CARDIOVASCULAR DISEASE PREVENTION INFOGRAPHIC NOTTINGHAM NORTH AND EAST CCG CVD PREMATURE ATRIAL BLOOD CHRONIC HEART MORTALITY FIBRILLATION PRESSURE KIDNEY DISEASE FAILURE DIABETES
CVD PREMATURE MORTALITY STROKE ADMISSIONS WITH NUMBER OF PEOPLE WITH NUMBER OF PEOPLE WITH HEART FAILURE PATIENTS S PREVALE E NC ET E UNDIAGNOSED HYPERTENSION B I KNOWN AF 2014-15 UNDIAGNOSED CKD WITH LVSD A N I L D A N S I March T E 5 S
2014 Y 227 A E
E A
March R
R C
11.1% S
17,732 0 2015 N I
219
CCG Range
25 HEART FAILURE ADMISSIONS 9.2% to 26.0%
(12.3%) 55% 109% 20 Admissions 2013-14 2014-15 10 -15 observed to expected observed to expected -11 to 2014 HYPERTENSION PREVALENCE CKD PREVALENCE Primary Diagnosis# 172 191
Actual = 14.8% Actual = 7.1% Secondary Diagnosis 691 865 Practice Participation in NUMBER OF Estimated = 91% National Diabetes Audit 26.7% Estimated = 6.9% Admission Costs 2013-14 2014-15 2014-15
UNDIAGNOSED Primary Diagnosis# £615,000 £603,000 AF PATIENTS... 3,950 2,198 CARE CVD PREMATURE Secondary Diagnosis £2,019,000 £2,677,000 Hypertensive patients with BP CKD patients with BP PROCESSES MORTALITY RATE 2009-2014 Admission Rate per 2014-15 2014-15 E.Mids Av NOT TO QOF target 150/90 NOT TO QOF target 140/85 1000 HF Patients (18.0%) Primary Diagnosis# 199 179 TYPE 1 - 29.3% (26.0%) England = 39.6% 2009 % observed to expected *includes exception reported *includes exception reported E.Mids CCG Range = 29.3 - 54.0% 80.3 Secondary Diagnosis 902 749 Lowest 8 Care Process AF prevalence 49.9% Urine Albumin 2010 90.8 FAMILIAL TYPE 2 - 65.3% 2011 79.7 81 Heart Failure England = 59.0% HYPERCHOLESTEROLEMIA (FH) E.Mids CCG Range = 51.2 - 73.8% LVSD patients NOT on Lowest 8 Care Process 2012 69.3 dual therapy 78.1% Urine Albumin Estimated people with FH 2013 74.2 HEART ATTACKS IN PEOPLE ACE inhibitor/ARB and UNDER 50 - 2012-13 to 2014/15 a betablocker (37.0%) % OF DIABETIC PATIENTS 2014 67.2 494 298 - 596 High risk AF patients Rate = 1 per 500 Rate = 1 per 250 MEETING 3 TARGETS 2014-15 NOT on anticoagulation DIABETIC NUMBER OF PREMATURE 62 Estimated 15% diagnosed with FH DEATHS DUE TO CVD IN 2014 (35.2%) FOOT AMPUTATIONS TYPE 1 - 17.9% England = 19.3% *includes exception reported 45 89 E.Mids CCG Range = 14.6 - 28.5% Rate = 1 per 500 - Rate = 1 per 250 APRIL 2010 - MARCH 2013 Rate per 1000 diabetic CCG EXCEPTION REPORTING FOR Number patients ANTICOAGULATION Total 55 2.62 BLOOD 92 PRESSURE LEADING CAUSES OF YEARS SMOKING DATA BY LOCAL AUTHORITY Major 19 0.90 OF LIFE LOST IN ENGLAND Smoking prevalence in adults in Successful quitters at 4 HbA1C 22.2% Smoking Prevalence in adults - routine and manual occupations - weeks per 100,000 smokers GLOBAL BURDEN OF DISEASE STUDY 2013 Minor 36 1.71 PRACTICE RANGE OF Local Authority current smokers (2014) current smokers (2014) (2014-15) EXCEPTION REPORTING Derby 18.7 33.1 1,351 Derbyshire 19.9 31.5 1,559 APRIL 2011 - MARCH 2014 Rate per Leicester 20.7 28.9 3,214 1000 diabetic Number patients CHOLESTEROL Leicestershire 17.0 28.9 3,052 Rutland 14.1 29.6 2,456 Total 66 3.03 0% - Lincolnshire 17.5 25.6 3,567 Northamptonshire 19.3 32.0 2,396 Major 22 1.01 TYPE 2 - 39.3% England = 41.3% Nottingham 24.2 28.1 2,804 Minor 44 2.02 E.Mids CCG Range = 35.6 - 44.6% 54.7% Nottinghamshire 17.5 27.8 3,256 East Midlands 18.8 29.2 2,727 East Midlands Rate in 2011 - 2014 Produced by: Better Similar Worse Compared to England average Total - 2.37 Major - 0.82 Minor - 1.55