0% 2.4% 5.4% 4.0% 3.2% 7.2% 25-29 yrs 60-64 yrs 1,006 913 1,919 2.3% 2.1% 4.4% 3.8% 3.4% 7.2% 20-24 yrs 65-69 yrs 744 748 1,493 1.7% 1.7% 3.5% 3.4% 3.4% 6.8% 15-19 yrs 70-74 yrs 565 557 1,122 1.3% 1.3% 2.6% 3.2% 3.1% 6.3% 10-14 yrs 75-79 yrs 389 412 801 0.9% 1.0% 1.9% 3.1% 3.2% 6.3% 5-9 yrs 80-84 yrs 301 354 656 0.7% 0.8% 1.5% 3.0% 3.6% 6.6% 1-4 yrs 85-89 yrs 135 198 334 0.3% 0.5% 0.8% 2.4% 3.5% 5.8% Under 1 yrs 90+ yrs 55 93 148 0.1% 0.2% 0.3% 2.0% 3.4% 5.4% - - - - Liverpool CCG Registered Males Picton Picton Males All Ages 23,173 20,029 43,202 53.6% 46.4% 100.0% 4.5% 3.9% 8.4%

- - - - Liverpool CCG Registered Females Picton Picton Females

Pyramid excludes data for around 10,000 patients who have removed permission for their data to be shared.

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Picton Neighbourhood CVD Population Picton Neighbourhood COPD Population Picton Neighbourhood Cancer Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] Picton Neighbourhood CVD Population Picton Neighbourhood COPD Population Picton Neighbourhood Cancer Population

% Total Population % Total Population % Total Population -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% 10% 12% -8% -6% -4% -2% 0% 2% 4% 6% 8% 10% 90+ yrs 90+ yrs 90+ yrs 85-89 yrs 85-89 yrs 85-89 yrs 80-84 yrs 80-84 yrs 80-84 yrs 75-79 yrs 75-79 yrs 75-79 yrs 70-74 yrs 70-74 yrs 70-74 yrs 65-69 yrs 65-69 yrs 65-69 yrs 60-64 yrs 60-64 yrs 60-64 yrs 55-59 yrs 55-59 yrs 55-59 yrs 50-54 yrs 50-54 yrs 50-54 yrs 45-49 yrs 45-49 yrs 45-49 yrs 40-44 yrs 40-44 yrs 40-44 yrs Age Band Age Band 35-39 yrs 35-39 yrs Age Band 35-39 yrs 30-34 yrs 30-34 yrs 30-34 yrs 25-29 yrs 25-29 yrs 25-29 yrs 20-24 yrs 20-24 yrs 20-24 yrs 15-19 yrs 15-19 yrs 15-19 yrs 10-14 yrs 10-14 yrs 10-14 yrs 5-9 yrs 5-9 yrs 5-9 yrs 1-4 yrs 1-4 yrs 1-4 yrs Under 1 yrs Under 1 yrs Under 1 yrs - - - - Liverpool CVD Males CVD Picton Males - - - - Liverpool COPD Males COPD Picton Males - - - - Liverpool Cancer Males Cancer Picton Males

- - - - Liverpool CVD Females CVD Picton Females - - - - Liverpool COPD Females COPD Picton Females - - - - Liverpool Cancer Females Cancer Picton Females

Number diagnosed = 5538 Prevalence = 12.8% Number diagnosed = 1257 Prevalence = 2.9% Number diagnosed = 876 Prevalence = 2% Includes patients with a diagnosis of Atrial Fibrilation, CHD, Heart Failure, Hypertension, PAD or Stroke

Picton Neighbourhood Diabetes Population Picton Neighbourhood Serious Mental Illness Population Picton Neighbourhood Dementia Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] Picton Neighbourhood Diabetes Population Picton Neighbourhood Serious Mental Illness Population Picton Neighbourhood Dementia Population % Total Population % Total Population % Total Population -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -15% -10% -5% 0% 5% 10% 15% 20% 90+ yrs 90+ yrs 90+ yrs 85-89 yrs 85-89 yrs 85-89 yrs 80-84 yrs 80-84 yrs 80-84 yrs 75-79 yrs 75-79 yrs 75-79 yrs 70-74 yrs 70-74 yrs 70-74 yrs 65-69 yrs 65-69 yrs 65-69 yrs 60-64 yrs 60-64 yrs 60-64 yrs 55-59 yrs 55-59 yrs 55-59 yrs 50-54 yrs 50-54 yrs 50-54 yrs 45-49 yrs 45-49 yrs 45-49 yrs 40-44 yrs 40-44 yrs 40-44 yrs Age Band Age Band 35-39 yrs 35-39 yrs Age Band 35-39 yrs 30-34 yrs 30-34 yrs 30-34 yrs 25-29 yrs 25-29 yrs 25-29 yrs 20-24 yrs 20-24 yrs 20-24 yrs 15-19 yrs 15-19 yrs 15-19 yrs 10-14 yrs 10-14 yrs 10-14 yrs 5-9 yrs 5-9 yrs 5-9 yrs 1-4 yrs 1-4 yrs 1-4 yrs Under 1 yrs Under 1 yrs Under 1 yrs 14 | Page

- - - - Liverpool Diabetes Males Diabetes Picton Males - - - - Liverpool Serious Mental Illness Males Serious Mental Illness Picton Males - - - - Liverpool Dementia Males Dementia Picton Males

- - - - Liverpool Diabetes Females Diabetes Picton Females - - - - Liverpool Serious Mental Illness Females Serious Mental Illness Picton Females - - - - Liverpool Dementia Females Dementia Picton Females

Number diagnosed = 2248 Prevalence = 5.2% Number diagnosed = 946 Prevalence = 2.2% Number diagnosed = 211 Prevalence = 0.5% Includes patients with a diagnosis of Schizophrenia, Bipolar or Other Pyschosis 5. Comorbidities for People with Long Term Conditions Source: Risk Stratification Data Extract Effective Date: April 2018

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6. Population Structure, Demographics, Risk Factors and Determinants of Health

• 44,835 people are registered with the Picton neighbourhood (8.4% of the CCG). • Around 542 children are born each year and there are 2,824 children aged under 5 years old, 6.3% of the population. • There are 4,902 people aged 65+ (10.9% of the population) and 521 people aged 85+ (1.2% of the population), among the lowest levels in Liverpool. • It is estimated that 38.9% of the population are Not White British/Irish, 10.2% are Black/African/Caribbean/Black British and 8.3% are ‘Other ethnic group (including Arab)’ ethnicity, the highest levels in the city. 18.4% of the population’s main language is not English – also the highest among the neighbourhoods. • Picton neighbourhood is the fourth most deprived in the city. In addition it is estimated that: o 59% of the population have no access to a car/van, significantly higher than the Liverpool average and the third highest in the city. o The average household income is £23,326. o Unemployment levels are the fourth highest in the city and 8.3% are long term sick or disabled. o Two in every five people (42.3%) are economically inactive (either in full-time education/ retired/looking after home/other) which is significantly above the city average and the second highest in the neighbourhoods. o Almost three-quarters of people live in rented or social housing accommodation (72.6%), the second highest in the city. o 9.9% of people aged 65 and over live alone, significantly below the city rate, 11.9%.

7. Neighbourhood Health Profile

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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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 1 DEMOGRAPHICS AND DETERMINANTS OF HEALTH 2 DEMOGRAPHICS 3 Deprivation Score (IMD) 2015 - 49.2 41.1 22.1 59.6 49.1 21.8 4 Not White British or Irish ethnic group (%) 17,437 38.89% 15.7% 4.6% 38.9% 38.68% 19.2% 5 White Other ethnic group (%) 2,109 4.70% 2.8% 0.9% 5.3% 4.65% 4.6% 6 Mixed/Multiple ethnic group (%) 2,986 6.66% 2.7% 0.9% 6.7% 6.64% 2.3% 7 Asian/Asian British ethnic group (%) 4,047 9.03% 5.0% 1.4% 14.4% 9.01% 7.8% 8 Black/African/Caribbean/Black British ethnic group (%) 4,587 10.23% 3.1% 0.6% 10.2% 10.16% 3.5% 9 Other ethnic group (including Arab) (%) 3,707 8.27% 2.1% 0.3% 8.3% 8.22% 1.0% 10 Main language not English (%) 8,246 18.39% 7.5% 2.1% 18.4% 18.27% 8.0% 11 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 542 50.0 55.0 24.8 81.2 46.1 62.5 12 Children aged 0-4 years (%) 2,824 6.3% 5.5% 2.0% 6.8% 6.2% 5.6% 13 Population 65+ (%) 4,902 10.9% 14.4% 3.8% 20.2% 11.2% 17.9% 14 Population 75+ (%) 2,106 4.7% 6.3% 1.3% 9.4% 4.8% 8.1% 15 Population 85+ (%) 521 1.2% 1.7% 0.3% 2.9% 1.1% 2.4% 16 Population 95+ (%) 33 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 17 Population 40+ with 1 or more LTC (%) 4,442 26.5% 27.9% 26.5% 29.3% 26.5% n/a 18 Population 40+ with 2 or more LTC (%) 2,596 15.5% 15.2% 13.3% 16.5% 15.9% n/a 19 Population 40+ with 3 or more LTC (%) 1,414 8.4% 7.9% 6.9% 9.3% 8.5% n/a 20 Percentage of the population 40+ with risk score >=50% 191 1.1% 1.3% 0.7% 1.9% 1.5% n/a 21 Percentage of the population 40+ with risk score >=70% 57 0.3% 0.4% 0.2% 0.7% 0.4% n/a 22 Percentage of the population 40+ with risk score >=50% <=90% 180 1.1% 1.3% 0.7% 1.8% 1.4% n/a 23 WIDER DETERMINANTS - - 24 No car or van in household (%) - 59.0% 47.0% 29.1% 61.5% 58.8% 25.8% 25 Economically active (%) 19,773 57.7% 62.1% 51.4% 68.8% 57.7% 69.9% 26 Economically active: Unemployed (%) 2,763 8.1% 6.6% 4.1% 9.2% 8.0% 4.4% 27 Economically active: Long-term unemployed (%) 1,109 3.2% 2.7% 1.6% 3.9% 3.2% 1.7% 28 Economically inactive (%) 14,508 42.3% 37.9% 31.2% 48.6% 42.3% 30.1% 29 Economically inactive: Long-term sick or disabled (%) 2,835 8.3% 7.9% 4.6% 11.7% 8.3% 4.0% 30 Housing Tenure: Social or Private Rented (%) - 72.6% 52.5% 32.1% 77.0% 72.4% 36.7% 31 One person household: Aged 65 and over (%) - 9.9% 11.9% 7.8% 13.9% 9.9% 12.4% 32 Mean Household Income £ - £23,326 £27,565 £21,310 £38,138 £25,172 £39,472 33 Domestic violence rate per 1,000 453 11.1 12.0 6.4 18.9 9.2 - 34 Violent crime rate per 1,000 567 13.9 12.2 5.6 21.6 13.4 - 35 RISK FACTORS - - 36 CURRENT SMOKERS aged 15+ (QOF) (%) 9,679 27.0% 21.5% 13.5% 29.6% 27.2% 17.6% 37 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 8,319 86.0% 88.4% 83.7% 98.3% 85.7% 88.8% 38 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,717 10.8% 11.9% 5.2% 15.4% 9.9% 9.7% 39 People with BMI >=40 recorded in the last 12m (%) 1,027 2.3% 2.6% 1.2% 3.8% 2.3% - 40 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 479 46.7% 49.6% 38.4% 60.3% 54.6% - 41 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 96 24.4% 22.8% 15.1% 31.1% - n/a 42 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 24,828 70.1% 68.3% 63.0% 77.4% 67.2% - 43 People aged 18+ who have ALCOHOL above indicated levels (%) 1,438 5.8% 9.1% 5.6% 12.1% 4.2% - 44 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,261 87.7% 90.4% 85.0% 99.2% 95.2% - 45 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 295 813 797 419 1,522 908 n/a 46 LIFE EXPECTANCY / MORTALITY - - 47 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 77.0 77.0 74.4 83.6 78.0 79.5 48 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 80.2 80.8 78.5 86.4 79.9 83.1 49 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 78.5 78.9 76.8 85.0 78.9 81.3 50 ALL CAUSE Mortality - DSR per 100,000 population 928 1,218.7 1,136.4 729.3 1,428.1 1,210.7 968.7 51 CVD Mortality - DSR per 100,000 population 181 237.6 247.1 161.4 307.1 239.2 267.3 52 CANCER Mortality - DSR per 100,000 population 243 301.0 320.5 211.1 426.2 331.7 276.8 53 LUNG CANCER - DSR per 100,000 population 73 96.0 93.2 59.5 143.3 98.8 57.7 54 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 68 84.4 89.2 65.3 114.1 83.1 n/a 55 RESPIRATORY Mortality - DSR per 100,000 population 154 209.6 178.0 93.9 240.0 186.1 n/a 56 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 424 490.7 437.8 273.4 559.9 486.2 333.8 57 CVD Mortality Under 75 Years - DSR per 100,000 population 78 90.8 89.4 52.1 127.9 92.3 73.5 58 CANCER Mortality Under 75 Years - DSR per 100,000 population 137 161.6 163.5 106.6 206.4 178.3 136.8 59 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 41 52.8 49.9 24.9 79.6 62.0 33.6 60 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 38 45.6 46.7 31.4 59.8 40.3 n/a 61 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 61 76.8 57.5 25.7 84.9 69.4 33.8 62 DISEASE PREVALENCE / POPULATION GROUPS - - 63 CHD Prevalence DSR per 100,000 population 1,167 4,499.8 4,273.6 3,481.4 4,961.5 4,713.7 n/a 64 CANCER Prevalence DSR per 100,000 population 876 3,165.9 3,812.8 3,129.9 4,328.7 2,811.1 n/a 65 COPD Prevalence DSR per 100,000 population 1,257 4,623.9 3,853.2 2,297.3 5,344.8 4,636.8 n/a 66 ASTHMA Prevalence DSR per 100,000 population 2,546 6,752.0 6,465.9 6,095.6 7,369.1 5,876.0 n/a 67 DIABETES Prevalence DSR per 100,000 population 2,248 7,560.9 6,065.8 4,847.9 7,560.9 7,839.1 n/a 68 HYPERTENSION Prevalence DSR per 100,000 population 4,710 16,987.7 16,840.4 15,813.1 18,716.6 17,217.8 n/a 69 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,950 7,591.3 6,543.1 5,371.5 7,748.4 7,972.1 n/a 70 HEART FAILURE Prevalence DSR per 100,000 population 296 1,170.5 1,155.5 949.8 1,647.8 1,284.0 n/a 71 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 475 1,930.8 2,388.0 1,930.8 2,795.6 1,999.8 n/a 72 STROKE/TIA Prevalence DSR per 100,000 population 597 2,310.2 2,225.5 1,956.8 3,037.2 2,382.8 n/a 73 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 259 1,003.2 1,034.4 716.2 1,678.4 1,102.0 n/a 74 DEMENTIA Prevalence DSR per 100,000 population 211 951.1 898.1 613.5 1,363.2 912.6 n/a 75 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 946 2,441.8 1,425.4 1,043.9 2,441.8 2,609.2 n/a 76 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 5,141 13,454.0 14,022.1 11,956.3 21,198.7 13,556.7 n/a 77 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 412 1,559.6 1,516.3 1,237.6 1,984.8 1,906.2 n/a 78 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 1,719 5,387.3 6,797.5 5,387.3 8,000.4 5,319.4 n/a 79 LEARNING DISABILITIES Prevalence DSR per 100,000 population 170 385.5 412.8 264.8 577.9 470.5 n/a 80 CARERS Prevalence (GP Recorded) DSR per 100,000 population 924 2,805.8 2,788.8 1,949.5 4,193.2 2,725.4 n/a 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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 81 PREVENTION - - 82 RISK FACTORS -- 83 CURRENT SMOKERS aged 15+ (QOF) (%) 9,679 27.0% 21.5% 13.5% 29.6% 27.2% 17.6% 84 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 8,319 86.0% 88.4% 83.7% 98.3% 85.7% 88.8% 85 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,717 10.8% 11.9% 5.2% 15.4% 9.9% 9.7% 86 People with BMI >=40 recorded in the last 12m (%) 1,027 2.3% 2.6% 1.2% 3.8% 2.3% - 87 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 479 46.7% 49.6% 38.4% 60.3% 54.6% - 88 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 96 24.4% 22.8% 15.1% 31.1% - n/a 89 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 24,828 70.1% 68.3% 63.0% 77.4% 67.2% - 90 People aged 18+ who have ALCOHOL above indicated levels (%) 1,438 5.8% 9.1% 5.6% 12.1% 4.2% - 91 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,261 87.7% 90.4% 85.0% 99.2% 95.2% - 92 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 295 812.6 796.5 418.6 1,522.2 907.7 n/a 93 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 128 297.1 289.5 118.3 587.1 296.0 110.2 94 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 978 2,819.5 2,747.0 1,889.9 4,430.6 2,695.5 2,185.0 95 PREVENTION -- 96 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 14,623 88.8% 91.1% 88.8% 92.9% 89.0% 90.7% 97 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 9,477 98.2% 72.9% 55.7% 98.2% - 74.1% 98 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,162 33.4% 48.7% 33.4% 70.3% - 48.9% 99 Eligible persons 40-74 years with a HEALTH CHECK completed as % of eligible population 5 years cumulative 3,162 32.8% 35.5% 27.3% 46.7% - 36.2% 100 Persons 18+ with a learning disability and HEALTH CHECK completed (%) 102 54.2% 63.6% 38.5% 74.4% 52.1% 0.5 101 Persons 18+ with a learning disability eligible for a HEALTH CHECK and health action plan completed (%) 63 33.5% 34.3% 9.3% 59.7% 37.7% n/a 102 Health Trainer Referral rate per 1,000 persons 18+ 215 6.0 6.1 1.2 14.3 2.7 n/a 103 Referrals to Liverpool Community Alcohol Service (LCAS) Rate per 1,000 18+ 230 6.6 7.0 3.8 13.1 - n/a 104 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 8,319 86.0% 88.4% 83.7% 98.3% 85.7% 88.8% 105 CANCER SCREENING -- 106 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,577 44.3% 51.7% 43.4% 60.7% 41.8% 57.4% 107 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,159 45.5% 53.1% 44.9% 62.0% 41.7% 59.1% 108 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,520 59.7% 67.6% 59.6% 73.5% 59.4% 72.1% 109 36 month coverage for BREAST screening aged 50-70 2,333 54.4% 64.8% 54.4% 72.7% 53.6% 72.5% 110 CHILD HEALTH -- 111 Low birthweight of all babies <2500g (3 year pooled) (%) 129 8.5% 8.8% 6.9% 10.6% 8.0% 7.4% 112 Breastfeeding Initiation Rates (%) 273 63.5% 44.9% 27.8% 65.4% 67.3% 74.5% 113 Breastfeeding at 6-8 weeks (%) 230 52.8% 35.1% 18.0% 53.5% 57.5% 44.4% 114 Smoking Status at Time of Delivery (SATOD) % 49 10.7% 13.1% 5.0% 20.8% 10.8% 10.7% 115 Child Excess Weight Reception (age 4-5 years) (%) 287 25.7% 26.2% 23.4% 29.2% 25.8% 22.6% 116 Child Excess Weight Year 6 (age 10-11 years) (%) 342 39.2% 38.7% 33.0% 42.6% 40.5% 34.2% 117 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 114 805.6 716.9 531.3 1002.9 1567.2 n/a 118 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 36 443.1 446.6 157.9 933.6 321.2 n/a 119 Child AED attendance rate per 1,000 population aged 0-4 years 1,767 633.5 729.2 631.2 864.0 651.6 n/a 120 VACS AND IMMS -- 121 Children's DtaPipVHib at 1 Yr (%) 452 90.9% 94.2% 90.9% 96.9% 90.0% 93.4% 122 Children's PCV at 2 Yrs (%) 348 80.9% 90.6% 80.9% 95.3% 80.6% 91.5% 123 Children's MMR1 at 2 Yrs (%) 367 85.3% 92.5% 84.1% 96.0% 85.2% 91.6% 124 Children's Hib Men C at 2 Yrs (%) 359 83.5% 92.6% 83.5% 96.4% 84.1% 91.5% 125 Children's Pre School Booster at 5 Yrs (%) 377 82.5% 87.0% 78.1% 92.9% 81.3% n/a 126 Children's MMR2 at 5 Yrs (%) 370 81.0% 86.4% 76.8% 92.9% 79.6% 87.6% 127 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,744 85.2% 92.5% 76.8% 92.9% 84.9% n/a 128 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 176 31.6% 37.4% 26.9% 50.7% 21.4% 38.9% 129 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 180 32.2% 39.1% 26.7% 54.3% 27.1% 41.5% 130 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 284 47.4% 44.8% 37.6% 50.9% 42.7% 44.9% 131 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,272 66.5% 73.5% 64.9% 75.9% 65.3% 70.5% 132 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 2,859 47.8% 48.9% 44.4% 51.6% 49.5% 48.6% 133 Seasonal Flu Vaccine Uptake - Carers (%) 162 37.0% 46.9% 37.0% 57.5% 47.0% 41.9% 134 SEXUAL HEALTH -- 135 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 542 50.0 55.0 24.8 81.2 46.1 62.5 136 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,520 59.7% 67.6% 59.6% 73.5% 59.4% 72.1% 137 GP prescribed user dependent contraception per 1,000 females aged 15-44 915 92.2 139.4 84.9 164.0 101.3 n/a 138 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 221 22.3 28.6 12.5 49.7 23.9 n/a 139 GP prescribed condoms rate per 1,000 31 0.69 0.97 - 6.34 0.82 n/a 140 Uptake of HIV testing in specialist sexual health services rate per 1,000 249 5.51 4.26 1.01 12.24 4.55 n/a 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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 141 HEALTHY AGEING - - 142 DEMOGRAPHICS - - 143 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 45.9% 34.0% 21.3% 45.9% 45.9% 15.3% 144 Population 65+ (%) 4,902 10.9% 14.4% 3.8% 20.2% 11.2% 17.9% 145 Population 75+ (%) 2,106 4.7% 6.3% 1.3% 9.4% 4.8% 8.1% 146 Population 85+ (%) 521 1.2% 1.7% 0.3% 2.9% 1.1% 2.4% 147 Population 95+ (%) 33 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 148 Population 40+ with 1 or more LTC (%) 4,442 26.5% 27.9% 26.5% 29.3% 26.5% n/a 149 Population 40+ with 2 or more LTC (%) 2,596 15.5% 15.2% 13.3% 16.5% 15.9% n/a 150 Population 40+ with 3 or more LTC (%) 1,414 8.42% 7.85% 6.87% 9.25% 8.5% n/a 151 Percentage of the population 40+ with risk score >=50% 191 1.14% 1.35% 0.72% 1.95% 1.5% n/a 152 Percentage of the population 40+ with risk score >=70% 57 0.34% 0.40% 0.20% 0.73% 0.4% n/a 153 Percentage of the population 40+ with risk score >=50% <=90% 180 1.07% 1.27% 0.69% 1.79% 1.4% n/a 154 People on 5 or more prescriptions (%) 8,780 20.48% 20.64% 7.48% 25.81% 21.2% n/a 155 People on 10 or more prescriptions (%) 2,778 6.48% 6.18% 2.31% 8.65% 6.6% n/a 156 Anitibiotic Prescribing rate per 1000 population 1,844 41.13 43.20 33.06 52.19 - n/a 157 Broad Spectrum anitbiotic prescribing rate per 1000 population 153 3.41 3.55 2.84 4.44 - n/a 158 People on Warfarin who have INR recorded in last 12 months (%) 300 89.0% 96.3% 89.0% 98.8% - n/a 159 OSTEOPOROSIS - - 160 People aged 50-74 with a record of a fragility fracture and a diagnosis of osteoporosis confirmed on a DXA scan 9 90.0% 84.8% 67.4% 94.7% - 95.8% 161 People aged 50-74 with a fragility fracture and osteoporosis treated with bone-sparing agent 8 72.7% 72.8% 60.0% 82.0% 78.8% 85.8% 162 People aged 75 and over with a record of fragility fracture and an osteoporosis diagnosis 6 50.9% 78.3% 50.9% 94.0% - 95.8% 163 People aged 75 or over with a fragility fracture and osteoporosis treated with bone-sparing agent. 10 55.6% 58.2% 36.1% 72.0% 48.2% 79.5% 164 DEMENTIA - - 165 DEMENTIA Prevalence DSR per 100,000 population 211 951.1 898.1 613.5 1,363.2 912.6 n/a 166 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 210 66.2% 66.5% 55.4% 104.7% 67.2% 61.1% 167 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 210 75.1% 75.0% 62.2% 117.7% 76.0% 68.6% 168 People with DEMENTIA with no other LTCs (%) 25 11.9% 13.9% 9.0% 17.4% 13.5% n/a 169 People with DEMENTIA with 1 other LTC (%) 44 20.6% 21.4% 14.1% 24.3% 27.0% n/a 170 People with DEMENTIA with 2 other LTCs (%) 60 28.4% 23.9% 17.8% 29.1% 28.2% n/a 171 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 164 69.4% 80.0% 69.4% 88.52% 84.6% 83.7% 172 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 28 80.2% 86.9% 78.6% 91.84% 71.7% 87.6% 173 Emergency admissions for DEMENTIA aged over 65 15 3.11 2.11 1.10 3.11 0.19 n/a 174 END OF LIFE - - 175 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 149 556 655 451 1,149 661 n/a 176 Reduction in Emergency admissions END OF LIFE 95 19.4 21.7 14.6 28.9 28.7 n/a 177 RESIDENTIAL AND CARE HOMES - - 178 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 139 32.1 30.1 9.6 86.4 22.5 n/a 179 Reduction in Emergency admissions from CARE HOMES 118 24.2 29.6 - 72.8 40.8 n/a 180 CARERS - - 181 CARERS Prevalence (GP Recorded) DSR per 100,000 population 924 2,806 2,789 1,950 4,193 2,725 n/a 182 EMERGENCY ADMISSIONS per 1000 HCHS weighted pop - - 183 Injuries due to FALLS 65+ 143 29.2 31.4 24.1 38.4 27.5 n/a 184 Emergency admissions for DEMENTIA aged over 65 15 3.11 2.11 1.10 3.11 0.19 n/a 185 Emergency admissions for HIP FRACTURES aged over 65 48 9.79 8.44 4.31 11.13 8.90 n/a 186 Emergency admissions for CELLULITIS 49 0.93 1.00 0.60 1.51 0.85 n/a 187 Emergency admissions for FLU & PNEUMO 116 2.20 2.69 2.10 3.38 2.69 n/a 188 Emergency admissions for PYLO NEFRITIS 16 0.31 0.53 0.31 0.81 0.30 n/a 189 Emergency admissons for GASTRO/DEHYDRATION 9 0.16 0.18 0.10 0.31 1.75 n/a 190 Emergency re-admissions within 30 days to hospital (%) 866 12.5% 12.8% 11.5% 14.4% 11.2% 0.1 191 COMMUNITY SERVICES per 1000 HCHS weighted pop - - 192 Community Matrons Face to Face Contacts 1,035 58.58 65.41 46.25 90.86 115.75 n/a 193 Community Matrons Case Load 7 0.38 1.18 0.17 3.15 1.48 n/a 194 District Nursing Face to Face Contacts 20,327 1,150.48 1,098.57 781.44 1,365.45 1,012.91 n/a 195 District Nursing Case Load 250 14.16 13.17 10.53 17.08 13.49 n/a 196 IV Therapy Face to Face Contacts 240 13.56 16.65 8.33 31.25 19.19 n/a 197 IV Therapy Case Load <5 0.16 0.28 0.06 0.48 0.11 n/a 198 Therapy Face to Face Contacts 6,414 363.03 405.91 363.03 462.54 321.64 n/a 199 Therapy Case Load 1,189 67.31 72.65 63.73 92.12 75.21 n/a 200 Treatment Rooms Face to Face Contacts 4,816 272.57 252.16 212.49 317.62 246.14 n/a 201 Treatment Rooms Case Load 92 5.23 6.61 1.22 14.52 3.93 n/a 202 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 203 Social Services Users OLDER PERSONS per 1000 65+ resident population 451 104.2 125.00 91.80 198.31 105.6 n/a 204 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 41 9.48 8.29 3.37 17.45 9.77 n/a 205 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 65+ resident population 308 71.2 93.85 70.68 144.75 81.7 n/a 206 Social Services Users DOMICILIARY CARE per 1000 65+ resident population 117 27.0 37.40 24.74 47.44 41.0 n/a 207 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 65+ resident population 26 6.0 7.80 4.53 13.71 19.3 n/a 208 Social Services Users OTHER COMMUNITY per 1000 65+ resident population 75 17.3 23.89 15.14 39.61 7.6 n/a 209 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 139 32.1 30.11 9.62 86.37 22.5 n/a 210 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 19 0.9 0.84 0.62 0.92 0.9 n/a 211 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 26 0.0 0.05 0.02 0.06 0.0 n/a 212 VACS AND IMMS - - 213 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,272 66.5% 73.5% 64.9% 75.9% 65.3% 0.7 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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 214 CHILDRENS - - 215 DEMOGRAPHICS - - 216 Income Deprivation Affecting Children Index (IDACI) 2015 - 39.9% 31.9% 16.1% 44.4% 39.8% 17.6% 217 16-18 year olds not in education, employment or training (%) 39 5.4% 5.6% 3.2% 8.3% 6.4% 6.0% 218 Children aged 0-4 years (%) 2,824 6.3% 5.5% 2.0% 6.8% 6.2% 5.6% 219 Children aged 5-10 years (%) 3,263 7.3% 6.5% 1.9% 8.5% 7.3% 7.3% 220 Children aged 11-18 years (%) 3,675 8.2% 7.9% 4.2% 9.4% 7.9% 8.8% 221 Young People aged 19-25 years (%) 5,350 11.9% 13.3% 7.0% 49.9% 12.0% 8.9% 222 Children and Young People aged 0-25 years (%) 15,112 33.7% 33.3% 26.5% 58.0% 33.4% 30.5% 223 CHILD HEALTH - - 224 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 542 50.0 55.0 24.8 81.2 46.1 62.5 225 Low birthweight of all babies <2500g (3 year pooled) (%) 129 8.5% 8.8% 6.9% 10.6% 8.0% 7.4% 226 Breastfeeding Initiation Rates (%) 273 63.5% 44.9% 27.8% 65.4% 67.3% 74.5% 227 Breastfeeding at 6-8 weeks (%) 230 52.8% 35.1% 18.0% 53.5% 57.5% 44.4% 228 Smoking Status at Time of Delivery (SATOD) % 49 10.7% 13.1% 5.0% 20.8% 10.8% 10.7% 229 Child Excess Weight Reception (age 4-5 years) (%) 287 25.7% 26.2% 23.4% 29.2% 25.8% 22.6% 230 Child Excess Weight Year 6 (age 10-11 years) (%) 342 39.2% 38.7% 33.0% 42.6% 40.5% 34.2% 231 SOCIAL CARE (LIVERPOOL CITY COUNCIL) - - 232 Children in Need - Rate per 10,000 under 18 years 312 409.6 381.2 288.3 618.0 355.1 330.4 233 Looked After Children - Rate per 10,000 under 18 years 96 126.2 117.5 88.8 190.4 125.6 62.0 234 Child Protection Plan - Rate per 10,000 under 18 years 32 42.4 39.5 29.9 64.0 40.0 43.3 235 Early Help Assessment Tool (EHAT) Family Assessments (%) 377 5.0% 4.6% 3.5% 7.5% 5.5% n/a 236 Troubled Families (%) 463 6.2% 5.4% 2.7% 8.2% 4.5% n/a 237 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 57 75.5 70.3 53.1 113.9 47.8 n/a 238 Children who are receiving Special Educational Needs (SEN) Support (%) 908 11.9% 11.4% 8.4% 19.5% 11.5% n/a 239 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 141 185.2 179.7 121.8 317.3 248.8 n/a 240 EDUCATIONAL ATTAINMENT - - 241 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 185 48.8% 55.7% 47.5% 64.6% 34.9% 61.1% 242 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 146 51.2% 53.4% 42.3% 67.6% 43.6% 59.3% 243 Pupil Persistent Absenteeism (10% Threshold) - Primary Schools (%) 239 10.1% 11.0% 7.1% 14.8% 10.0% 3.9% 244 Pupil Persistent Absenteeism (10% Threshold) - Secondary Schools (%) 266 16.6% 16.4% 11.5% 21.4% 18.2% 5.0% 245 VACS AND IMMS - - 246 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,744 85.2% 92.5% 85.2% 96.1% 84.9% n/a 247 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 176 31.6% 37.4% 26.9% 50.7% 21.4% 38.9% 248 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 180 32.2% 39.1% 26.7% 54.3% 27.1% 41.5% 249 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 284 47.4% 44.8% 37.6% 50.9% 42.7% 44.9% 250 DISEASE PREVALENCE - - 251 Children with ASTHMA 0-17 years (%) 427 4.7% 4.3% 3.4% 4.7% 4.7% n/a 252 Young People with ASTHMA aged 18-25 years (%) 209 3.7% 4.0% 2.6% 6.6% 4.1% n/a 253 Children with EPILEPSY 0-17 years (%) 18 0.2% 0.2% 0.2% 0.3% 0.2% n/a 254 Children with DIABETES 0-17 years (%) 31 0.3% 0.3% 0.2% 0.3% 0.3% n/a 255 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 319 2.2% 2.6% 2.1% 3.6% 2.6% n/a 256 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 38 0.3% 0.2% 0.1% 0.3% 0.3% n/a 257 SERVICE UTILISATION - - 258 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1000 aged 0-18 years <5 0.4 0.6 0.1 1.3 - n/a 259 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 38 4.1 4.4 3.3 5.7 1.2 n/a 260 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 114 805.6 716.9 531.3 1,002.9 1,567.2 n/a 261 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 7 27.7 40.4 17.4 64.0 32.5 39.6 262 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 27 159.4 102.3 30.8 182.8 142.4 89.8 263 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 36 443.1 446.6 157.9 933.6 321.2 n/a 264 Child AED attendance rate per 1,000 population aged 0-4 years 1,767 633.5 729.2 631.2 864.0 651.6 n/a 265 Child AED attendances - LRTI 534 55.2 59.3 48.5 209.0 56.4 n/a 266 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 89 3.4 3.6 2.5 8.4 3.0 n/a 267 Child AED attendances - ACCIDENTS 804 87.1 116.6 87.1 356.2 86.3 n/a 268 Child Emergency Admission Average Length of Stay <1 day 452 49.0 53.6 47.6 78.6 34.2 n/a 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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 269 CARDIOVASCULAR DISEASE AND DIABETES - - 270 RISK FACTORS - - 271 CURRENT SMOKERS aged 15+ (QOF) (%) 9,679 27.0% 21.5% 13.5% 29.6% 27.2% 17.6% 272 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 8,319 86.0% 88.4% 83.7% 98.3% 85.7% 88.8% 273 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,717 10.8% 11.9% 5.2% 15.4% 9.9% 9.7% 274 People with BMI >=40 recorded in the last 12m (%) 1,027 2.3% 2.6% 1.2% 3.8% 2.3% - 275 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 479 46.7% 49.6% 38.4% 60.3% 54.6% - 276 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 96 24.4% 22.8% 15.1% 31.1% - n/a 277 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 24,828 70.1% 68.3% 63.0% 77.4% 67.2% - 278 People aged 18+ who have ALCOHOL above indicated levels (%) 1,438 5.8% 9.1% 5.6% 12.1% 4.2% - 279 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,261 87.7% 90.4% 85.0% 99.2% 95.2% - 280 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 295 812.6 796.5 418.6 1,522.2 907.7 n/a 281 HYPERTENSION - - 282 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,950 7,591 6,543 5,372 7,748 7,972 n/a 283 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,258 80.4% 99.4% 80.4% 120.7% 83.1% 64.0% 284 HYPERTENSION Prevalence DSR per 100,000 population 4,710 16,988 16,840 15,813 18,717 17,218 n/a 285 Ratio of Observed (PCQF) to Expected HYPERTENSION Prevalence 4,809 45.9% 51.9% 25.8% 59.6% 46.0% 67.1% 286 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 14,623 88.8% 91.1% 88.8% 92.9% 89.0% 90.7% 287 People with hypertension whose latest BP reading is <150/90 (QOF) (%) 4,314 76.3% 80.7% 76.3% 85.7% 74.4% 83.9% 288 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 2,816 66.3% 70.6% 66.0% 76.5% 59.9% n/a 289 People aged >=80 with hypertension whose latest blood pressure reading is < 150/90 (%) 709 88.1% 89.8% 85.6% 91.5% - n/a 290 People with hypertension with physical activity recorded (%) 2,589 51.2% 53.8% 36.9% 69.2% - n/a 291 People with hypertension who do not meet recommended activity levels who have received brief advice (%) 1,723 94.6% 91.8% 81.3% 97.5% - n/a 292 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 9,477 98.2% 72.9% 55.7% 98.2% - 74.1% 293 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,162 33.4% 48.7% 33.4% 70.3% - 48.9% 294 Eligible persons 40-74 years with a HEALTH CHECK completed as % of eligible population 5 years cumulative 3,162 32.8% 35.5% 27.3% 46.7% - 36.2% 295 CHD - - 296 CVD Mortality - DSR per 100,000 population 181 237.6 247.1 161.4 307.1 239.2 267.3 297 CVD Mortality Under 75 Years - DSR per 100,000 population 78 90.8 89.4 52.1 127.9 92.3 73.5 298 CHD Prevalence DSR per 100,000 population 1,167 4,500 4,274 3,481 4,961 4,714 n/a 299 Ratio of Observed (QOF) to Expected CHD Prevalence 1,275 37.7% 49.5% 19.5% 63.8% 38.9% n/a 300 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,043 82.8% 88.3% 82.8% 90.8% 87.9% 92.4% 301 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,162 82.1% 91.8% 82.1% 109.0% 92.5% 96.3% 302 Emergency admissions for ANGINA 38 0.72 1.00 0.60 1.26 0.83 n/a 303 HEART FAILURE - - 304 HEART FAILURE Prevalence DSR per 100,000 population 296 1,171 1,156 950 1,648 1,284 n/a 305 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 252 69.3% 70.9% 59.2% 90.4% 91.5% 71.3% 306 Emergency admissions for CONGESTIVE HEART FAILURE 46 0.88 1.24 0.85 1.72 0.64 n/a 307 HEART FAILURE Team Face to Face Contacts 203 11.50 13.25 6.40 32.66 7.46 n/a 308 HEART FAILURE Team Case Load 6 0.34 0.40 0.00 1.19 0.57 n/a 309 ATRIAL FIBRILLATION and STROKE - - 310 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 475 1,931 2,388 1,931 2,796 2,000 n/a 311 People on the AF case finding search who have had their notes reviewed 12 23.4% 38.1% 13.0% 68.0% - n/a 312 People with AF with CHADS score >1 treated with anti-coagulation or anti-platelets therapy (%) 359 89.3% 83.0% 39.8% 92.5% 87.3% 88.5% 313 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 180 64.4% 80.8% 63.8% 112.3% 95.7% 96.9% 314 STROKE/TIA Prevalence DSR per 100,000 population 597 2,310 2,225 1,957 3,037 2,383 n/a 315 Ratio of Observed (QOF) to Expected STROKE Prevalence 630 39.5% 48.6% 26.0% 59.2% 37.0% 47.0% 316 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 287 97.8% 97.9% 96.0% 99.6% 90.4% 97.4% 317 People with stroke/TIA referred for further investigation after last stroke or first TIA (QOF) % 179 84.0% 83.4% 77.5% 88.9% - n/a 318 People aged 65 years and over excluding People with AF who have received a pulse check (%) 3,209 71.8% 77.2% 68.3% 84.8% 69.0% n/a 319 Emergency admissions for STROKE 62 1.17 1.46 0.83 1.78 1.44 n/a 320 DIABETES - - 321 DIABETES Prevalence DSR per 100,000 population 2,248 7,561 6,066 4,848 7,561 7,839 n/a 322 Ratio of Observed (PCQF) to Expected DIABETES Prevalence 2,367 79.7% 76.3% 45.2% 93.7% 81.9% 79.6% 323 Prevalence of Impaired Glucose Regulation (%) 1,564 3.5% 3.7% 1.2% 4.9% - n/a 324 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,496 60.4% 65.0% 56.4% 70.8% 58.5% n/a 325 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,507 60.8% 66.2% 60.3% 70.4% 66.6% n/a 326 People with DIABETES and HbA1c (%) 2,257 91.1% 93.1% 89.9% 94.5% 93.2% n/a 327 People with DIABETES and BP recorded (%) 2,325 93.9% 94.7% 92.1% 96.4% 95.8% n/a 328 People with DIABETES and Cholesterol recorded (%) 2,179 87.9% 89.5% 86.8% 92.0% 90.9% n/a 329 People with DIABETES and Microalb recorded (%) 1,775 71.6% 74.2% 69.0% 78.8% 75.7% n/a 330 People with DIABETES and Creatinine recorded (%) 2,232 90.1% 91.7% 89.0% 93.2% 92.5% n/a 331 People with DIABETES and Foot Check (%) 2,057 83.0% 87.0% 82.6% 93.2% 90.4% 89.8% 332 People with DIABETES and BMI recorded (%) 2,101 84.8% 87.7% 82.8% 92.2% 88.9% n/a 333 People with DIABETES and Smoking Status recorded (%) 2,237 90.3% 91.5% 88.6% 94.7% 91.7% n/a 334 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 943 38.1% 42.9% 37.5% 46.2% - n/a 335 People with DIABETES who have CHD and/or CKD (%) 705 28.5% 33.6% 28.5% 38.1% - n/a 336 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 166 33.1% 40.9% 33.1% 52.0% - n/a 337 Preventable sight loss - diabetic eye disease rate per 1000 598 24.1% 28.7% 23.1% 36.4% - n/a 338 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 129 66.9% 77.6% 65.9% 84.7% 78.8% n/a 339 Emergency admissions for DIABETIC COMPLICATIONS 15 0.29 0.40 0.11 0.81 0.42 n/a 340 DIABETES Specialist Nurses Face to Face Contacts 860 48.65 38.19 20.17 60.77 31.09 n/a 341 DIABETES Case Load 125 7.10 5.50 3.36 8.77 4.67 n/a 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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 385 MENTAL HEALTH - - 386 DEMENTIA -- 387 DEMENTIA Prevalence DSR per 100,000 population 211 951.1 898.1 613.5 1,363.2 912.6 n/a 388 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 210 66.2% 66.5% 55.4% 104.7% 67.2% 61.1% 389 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 210 75.1% 75.0% 62.2% 117.7% 76.0% 68.6% 390 People with DEMENTIA with no other LTCs (%) 25 11.9% 13.9% 9.0% 17.4% 13.5% n/a 391 People with DEMENTIA with 1 other LTC (%) 44 20.6% 21.4% 14.1% 24.3% 27.0% n/a 392 People with DEMENTIA with 2 other LTCs (%) 60 28.4% 23.9% 17.8% 29.1% 28.2% n/a 393 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 164 69.4% 80.0% 69.4% 88.5% 84.6% 83.7% 394 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 28 80.2% 86.9% 78.6% 91.8% 71.7% 87.6% 395 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 41 9.5 8.3 3.4 17.5 9.8 n/a 396 SERIOUS MENTAL ILLNESS -- 397 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 946 2,442 1,425 1,044 2,442 2,609 n/a 398 People with SMI with no other LTCs (%) 394 41.8% 34.9% 28.3% 44.3% 39.0% n/a 399 People with SMI with 1 other LTC (%) 346 36.7% 41.5% 34.6% 46.5% 35.5% n/a 400 People with SMI with 2 other LTCs (%) 138 14.6% 15.2% 12.3% 18.4% 15.0% n/a 401 People with SMI and CHD (%) 27 2.9% 4.2% 2.9% 7.1% 3.5% n/a 402 People with SMI and COPD (%) 70 7.5% 7.0% 5.3% 9.5% 7.4% n/a 403 People with SMI and CANCER (%) 26 2.7% 4.4% 1.8% 8.0% 2.1% n/a 404 People with SMI and Diabetes (%) 122 13.0% 11.4% 6.9% 15.2% 13.2% n/a 405 People with SMI and CMHP (%) 397 42.1% 47.3% 38.5% 58.5% 39.9% n/a 406 People with SMI and Hypertension (%) 118 12.5% 16.3% 10.3% 21.5% 14.0% n/a 407 People with SMI and Current Smoker 15+ (%) 482 51.2% 46.5% 32.9% 54.0% 47.2% n/a 408 People with MH Conditions given list of physical checks previous 12 months (%) 105 51.9% 62.5% 38.9% 73.8% 46.4% n/a 409 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 73 82.2% 94.1% 82.2% 115.1% 96.2% 97.2% 410 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 771 76.9% 83.6% 76.9% 99.3% 91.9% 90.3% 411 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 731 72.9% 82.1% 72.9% 95.5% 81.1% 90.4% 412 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 784 78.1% 86.0% 77.4% 100.1% 90.7% 90.7% 413 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 139 49.5% 63.8% 49.5% 78.4% 74.1% 84.4% 414 Referrals to Community MENTAL HEALTH rate per 1000 2,009 38.09 33.85 20.52 46.82 11.06 n/a 415 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 151 15.3% 27.6% 15.3% 50.5% 14.8% n/a 416 COMMON MENTAL HEALTH PROBLEMS -- 417 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 5,141 13,454 14,022.1 11,956.3 21,198.7 13,556.7 n/a 418 People with CMHP with no other LTCs (%) 3,075 60.2% 61.4% 58.3% 70.5% 61.4% n/a 419 People with CMHP with 1 other LTC (%) 1,014 19.9% 21.0% 16.9% 23.1% 21.1% n/a 420 People with CMHP with 2 other LTCs (%) 519 10.2% 9.8% 7.1% 11.0% 10.5% n/a 421 People with CMHP and CHD (%) 290 5.7% 5.8% 4.3% 6.4% 5.4% n/a 422 People with CMHP and COPD (%) 415 8.1% 6.8% 5.0% 8.2% 7.9% n/a 423 People with CMHP and Cancer (%) 236 4.6% 6.4% 4.0% 8.5% 3.1% n/a 424 People with CMHP and Diabetes (%) 467 9.1% 8.4% 5.8% 9.7% 9.2% n/a 425 People with CMHP and Hypertension (%) 1,020 20.0% 20.6% 13.0% 23.4% 19.5% n/a 426 People with CMHP and SMI (%) 397 7.8% 4.8% 3.7% 7.8% 7.7% n/a 427 People with CMHP and Current Smoker 15+ (%) 1,571 30.8% 26.3% 16.1% 32.0% 29.5% n/a 428 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 437 53.7% 61.9% 53.7% 68.5% 55.3% 83.6% 429 SERVICE UTILISATION -- 430 Access to early intervention teams rate per 1000 26 0.74 0.32 0.18 0.77 0.59 n/a 431 IAPT referral rate per 1000 1,115 32.0 31.7 23.5 39.9 28.9 n/a 432 Referrals to Community MENTAL HEALTH rate per 1000 2,009 38.1 33.9 20.5 46.8 11.1 n/a 433 Emergency admissions for MENTAL HEALTH 178 3.37 2.55 1.76 3.37 1.81 n/a 434 MH emergency admissions Mental and Behavioural - ALCOHOL 87 1.65 1.58 0.63 3.21 1.80 n/a 435 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 10 0.19 0.14 0.05 0.33 0.20 n/a 436 Emergency admissions for VIOLENCE 181 3.44 2.87 1.45 5.68 1.85 n/a 437 Emergency admissions for SELF HARM 110 2.09 2.23 1.17 3.70 1.47 n/a 438 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 151 15.3% 27.6% 15.3% 50.5% 14.8% n/a 439 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 82 40.4% 55.5% 40.4% 83.1% 38.4% n/a 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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 440 SERVICE UTILISATION - - 441 PRIMARY CARE ACCESS -- 442 111 call rate per 1000 weighted population 5,389 120.7 105.4 72.8 129.0 - n/a 443 Patient Experience: Overall good experience of making an appointment 423 71.6% 77.2% 71.6% 83.3% - n/a 444 EMERGENCY CARE (rate per 1000 HCHS weighted population) -- 445 Rate per 1000 HCHS weighted pop for GP Spec AE attendances 409 7.76 8.60 5.21 12.46 9.19 n/a 446 Walk in Centre attendances 13,676 259.3 199.1 105.9 259.3 - n/a 447 Rate per 1000 HCHS weighted pop for GP Spec ACS admissions 437 8.28 10.05 8.01 12.94 7.30 n/a 448 Emergency admissions for ANGINA 38 0.72 1.00 0.60 1.26 0.83 n/a 449 Emergency admissions for CONGESTIVE HEART FAILURE 46 0.88 1.24 0.85 1.72 0.64 n/a 450 Emergency admissions for STROKE 62 1.17 1.46 0.83 1.78 1.44 n/a 451 Emergency admissions for DIABETIC COMPLICATIONS 15 0.29 0.40 0.11 0.81 0.42 n/a 452 Emergency admissions for ASTHMA 58 1.10 1.18 0.72 1.85 1.19 n/a 453 Emergency admissions for COPD 129 2.45 2.94 1.74 4.59 2.59 n/a 454 Emergency admissions for CELLULITIS 49 0.93 1.00 0.60 1.51 0.85 n/a 455 Emergency admissions for FLU & PNEUMO 116 2.20 2.69 2.10 3.38 2.69 n/a 456 Emergency admissions for CANCER 190 3.60 5.00 3.19 7.11 3.58 n/a 457 Emergency admissions for MENTAL HEALTH 178 3.37 2.55 1.76 3.37 1.81 n/a 458 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 128 297.1 289.5 118.3 587.1 296.0 110.2 459 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 978 2,819.5 2,747.0 1,889.9 4,430.6 2,695.5 2,185.0 460 Reduction in Emergency admissions END OF LIFE 95 19.42 21.69 14.62 28.94 28.66 n/a 461 Reduction in Emergency admissions from CARE HOMES 118 24.18 29.57 - 72.84 40.78 n/a 462 Injuries due to FALLS 65+ 143 29.22 31.42 24.06 38.38 27.47 n/a 463 Emergency admissions for DEMENTIA aged over 65 15 3.11 2.11 1.10 3.11 0.19 n/a 464 Emergency admissions for HIP FRACTURES aged over 65 48 9.79 8.44 4.31 11.13 8.90 n/a 465 Emergency admissions for PYLO NEFRITIS 16 0.31 0.53 0.31 0.81 0.30 n/a 466 Emergency admissons for GASTRO/DEHYDRATION 9 0.16 0.18 0.10 0.31 1.75 n/a 467 Emergency re-admissions within 30 days to hospital (%) 866 12.5% 12.8% 11.5% 14.4% 11.2% 12.8% 468 Emergency admissions for VIOLENCE 181 3.44 2.87 1.45 5.68 1.85 n/a 469 Emergency admissions for SELF HARM 110 2.09 2.23 1.17 3.70 1.47 n/a 470 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1000 HCHS population) -- 471 GP ref, 1st outpatient attendances 3,182 60.3 65.1 44.5 123.1 60.3 n/a 472 GP ref, 1st outpatient attendances CARDIOLOGY 492 9.3 9.9 7.9 12.4 - n/a 473 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 314 0.6% 0.7% 0.5% 0.9% - n/a 474 GP ref, 1st outpatient attendances DERMATOLOGY 447 8.5 11.1 8.0 14.6 8.1 n/a 475 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 224 0.4% 0.6% 0.4% 0.9% - n/a 476 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 122 0.2% 0.3% 0.2% 0.4% - n/a 477 GP ref, 1st outpatient attendances ENT 565 10.7 9.9 7.9 11.6 18.1 n/a 478 GP ref, 1st outpatient attendances ENT - % referred on 2WW 62 0.12% 0.15% 0.10% 0.20% - n/a 479 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 188 0.4% 0.3% 0.2% 0.4% - n/a 480 GP ref, 1st outpatient attendances GASTRO 509 9.6 11.0 9.6 13.3 - n/a 481 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 44 0.1% 0.3% 0.1% 0.6% 0.5% n/a 482 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 255 0.5% 0.5% 0.4% 0.8% 0.2% n/a 483 GP ref, 1st outpatient attendances GYNAECOLOGY 485 9.2 9.1 7.8 10.1 11.2 n/a 484 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 103 0.19% 0.18% 0.09% 0.27% - n/a 485 GP ref, 1st outpatient attendances RESPIRATORY 111 2.1 2.4 1.4 4.3 - n/a 486 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 27 0.1% 0.1% 0.0% 0.1% - n/a 487 GP ref, 1st outpatient attendances RHEUMATOLOGY 118 2.2 2.3 1.7 3.0 2.8 n/a 488 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 39 0.1% 0.1% 0.1% 0.1% - n/a 489 GP ref, 1st outpatient attendances UROLOGY 352 6.7 7.3 0.0 0.0 7.6 n/a 490 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 126 0.2% 0.3% 0.2% 0.4% - n/a 491 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 84 0.2% 0.2% 0.1% 0.3% - n/a 492 GP ref, 1st outpatient attendances VASCULAR 103 1.9 2.0 1.1 2.8 2.1 n/a 493 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 59 0.1% 0.1% 0.1% 0.2% - n/a 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 High

25th percentile 75th percentile Picton Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 494 COMMUNITY SERVICES (rate per 1,000 40+ population) -- 495 Community Matrons Face to Face Contacts 1,035 58.6 65.4 46.3 90.9 115.8 n/a 496 Community Matrons Case Load 7 0.38 1.18 0.17 3.15 1.48 n/a 497 Community RESPIRATORY team Face to Face contacts 377 21.3 24.6 8.2 42.6 22.2 n/a 498 Community RESPIRATORY Team Case Load 6 0.34 0.19 - 0.65 0.51 n/a 499 DIABETES Specialist Nurses Face to Face Contacts 860 48.7 38.2 20.2 60.8 31.1 n/a 500 DIABETES Case Load 125 7.10 5.50 3.36 8.77 4.67 n/a 501 District Nursing Face to Face Contacts 20,327 1,150.5 1,098.6 781.4 1,365.4 1,012.9 n/a 502 District Nursing Case Load 250 14.16 13.17 10.53 17.08 13.49 n/a 503 HEART FAILURE Team Face to Face Contacts 203 11.50 13.25 6.40 32.66 7.46 n/a 504 HEART FAILURE Team Case Load 6 0.34 0.40 - 1.19 0.57 n/a 505 IV Therapy Face to Face Contacts 240 13.56 16.65 8.33 31.25 19.19 n/a 506 IV Therapy Case Load <5 0.16 0.28 0.06 0.48 0.11 n/a 507 Therapy Face to Face Contacts 6,414 363.0 405.9 363.0 462.5 321.6 n/a 508 Therapy Case Load 1,189 67.3 72.7 63.7 92.1 75.2 n/a 509 Treatment Rooms Face to Face Contacts 4,816 272.6 252.2 212.5 317.6 246.1 n/a 510 Treatment Rooms Case Load 92 5.2 6.6 1.2 14.5 3.9 n/a 511 Intermediate Care Bed Based Admissions <5 - 0.15 - 0.58 - n/a 512 Telehealth referrals rate per 1000 adult registered pop 519 29.37 28.04 0.62 80.50 29.55 n/a 513 Referrals to Community MENTAL HEALTH rate per 1000 2,009 38.1 33.9 20.5 46.8 11.1 n/a 514 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) -- 515 Social Services Users TOTAL per 1000 40+ resident population 660 47.8 56.1 39.2 87.8 52.4 n/a 516 Social Services Users OLDER PERSONS per 1000 65+ resident population 451 104.2 125.0 91.8 198.3 105.6 n/a 517 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 151 15.3% 27.6% 15.3% 50.5% 14.8% n/a 518 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 82 40.4% 55.5% 40.4% 83.1% 38.4% n/a 519 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 41 9.5 8.3 3.4 17.5 9.8 n/a 520 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 40+ resident population 381 27.6 36.5 27.4 53.1 30.9 n/a 521 Social Services Users DOMICILIARY CARE per 1000 40+ resident population 145 10.5 14.5 9.3 18.4 14.8 n/a 522 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 40+ resident population 51 3.7 4.4 2.9 6.6 9.1 n/a 523 Social Services Users OTHER COMMUNITY per 1000 40+ resident population 175 12.7 13.4 8.2 22.0 12.9 n/a 524 RESIDENTIAL & NURSING placements TOTAL per 1000 40+ resident population 151 10.9 11.3 4.5 31.7 14.5 n/a 525 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 47 1,080.1 812.4 203.9 1,854.3 843.9 n/a 526 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 19 0.9 0.8 0.6 0.9 0.9 n/a 527 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 26 0.0 0.0 0.0 0.1 0.0 n/a 528 CHILDREN'S SERVICE UTILISATION - - 529 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1000 aged 0-18 years <5 0.41 0.57 0.08 1.33 - n/a 530 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 38 4.12 4.44 3.25 5.72 1.22 n/a 531 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 114 805.6 716.9 531.3 1,002.9 1,567.2 n/a 532 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 7 27.7 40.4 17.4 64.0 32.5 39.6 533 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 27 159.4 102.3 30.8 182.8 142.4 89.8 534 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 36 443.1 446.6 157.9 933.6 321.2 n/a 535 Child AED attendance rate per 1,000 population aged 0-4 years 1,767 633.5 729.2 631.2 864.0 651.6 n/a 536 Child AED attendances - LRTI 534 55.2 59.3 48.5 209.0 56.4 n/a