Neighbourhood Profiles , , Garston, and Allerton Summer 2018

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READER INFORMATION

Title Neighbourhood Profiles

Team CCG Business Intelligence Team; Public Health Epidemiology Team Author(s) Sophie Kelly, Andrea Hutchinson 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 12 General Practice Neighbourhoods in Liverpool. The information benchmarks each neighbourhood against its peers so they can understand the relative need, management and service utilisation of people in their area. The pack contains information on wider determinants of 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 of Focus ...... 4 2. Introduction ...... 6 2.1 GP Practice ...... 6 2.2 Registered Population ...... 6 2.3 Registered Patient Ward Alignment ...... 6 2.4 Service Provision ...... 7 2.5 Service Assets for Health and Wellbeing ...... 8 3. Neighbourhood Map ...... 11 4. Population Map ...... 12 5. Co –Morbidities for People with Long Term Conditions ...... 14 6. Population Structure, Demographics, Risk Factors &Determinants of Health ...... 15 7. Neighbourhood Profile...... 15

See separate Metadata document for indicator definitions, sources and timeframes

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1. Potential areas of Focus

Health • Older People This neighbourhood has the highest proportion of older people aged 65+ in the city (20.2% compared to 14.4%) and the proportion of one person households is the highest (13.9% compared to 11.9%). The End of Life/Palliative Care prevalence is significantly lower compared the Liverpool average (485 compared to 655) and is ranked 3rd lowest. Mortality rates across all disease areas are significantly lower than the city averages, All-Cause Mortality is ranked 3rd lowest in the city and the lowest in the city for Digestive Diseases in Cancer. Hearing impairment prevalence is the highest in the city (8,000.4 compared to 6,797.5 per 100,000 population). Patients aged over 40 years with a risk score above 40% is significantly lower than the city average and ranked 4th lowest in the city. Dementia prevalence is significantly lower to the Liverpool average 769.7 per 100,000 population compared to 898.1 however the observed to expected ratio is significantly lower suggesting there are patients living in WAGGA neighbourhood undiagnosed. Emergency admissions for Care Home patients remains significantly lower than the city average and ranked 3rd lowest in the city.

• Risk of Hospital Admission Risk stratification allows GP practices to identify patients at risk of a hospital admission based on risk score. 0.9% of the WAGGA neighbourhood population fall into risk score bracket between 50% and 90% (significantly below the Liverpool average with 1.3%). Proactive case management using an MDT approach via the community care teams will help to prevent unnecessary visits to hospital.

• Hypertension Management 90% of risk factors for hypertension are modifiable. High blood pressure accounts for 80% of all cases of CHD and contributes to 9% of the burden of disease in the UK, second only to tobacco. Overall recorded hypertension prevalence in this neighbourhood is significantly lower than the city average (16,107 compared to 16,840) and ranked 3rd lowest in the city.

• Diabetes Diabetes prevalence is the lowest in the city (4,848 compared to 6,066) and disease management in patients is significantly higher for example 67.9% of patients have maintained their HbA1C level to 7.5 or less compared to 65.0% for Liverpool. Only 68.4% of patients have had all of their 8 care processes in the previous 12 months compared to 66.2% and emergency admissions for diabetic complications is significantly lower than the city average with 0.24 per 1,000 population compared to 0.40.

• Children 19.4% of the population in WAGGA neighbourhood are children aged 0-18 years, which is comparable to the city average. Uptake of all vaccinations including flu and MMR are significantly higher or the highest (MMR at 5 Years) compared to the city average. Breast feeding initiation rates at birth and 6 weeks are significantly higher than the city average (57.6% and 49.8% respectively) and ranked 3rd highest in the city. Child Excess Weight percentage at both Reception and Year 6 are the lowest in the city (23.4% and 33.0% respectively). Asthma prevalence in amongst young people aged 18-25 years is significantly higher than the Liverpool average (5.2% compared to 4.0%) and is ranked 4th highest out of all neighbourhoods. The percentage of Troubled Families is the lowest in the city and Educational Attainment rates for both Key Stage 2 and Key Stage 4 achieving the expected standard are the highest in the city (64.6% and 67.6% respectively). The percentage of children aged 16 to 18 not in education, employment or training is the lowest in the city. The Child AED attendance rate for children aged 0 to 4 years old is significantly lower than the city average (636.2 compared to 729.2 per 1,000 population) and is ranked 4th lowest in the city.

• Cancer Early detection of cancers is essential to ensure prompt appropriate treatment thus reducing premature deaths. This neighbourhood has the highest cancer prevalence when compared to all neighbourhoods with a rate a rate of 4,329 per 100,000 population compared to 3,813 for Liverpool. However, uptake rates for all three

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cancer screening programmes are either significantly higher or the highest compared to the Liverpool average and cancer mortality in the neighbourhood is the 2nd lowest in the city (255.1 compared to 320.5), suggesting early detection of cancer and successful treatment.

• Respiratory Management Recorded COPD prevalence is significantly lower than the city average (2,482 compared to 3,853) yet, the ratio of observed to expected prevalence suggests there may be undiagnosed cases in the neighbourhood. The overall asthma prevalence is ranked 2nd lowest with a rate of 6,221 per 100,000 population compared to 6,466 and GP recording of day and night symptoms is the 5th lowest in the city. Community Respiratory Team Face to Face Contacts is ranked 2nd lowest in the city.

• CVD Primary prevention of CVD requires that patients at risk are identified before disease has become established. Risk assessments in those likely to be at high risk of CVD, such as people with hypertension and other modifiable risk factors, should be performed periodically. 74.5% of patients aged between 40-74 years have had a health check completed and blood pressure management is also significantly above city average with 82.5% of patients managing the BP below 150/90. Deaths from CVD is the 3rd lowest in the City with a rate of 200.1 per 100,000 population compared to 247.1. Prevalence of CHD is significantly lower than Liverpool with 3,698 per 100,000 population and ranked 2nd lowest when compared to all neighbourhoods. Heart failure prevalence is ranked 2nd lowest when compared to the Liverpool average (958 compared to 1,156).

• Mental Health The prevalence of people with Serious Mental Illness is the lowest in the city (1,044 compared to 1,425). The proportion of patients who have received a health check is comparable with 65.6% of the neighbourhood compared to 62.5% city wide. However, those who have a comprehensive care plan documented is comparable to the city average (84.2% compared to 83.6% average). The prevalence of people with CMHP per 100,000 population is the lowest in the city (11,956 compared to 14,022). Referrals to community mental health team is significantly lower and ranked 2nd lowest when compared to all neighbourhoods with a rate of 23.1 per 1,000 population

• Urgent Care The 111 call rate per 1,000 population is significantly lower in the WAGGA Neighbourhood with 90.1 per 1,000 population compared to 105.4. Walk in Centre attendances are amongst the highest in the city (256.5 compared to 199.1). The rate of A&E attendances per 1,000 weighted population is the lowest in the city (5.21 compared to 8.60). Emergency admissions for Asthma and COPD are the lowest in the city, and all other emergency admissions are significantly lower or comparable to the city average. Readmissions within 30 days of discharge have increased since last year with 13.0% compared to 12.8% and is ranked 5th highest when compared to all neighbourhoods.

• GP Referrals Most referral rates are either comparable or significantly higher than the city average, with ENT being the highest in the city apart from Gastroenterology, Respiratory and Rheumatology which are below.

Social Care • Social Services Total activity is lower for WAGGA neighbourhood with a rate of 52.7 per 1,000 population compared to 56.1 for the city, this is also a significant increase on usage compared to last year. All other departments are comparable than the city wide average except for residential and nursing home placements 8.7 per 1,000 which is significantly lower. Usage of mental health and learning disability services is significantly higher 34.2% and 63.5 % respectively.

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2. Introduction

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

Practice Code CCG Lead Address Postcode N82009 Baxter M 23 Darby Road, L19 9BP South Liverpool NHS Treatment Centre, N82034 Brookes MR L19 2LW Road, Garston N82035 Smith M 584 Mather Avenue, Allerton L19 4UG N82039 Velayudham M 1 Storrsdale Road, Allerton L18 7JY N82062 Hampson J Jericho Lane, Aigburth L17 5AR N82066 Watt A 4/6 Woolton Street, Woolton L25 5JA N82073 Disley R 1 Ashfield Road, Aigburth L17 0BY N82084 Gupta U 1 Gateacre Brow, Gateacre L25 3PA N82106 Brown R 20 Street, Woolton L25 6HE N82116 Gupta D 70 Hillfoot Road, Liverpool, Hunts Cross L25 0ND

2.2 Registered Population The registered population is 65,745.

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

Garston, Allerton, Aigburth, Wards % Gateacre, Woolton (WAGGA) Dominant Ward 19.4% Second Ward Allerton and Hunts Cross 18.5% Third Ward 13.2% Fourth Ward Woolton 12.9% Fifth Ward -Garston 8.0% Sixth Ward Church 7.0% Seventh Ward North 5.9% Eighth Ward St Michael's 5.9% Ninth Ward Halewood South 2.8% Tenth Ward 2.7% Other Wards 3.7%

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2.4 Service Provision

Service provided by General Practice

Hampson J Hampson Gupta U Gupta M Baxter D Gupta Smith M Disley R Brown Watt A

Practice Code & CCG Lead N82062 N82084 N82009 N82116 N82035 N82039 Velayudham M N82073 N82106 N82034 Brookes MR N82066 QOF 1 1 1 1 1 1 1 1 1 1 DES signup returned 1 1 1 1 1 1 1 1 1 1 LES signup returned 1 1 1 1 1 1 1 1 1 1 Finishing end of Finished December w/c Extended Hours Access 1 1 2017 04/12/17 1 1 Learning Disabilities 1 1 1 1 1 1 1 1 1 Out of Area Registration 1 Zero Tolerance Scheme Minor surgery own patients excisions and incisions 1 1 1 1 1 1 1 1 Minor surgery own patients injections 1 1 1 1 1 1 1 1 1 1 Learning Disabilities Health Check Scheme 1 1 1 1 1 1 1 1 1

GMS/PMS Core Contract Data Collection 1 1 1 1 1 1 1 1 Alcohol Risk Reduction 1 1 1 1 1 1 1 1 Liverpool Quality Improvement Scheme 1 1 1 1 1 1 1 1 1 1 Minor surgery FOR OTHER PRACTICES excisions and incisions 1 1 1 1 Minor surgery FOR OTHER PRACTICES injections 1 1 1 Drug Misusers 1 1 1 Near Patient 1 1 1 1 1 1 1 1 1 1 Sexual Health 1 1 1 1 1 1 1 Homeless 0 Asylum Seekers 0 Travellers 0 ABPI 1 1 1 1 1 1 1 ABPI - For other practices 1 1 0 H Pylori 1 1 1 1 1 1 1 1 1 H Pylori for other practices 1 1 0 Health checks 1 1 1 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: Supplementary Category Asset Name Address Postcode Information Care Homes Beechside Residential Care Home L18 3ER Beechwood Specialist Services L19 0LD Broughton House Residential Home L17 0BY Cressington Court Care Home L19 0QL Fernlea Care Home L18 8BP Geel and Hitchen Court L17 0AN Glendyke Road L18 9TH Grassendale L19 0LY Kingswood Manor L25 7UW Kingswood Mount L25 7UW Priory Close L17 7EG Ranelagh House L19 9DN Redcourt Care Home L18 8BZ Redholme Memory Care Limited L18 8BX St Josephs L17 0AN

Supplementary Category Asset Name Address Postcode Information Stapely Residential and Nursing Home L18 8BR The Orchard - Care Home Physical Disabilities L25 7UL Woolton Grange Care Home L25 7TE Woolton Manor Care Home L25 7TB Children's Centre Hunts Cross Children’s Centre Kingsthorne Road L25 0PJ GP N'hood Centre South Liverpool TC Church Road L19 2LW GP Practice N82004 Garston Family Health Centre L19 2LW N82009 Grassendale Medical Practice L19 9BP N82034 The Village Surgery Long Lane L19 2LW N82035 The Surgery Mather Avenue L19 4UG N82039 Storrsdale Medical Centre L18 7JY N82062 Fulwood Green Medical Centre L17 5AR N82066 Woolton House Medical Centre L25 5JA N82073 The Ash Surgery L17 0BY N82084 The Surgery Gateacre Brow L25 3PA N82106 The Village Medical Centre L25 6HE N82116 Hunts Cross Health Centre L25 0ND GP Practice (Branch) Gateacre Brow (Branch) L25 3PA SHAC (Student Health Advice Centre) L18 8DG Leisure Centre Garston Long Lane L19 6PE Library Garston Library Bowden Road L19 1QN One Stop Shop Garston One Stop Shop Garston Library L19 1QN Pharmacy Aigburth Pharmacy 272 Aigburth Road L17 9PJ Asda Pharmacy Unit 20 L24 9GB Boots Pharmacy Unit 9 L24 8QB Dempsey Pharmacy St Andrews Business Centre L19 2NL Grange Lane Pharmacy 183 Grange Lane L25 5JY Greencross Pharmacy 79 Garston Old Road L19 9AD Instore Tesco Superstore Pharmacy Allerton Road L25 7SF Mather Avenue L18 6HF Lloyds Pharmacy 17 Woolton Street L25 5NH 30 Church Road L19 2LW 4 Woodend Avenue L25 0PA Rowlands Pharmacy 554 Aigburth Road L19 3QG Somerfield Store L19 2NJ Sainsburys Pharmacy 7 Woolton Street L25 5NH Stephens Pharmacy 516 Mather Avenue L19 4UG Woolton Late Night Chemist 267 Hunts Cross Avenue L25 9ND Your Local Boots Pharmacy 139 Aigburth Road L17 0BJ 43 Booker Avenue L18 4QZ Schools & Colleges Abbots Lea All Special Beechenhurst Preparatory Bishop Martin Prim Primary Voluntary Booker Avenue Inf Primary Community Booker Avenue Jm Primary Community Calderstones Secondary Community Carleton House Enterprise South Liverpool Academy Secondary Voluntary Eys (Unit 2, L24 9Hx) Garston C.E. Prim Primary Voluntary Gilmour Inf Primary Community Gilmour Jm Primary Community Nursery & Infants Greenways Special Halewood CE Prim (Knowsley) Halewood Cfl Halewood College Nursery & Primary Harold Magnay Special Holy Family Rcp (Knowsley) Holy Trinity Prim Primary Voluntary Hunts Cross Prim Primary Community Lower Lee All Special Mersey View Secondary Special School (Bank View S) Special Much Woolton Prim Primary Voluntary

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Supplementary Category Asset Name Address Postcode Information New Heys Secondary Community New Heys Resource Provision Secondary Community Oaktree Education Trust Palmerston Secondary Special Shorefields Secondary Community Secondary Education South Liverpool Pru Otherwise Springwood Prim Primary Community St Andrew The Apostle Cath Prim (Knowsley) St Anthony Of Padua Prim Primary Voluntary St Austins Prim Primary Voluntary St Charles Prim Primary Voluntary St Francis Of Assisi Prim Primary Voluntary St Francis Xavier College Secondary Foundation St Julie's Secondary Voluntary St Margarets C/E High School Secondary Voluntary St Michael In The Hamlet Prim Primary Community Sudley Inf Primary Community Sudley Jm Primary Community Watergate All Special Woolton Prim Primary Community

Stop Smoking Service Community Garston L19 1QN Community Gateacre Brow 1-2-1 L25 3PA Community Hunts Cross 1-2-1 L25 0ND Community Woolton Medical Centre L25 5JA Pharmacy Rowlands Garston L19 2NJ Walk In Centre South Liverpool NHS Treatment Centre 32 Church Rd, Garston, Liverpool L19 2LW

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3. Neighbourhood Map

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4. Population Map Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Neighbourhood - CCG Registered Population Pyramid [Source: Risk Stratification Dataset Effective Date: April 2018]

Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Neighbourhood - CCG Number Garston, Allerton, Aigburth, As % of Total Garston, Allerton, As % of Liverpool within Ageband Neighbourhood - CCG Registered Population Pyramid Age Band Gateacre, Woolton (WAGGA) Aigburth, Gateacre, Woolton % Total Population Male Female Person Male Female Person Male Female Person Under 1 yrs 388 394 782 0.6% 0.6% 1.3% 6.3% 6.4% 12.6% -6.0% -4.0% -2.0% 0.0% 2.0% 4.0% 6.0% 1-4 yrs 1,574 1,392 2,966 2.6% 2.3% 4.8% 6.7% 5.9% 12.6% 90+ yrs 5-9 yrs 1,761 1,622 3,383 2.9% 2.6% 5.5% 6.2% 5.7% 11.8% 85-89 yrs 10-14 yrs 1,528 1,472 3,000 2.5% 2.4% 4.9% 6.0% 5.8% 11.7% 80-84 yrs 15-19 yrs 1,537 1,354 2,891 2.5% 2.2% 4.7% 5.1% 4.5% 9.6% 75-79 yrs 70-74 yrs 20-24 yrs 1,666 1,417 3,083 2.7% 2.3% 5.0% 3.3% 2.8% 6.0% 65-69 yrs 25-29 yrs 1,964 1,880 3,844 3.2% 3.1% 6.2% 4.4% 4.2% 8.6% 60-64 yrs 30-34 yrs 2,116 2,230 4,346 3.4% 3.6% 7.1% 5.1% 5.4% 10.5% 55-59 yrs 35-39 yrs 2,102 2,000 4,102 3.4% 3.2% 6.7% 5.8% 5.6% 11.4% 50-54 yrs 40-44 yrs 1,771 1,745 3,516 2.9% 2.8% 5.7% 6.0% 5.9% 12.0% 45-49 yrs Age Band 45-49 yrs 2,138 2,045 4,183 3.5% 3.3% 6.8% 6.6% 6.3% 12.9% 40-44 yrs 50-54 yrs 2,198 2,370 4,568 3.6% 3.8% 7.4% 6.6% 7.1% 13.7% 35-39 yrs 30-34 yrs 55-59 yrs 2,326 2,445 4,771 3.8% 4.0% 7.7% 7.3% 7.6% 14.9% 25-29 yrs 60-64 yrs 2,052 2,035 4,087 3.3% 3.3% 6.6% 7.7% 7.7% 15.4% 20-24 yrs 65-69 yrs 1,746 1,809 3,555 2.8% 2.9% 5.8% 8.0% 8.3% 16.3% 15-19 yrs 70-74 yrs 1,364 1,548 2,912 2.2% 2.5% 4.7% 7.7% 8.7% 16.4% 10-14 yrs 75-79 yrs 920 1,166 2,086 1.5% 1.9% 3.4% 7.2% 9.2% 16.4% 5-9 yrs 80-84 yrs 737 1,052 1,789 1.2% 1.7% 2.9% 7.4% 10.6% 18.0% 1-4 yrs 85-89 yrs 433 726 1,159 0.7% 1.2% 1.9% 7.6% 12.7% 20.2% Under 1 yrs 90+ yrs 167 419 586 0.3% 0.7% 1.0% 6.1% 15.4% 21.5% - - - - Liverpool CCG Registered Males All Ages 30,488 31,121 61,609 49.5% 50.5% 100.0% 6.0% 6.1% 12.0%

Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Males

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

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

Garston, Allerton, Aigburth, Gateacre, Woolton Garston, Allerton, Aigburth, Gateacre, Woolton Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Neighbourhood CVD Population (WAGGA) Neighbourhood COPD Population (WAGGA) 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% -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 - - - - Liverpool COPD Males - - - - Liverpool Cancer Males CVD Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Males COPD Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Males - - - - Liverpool COPD Females Cancer Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Males - - - - Liverpool CVD Females COPD Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Females - - - - Liverpool Cancer Females

Number diagnosed = 12086 Prevalence = 19.6% Number diagnosed = 1573 Prevalence = 2.6% Number diagnosed = 2735 Prevalence = 4.4% Includes patients with a diagnosis of Atrial Fibrilation, CHD, Heart Failure, Hypertension, PAD or Stroke

WAGGA Neighbourhood Diabetes Population WAGGA Neighbourhood Serious Mental Illness Population WAGGA Neighbourhood Dementia Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018]

Garston, Allerton, Aigburth, Gateacre, Woolton Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Neighbourhood Diabetes Population Neighbourhood Serious Mental Illness Population (WAGGA) 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 - - - - Liverpool Diabetes Males - - - - Liverpool Serious Mental Illness Males - - - - Liverpool Dementia Males Diabetes Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Males Serious Mental Illness Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Males Dementia Gars ton, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Males - - - - Liverpool Diabetes Females - - - - Liverpool Serious Mental Illness Females - - - - Liverpool Dementia Females Diabetes Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Females Serious Mental Illness Garston, Allerton, Aigburth, Gateacre, Woolton ( WAGGA) Females Dementia Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Females Number diagnosed = 3077 Prevalence = 5% Number diagnosed = 651 Prevalence = 1.1% Number diagnosed = 502 Prevalence = 0.8% Includes patients with a diagnosis of Schizophrenia, Bipolar or Other Pyschosis 13 | Page

5. Co –Morbidities 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 &Determinants of Health

• 61,609 people are registered with WAGGA neighbourhood (12.0% of the CCG). • The birth rate is significantly higher than the city average, with 674 births in 2015. • The population is older than the city average with the highest proportion of people aged 65+ in the city (20.2% compared to 14.4%). In total there are 13,255 people aged 65+ in this neighbourhood, of these 6,161 are 75+ years and 1,893 are 85+ years old. • It is estimated that 8.8% of the population are Non White British/Irish, compared to the Liverpool average of 15.7%. 3.2% of the population’s main language is not English. • The WAGGA neighbourhood is the second most affluent and second least deprived neighbourhood in the city. It is estimated that: o The average household income is around £37,949 which is significantly higher than the Liverpool average (£27,565), and ranked the second average income out of all the neighbourhoods. o Unemployment is significantly lower than the city rate (4.9% compared to 6.6%) and is no change when compared to the previous year’s performance, the percentage of economically active is the highest in the city (68.8% compared to 62.1%). o The percentage of people long-term sick or disabled is significantly lower than city rate (5.6% of the population compared to 7.9%) and a slight increase when compared to last year’s performance. o The percentage of the population that are economically inactive is 31.2%, which is the lowest in the city. o A significantly lower proportion of housing tenure is social or privately rented; 32.6% compared to 52.5% across the city. o People aged 65 and over living alone account for 13.9% of households, which is the highest in the city rate of 11.9%. o The percentage of households who have no access to car/van is the lowest in the city being 29.1% compared to 47.0%.

7. Neighbourhood 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 Low High 25th percentile 75th percentile Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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 - 23.2 41.1 22.1 59.6 23.3 21.8 4 Not White British or Irish ethnic group (%) 5,806 8.84% 15.7% 4.6% 38.9% 8.82% 19.2% 5 White Other ethnic group (%) 1,462 2.22% 2.8% 0.9% 5.3% 2.22% 4.6% 6 Mixed/Multiple ethnic group (%) 1,402 2.13% 2.7% 0.9% 6.7% 2.13% 2.3% 7 Asian/Asian British ethnic group (%) 1,851 2.82% 5.0% 1.4% 14.4% 2.81% 7.8% 8 Black/African/Caribbean/Black British ethnic group (%) 656 1.00% 3.1% 0.6% 10.2% 1.00% 3.5% 9 Other ethnic group (including Arab) (%) 434 0.66% 2.1% 0.3% 8.3% 0.66% 1.0% 10 Main language not English (%) 2,080 3.17% 7.5% 2.1% 18.4% 3.16% 8.0% 11 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 674 63.1 55.0 24.8 81.2 62.7 62.5 12 Children aged 0-4 years (%) 3,691 5.6% 5.5% 2.0% 6.8% 5.6% 5.6% 13 Population 65+ (%) 13,255 20.2% 14.4% 3.8% 20.2% 20.0% 17.9% 14 Population 75+ (%) 6,161 9.4% 6.3% 1.3% 9.4% 9.4% 8.1% 15 Population 85+ (%) 1,893 2.9% 1.7% 0.3% 2.9% 2.9% 2.4% 16 Population 95+ (%) 135 0.2% 0.1% 0.0% 0.2% 0.2% 0.2% 17 Population 40+ with 1 or more LTC (%) 9,019 27.2% 27.9% 26.5% 29.3% 26.9% n/a 18 Population 40+ with 2 or more LTC (%) 4,847 14.6% 15.2% 13.3% 16.5% 14.5% n/a 19 Population 40+ with 3 or more LTC (%) 2,446 7.4% 7.9% 6.9% 9.3% 7.4% n/a 20 Percentage of the population 40+ with risk score >=50% 315 0.9% 1.3% 0.7% 1.9% 1.3% n/a 21 Percentage of the population 40+ with risk score >=70% 81 0.2% 0.4% 0.2% 0.7% 0.4% n/a 22 Percentage of the population 40+ with risk score >=50% <=90% 304 0.9% 1.3% 0.7% 1.8% 1.2% n/a 23 WIDER DETERMINANTS - - 24 No car or van in household (%) - 29.1% 47.0% 29.1% 61.5% 29.1% 25.8% 25 Economically active (%) 33,435 68.8% 62.1% 51.4% 68.8% 68.8% 69.9% 26 Economically active: Unemployed (%) 2,371 4.9% 6.6% 4.1% 9.2% 4.9% 4.4% 27 Economically active: Long-term unemployed (%) 920 1.9% 2.7% 1.6% 3.9% 1.9% 1.7% 28 Economically inactive (%) 15,167 31.2% 37.9% 31.2% 48.6% 31.2% 30.1% 29 Economically inactive: Long-term sick or disabled (%) 2,744 5.6% 7.9% 4.6% 11.7% 5.7% 4.0% 30 Housing Tenure: Social or Private Rented (%) - 32.6% 52.5% 32.1% 77.0% 32.6% 36.7% 31 One person household: Aged 65 and over (%) - 13.9% 11.9% 7.8% 13.9% 13.9% 12.4% 32 Mean Household Income £ - £37,949 £27,565 £21,310 £38,138 £36,510 £39,472 33 Domestic violence rate per 1,000 364 6.4 12.0 6.4 18.9 5.3 - 34 Violent crime rate per 1,000 320 5.6 12.2 5.6 21.6 5.3 - 35 RISK FACTORS - - 36 CURRENT SMOKERS aged 15+ (QOF) (%) 7,714 13.9% 21.5% 13.5% 29.6% 14.6% 17.6% 37 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,786 88.0% 88.4% 83.7% 98.3% 90.1% 88.8% 38 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 6,073 11.3% 11.9% 5.2% 15.4% 10.8% 9.7% 39 People with BMI >=40 recorded in the last 12m (%) 1,456 2.2% 2.6% 1.2% 3.8% 2.1% - 40 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 786 54.0% 49.6% 38.4% 60.3% 52.2% - 41 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 153 31.1% 22.8% 15.1% 31.1% - n/a 42 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 34,731 64.9% 68.3% 63.0% 77.4% 63.0% - 43 People aged 18+ who have ALCOHOL above indicated levels (%) 4,192 12.1% 9.1% 5.6% 12.1% 7.5% - 44 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 3,564 85.0% 90.4% 85.0% 99.2% 90.4% - 45 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 288 463 797 419 1,522 509 n/a 46 LIFE EXPECTANCY / MORTALITY - - 47 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 81.7 77.0 74.4 83.6 81.6 79.5 48 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 82.6 80.8 78.5 86.4 83.5 83.1 49 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 82.5 78.9 76.8 85.0 82.6 81.3 50 ALL CAUSE Mortality - DSR per 100,000 population 1,882 896.2 1,136.4 729.3 1,428.1 909.4 968.7 51 CVD Mortality - DSR per 100,000 population 422 200.1 247.1 161.4 307.1 198.9 267.3 52 CANCER Mortality - DSR per 100,000 population 534 255.1 320.5 211.1 426.2 256.9 276.8 53 LUNG CANCER - DSR per 100,000 population 125 60.0 93.2 59.5 143.3 62.0 57.7 54 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 135 65.3 89.2 65.3 114.1 62.1 n/a 55 RESPIRATORY Mortality - DSR per 100,000 population 276 132.5 178.0 93.9 240.0 127.5 n/a 56 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 562 301.8 437.8 273.4 559.9 315.1 333.8 57 CVD Mortality Under 75 Years - DSR per 100,000 population 111 59.2 89.4 52.1 127.9 58.8 73.5 58 CANCER Mortality Under 75 Years - DSR per 100,000 population 238 126.7 163.5 106.6 206.4 129.6 136.8 59 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 55 30.2 49.9 24.9 79.6 29.6 33.6 60 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 58 31.4 46.7 31.4 59.8 28.6 n/a 61 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 58 31.3 57.5 25.7 84.9 34.2 33.8 62 DISEASE PREVALENCE / POPULATION GROUPS - - 63 CHD Prevalence DSR per 100,000 population 2,360 3,698.2 4,273.6 3,481.4 4,961.5 3,838.7 n/a 64 CANCER Prevalence DSR per 100,000 population 2,735 4,328.7 3,812.8 3,129.9 4,328.7 3,960.0 n/a 65 COPD Prevalence DSR per 100,000 population 1,573 2,482.8 3,853.2 2,297.3 5,344.8 2,564.8 n/a 66 ASTHMA Prevalence DSR per 100,000 population 3,817 6,220.8 6,465.9 6,095.6 7,369.1 5,979.8 n/a 67 DIABETES Prevalence DSR per 100,000 population 3,077 4,847.9 6,065.8 4,847.9 7,560.9 4,959.3 n/a 68 HYPERTENSION Prevalence DSR per 100,000 population 10,285 16,107.4 16,840.4 15,813.1 18,716.6 16,206.3 n/a 69 CKD Prevalence (Stages 1-5) DSR per 100,000 population 4,201 6,596.4 6,543.1 5,371.5 7,748.4 6,863.2 n/a 70 HEART FAILURE Prevalence DSR per 100,000 population 613 958.1 1,155.5 949.8 1,647.8 967.2 n/a 71 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 1,520 2,390.0 2,388.0 1,930.8 2,795.6 2,339.7 n/a 72 STROKE/TIA Prevalence DSR per 100,000 population 1,314 2,068.0 2,225.5 1,956.8 3,037.2 2,094.3 n/a 73 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 484 764.2 1,034.4 716.2 1,678.4 792.8 n/a 74 DEMENTIA Prevalence DSR per 100,000 population 502 769.7 898.1 613.5 1,363.2 790.7 n/a 75 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 651 1,043.9 1,425.4 1,043.9 2,441.8 1,049.1 n/a 76 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 7,445 11,956.3 14,022.1 11,956.3 21,198.7 11,398.0 n/a 77 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 1,027 1,601.5 1,516.3 1,237.6 1,984.8 1,935.1 n/a 78 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 4,989 8,000.4 6,797.5 5,387.3 8,000.4 7,957.0 n/a 79 LEARNING DISABILITIES Prevalence DSR per 100,000 population 217 360.3 412.8 264.8 577.9 466.4 n/a 80 CARERS Prevalence (GP Recorded) DSR per 100,000 population 1,611 2,513.6 2,788.8 1,949.5 4,193.2 2,445.6 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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) (%) 7,714 13.9% 21.5% 13.5% 29.6% 14.6% 17.6% 84 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,786 88.0% 88.4% 83.7% 98.3% 90.1% 88.8% 85 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 6,073 11.3% 11.9% 5.2% 15.4% 10.8% 9.7% 86 People with BMI >=40 recorded in the last 12m (%) 1,456 2.2% 2.6% 1.2% 3.8% 2.1% - 87 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 786 54.0% 49.6% 38.4% 60.3% 52.2% - 88 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 153 31.1% 22.8% 15.1% 31.1% - n/a 89 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 34,731 64.9% 68.3% 63.0% 77.4% 63.0% - 90 People aged 18+ who have ALCOHOL above indicated levels (%) 4,192 12.1% 9.1% 5.6% 12.1% 7.5% - 91 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 3,564 85.0% 90.4% 85.0% 99.2% 90.4% - 92 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 288 463.3 796.5 418.6 1,522.2 509.0 n/a 93 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 86 131.8 289.5 118.3 587.1 187.1 110.2 94 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,369 2,001.3 2,747.0 1,889.9 4,430.6 1,947.7 2,185.0 95 PREVENTION - - 96 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 29,194 91.6% 91.1% 88.8% 92.9% 92.0% 90.7% 97 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 13,504 74.5% 72.9% 55.7% 98.2% - 74.1% 98 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 6,069 44.9% 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 6,069 33.5% 35.5% 27.3% 46.7% - 36.2% 100 Persons 18+ with a learning disability and HEALTH CHECK completed (%) 180 65.9% 63.6% 38.5% 74.4% 66.2% 0.5 101 Persons 18+ with a learning disability eligible for a HEALTH CHECK and health action plan completed (%) 62 22.7% 34.3% 9.3% 59.7% 19.0% n/a 102 Health Trainer Referral rate per 1,000 persons 18+ 219 4.1 6.1 1.2 14.3 3.2 n/a 103 Referrals to Liverpool Community Alcohol Service (LCAS) Rate per 1,000 18+ 250 4.7 7.0 3.8 13.1 - n/a 104 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,786 88.0% 88.4% 83.7% 98.3% 90.1% 88.8% 105 CANCER SCREENING - - 106 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 4,980 60.7% 51.7% 43.4% 60.7% 58.6% 57.4% 107 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 7,037 62.0% 53.1% 44.9% 62.0% 59.3% 59.1% 108 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 12,622 73.5% 67.6% 59.6% 73.5% 73.3% 72.1% 109 36 month coverage for BREAST screening aged 50-70 6,916 71.2% 64.8% 54.4% 72.7% 72.3% 72.5% 110 CHILD HEALTH - - 111 Low birthweight of all babies <2500g (3 year pooled) (%) 150 7.5% 8.8% 6.9% 10.6% 6.4% 7.4% 112 Breastfeeding Initiation Rates (%) 345 57.6% 44.9% 27.8% 65.4% 55.0% 74.5% 113 Breastfeeding at 6-8 weeks (%) 308 49.8% 35.1% 18.0% 53.5% 44.7% 44.4% 114 Smoking Status at Time of Delivery (SATOD) % 37 5.6% 13.1% 5.0% 20.8% 6.8% 10.7% 115 Child Excess Weight Reception (age 4-5 years) (%) 381 23.4% 26.2% 23.4% 29.2% 22.5% 22.6% 116 Child Excess Weight Year 6 (age 10-11 years) (%) 461 33.0% 38.7% 33.0% 42.6% 34.1% 34.2% 117 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 99 595.1 716.9 531.3 1002.9 1212.1 n/a 118 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 27 285.9 446.6 157.9 933.6 388.0 n/a 119 Child AED attendance rate per 1,000 population aged 0-4 years 2,364 636.2 729.2 631.2 864.0 618.1 n/a 120 VACS AND IMMS - - 121 Children's DtaPipVHib at 1 Yr (%) 737 96.2% 94.2% 90.9% 96.9% 96.0% 93.4% 122 Children's PCV at 2 Yrs (%) 718 94.8% 90.6% 80.9% 95.3% 93.9% 91.5% 123 Children's MMR1 at 2 Yrs (%) 723 95.5% 92.5% 84.1% 96.0% 95.2% 91.6% 124 Children's Hib Men C at 2 Yrs (%) 722 95.4% 92.6% 83.5% 96.4% 94.6% 91.5% 125 Children's Pre School Booster at 5 Yrs (%) 672 92.2% 87.0% 78.1% 92.9% 91.7% n/a 126 Children's MMR2 at 5 Yrs (%) 677 92.9% 86.4% 76.8% 92.9% 91.3% 87.6% 127 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 2,900 95.5% 92.5% 76.8% 92.9% 94.9% n/a 128 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 415 50.2% 37.4% 26.9% 50.7% 50.4% 38.9% 129 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 380 52.7% 39.1% 26.7% 54.3% 51.3% 41.5% 130 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 403 50.9% 44.8% 37.6% 50.9% 51.8% 44.9% 131 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 10,038 75.8% 73.5% 64.9% 75.9% 75.6% 70.5% 132 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 4,311 51.4% 48.9% 44.4% 51.6% 54.2% 48.6% 133 Seasonal Flu Vaccine Uptake - Carers (%) 302 46.2% 46.9% 37.0% 57.5% 51.4% 41.9% 134 SEXUAL HEALTH - - 135 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 674 63.1 55.0 24.8 81.2 62.7 62.5 136 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 12,622 73.5% 67.6% 59.6% 73.5% 73.3% 72.1% 137 GP prescribed user dependent contraception per 1,000 females aged 15-44 1,770 153.5 139.4 84.9 164.0 167.0 n/a 138 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 295 25.6 28.6 12.5 49.7 24.7 n/a 139 GP prescribed condoms rate per 1,000 13 0.20 0.97 - 6.34 0.23 n/a 140 Uptake of HIV testing in specialist sexual health services rate per 1,000 232 3.52 4.26 1.01 12.24 3.69 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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 - 21.3% 34.0% 21.3% 45.9% 21.3% 15.3% 144 Population 65+ (%) 13,255 20.2% 14.4% 3.8% 20.2% 20.0% 17.9% 145 Population 75+ (%) 6,161 9.4% 6.3% 1.3% 9.4% 9.4% 8.1% 146 Population 85+ (%) 1,893 2.9% 1.7% 0.3% 2.9% 2.9% 2.4% 147 Population 95+ (%) 135 0.2% 0.1% 0.0% 0.2% 0.2% 0.2% 148 Population 40+ with 1 or more LTC (%) 9,019 27.2% 27.9% 26.5% 29.3% 26.9% n/a 149 Population 40+ with 2 or more LTC (%) 4,847 14.6% 15.2% 13.3% 16.5% 14.5% n/a 150 Population 40+ with 3 or more LTC (%) 2,446 7.37% 7.85% 6.87% 9.25% 7.4% n/a 151 Percentage of the population 40+ with risk score >=50% 315 0.95% 1.35% 0.72% 1.95% 1.3% n/a 152 Percentage of the population 40+ with risk score >=70% 81 0.24% 0.40% 0.20% 0.73% 0.4% n/a 153 Percentage of the population 40+ with risk score >=50% <=90% 304 0.92% 1.27% 0.69% 1.79% 1.2% n/a 154 People on 5 or more prescriptions (%) 13,242 21.49% 20.64% 7.48% 25.81% 21.8% n/a 155 People on 10 or more prescriptions (%) 3,492 5.67% 6.18% 2.31% 8.65% 5.8% n/a 156 Anitibiotic Prescribing rate per 1000 population 2,319 35.29 43.20 33.06 52.19 - n/a 157 Broad Spectrum anitbiotic prescribing rate per 1000 population 221 3.36 3.55 2.84 4.44 - n/a 158 People on Warfarin who have INR recorded in last 12 months (%) 872 96.5% 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 82 87.2% 84.8% 67.4% 94.7% - 95.8% 161 People aged 50-74 with a fragility fracture and osteoporosis treated with bone-sparing agent 36 78.3% 72.8% 60.0% 82.0% 77.8% 85.8% 162 People aged 75 and over with a record of fragility fracture and an osteoporosis diagnosis 192 69.6% 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. 118 62.4% 58.2% 36.1% 72.0% 64.2% 79.5% 164 DEMENTIA - - 165 DEMENTIA Prevalence DSR per 100,000 population 502 769.7 898.1 613.5 1,363.2 790.7 n/a 166 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 566 58.3% 66.5% 55.4% 104.7% 58.3% 61.1% 167 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 566 65.4% 75.0% 62.2% 117.7% 65.3% 68.6% 168 People with DEMENTIA with no other LTCs (%) 72 14.3% 13.9% 9.0% 17.4% 15.7% n/a 169 People with DEMENTIA with 1 other LTC (%) 117 23.2% 21.4% 14.1% 24.3% 24.9% n/a 170 People with DEMENTIA with 2 other LTCs (%) 121 24.0% 23.9% 17.8% 29.1% 26.6% n/a 171 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 454 80.1% 80.0% 69.4% 88.52% 81.8% 83.7% 172 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 96 86.5% 86.9% 78.6% 91.84% 88.7% 87.6% 173 Emergency admissions for DEMENTIA aged over 65 19 1.43 2.11 1.10 3.11 0.39 n/a 174 END OF LIFE - - 175 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 307 485 655 451 1,149 546 n/a 176 Reduction in Emergency admissions END OF LIFE 254 19.1 21.7 14.6 28.9 20.2 n/a 177 RESIDENTIAL AND CARE HOMES - - 178 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 222 19.7 30.1 9.6 86.4 12.9 n/a 179 Reduction in Emergency admissions from CARE HOMES 276 20.8 29.6 - 72.8 34.8 n/a 180 CARERS - - 181 CARERS Prevalence (GP Recorded) DSR per 100,000 population 1,611 2,514 2,789 1,950 4,193 2,446 n/a 182 EMERGENCY ADMISSIONS per 1000 HCHS weighted pop - - 183 Injuries due to FALLS 65+ 396 29.8 31.4 24.1 38.4 31.0 n/a 184 Emergency admissions for DEMENTIA aged over 65 19 1.43 2.11 1.10 3.11 0.39 n/a 185 Emergency admissions for HIP FRACTURES aged over 65 107 8.05 8.44 4.31 11.13 8.74 n/a 186 Emergency admissions for CELLULITIS 67 0.85 1.00 0.60 1.51 1.12 n/a 187 Emergency admissions for FLU & PNEUMO 205 2.60 2.69 2.10 3.38 2.71 n/a 188 Emergency admissions for PYLO NEFRITIS 30 0.38 0.53 0.31 0.81 0.37 n/a 189 Emergency admissons for GASTRO/DEHYDRATION 13 0.16 0.18 0.10 0.31 1.95 n/a 190 Emergency re-admissions within 30 days to hospital (%) 1,208 13.0% 12.8% 11.5% 14.4% 11.9% 0.1 191 COMMUNITY SERVICES per 1000 HCHS weighted pop - - 192 Community Matrons Face to Face Contacts 1,928 54.04 65.41 46.25 90.86 92.65 n/a 193 Community Matrons Case Load 42 1.18 1.18 0.17 3.15 3.34 n/a 194 District Nursing Face to Face Contacts 38,593 1,081.64 1,098.57 781.44 1,365.45 1,010.43 n/a 195 District Nursing Case Load 488 13.68 13.17 10.53 17.08 14.25 n/a 196 IV Therapy Face to Face Contacts 1,115 31.25 16.65 8.33 31.25 32.45 n/a 197 IV Therapy Case Load 16 0.45 0.28 0.06 0.48 0.50 n/a 198 Therapy Face to Face Contacts 14,054 393.89 405.91 363.03 462.54 375.60 n/a 199 Therapy Case Load 2,274 63.73 72.65 63.73 92.12 76.21 n/a 200 Treatment Rooms Face to Face Contacts 9,425 264.15 252.16 212.49 317.62 294.70 n/a 201 Treatment Rooms Case Load 276 7.74 6.61 1.22 14.52 5.55 n/a 202 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 203 Social Services Users OLDER PERSONS per 1000 65+ resident population 1,251 111.2 125.00 91.80 198.31 79.0 n/a 204 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 84 7.46 8.29 3.37 17.45 6.98 n/a 205 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 65+ resident population 948 84.2 93.85 70.68 144.75 64.8 n/a 206 Social Services Users DOMICILIARY CARE per 1000 65+ resident population 399 35.5 37.40 24.74 47.44 36.1 n/a 207 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 65+ resident population 75 6.7 7.80 4.53 13.71 18.9 n/a 208 Social Services Users OTHER COMMUNITY per 1000 65+ resident population 261 23.2 23.89 15.14 39.61 6.6 n/a 209 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 222 19.7 30.11 9.62 86.37 12.9 n/a 210 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 78 0.9 0.84 0.62 0.92 0.8 n/a 211 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 90 0.1 0.05 0.02 0.06 0.0 n/a 212 VACS AND IMMS - - 213 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 10,038 75.8% 73.5% 64.9% 75.9% 75.6% 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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 - 17.3% 31.9% 16.1% 44.4% 17.4% 17.6% 217 16-18 year olds not in education, employment or training (%) 35 3.2% 5.6% 3.2% 8.3% 3.8% 6.0% 218 Children aged 0-4 years (%) 3,691 5.6% 5.5% 2.0% 6.8% 5.6% 5.6% 219 Children aged 5-10 years (%) 4,190 6.4% 6.5% 1.9% 8.5% 6.2% 7.3% 220 Children aged 11-18 years (%) 4,895 7.4% 7.9% 4.2% 9.4% 7.5% 8.8% 221 Young People aged 19-25 years (%) 4,617 7.0% 13.3% 7.0% 49.9% 7.2% 8.9% 222 Children and Young People aged 0-25 years (%) 17,393 26.5% 33.3% 26.5% 58.0% 26.6% 30.5% 223 CHILD HEALTH - - 224 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 674 63.1 55.0 24.8 81.2 62.7 62.5 225 Low birthweight of all babies <2500g (3 year pooled) (%) 150 7.5% 8.8% 6.9% 10.6% 6.4% 7.4% 226 Breastfeeding Initiation Rates (%) 345 57.6% 44.9% 27.8% 65.4% 55.0% 74.5% 227 Breastfeeding at 6-8 weeks (%) 308 49.8% 35.1% 18.0% 53.5% 44.7% 44.4% 228 Smoking Status at Time of Delivery (SATOD) % 37 5.6% 13.1% 5.0% 20.8% 6.8% 10.7% 229 Child Excess Weight Reception (age 4-5 years) (%) 381 23.4% 26.2% 23.4% 29.2% 22.5% 22.6% 230 Child Excess Weight Year 6 (age 10-11 years) (%) 461 33.0% 38.7% 33.0% 42.6% 34.1% 34.2% 231 SOCIAL CARE (LIVERPOOL CITY COUNCIL) - - 232 Children in Need - Rate per 10,000 under 18 years 407 388.1 381.2 288.3 618.0 206.5 330.4 233 Looked After Children - Rate per 10,000 under 18 years 125 119.6 117.5 88.8 190.4 66.5 62.0 234 Child Protection Plan - Rate per 10,000 under 18 years 42 40.2 39.5 29.9 64.0 20.6 43.3 235 Early Help Assessment Tool (EHAT) Family Assessments (%) 492 4.7% 4.6% 3.5% 7.5% 3.6% n/a 236 Troubled Families (%) 399 2.7% 5.4% 2.7% 8.2% 1.9% n/a 237 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 75 71.5 70.3 53.1 113.9 58.5 n/a 238 Children who are receiving Special Educational Needs (SEN) Support (%) 950 9.1% 11.4% 8.4% 19.5% 8.5% n/a 239 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 152 145.0 179.7 121.8 317.3 206.6 n/a 240 EDUCATIONAL ATTAINMENT - - 241 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 328 64.6% 55.7% 47.5% 64.6% 54.7% 61.1% 242 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 318 67.6% 53.4% 42.3% 67.6% 61.7% 59.3% 243 Pupil Persistent Absenteeism (10% Threshold) - Primary Schools (%) 237 7.5% 11.0% 7.1% 14.8% 7.4% 3.9% 244 Pupil Persistent Absenteeism (10% Threshold) - Secondary Schools (%) 307 11.8% 16.4% 11.5% 21.4% 12.2% 5.0% 245 VACS AND IMMS - - 246 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 2,900 95.5% 92.5% 85.2% 96.1% 94.9% n/a 247 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 415 50.2% 37.4% 26.9% 50.7% 50.4% 38.9% 248 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 380 52.7% 39.1% 26.7% 54.3% 51.3% 41.5% 249 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 403 50.9% 44.8% 37.6% 50.9% 51.8% 44.9% 250 DISEASE PREVALENCE - - 251 Children with ASTHMA 0-17 years (%) 500 4.2% 4.3% 3.4% 4.7% 4.5% n/a 252 Young People with ASTHMA aged 18-25 years (%) 258 5.2% 4.0% 2.6% 6.6% 5.3% n/a 253 Children with EPILEPSY 0-17 years (%) 24 0.2% 0.2% 0.2% 0.3% 0.2% n/a 254 Children with DIABETES 0-17 years (%) 30 0.3% 0.3% 0.2% 0.3% 0.2% n/a 255 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 368 2.2% 2.6% 2.1% 3.6% 2.3% n/a 256 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 23 0.1% 0.2% 0.1% 0.3% 0.2% n/a 257 SERVICE UTILISATION - - 258 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1000 aged 0-18 years 8 0.6 0.6 0.1 1.3 - n/a 259 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 55 4.5 4.4 3.3 5.7 2.6 n/a 260 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 99 595.1 716.9 531.3 1,002.9 1,212.1 n/a 261 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 7 19.3 40.4 17.4 64.0 16.7 39.6 262 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 16 82.2 102.3 30.8 182.8 89.0 89.8 263 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 27 285.9 446.6 157.9 933.6 388.0 n/a 264 Child AED attendance rate per 1,000 population aged 0-4 years 2,364 636.2 729.2 631.2 864.0 618.1 n/a 265 Child AED attendances - LRTI 678 53.0 59.3 48.5 209.0 51.8 n/a 266 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 128 3.6 3.6 2.5 8.4 2.8 n/a 267 Child AED attendances - ACCIDENTS 1,089 89.3 116.6 87.1 356.2 92.5 n/a 268 Child Emergency Admission Average Length of Stay <1 day 628 51.5 53.6 47.6 78.6 39.6 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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) (%) 7,714 13.9% 21.5% 13.5% 29.6% 14.6% 17.6% 272 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,786 88.0% 88.4% 83.7% 98.3% 90.1% 88.8% 273 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 6,073 11.3% 11.9% 5.2% 15.4% 10.8% 9.7% 274 People with BMI >=40 recorded in the last 12m (%) 1,456 2.2% 2.6% 1.2% 3.8% 2.1% - 275 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 786 54.0% 49.6% 38.4% 60.3% 52.2% - 276 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 153 31.1% 22.8% 15.1% 31.1% - n/a 277 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 34,731 64.9% 68.3% 63.0% 77.4% 63.0% - 278 People aged 18+ who have ALCOHOL above indicated levels (%) 4,192 12.1% 9.1% 5.6% 12.1% 7.5% - 279 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 3,564 85.0% 90.4% 85.0% 99.2% 90.4% - 280 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 288 463.3 796.5 418.6 1,522.2 509.0 n/a 281 HYPERTENSION - - 282 CKD Prevalence (Stages 1-5) DSR per 100,000 population 4,201 6,596 6,543 5,372 7,748 6,863 n/a 283 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 4,219 108.7% 99.4% 80.4% 120.7% 107.4% 64.0% 284 HYPERTENSION Prevalence DSR per 100,000 population 10,285 16,107 16,840 15,813 18,717 16,206 n/a 285 Ratio of Observed (PCQF) to Expected HYPERTENSION Prevalence 10,914 57.5% 51.9% 25.8% 59.6% 57.5% 67.1% 286 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 29,194 91.6% 91.1% 88.8% 92.9% 92.0% 90.7% 287 People with hypertension whose latest BP reading is <150/90 (QOF) (%) 9,148 82.5% 80.7% 76.3% 85.7% 81.6% 83.9% 288 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 6,384 73.8% 70.6% 66.0% 76.5% 64.3% n/a 289 People aged >=80 with hypertension whose latest blood pressure reading is < 150/90 (%) 2,289 90.8% 89.8% 85.6% 91.5% - n/a 290 People with hypertension with physical activity recorded (%) 6,268 56.1% 53.8% 36.9% 69.2% - n/a 291 People with hypertension who do not meet recommended activity levels who have received brief advice (%) 2,970 81.3% 91.8% 81.3% 97.5% - n/a 292 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 13,504 74.5% 72.9% 55.7% 98.2% - 74.1% 293 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 6,069 44.9% 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 6,069 33.5% 35.5% 27.3% 46.7% - 36.2% 295 CHD - - 296 CVD Mortality - DSR per 100,000 population 422 200.1 247.1 161.4 307.1 198.9 267.3 297 CVD Mortality Under 75 Years - DSR per 100,000 population 111 59.2 89.4 52.1 127.9 58.8 73.5 298 CHD Prevalence DSR per 100,000 population 2,360 3,698 4,274 3,481 4,961 3,839 n/a 299 Ratio of Observed (QOF) to Expected CHD Prevalence 2,590 54.9% 49.5% 19.5% 63.8% - n/a 300 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 2,298 90.3% 88.3% 82.8% 90.8% 89.7% 92.4% 301 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 2,347 90.6% 91.8% 82.1% 109.0% 94.0% 96.3% 302 Emergency admissions for ANGINA 65 0.82 1.00 0.60 1.26 0.85 n/a 303 HEART FAILURE - - 304 HEART FAILURE Prevalence DSR per 100,000 population 613 958 1,156 950 1,648 967 n/a 305 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 555 63.0% 70.9% 59.2% 90.4% 67.4% 71.3% 306 Emergency admissions for CONGESTIVE HEART FAILURE 101 1.28 1.24 0.85 1.72 0.80 n/a 307 HEART FAILURE Team Face to Face Contacts 292 8.18 13.25 6.40 32.66 9.85 n/a 308 HEART FAILURE Team Case Load 7 0.20 0.40 0.00 1.19 0.50 n/a 309 ATRIAL FIBRILLATION and STROKE - - 310 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 1,520 2,390 2,388 1,931 2,796 2,340 n/a 311 People on the AF case finding search who have had their notes reviewed 108 39.6% 38.1% 13.0% 68.0% - n/a 312 People with AF with CHADS score >1 treated with anti-coagulation or anti-platelets therapy (%) 1,183 90.3% 83.0% 39.8% 92.5% 90.2% 88.5% 313 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 524 63.8% 80.8% 63.8% 112.3% 93.6% 96.9% 314 STROKE/TIA Prevalence DSR per 100,000 population 1,314 2,068 2,225 1,957 3,037 2,094 n/a 315 Ratio of Observed (QOF) to Expected STROKE Prevalence 1,431 59.2% 48.6% 26.0% 59.2% 58.1% 47.0% 316 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 832 98.5% 97.9% 96.0% 99.6% 90.6% 97.4% 317 People with stroke/TIA referred for further investigation after last stroke or first TIA (QOF) % 351 86.5% 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 (%) 9,158 77.9% 77.2% 68.3% 84.8% 76.9% n/a 319 Emergency admissions for STROKE 125 1.58 1.46 0.83 1.78 1.80 n/a 320 DIABETES - - 321 DIABETES Prevalence DSR per 100,000 population 3,077 4,848 6,066 4,848 7,561 4,959 n/a 322 Ratio of Observed (PCQF) to Expected DIABETES Prevalence 3,357 64.5% 76.3% 45.2% 93.7% 65.2% 79.6% 323 Prevalence of Impaired Glucose Regulation (%) 3,227 4.9% 3.7% 1.2% 4.9% - n/a 324 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 2,298 67.9% 65.0% 56.4% 70.8% 65.6% n/a 325 People with DIABETES who have had all 8 care processes in the previous 12m (%) 2,316 68.4% 66.2% 60.3% 70.4% 73.0% n/a 326 People with DIABETES and HbA1c (%) 3,157 93.3% 93.1% 89.9% 94.5% 95.4% n/a 327 People with DIABETES and BP recorded (%) 3,173 93.7% 94.7% 92.1% 96.4% 95.8% n/a 328 People with DIABETES and Cholesterol recorded (%) 2,997 88.5% 89.5% 86.8% 92.0% 90.7% n/a 329 People with DIABETES and Microalb recorded (%) 2,568 75.9% 74.2% 69.0% 78.8% 80.5% n/a 330 People with DIABETES and Creatinine recorded (%) 3,107 91.8% 91.7% 89.0% 93.2% 94.2% n/a 331 People with DIABETES and Foot Check (%) 2,950 87.1% 87.0% 82.6% 93.2% 89.3% 89.8% 332 People with DIABETES and BMI recorded (%) 2,952 87.2% 87.7% 82.8% 92.2% 90.2% n/a 333 People with DIABETES and Smoking Status recorded (%) 3,070 90.7% 91.5% 88.6% 94.7% 92.3% n/a 334 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 1,499 44.3% 42.9% 37.5% 46.2% - n/a 335 People with DIABETES who have CHD and/or CKD (%) 1,203 35.5% 33.6% 28.5% 38.1% - n/a 336 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 400 40.4% 40.9% 33.1% 52.0% - n/a 337 Preventable sight loss - diabetic eye disease rate per 1000 1,004 29.7% 28.7% 23.1% 36.4% - n/a 338 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 141 83.9% 77.6% 65.9% 84.7% 85.8% n/a 339 Emergency admissions for DIABETIC COMPLICATIONS 19 0.24 0.40 0.11 0.81 0.34 n/a 340 DIABETES Specialist Nurses Face to Face Contacts 853 23.91 38.19 20.17 60.77 19.24 n/a 341 DIABETES Case Load 137 3.84 5.50 3.36 8.77 2.89 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 342 RESPIRATORY - - 343 RISK FACTORS - - 344 CURRENT SMOKERS aged 15+ (QOF) (%) 7,714 13.9% 21.5% 13.5% 29.6% 14.6% 17.6% 345 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,786 88.0% 88.4% 83.7% 98.3% 90.1% 88.8% 346 MORTALITY - - 347 RESPIRATORY Mortality - DSR per 100,000 population 276 132.5 178.0 93.9 240.0 127.5 n/a 348 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 58 31.3 57.5 25.7 84.9 34.2 33.8 349 DISEASE PREVALENCE - - 350 COPD Prevalence DSR per 100,000 population 1,573 2,483 3,853 2,297 5,345 2,565 n/a 351 Ratio of Observed (PCQF) to Expected COPD Prevalence 1,772 63.5% 84.5% 60.3% 119.9% 63.5% 72.1% 352 ASTHMA Prevalence DSR per 100,000 population 3,817 6,221 6,466 6,096 7,369 5,980 n/a 353 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 4,056 67.5% 63.2% 38.5% 77.4% 63.8% 63.8% 354 RESPIRATORY CONDITIONS - - 355 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 1,020 60.6% 59.3% 49.5% 71.0% 80.4% 86.8% 356 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,416 84.2% 81.8% 67.5% 88.3% 91.5% 96.7% 357 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 309 31.8% 27.3% 19.6% 36.2% 62.5% n/a 358 People with ASTHMA Day and Night Symptoms Recorded (%) 2,748 67.7% 65.4% 48.6% 74.1% 71.0% n/a 359 SERVICE UTILISATION Rate per 1000 - - 360 Referrals to Pulmonary Rehab 78 1.19 1.34 0.34 2.22 1.51 n/a 361 Emergency admissions for COPD 137 1.74 2.94 1.74 4.59 1.89 n/a 362 Community RESPIRATORY team Face to Face contacts 504 14.13 24.59 8.20 42.60 19.97 n/a 363 Community RESPIRATORY Team Case Load 5 0.14 0.19 - 0.65 0.14 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) Neighbourhood NBHood NBHood Liverpool Liverpool Liverpool NBHood National Indicator Liverpool Range Number Rate Average Lowest Highest Previous Average 364 CANCER - - 365 RISK FACTORS - - 366 CURRENT SMOKERS aged 15+ (QOF) (%) 7,714 13.9% 21.5% 13.5% 29.6% 14.6% 17.6% 367 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,786 88.0% 88.4% 83.7% 98.3% 90.1% 88.8% 368 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 153 31.1% 22.8% 15.1% 31.1% - n/a 369 MORTALITY - - 370 CANCER Mortality - DSR per 100,000 population 534 255.1 320.5 211.1 426.2 256.9 276.8 371 LUNG CANCER - DSR per 100,000 population 125 60.0 93.2 59.5 143.3 62.0 57.7 372 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 135 65.3 89.2 65.3 114.1 62.1 n/a 373 CANCER Mortality Under 75 Years - DSR per 100,000 population 238 126.7 163.5 106.6 206.4 129.6 136.8 374 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 55 30.2 49.9 24.9 79.6 29.6 33.6 375 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 58 31.4 46.7 31.4 59.8 28.6 n/a 376 PREVALENCE - - 377 CANCER Prevalence DSR per 100,000 population 2,735 4,329 3,813 3,130 4,329 3,960 n/a 378 CANCER SCREENING - - 379 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 4,980 60.7% 51.7% 43.4% 60.7% 58.6% 57.4% 380 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 7,037 62.0% 53.1% 44.9% 62.0% 59.3% 59.1% 381 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 12,622 73.5% 67.6% 59.6% 73.5% 73.3% 72.1% 382 36 month coverage for BREAST screening aged 50-70 6,916 71.2% 64.8% 54.4% 72.7% 72.3% 72.5% 383 SERVICE UTILISATION rate per 1000 HCHS Weighted population - - 384 Emergency admissions for CANCER 340 4.3 5.0 3.2 7.1 4.4 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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 502 769.7 898.1 613.5 1,363.2 790.7 n/a 388 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 566 58.3% 66.5% 55.4% 104.7% 58.3% 61.1% 389 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 566 65.4% 75.0% 62.2% 117.7% 65.3% 68.6% 390 People with DEMENTIA with no other LTCs (%) 72 14.3% 13.9% 9.0% 17.4% 15.7% n/a 391 People with DEMENTIA with 1 other LTC (%) 117 23.2% 21.4% 14.1% 24.3% 24.9% n/a 392 People with DEMENTIA with 2 other LTCs (%) 121 24.0% 23.9% 17.8% 29.1% 26.6% n/a 393 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 454 80.1% 80.0% 69.4% 88.5% 81.8% 83.7% 394 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 96 86.5% 86.9% 78.6% 91.8% 88.7% 87.6% 395 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 84 7.5 8.3 3.4 17.5 7.0 n/a 396 SERIOUS MENTAL ILLNESS - - 397 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 651 1,044 1,425 1,044 2,442 1,049 n/a 398 People with SMI with no other LTCs (%) 199 30.6% 34.9% 28.3% 44.3% 28.5% n/a 399 People with SMI with 1 other LTC (%) 285 43.8% 41.5% 34.6% 46.5% 40.8% n/a 400 People with SMI with 2 other LTCs (%) 103 15.8% 15.2% 12.3% 18.4% 20.0% n/a 401 People with SMI and CHD (%) 36 5.5% 4.2% 2.9% 7.1% 4.7% n/a 402 People with SMI and COPD (%) 43 6.6% 7.0% 5.3% 9.5% 5.2% n/a 403 People with SMI and CANCER (%) 52 8.0% 4.4% 1.8% 8.0% 5.3% n/a 404 People with SMI and Diabetes (%) 77 11.8% 11.4% 6.9% 15.2% 11.8% n/a 405 People with SMI and CMHP (%) 308 47.3% 47.3% 38.5% 58.5% 44.8% n/a 406 People with SMI and Hypertension (%) 139 21.4% 16.3% 10.3% 21.5% 19.8% n/a 407 People with SMI and Current Smoker 15+ (%) 217 33.3% 46.5% 32.9% 54.0% 29.4% n/a 408 People with MH Conditions given list of physical checks previous 12 months (%) 193 65.6% 62.5% 38.9% 73.8% 51.9% n/a 409 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 112 91.1% 94.1% 82.2% 115.1% 98.3% 97.2% 410 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 542 84.2% 83.6% 76.9% 99.3% 90.5% 90.3% 411 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 543 84.3% 82.1% 72.9% 95.5% 88.8% 90.4% 412 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 558 86.6% 86.0% 77.4% 100.1% 89.1% 90.7% 413 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 137 69.9% 63.8% 49.5% 78.4% 86.7% 84.4% 414 Referrals to Community MENTAL HEALTH rate per 1000 1,820 23.06 33.85 20.52 46.82 9.16 n/a 415 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 226 34.2% 27.6% 15.3% 50.5% 17.8% n/a 416 COMMON MENTAL HEALTH PROBLEMS - - 417 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 7,445 11,956 14,022.1 11,956.3 21,198.7 11,398.0 n/a 418 People with CMHP with no other LTCs (%) 4,500 60.4% 61.4% 58.3% 70.5% 61.2% n/a 419 People with CMHP with 1 other LTC (%) 1,615 21.7% 21.0% 16.9% 23.1% 21.7% n/a 420 People with CMHP with 2 other LTCs (%) 761 10.2% 9.8% 7.1% 11.0% 10.0% n/a 421 People with CMHP and CHD (%) 409 5.5% 5.8% 4.3% 6.4% 5.4% n/a 422 People with CMHP and COPD (%) 398 5.3% 6.8% 5.0% 8.2% 5.3% n/a 423 People with CMHP and Cancer (%) 632 8.5% 6.4% 4.0% 8.5% 5.7% n/a 424 People with CMHP and Diabetes (%) 569 7.6% 8.4% 5.8% 9.7% 7.6% n/a 425 People with CMHP and Hypertension (%) 1,719 23.1% 20.6% 13.0% 23.4% 22.2% n/a 426 People with CMHP and SMI (%) 308 4.1% 4.8% 3.7% 7.8% 4.1% n/a 427 People with CMHP and Current Smoker 15+ (%) 1,286 17.3% 26.3% 16.1% 32.0% 18.3% n/a 428 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 589 64.2% 61.9% 53.7% 68.5% 79.4% 83.6% 429 SERVICE UTILISATION - - 430 Access to early intervention teams rate per 1000 13 0.25 0.32 0.18 0.77 0.11 n/a 431 IAPT referral rate per 1000 1,405 26.5 31.7 23.5 39.9 22.4 n/a 432 Referrals to Community MENTAL HEALTH rate per 1000 1,820 23.1 33.9 20.5 46.8 9.2 n/a 433 Emergency admissions for MENTAL HEALTH 154 1.95 2.55 1.76 3.37 0.71 n/a 434 MH emergency admissions Mental and Behavioural - ALCOHOL 50 0.63 1.58 0.63 3.21 0.96 n/a 435 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES <5 0.05 0.14 0.05 0.33 0.32 n/a 436 Emergency admissions for VIOLENCE 119 1.51 2.87 1.45 5.68 0.92 n/a 437 Emergency admissions for SELF HARM 92 1.17 2.23 1.17 3.70 1.15 n/a 438 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 226 34.2% 27.6% 15.3% 50.5% 17.8% n/a 439 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 181 63.5% 55.5% 40.4% 83.1% 58.0% 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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 5,923 90.1 105.4 72.8 129.0 - n/a 443 Patient Experience: Overall good experience of making an appointment 694 72.8% 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 411 5.21 8.60 5.21 12.46 4.83 n/a 446 Walk in Centre attendances 20,245 256.5 199.1 105.9 259.3 - n/a 447 Rate per 1000 HCHS weighted pop for GP Spec ACS admissions 632 8.01 10.05 8.01 12.94 6.22 n/a 448 Emergency admissions for ANGINA 65 0.82 1.00 0.60 1.26 0.85 n/a 449 Emergency admissions for CONGESTIVE HEART FAILURE 101 1.28 1.24 0.85 1.72 0.80 n/a 450 Emergency admissions for STROKE 125 1.58 1.46 0.83 1.78 1.80 n/a 451 Emergency admissions for DIABETIC COMPLICATIONS 19 0.24 0.40 0.11 0.81 0.34 n/a 452 Emergency admissions for ASTHMA 57 0.72 1.18 0.72 1.85 0.77 n/a 453 Emergency admissions for COPD 137 1.74 2.94 1.74 4.59 1.89 n/a 454 Emergency admissions for CELLULITIS 67 0.85 1.00 0.60 1.51 1.12 n/a 455 Emergency admissions for FLU & PNEUMO 205 2.60 2.69 2.10 3.38 2.71 n/a 456 Emergency admissions for CANCER 340 4.31 5.00 3.19 7.11 4.42 n/a 457 Emergency admissions for MENTAL HEALTH 154 1.95 2.55 1.76 3.37 0.71 n/a 458 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 86 131.8 289.5 118.3 587.1 187.1 110.2 459 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,369 2,001.3 2,747.0 1,889.9 4,430.6 1,947.7 2,185.0 460 Reduction in Emergency admissions END OF LIFE 254 19.12 21.69 14.62 28.94 20.21 n/a 461 Reduction in Emergency admissions from CARE HOMES 276 20.77 29.57 - 72.84 34.77 n/a 462 Injuries due to FALLS 65+ 396 29.80 31.42 24.06 38.38 30.97 n/a 463 Emergency admissions for DEMENTIA aged over 65 19 1.43 2.11 1.10 3.11 0.39 n/a 464 Emergency admissions for HIP FRACTURES aged over 65 107 8.05 8.44 4.31 11.13 8.74 n/a 465 Emergency admissions for PYLO NEFRITIS 30 0.38 0.53 0.31 0.81 0.37 n/a 466 Emergency admissons for GASTRO/DEHYDRATION 13 0.16 0.18 0.10 0.31 1.95 n/a 467 Emergency re-admissions within 30 days to hospital (%) 1,208 13.0% 12.8% 11.5% 14.4% 11.9% 12.8% 468 Emergency admissions for VIOLENCE 119 1.51 2.87 1.45 5.68 0.92 n/a 469 Emergency admissions for SELF HARM 92 1.17 2.23 1.17 3.70 1.15 n/a 470 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1000 HCHS population) - - 471 GP ref, 1st outpatient attendances 5,553 70.4 65.1 44.5 123.1 70.4 n/a 472 GP ref, 1st outpatient attendances CARDIOLOGY 875 11.1 9.9 7.9 12.4 - n/a 473 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 605 0.8% 0.7% 0.5% 0.9% - n/a 474 GP ref, 1st outpatient attendances DERMATOLOGY 1,020 12.9 11.1 8.0 14.6 13.6 n/a 475 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 627 0.8% 0.6% 0.4% 0.9% - n/a 476 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 305 0.4% 0.3% 0.2% 0.4% - n/a 477 GP ref, 1st outpatient attendances ENT 915 11.6 9.9 7.9 11.6 21.8 n/a 478 GP ref, 1st outpatient attendances ENT - % referred on 2WW 126 0.16% 0.15% 0.10% 0.20% - n/a 479 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 345 0.4% 0.3% 0.2% 0.4% - n/a 480 GP ref, 1st outpatient attendances GASTRO 816 10.3 11.0 9.6 13.3 - n/a 481 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 149 0.2% 0.3% 0.1% 0.6% 0.4% n/a 482 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 353 0.4% 0.5% 0.4% 0.8% 0.2% n/a 483 GP ref, 1st outpatient attendances GYNAECOLOGY 782 9.9 9.1 7.8 10.1 12.0 n/a 484 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 196 0.25% 0.18% 0.09% 0.27% - n/a 485 GP ref, 1st outpatient attendances RESPIRATORY 146 1.8 2.4 1.4 4.3 - n/a 486 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 17 0.0% 0.1% 0.0% 0.1% - n/a 487 GP ref, 1st outpatient attendances RHEUMATOLOGY 134 1.7 2.3 1.7 3.0 2.3 n/a 488 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 40 0.1% 0.1% 0.1% 0.1% - n/a 489 GP ref, 1st outpatient attendances UROLOGY 703 8.9 7.3 0.0 0.0 10.4 n/a 490 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 278 0.4% 0.3% 0.2% 0.4% - n/a 491 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 207 0.3% 0.2% 0.1% 0.3% - n/a 492 GP ref, 1st outpatient attendances VASCULAR 162 2.1 2.0 1.1 2.8 1.9 n/a 493 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 85 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 Garston, Allerton, Aigburth, Gateacre, Woolton (WAGGA) 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 1,928 54.0 65.4 46.3 90.9 92.7 n/a 496 Community Matrons Case Load 42 1.18 1.18 0.17 3.15 3.34 n/a 497 Community RESPIRATORY team Face to Face contacts 504 14.1 24.6 8.2 42.6 20.0 n/a 498 Community RESPIRATORY Team Case Load 5 0.14 0.19 - 0.65 0.14 n/a 499 DIABETES Specialist Nurses Face to Face Contacts 853 23.9 38.2 20.2 60.8 19.2 n/a 500 DIABETES Case Load 137 3.84 5.50 3.36 8.77 2.89 n/a 501 District Nursing Face to Face Contacts 38,593 1,081.6 1,098.6 781.4 1,365.4 1,010.4 n/a 502 District Nursing Case Load 488 13.68 13.17 10.53 17.08 14.25 n/a 503 HEART FAILURE Team Face to Face Contacts 292 8.18 13.25 6.40 32.66 9.85 n/a 504 HEART FAILURE Team Case Load 7 0.20 0.40 - 1.19 0.50 n/a 505 IV Therapy Face to Face Contacts 1,115 31.25 16.65 8.33 31.25 32.45 n/a 506 IV Therapy Case Load 16 0.45 0.28 0.06 0.48 0.50 n/a 507 Therapy Face to Face Contacts 14,054 393.9 405.9 363.0 462.5 375.6 n/a 508 Therapy Case Load 2,274 63.7 72.7 63.7 92.1 76.2 n/a 509 Treatment Rooms Face to Face Contacts 9,425 264.2 252.2 212.5 317.6 294.7 n/a 510 Treatment Rooms Case Load 276 7.7 6.6 1.2 14.5 5.6 n/a 511 Intermediate Care Bed Based Admissions <5 0.06 0.15 - 0.58 0.06 n/a 512 Telehealth referrals rate per 1000 adult registered pop 168 4.71 28.04 0.62 80.50 4.71 n/a 513 Referrals to Community MENTAL HEALTH rate per 1000 1,820 23.1 33.9 20.5 46.8 9.2 n/a 514 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 515 Social Services Users TOTAL per 1000 40+ resident population 1,564 52.7 56.1 39.2 87.8 41.4 n/a 516 Social Services Users OLDER PERSONS per 1000 65+ resident population 1,251 111.2 125.0 91.8 198.3 79.0 n/a 517 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 226 34.2% 27.6% 15.3% 50.5% 17.8% n/a 518 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 181 63.5% 55.5% 40.4% 83.1% 58.0% n/a 519 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 84 7.5 8.3 3.4 17.5 7.0 n/a 520 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 40+ resident population 1,056 35.6 36.5 27.4 53.1 27.7 n/a 521 Social Services Users DOMICILIARY CARE per 1000 40+ resident population 433 14.6 14.5 9.3 18.4 14.4 n/a 522 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 40+ resident population 102 3.4 4.4 2.9 6.6 9.5 n/a 523 Social Services Users OTHER COMMUNITY per 1000 40+ resident population 389 13.1 13.4 8.2 22.0 8.9 n/a 524 RESIDENTIAL & NURSING placements TOTAL per 1000 40+ resident population 259 8.7 11.3 4.5 31.7 10.4 n/a 525 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 68 661.4 812.4 203.9 1,854.3 527.1 n/a 526 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 78 0.9 0.8 0.6 0.9 0.8 n/a 527 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 90 0.1 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 8 0.62 0.57 0.08 1.33 - n/a 530 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 55 4.51 4.44 3.25 5.72 2.60 n/a 531 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 99 595.1 716.9 531.3 1,002.9 1,212.1 n/a 532 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 7 19.3 40.4 17.4 64.0 16.7 39.6 533 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 16 82.2 102.3 30.8 182.8 89.0 89.8 534 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 27 285.9 446.6 157.9 933.6 388.0 n/a 535 Child AED attendance rate per 1,000 population aged 0-4 years 2,364 636.2 729.2 631.2 864.0 618.1 n/a 536 Child AED attendances - LRTI 678 53.0 59.3 48.5 209.0 51.8 n/a