Neighbourhood Profiles & 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, 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 for General Practice neighbourhoods to use to understand the needs of the populations they serve. They will support neighbourhoods in understaning 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 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 of focus ...... 4 Social Care ...... 5 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 ...... 14 6. Population Structure, Demographics, Risk Factors and 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 • Risk of Hospital admission Risk stratification allows GP practices to identify patients at risk of a hospital admission based on risk score. 1.7 % of Croxteth and Norris Green neighbourhood population fall into risk score bracket >50%<90% (significantly above the Liverpool average with 1.3% and the highest in the city) by active case management of these identified patients and target integrated care in the community will 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 comparable to the city average, however those who manage their BP under 140/90 is significantly lower with 66% of patients meeting this criteria. The proportion of patients with physical activity status recorded is lower with less than half (48%) recorded compared to 24% for Liverpool. The proportion of patients offered a health check is 56% compared to 72% for Liverpool and is ranked the lowest when compared to all neighbourhoods.

• Premature Mortality The gap in life expectancy at birth for males is 1.3 years and for females is 0.7 years when compared to Liverpool. All-cause mortality is significantly higher than city average with 1,312.8 per 100,000 population, rates by specific disease groups are comparable to Liverpool.

• Healthy Ageing Dementia prevalence is ranked 2nd when compared to all neighbourhoods with a rate of 1,239 per 100,000 population. The proportion of the population aged of 40+ and 1 LTC condition is the highest in the city (29.1% compared to 27.9%). The proportion of patients with a risk score >50% 4.11% (758 patients) and almost a third (33%) are on 5 or more prescribed items. The prevalence of patients on the End of Life/Palliative care register is the highest in the city and has the 2nd highest rate for emergency hospital admissions at end of life (27.0 per 1,000 compared to 21.7). Emergency hospital admissions from care homes is ranked the highest when compared to all neighbourhods72.8 per 1,000 population

• Children and Young People The neighbourhood has the 2nd highest birth rate in the city and the proportion of children under 18 is the highest in the city (24.7% compared to 19.9%). Breast feeding initiation and breast feeding at 6-8 weeks rates are among the lowest in the city however immunisation rates are comparable to Liverpool. Around a fifth 18.8% are recorded as persistent pupil absenteeism at secondary schools-significantly higher than the Liverpool average. Hospital admissions for unintentional & deliberate injuries and self-harm are significantly higher than the city wide average. Child AED attendance for accidents is significantly higher with 151.9 per 1,000 compared to 116.6 per 1,000

• Cancer Early detection of cancers is essential to ensure prompt appropriate treatment thus reducing premature deaths. Almost a quarter (23.4% of the neighbourhood is reported as a current smoker and 84% have been offered support and treatment in the last 24 months, significantly below the city wide average (88.4%). Cancer prevalence and deaths from cancer are comparable to Liverpool h a rate of 3,672 and 3,41.5 per 100,000 respectively. Bowel screening in those aged 60-69 years and 60-74 years is significantly lower with 48% and 49.6% respectively. Although cervical screening coverage is performing well with 69.3% of the population eligible screened over the last 5 years.

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• 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 for example, people with hypertension and other modifiable risk factors should be monitored periodically. 66% of people (<80 years) in the neighbourhood have managed their BP below 140/90 – this is significantly below the city average of 70.6% less than half(48.6%) of these have had their physical activity status recorded, and of those the proportion that have been offered a health check is 55.7% significantly below the city rate (72.9%). CHD prevalence remains high with 1, 1491 patients recorded in the neighbourhood and those who are taking some form of treatment is low with 89.9% compared to 91.8% for Liverpool.

Planned Care often patients are referred to secondary care services for specialist care. There is some variation by specialty for patients that are referred to outpatient services whilst most are either comparable or lower than the city wide average, GP referrals to Gastroenterology, Respiratory and Rheumatology are all significantly higher.

Social Care • Social Services usage varies by area, those that are significantly lower per 1,000 population include; total usage (44.9) older persons (108.9) physical and sensory support (30.2) Domiciliary Care (9.3) equipment and adaptations (3.1) and Other community (11.2)

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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 N82018 Finnerty P 24 Carr Lane, Norris Green, Liverpool L11 2YA N82019 Velayudham M Broad Lane, Norris Green L11 1AD N82083 Foster J 52 Croxteth Hall Lane, Croxteth L11 4UG N82086 El-Sayad F 361/365 Queens Drive, Walton L4 8SJ N82087 Rastogi T 48 Petherick Road, Gilmoss L11 0AG N82655 Kukaswadia R 51-53 Moss Way, Croxteth L11 0BL N82676 Sendegeya C Fir Tree Drive South L12 0JE N82678 Syed OA Stopgate Lane L9 6AP

2.2 Registered Population The registered population is 41,570

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

Croxteth & Norris Green Wards %

Dominant Ward Croxteth 32.0% Second Ward Norris Green 30.9% Third Ward 17.2% Fourth Ward 7.2% Fifth Ward 2.2% Sixth Ward 1.8% Seventh Ward 1.5% Eighth Ward 1.3% Ninth Ward 1.2% Tenth Ward and 0.9% Other Wards 3.8%

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2.4 Service Provision Practice Code & CCG Lead

Sayad F - El Finnerty P Rastogi T Sendegeya C Fost J N82086 N82018 N82676 N82087 N82083 N82019 Velayudham M N82655 Kukaswadia R N82678 Syed OA QOF 1 1 1 1 1 1 1 1 DES signup returned 1 1 1 1 1 1 1 1 LES signup returned 1 1 1 1 1 1 1 1 Extended Hours Access 1 1 1 Learning Disabilities 1 1 1 1 1 1 1 1 Out of Area Registration 1 1 Zero Tolerance Scheme Minor surgery own patients excisions and incisions 1 1 1 Minor surgery own patients injections 1 1 1 1 1 Learning Disabilities Health Check Scheme 1 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 1 Minor surgery FOR OTHER PRACTICES excisions and incisions 1 1 1 Minor surgery FOR OTHER PRACTICES injections 1 1 Drug Misusers 1 1 Near Patient 1 1 1 1 1 1 1 1 Sexual Health 1 1 1 1 Homeless Asylum Seekers 1 1 1 Travellers ABPI 1 1 1 ABPI - For other practices 0 H Pylori 1 1 1 1 1 1 1 H Pylori for other practices 0 1 Health checks 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:

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Supplementary Category Asset Name Address Postcode Information Care Homes Alt Park Nursing Home L11 0BG Barnsbury Road L4 9TS Broadway Nursing L4 8UD Broadway Residential L4 8UD Crompton Drive L12 0JX Croxteth Park Care Home L11 0BS Larkhill Hall L11 1ER Sedgemoor Care Home L11 3BR Stonedale Lodge Residential and Nursing Home L11 9DJ Tate Lodge L11 5AF Walker Lodge L11 5AF Clubmoor and Ellergreen Children's Children's Centre Centre Utting Avenue East L11 1DQ Croxteth Children's Centre Parkstile Lane L11 0BQ Ellergreen Children's Centre Ellergreen Road L11 2RY GP Practice N82018 Ellergreen Medical Centre L11 2YA N82019 Langbank Medical Centre L11 1AD N82083 Jubilee Medical Centre L11 4UG N82086 Abingdon Family Health Care Centre L4 8SJ N82087 Medical Centre L11 0AG N82655 Moss Way Surgery L11 0BL N82663 Hornspit Medical Centre L12 5LT N82676 Fir Tree Drive Medical Centre L12 0JE N82678 Stopgate Lane Medical Centre L9 6AP Leisure Centre Croxteth Altcross Road L11 0BS Ellergreen Carr Lane L11 2XY Library Croxteth Library Altcross Road L11 0BS Norris Green Library Townsend Avenue L11 5AF One Stop Shop Broadway One Stop Shop Norris Green Library Building L11 5AF Pharmacy Allisons Chemist 43 Moss Way L11 0BL Asda Superstore Utting Avenue L4 9XU Boots Pharmacy 31 Broadway L11 1BY Cohens Chemist 181 Walton Hall Avenue L11 7BY Lloyds Pharmacy 202 Cherry Lane L4 8SG 66 Muirhead Avenue East L11 1EN Unit 8 L12 0NB Lloyds Pharmacy 225 Lowerhouse Lane L11 2SF McDonnell’s Pharmacy 101 Broad Lane L11 1AD Rowlands Pharmacy 115-117 Townsend Avenue L11 8NB 26 Carr Lane L11 2YA The Co-operative Pharmacy 56 Croxteth Hall Drive L11 4UG

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Schools & Colleges Acorn (Nursery) Nursery Special Broad Square Prim Primary Community Croxteth Cc Secondary Community Croxteth Prim Primary Community De La Salle Secondary Voluntary Ellergreen Nursery Nursery Community Emmaus CE & RC Prim Primary Voluntary Florence Melly Prim Primary Community Ipor - Centre Altcross House Leamington Prim Lisieux Inf Primary Voluntary Monksdown Community Primary Primary Community Our Lady & St Swithins Prim Primary Voluntary Ranworth Square Prim Primary Community Roscoe Prim Primary Community St John Bosco Secondary Voluntary St Matthews Catholic Prim Primary Voluntary St Teresa Of Lisieux Prim Primary Voluntary Wellesbourne Prim Primary Community Nursery & Infants White Thorn Special

Stop Smoking Service Community Bridge Community Centre l4 9rg Community Clubmore Childrens Centre L11 1DQ Community Croxteth Altcross L11 0BS Community Croxteth Fire Station L11 9AP

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3. Neighbourhood Map

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4. Population Map

Croxteth & Norris Green Neighbourhood - CCG Registered Population Pyramid [Source: Risk Stratification Dataset Effective Date: April 2018]

Croxteth & Norris Green Neighbourhood - CCG Registered Croxteth & Norris Green Neighbourhood - CCG Registered Population Pyramid As % of Total Croxteth & Norris Number Croxteth & Norris Green As % of Liverpool within Ageband Population Pyramid Age Band Green % Total Population Male Female Person Male Female Person Male Female Person Under 1 yrs 301 254 555 0.7% 0.6% 1.4% 4.9% 4.1% 9.0% -6.0% -4.0% -2.0% 0.0% 2.0% 4.0% 6.0% 1-4 yrs 1,175 1,139 2,314 2.9% 2.8% 5.8% 5.0% 4.8% 9.8% 90+ yrs 5-9 yrs 1,465 1,450 2,915 3.6% 3.6% 7.2% 5.1% 5.1% 10.2% 85-89 yrs 10-14 yrs 1,309 1,236 2,545 3.3% 3.1% 6.3% 5.1% 4.8% 9.9% 80-84 yrs 15-19 yrs 1,148 1,163 2,311 2.9% 2.9% 5.7% 3.8% 3.9% 7.7% 75-79 yrs 70-74 yrs 20-24 yrs 1,227 1,227 2,454 3.0% 3.0% 6.1% 2.4% 2.4% 4.8% 65-69 yrs 25-29 yrs 1,382 1,534 2,916 3.4% 3.8% 7.2% 3.1% 3.4% 6.5% 60-64 yrs 30-34 yrs 1,436 1,635 3,071 3.6% 4.1% 7.6% 3.5% 3.9% 7.4% 55-59 yrs 35-39 yrs 1,280 1,417 2,697 3.2% 3.5% 6.7% 3.6% 3.9% 7.5% 50-54 yrs 40-44 yrs 1,161 1,179 2,340 2.9% 2.9% 5.8% 3.9% 4.0% 8.0% 45-49 yrs Age Band 45-49 yrs 1,301 1,320 2,621 3.2% 3.3% 6.5% 4.0% 4.1% 8.1% 40-44 yrs 50-54 yrs 1,373 1,469 2,842 3.4% 3.7% 7.1% 4.1% 4.4% 8.5% 35-39 yrs 30-34 yrs 55-59 yrs 1,425 1,399 2,824 3.5% 3.5% 7.0% 4.4% 4.4% 8.8% 25-29 yrs 60-64 yrs 1,122 1,143 2,265 2.8% 2.8% 5.6% 4.2% 4.3% 8.5% 20-24 yrs 65-69 yrs 891 875 1,766 2.2% 2.2% 4.4% 4.1% 4.0% 8.1% 15-19 yrs 70-74 yrs 633 712 1,345 1.6% 1.8% 3.3% 3.6% 4.0% 7.6% 10-14 yrs 75-79 yrs 417 575 992 1.0% 1.4% 2.5% 3.3% 4.5% 7.8% 5-9 yrs 80-84 yrs 312 459 771 0.8% 1.1% 1.9% 3.1% 4.6% 7.8% 1-4 yrs 85-89 yrs 163 300 463 0.4% 0.7% 1.2% 2.8% 5.2% 8.1% Under 1 yrs 90+ yrs 62 167 229 0.2% 0.4% 0.6% 2.3% 6.1% 8.4% - - - - Liverpool CCG Registered Males All Ages 19,583 20,653 40,236 48.7% 51.3% 100.0% 3.8% 4.0% 7.9% Croxteth & Norris Green Croxteth & Norris Green Males - - - - Liverpool CCG Registered Females Croxteth & Norris Green Croxteth & Norris Green Females

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

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Croxteth & Norris Green Neighbourhood CVD Population Croxteth & Norris Green Neighbourhood COPD Population Croxteth & Norris Green Neighbourhood Cancer Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018]

Croxteth & Norris Green Neighbourhood CVD Croxteth & Norris Green Neighbourhood COPD Croxteth & Norris Green Neighbourhood Cancer Population Population 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 CVD Croxteth & Norris Green Males - - - - Liverpool COPD Males COPD Croxteth & Norris Green Males - - - - Liverpool Cancer Males Cancer Croxteth & Norris Green Males

- - - - Liverpool CVD Females CVD Croxteth & Norris Green Females - - - - Liverpool COPD Females COPD Croxteth & Norris Green Females - - - - Liverpool Cancer Females Cancer Croxteth & Norris Green Females

Number diagnosed = 6582 Prevalence = 16.4% Number diagnosed = 1365 Prevalence = 3.4% Number diagnosed = 1185 Prevalence = 2.9% Includes patients with a diagnosis of Atrial Fibrilation, CHD, Heart Failure, Hypertension, PAD or Stroke

Croxteth & Norris Green Neighbourhood Diabetes Population Croxteth & Norris Green Neighbourhood Serious Mental Illness PopulatCroxteth & Norris Green Neighbourhood Dementia Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018]

Croxteth & Norris Green Neighbourhood Diabetes Croxteth & Norris Green Neighbourhood Serious Mental Croxteth & Norris Green Neighbourhood Dementia Population Illness Population 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% -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 Diabetes Croxteth & Norris Green Males - - - - Liverpool Serious Mental Illness Males Serious Mental Illness Croxteth & Norris Green Males - - - - Liverpool Dementia Males Dementia Croxteth & Norris Green Males - - - - Liverpool Diabetes Females Diabetes Croxteth & Norris Green Females - - - - Liverpool Serious Mental Illness Females Serious Mental Illness Croxteth & Norris Green Females - - - - Liverpool Dementia Females Dementia Croxteth & Norris Green Females

Number diagnosed = 2175 Prevalence = 5.4% Number diagnosed = 421 Prevalence = 1% Number diagnosed = 347 Prevalence = 0.9% Includes patients with a diagnosis of Schizophrenia, Bipolar or Other Pyschosis

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5. Co – Morbidities Source: Risk Stratification Data Extract Effective Date: April 2018

Rates of Co-Morbidity in People with Long Term Conditions Norris Green & Croxteth Neighbourhood % of people with this condition Hypertension Depression Diabetes CHD CKD COPD Asthma AF Stroke/TIA HF PAD Dementia SMI Epilepsy LD

Who also have this condition Hypertension 19.6% 55.7% 53.7% 63.6% 40.5% 22.9% 60.1% 58.8% 59.2% 60.2% 53.4% 16.6% 14.9% 13.8%

Depression 21.9% 24.9% 25.2% 21.8% 31.6% 27.0% 17.5% 24.8% 21.0% 25.8% 20.1% 52.3% 26.7% 10.8%

Diabetes 22.6% 9.0% 29.3% 23.4% 15.6% 10.1% 22.0% 25.5% 30.4% 29.8% 15.2% 15.2% 8.3% 10.8%

CHD 14.9% 6.3% 20.1% 23.7% 19.3% 7.7% 29.9% 24.4% 51.4% 37.3% 21.3% 7.1% 6.1% 2.3%

CKD 23.3% 7.2% 21.1% 31.3% 19.9% 8.2% 37.7% 30.8% 48.6% 32.0% 38.2% 9.3% 6.6% 11.5%

10.3% 7.2% 9.8% 17.7% 13.8% 14.9% 15.2% 15.4% 20.7% 24.2% 12.4% 6.7% 3.9% 1.5% COPD

Asthma 10.0% 10.5% 10.9% 12.1% 9.7% 25.6% 10.5% 9.6% 12.4% 9.0% 8.0% 10.0% 11.0% 10.0%

AF 8.2% 2.1% 7.4% 14.7% 14.0% 8.5% 3.3% 16.5% 37.8% 13.0% 18.7% 2.6% 2.0% 1.5%

Stroke/TIA 7.7% 2.9% 8.2% 11.5% 11.0% 7.6% 2.9% 15.8% 13.8% 18.0% 17.0% 4.0% 4.9% 1.5%

HF 3.6% 1.5% 6.1% 15.0% 5.2% 5.7% 2.3% 5.7% 8.6% 10.2% 9.5% 6.9% 2.4% 0.8%

PAD 3.6% 1.4% 4.4% 8.0% 5.2% 5.6% 1.2% 5.7% 8.3% 7.6% 2.3% 1.7% 2.4%

Dementia 3.5% 1.2% 2.4% 5.0% 6.8% 3.2% 1.2% 8.9% 8.4% 7.6% 2.5% 3.1% 2.2%

SMI 1.3% 3.7% 2.9% 2.0% 2.0% 0.4% 1.8% 1.5% 2.4% 6.7% 2.2% 3.7% 2.7% 9.2%

Epilepsy 1.1% 1.8% 1.6% 1.7% 1.4% 1.2% 1.9% 1.1% 2.9% 2.3% 3.1% 2.6% 2.6% 27.7%

LD 0.3% 0.2% 0.6% 0.2% 0.8% 0.1% 0.6% 0.3% 0.3% 0.2% 2.9% 8.8%

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

• 41,570 people are registered with the Croxteth & Norris Green neighbourhood (7.8% of the CCG). • The population has a higher proportion of younger children 0-4s (6.8% compared to 5.5%), people aged 65+ is comparable to the Liverpool average with 9,364 patients. The birth rate is the 2nd highest in the city with a rate of 71.1 compared to the city average of 55.0 per 1,000 live births. • It is estimated that 6.7% of the population are Not White British/Irish and only 3.1% of the population’s main language is not English, which is significantly different from the city average. • Croxteth and Norris Green neighbourhood deprivation score is significantly higher than the Liverpool average and is ranked 7th highest when compared to all neighbourhoods. • More than half 42.4% have no access to a car/van, significantly lower than the Liverpool average • The average household income is around £25,962 comparable to Liverpool, but has reduced since the last reported figure of £27,558 • Unemployment is significantly higher than the city rate (7.5% compared to 6.6%) and there is no change since last year. 9.4% of the population are long term sick or disabled. • Over a third (34.9%) of the population are economically inactive which is significantly lower than the city average. • A significantly lower proportion of housing tenure is social or privately rented; 47.7%% compared to 52.5% across the city. • People aged 65 and over living alone account for 12.7% of households, significantly higher than the Liverpool average. • Domestic violence rate is ranked the 3rd highest with 13.9 per 1,000 compared to 12.0 per 1,000 population. Violent crime is comparable to the city-wide average with 9.4 per 1,000 crimes compared to 12.2 for Liverpool/

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 Croxteth & Norris Green 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 - 45.5 41.1 22.1 59.6 45.3 21.8 4 Not White British or Irish ethnic group (%) 2,792 6.72% 15.7% 4.6% 38.9% 6.73% 19.2% 5 White Other ethnic group (%) 722 1.74% 2.8% 0.9% 5.3% 1.73% 4.6% 6 Mixed/Multiple ethnic group (%) 482 1.16% 2.7% 0.9% 6.7% 1.16% 2.3% 7 Asian/Asian British ethnic group (%) 886 2.13% 5.0% 1.4% 14.4% 2.15% 7.8% 8 Black/African/Caribbean/Black British ethnic group (%) 523 1.26% 3.1% 0.6% 10.2% 1.25% 3.5% 9 Other ethnic group (including Arab) (%) 181 0.44% 2.1% 0.3% 8.3% 0.44% 1.0% 10 Main language not English (%) 1,283 3.09% 7.5% 2.1% 18.4% 3.09% 8.0% 11 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 553 71.1 55.0 24.8 81.2 72.6 62.5 12 Children aged 0-4 years (%) 2,810 6.8% 5.5% 2.0% 6.8% 6.8% 5.6% 13 Population 65+ (%) 5,944 14.3% 14.4% 3.8% 20.2% 14.3% 17.9% 14 Population 75+ (%) 2,619 6.3% 6.3% 1.3% 9.4% 6.5% 8.1% 15 Population 85+ (%) 746 1.8% 1.7% 0.3% 2.9% 1.8% 2.4% 16 Population 95+ (%) 55 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 17 Population 40+ with 1 or more LTC (%) 5,363 29.1% 27.9% 26.5% 29.3% 29.4% n/a 18 Population 40+ with 2 or more LTC (%) 2,869 15.5% 15.2% 13.3% 16.5% 15.8% n/a 19 Population 40+ with 3 or more LTC (%) 1,487 8.1% 7.9% 6.9% 9.3% 7.7% n/a 20 Percentage of the population 40+ with risk score >=50% 340 1.8% 1.3% 0.7% 1.9% 2.5% n/a 21 Percentage of the population 40+ with risk score >=70% 100 0.5% 0.4% 0.2% 0.7% 0.7% n/a 22 Percentage of the population 40+ with risk score >=50% <=90% 318 1.7% 1.3% 0.7% 1.8% 2.3% n/a 23 WIDER DETERMINANTS - - 24 No car or van in household (%) - 42.4% 47.0% 29.1% 61.5% 42.2% 25.8% 25 Economically active (%) 19,546 65.1% 62.1% 51.4% 68.8% 65.1% 69.9% 26 Economically active: Unemployed (%) 2,266 7.5% 6.6% 4.1% 9.2% 7.5% 4.4% 27 Economically active: Long-term unemployed (%) 947 3.2% 2.7% 1.6% 3.9% 3.1% 1.7% 28 Economically inactive (%) 10,473 34.9% 37.9% 31.2% 48.6% 34.9% 30.1% 29 Economically inactive: Long-term sick or disabled (%) 2,812 9.4% 7.9% 4.6% 11.7% 9.4% 4.0% 30 Housing Tenure: Social or Private Rented (%) - 47.7% 52.5% 32.1% 77.0% 47.5% 36.7% 31 One person household: Aged 65 and over (%) - 12.7% 11.9% 7.8% 13.9% 12.7% 12.4% 32 Mean Household Income £ - £25,962 £27,565 £21,310 £38,138 £27,558 £39,472 33 Domestic violence rate per 1,000 525 13.9 12.0 6.4 18.9 10.9 - 34 Violent crime rate per 1,000 356 9.4 12.2 5.6 21.6 8.7 - 35 RISK FACTORS - - 36 CURRENT SMOKERS aged 15+ (QOF) (%) 7,618 23.4% 21.5% 13.5% 29.6% 23.9% 17.6% 37 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,404 84.1% 88.4% 83.7% 98.3% 84.0% 88.8% 38 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,382 14.0% 11.9% 5.2% 15.4% 12.2% 9.7% 39 People with BMI >=40 recorded in the last 12m (%) 1,309 3.1% 2.6% 1.2% 3.8% 2.9% - 40 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 597 45.6% 49.6% 38.4% 60.3% 57.5% - 41 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 89 19.0% 22.8% 15.1% 31.1% - n/a 42 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 22,005 69.2% 68.3% 63.0% 77.4% 66.2% - 43 People aged 18+ who have ALCOHOL above indicated levels (%) 1,836 8.3% 9.1% 5.6% 12.1% 5.0% - 44 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,573 85.7% 90.4% 85.0% 99.2% 94.0% - 45 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 285 782 797 419 1,522 842 n/a 46 LIFE EXPECTANCY / MORTALITY - - 47 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 75.7 77.0 74.4 83.6 75.6 79.5 48 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 80.1 80.8 78.5 86.4 79.7 83.1 49 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 77.9 78.9 76.8 85.0 77.7 81.3 50 ALL CAUSE Mortality - DSR per 100,000 population 1,233 1,312.8 1,136.4 729.3 1,428.1 1,372.9 968.7 51 CVD Mortality - DSR per 100,000 population 266 284.4 247.1 161.4 307.1 287.9 267.3 52 CANCER Mortality - DSR per 100,000 population 332 341.5 320.5 211.1 426.2 377.7 276.8 53 LUNG CANCER - DSR per 100,000 population 101 107.3 93.2 59.5 143.3 121.8 57.7 54 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 89 94.8 89.2 65.3 114.1 108.1 n/a 55 RESPIRATORY Mortality - DSR per 100,000 population 159 173.3 178.0 93.9 240.0 195.0 n/a 56 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 447 461.7 437.8 273.4 559.9 503.2 333.8 57 CVD Mortality Under 75 Years - DSR per 100,000 population 96 100.1 89.4 52.1 127.9 91.4 73.5 58 CANCER Mortality Under 75 Years - DSR per 100,000 population 178 184.8 163.5 106.6 206.4 205.7 136.8 59 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 53 58.1 49.9 24.9 79.6 74.7 33.6 60 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 43 46.6 46.7 31.4 59.8 48.0 n/a 61 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 48 52.3 57.5 25.7 84.9 68.3 33.8 62 DISEASE PREVALENCE / POPULATION GROUPS - - 63 CHD Prevalence DSR per 100,000 population 1,491 4,814.8 4,273.6 3,481.4 4,961.5 5,081.2 n/a 64 CANCER Prevalence DSR per 100,000 population 1,185 3,672.4 3,812.8 3,129.9 4,328.7 3,528.0 n/a 65 COPD Prevalence DSR per 100,000 population 1,365 4,275.4 3,853.2 2,297.3 5,344.8 4,101.5 n/a 66 ASTHMA Prevalence DSR per 100,000 population 2,343 6,189.2 6,465.9 6,095.6 7,369.1 5,837.8 n/a 67 DIABETES Prevalence DSR per 100,000 population 2,175 6,506.3 6,065.8 4,847.9 7,560.9 6,653.3 n/a 68 HYPERTENSION Prevalence DSR per 100,000 population 5,370 16,507.0 16,840.4 15,813.1 18,716.6 16,530.8 n/a 69 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,970 6,493.1 6,543.1 5,371.5 7,748.4 6,493.6 n/a 70 HEART FAILURE Prevalence DSR per 100,000 population 434 1,444.1 1,155.5 949.8 1,647.8 1,433.1 n/a 71 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 732 2,460.8 2,388.0 1,930.8 2,795.6 2,519.6 n/a 72 STROKE/TIA Prevalence DSR per 100,000 population 701 2,278.0 2,225.5 1,956.8 3,037.2 2,387.4 n/a 73 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 322 1,055.6 1,034.4 716.2 1,678.4 1,097.4 n/a 74 DEMENTIA Prevalence DSR per 100,000 population 347 1,239.9 898.1 613.5 1,363.2 1,358.4 n/a 75 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 421 1,143.6 1,425.4 1,043.9 2,441.8 1,162.5 n/a 76 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 6,007 16,010.4 14,022.1 11,956.3 21,198.7 16,148.7 n/a 77 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 404 1,315.1 1,516.3 1,237.6 1,984.8 1,558.7 n/a 78 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 2,452 7,134.6 6,797.5 5,387.3 8,000.4 7,200.9 n/a 79 LEARNING DISABILITIES Prevalence DSR per 100,000 population 130 326.3 412.8 264.8 577.9 549.8 n/a 80 CARERS Prevalence (GP Recorded) DSR per 100,000 population 775 2,109.5 2,788.8 1,949.5 4,193.2 1,903.9 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 Croxteth & Norris Green 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) (%) 7,618 23.4% 21.5% 13.5% 29.6% 23.9% 17.6% 84 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,404 84.1% 88.4% 83.7% 98.3% 84.0% 88.8% 85 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,382 14.0% 11.9% 5.2% 15.4% 12.2% 9.7% 86 People with BMI >=40 recorded in the last 12m (%) 1,309 3.1% 2.6% 1.2% 3.8% 2.9% - 87 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 597 45.6% 49.6% 38.4% 60.3% 57.5% - 88 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 89 19.0% 22.8% 15.1% 31.1% - n/a 89 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 22,005 69.2% 68.3% 63.0% 77.4% 66.2% - 90 People aged 18+ who have ALCOHOL above indicated levels (%) 1,836 8.3% 9.1% 5.6% 12.1% 5.0% - 91 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,573 85.7% 90.4% 85.0% 99.2% 94.0% - 92 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 285 782.2 796.5 418.6 1,522.2 842.2 n/a 93 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 124 310.8 289.5 118.3 587.1 304.2 110.2 94 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,099 2,990.5 2,747.0 1,889.9 4,430.6 2,621.8 2,185.0 95 PREVENTION - - 96 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 15,327 91.9% 91.1% 88.8% 92.9% 92.9% 90.7% 97 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,439 55.7% 72.9% 55.7% 98.2% - 74.1% 98 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,823 70.3% 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 3,823 39.1% 35.5% 27.3% 46.7% - 36.2% 100 Persons 18+ with a learning disability and HEALTH CHECK completed (%) 139 72.8% 63.6% 38.5% 74.4% 71.8% 0.5 101 Persons 18+ with a learning disability eligible for a HEALTH CHECK and health action plan completed (%) 114 59.7% 34.3% 9.3% 59.7% 50.8% n/a 102 Health Trainer Referral rate per 1,000 persons 18+ 241 7.6 6.1 1.2 14.3 6.8 n/a 103 Referrals to Liverpool Community Alcohol Service (LCAS) Rate per 1,000 18+ 219 7.0 7.0 3.8 13.1 - n/a 104 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,404 84.1% 88.4% 83.7% 98.3% 84.0% 88.8% 105 CANCER SCREENING - - 106 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 2,024 48.1% 51.7% 43.4% 60.7% 45.7% 57.4% 107 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,787 49.6% 53.1% 44.9% 62.0% 47.1% 59.1% 108 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,365 69.3% 67.6% 59.6% 73.5% 69.8% 72.1% 109 36 month coverage for BREAST screening aged 50-70 3,365 64.5% 64.8% 54.4% 72.7% 62.9% 72.5% 110 CHILD HEALTH - - 111 Low birthweight of all babies <2500g (3 year pooled) (%) 153 9.3% 8.8% 6.9% 10.6% 10.0% 7.4% 112 Breastfeeding Initiation Rates (%) 156 32.1% 44.9% 27.8% 65.4% 27.5% 74.5% 113 Breastfeeding at 6-8 weeks (%) 112 22.0% 35.1% 18.0% 53.5% 18.7% 44.4% 114 Smoking Status at Time of Delivery (SATOD) % 85 16.2% 13.1% 5.0% 20.8% 18.4% 10.7% 115 Child Excess Weight Reception (age 4-5 years) (%) 414 26.8% 26.2% 23.4% 29.2% 25.3% 22.6% 116 Child Excess Weight Year 6 (age 10-11 years) (%) 487 39.4% 38.7% 33.0% 42.6% 40.4% 34.2% 117 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 130 1002.9 716.9 531.3 1002.9 1515.2 n/a 118 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 56 745.2 446.6 157.9 933.6 513.0 n/a 119 Child AED attendance rate per 1,000 population aged 0-4 years 2,427 864.0 729.2 631.2 864.0 815.6 n/a 120 VACS AND IMMS - - 121 Children's DtaPipVHib at 1 Yr (%) 524 94.8% 94.2% 90.9% 96.9% 95.8% 93.4% 122 Children's PCV at 2 Yrs (%) 543 92.2% 90.6% 80.9% 95.3% 94.3% 91.5% 123 Children's MMR1 at 2 Yrs (%) 549 93.2% 92.5% 84.1% 96.0% 95.7% 91.6% 124 Children's Hib Men C at 2 Yrs (%) 552 93.7% 92.6% 83.5% 96.4% 95.9% 91.5% 125 Children's Pre School Booster at 5 Yrs (%) 535 88.4% 87.0% 78.1% 92.9% 92.6% n/a 126 Children's MMR2 at 5 Yrs (%) 524 86.6% 86.4% 76.8% 92.9% 92.4% 87.6% 127 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 2,168 93.4% 92.5% 76.8% 92.9% 95.4% n/a 128 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 237 36.7% 37.4% 26.9% 50.7% 20.0% 38.9% 129 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 212 39.0% 39.1% 26.7% 54.3% 34.9% 41.5% 130 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 257 43.3% 44.8% 37.6% 50.9% 43.9% 44.9% 131 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 4,504 75.9% 73.5% 64.9% 75.9% 75.5% 70.5% 132 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 3,021 51.6% 48.9% 44.4% 51.6% 57.5% 48.6% 133 Seasonal Flu Vaccine Uptake - Carers (%) 237 57.5% 46.9% 37.0% 57.5% 58.8% 41.9% 134 SEXUAL HEALTH - - 135 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 553 71.1 55.0 24.8 81.2 72.6 62.5 136 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,365 69.3% 67.6% 59.6% 73.5% 69.8% 72.1% 137 GP prescribed user dependent contraception per 1,000 females aged 15-44 1,264 150.9 139.4 84.9 164.0 169.0 n/a 138 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 283 33.8 28.6 12.5 49.7 31.1 n/a 139 GP prescribed condoms rate per 1,000 <5 0.02 0.97 - 6.34 0.05 n/a 140 Uptake of HIV testing in specialist sexual health services rate per 1,000 42 1.01 4.26 1.01 12.24 1.01 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 Croxteth & Norris Green 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 - 36.8% 34.0% 21.3% 45.9% 36.7% 15.3% 144 Population 65+ (%) 5,944 14.3% 14.4% 3.8% 20.2% 14.3% 17.9% 145 Population 75+ (%) 2,619 6.3% 6.3% 1.3% 9.4% 6.5% 8.1% 146 Population 85+ (%) 746 1.8% 1.7% 0.3% 2.9% 1.8% 2.4% 147 Population 95+ (%) 55 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 148 Population 40+ with 1 or more LTC (%) 5,363 29.1% 27.9% 26.5% 29.3% 29.4% n/a 149 Population 40+ with 2 or more LTC (%) 2,869 15.5% 15.2% 13.3% 16.5% 15.8% n/a 150 Population 40+ with 3 or more LTC (%) 1,487 8.06% 7.85% 6.87% 9.25% 7.7% n/a 151 Percentage of the population 40+ with risk score >=50% 340 1.84% 1.35% 0.72% 1.95% 2.5% n/a 152 Percentage of the population 40+ with risk score >=70% 100 0.54% 0.40% 0.20% 0.73% 0.7% n/a 153 Percentage of the population 40+ with risk score >=50% <=90% 318 1.72% 1.27% 0.69% 1.79% 2.3% n/a 154 People on 5 or more prescriptions (%) 9,445 23.47% 20.64% 7.48% 25.81% 23.8% n/a 155 People on 10 or more prescriptions (%) 2,902 7.21% 6.18% 2.31% 8.65% 7.3% n/a 156 Anitibiotic Prescribing rate per 1000 population 1,657 39.89 43.20 33.06 52.19 - n/a 157 Broad Spectrum anitbiotic prescribing rate per 1000 population 141 3.39 3.55 2.84 4.44 - n/a 158 People on Warfarin who have INR recorded in last 12 months (%) 480 94.1% 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 41 83.7% 84.8% 67.4% 94.7% - 95.8% 161 People aged 50-74 with a fragility fracture and osteoporosis treated with bone-sparing agent 41 82.0% 72.8% 60.0% 82.0% 83.3% 85.8% 162 People aged 75 and over with a record of fragility fracture and an osteoporosis diagnosis 56 91.8% 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. 46 71.9% 58.2% 36.1% 72.0% 84.0% 79.5% 164 DEMENTIA - - 165 DEMENTIA Prevalence DSR per 100,000 population 347 1,239.9 898.1 613.5 1,363.2 1,358.4 n/a 166 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 391 95.0% 66.5% 55.4% 104.7% 96.2% 61.1% 167 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 391 107.4% 75.0% 62.2% 117.7% 109.0% 68.6% 168 People with DEMENTIA with no other LTCs (%) 54 15.5% 13.9% 9.0% 17.4% 15.7% n/a 169 People with DEMENTIA with 1 other LTC (%) 79 22.7% 21.4% 14.1% 24.3% 24.5% n/a 170 People with DEMENTIA with 2 other LTCs (%) 85 24.4% 23.9% 17.8% 29.1% 23.4% n/a 171 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 347 88.5% 80.0% 69.4% 88.52% 86.5% 83.7% 172 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 58 89.2% 86.9% 78.6% 91.84% 75.4% 87.6% 173 Emergency admissions for DEMENTIA aged over 65 18 3.01 2.11 1.10 3.11 0.50 n/a 174 END OF LIFE - - 175 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 356 1,149 655 451 1,149 1,340 n/a 176 Reduction in Emergency admissions END OF LIFE 161 27.0 21.7 14.6 28.9 32.0 n/a 177 RESIDENTIAL AND CARE HOMES - - 178 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 210 36.6 30.1 9.6 86.4 19.6 n/a 179 Reduction in Emergency admissions from CARE HOMES 435 72.8 29.6 - 72.8 52.1 n/a 180 CARERS - - 181 CARERS Prevalence (GP Recorded) DSR per 100,000 population 775 2,109 2,789 1,950 4,193 1,904 n/a 182 EMERGENCY ADMISSIONS per 1000 HCHS weighted pop - - 183 Injuries due to FALLS 65+ 229 38.3 31.4 24.1 38.4 39.0 n/a 184 Emergency admissions for DEMENTIA aged over 65 18 3.01 2.11 1.10 3.11 0.50 n/a 185 Emergency admissions for HIP FRACTURES aged over 65 56 9.38 8.44 4.31 11.13 10.34 n/a 186 Emergency admissions for CELLULITIS 66 1.38 1.00 0.60 1.51 0.98 n/a 187 Emergency admissions for FLU & PNEUMO 127 2.65 2.69 2.10 3.38 2.81 n/a 188 Emergency admissions for PYLO NEFRITIS 39 0.81 0.53 0.31 0.81 0.60 n/a 189 Emergency admissons for GASTRO/DEHYDRATION 15 0.31 0.18 0.10 0.31 2.23 n/a 190 Emergency re-admissions within 30 days to hospital (%) 950 12.5% 12.8% 11.5% 14.4% 12.2% 0.1 191 COMMUNITY SERVICES per 1000 HCHS weighted pop - - 192 Community Matrons Face to Face Contacts 895 46.25 65.41 46.25 90.86 205.21 n/a 193 Community Matrons Case Load 21 1.09 1.18 0.17 3.15 3.71 n/a 194 District Nursing Face to Face Contacts 23,650 1,222.16 1,098.57 781.44 1,365.45 1,180.90 n/a 195 District Nursing Case Load 254 13.13 13.17 10.53 17.08 14.80 n/a 196 IV Therapy Face to Face Contacts 421 21.76 16.65 8.33 31.25 21.59 n/a 197 IV Therapy Case Load 5 0.26 0.28 0.06 0.48 0.37 n/a 198 Therapy Face to Face Contacts 8,661 447.57 405.91 363.03 462.54 436.56 n/a 199 Therapy Case Load 1,630 84.23 72.65 63.73 92.12 97.24 n/a 200 Treatment Rooms Face to Face Contacts 4,487 231.87 252.16 212.49 317.62 238.93 n/a 201 Treatment Rooms Case Load 154 7.96 6.61 1.22 14.52 7.42 n/a 202 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 203 Social Services Users OLDER PERSONS per 1000 65+ resident population 625 108.9 125.00 91.80 198.31 115.4 n/a 204 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 49 8.54 8.29 3.37 17.45 10.73 n/a 205 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 65+ resident population 483 84.1 93.85 70.68 144.75 94.3 n/a 206 Social Services Users DOMICILIARY CARE per 1000 65+ resident population 142 24.7 37.40 24.74 47.44 46.1 n/a 207 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 65+ resident population 26 4.5 7.80 4.53 13.71 27.3 n/a 208 Social Services Users OTHER COMMUNITY per 1000 65+ resident population 145 25.3 23.89 15.14 39.61 14.1 n/a 209 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 210 36.6 30.11 9.62 86.37 19.6 n/a 210 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 28 0.7 0.84 0.62 0.92 0.7 n/a 211 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 32 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 (%) 4,504 75.9% 73.5% 64.9% 75.9% 75.5% 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 Croxteth & Norris Green 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 - 35.9% 31.9% 16.1% 44.4% 35.7% 17.6% 217 16-18 year olds not in education, employment or training (%) 53 5.7% 5.6% 3.2% 8.3% 8.6% 6.0% 218 Children aged 0-4 years (%) 2,810 6.8% 5.5% 2.0% 6.8% 6.8% 5.6% 219 Children aged 5-10 years (%) 3,544 8.5% 6.5% 1.9% 8.5% 8.3% 7.3% 220 Children aged 11-18 years (%) 3,888 9.4% 7.9% 4.2% 9.4% 9.4% 8.8% 221 Young People aged 19-25 years (%) 3,564 8.6% 13.3% 7.0% 49.9% 8.7% 8.9% 222 Children and Young People aged 0-25 years (%) 13,806 33.2% 33.3% 26.5% 58.0% 33.3% 30.5% 223 CHILD HEALTH - - 224 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 553 71.1 55.0 24.8 81.2 72.6 62.5 225 Low birthweight of all babies <2500g (3 year pooled) (%) 153 9.3% 8.8% 6.9% 10.6% 10.0% 7.4% 226 Breastfeeding Initiation Rates (%) 156 32.1% 44.9% 27.8% 65.4% 27.5% 74.5% 227 Breastfeeding at 6-8 weeks (%) 112 22.0% 35.1% 18.0% 53.5% 18.7% 44.4% 228 Smoking Status at Time of Delivery (SATOD) % 85 16.2% 13.1% 5.0% 20.8% 18.4% 10.7% 229 Child Excess Weight Reception (age 4-5 years) (%) 414 26.8% 26.2% 23.4% 29.2% 25.3% 22.6% 230 Child Excess Weight Year 6 (age 10-11 years) (%) 487 39.4% 38.7% 33.0% 42.6% 40.4% 34.2% 231 SOCIAL CARE (LIVERPOOL CITY COUNCIL) - - 232 Children in Need - Rate per 10,000 under 18 years 287 325.8 381.2 288.3 618.0 364.8 330.4 233 Looked After Children - Rate per 10,000 under 18 years 88 100.4 117.5 88.8 190.4 95.2 62.0 234 Child Protection Plan - Rate per 10,000 under 18 years 30 33.7 39.5 29.9 64.0 45.6 43.3 235 Early Help Assessment Tool (EHAT) Family Assessments (%) 347 3.9% 4.6% 3.5% 7.5% 7.8% n/a 236 Troubled Families (%) 756 7.6% 5.4% 2.7% 8.2% 4.3% n/a 237 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 53 60.0 70.3 53.1 113.9 52.0 n/a 238 Children who are receiving Special Educational Needs (SEN) Support (%) 1,238 14.0% 11.4% 8.4% 19.5% 13.4% n/a 239 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 179 202.8 179.7 121.8 317.3 253.6 n/a 240 EDUCATIONAL ATTAINMENT - - 241 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 262 56.5% 55.7% 47.5% 64.6% 48.1% 61.1% 242 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 204 51.1% 53.4% 42.3% 67.6% 50.1% 59.3% 243 Pupil Persistent Absenteeism (10% Threshold) - Primary Schools (%) 377 12.3% 11.0% 7.1% 14.8% 13.6% 3.9% 244 Pupil Persistent Absenteeism (10% Threshold) - Secondary Schools (%) 405 18.8% 16.4% 11.5% 21.4% 18.3% 5.0% 245 VACS AND IMMS - - 246 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 2,168 93.4% 92.5% 85.2% 96.1% 95.4% n/a 247 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 237 36.7% 37.4% 26.9% 50.7% 20.0% 38.9% 248 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 212 39.0% 39.1% 26.7% 54.3% 34.9% 41.5% 249 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 257 43.3% 44.8% 37.6% 50.9% 43.9% 44.9% 250 DISEASE PREVALENCE - - 251 Children with ASTHMA 0-17 years (%) 332 3.4% 4.3% 3.4% 4.7% 4.0% n/a 252 Young People with ASTHMA aged 18-25 years (%) 187 4.7% 4.0% 2.6% 6.6% 4.7% n/a 253 Children with EPILEPSY 0-17 years (%) 33 0.3% 0.2% 0.2% 0.3% 0.4% n/a 254 Children with DIABETES 0-17 years (%) 19 0.2% 0.3% 0.2% 0.3% 0.2% n/a 255 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 316 2.3% 2.6% 2.1% 3.6% 2.6% n/a 256 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 21 0.2% 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 6 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 39 4.0 4.4 3.3 5.7 2.8 n/a 260 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 130 1,002.9 716.9 531.3 1,002.9 1,515.2 n/a 261 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 14 49.2 40.4 17.4 64.0 32.6 39.6 262 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 16 110.1 102.3 30.8 182.8 95.7 89.8 263 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 56 745.2 446.6 157.9 933.6 513.0 n/a 264 Child AED attendance rate per 1,000 population aged 0-4 years 2,427 864.0 729.2 631.2 864.0 815.6 n/a 265 Child AED attendances - LRTI 665 64.9 59.3 48.5 209.0 60.9 n/a 266 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 76 2.6 3.6 2.5 8.4 2.3 n/a 267 Child AED attendances - ACCIDENTS 1,485 151.9 116.6 87.1 356.2 141.8 n/a 268 Child Emergency Admission Average Length of Stay <1 day 524 53.6 53.6 47.6 78.6 39.1 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 Croxteth & Norris Green 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) (%) 7,618 23.4% 21.5% 13.5% 29.6% 23.9% 17.6% 272 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,404 84.1% 88.4% 83.7% 98.3% 84.0% 88.8% 273 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,382 14.0% 11.9% 5.2% 15.4% 12.2% 9.7% 274 People with BMI >=40 recorded in the last 12m (%) 1,309 3.1% 2.6% 1.2% 3.8% 2.9% - 275 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 597 45.6% 49.6% 38.4% 60.3% 57.5% - 276 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 89 19.0% 22.8% 15.1% 31.1% - n/a 277 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 22,005 69.2% 68.3% 63.0% 77.4% 66.2% - 278 People aged 18+ who have ALCOHOL above indicated levels (%) 1,836 8.3% 9.1% 5.6% 12.1% 5.0% - 279 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,573 85.7% 90.4% 85.0% 99.2% 94.0% - 280 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 285 782.2 796.5 418.6 1,522.2 842.2 n/a 281 HYPERTENSION - - 282 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,970 6,493 6,543 5,372 7,748 6,494 n/a 283 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,821 98.9% 99.4% 80.4% 120.7% 87.3% 64.0% 284 HYPERTENSION Prevalence DSR per 100,000 population 5,370 16,507 16,840 15,813 18,717 16,531 n/a 285 Ratio of Observed (PCQF) to Expected HYPERTENSION Prevalence 5,424 51.5% 51.9% 25.8% 59.6% 51.5% 67.1% 286 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 15,327 91.9% 91.1% 88.8% 92.9% 92.9% 90.7% 287 People with hypertension whose latest BP reading is <150/90 (QOF) (%) 4,519 81.4% 80.7% 76.3% 85.7% 78.9% 83.9% 288 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 3,170 66.0% 70.6% 66.0% 76.5% 63.3% n/a 289 People aged >=80 with hypertension whose latest blood pressure reading is < 150/90 (%) 899 89.5% 89.8% 85.6% 91.5% - n/a 290 People with hypertension with physical activity recorded (%) 2,820 48.6% 53.8% 36.9% 69.2% - n/a 291 People with hypertension who do not meet recommended activity levels who have received brief advice (%) 1,910 95.4% 91.8% 81.3% 97.5% - n/a 292 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,439 55.7% 72.9% 55.7% 98.2% - 74.1% 293 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,823 70.3% 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 3,823 39.1% 35.5% 27.3% 46.7% - 36.2% 295 CHD - - 296 CVD Mortality - DSR per 100,000 population 266 284.4 247.1 161.4 307.1 287.9 267.3 297 CVD Mortality Under 75 Years - DSR per 100,000 population 96 100.1 89.4 52.1 127.9 91.4 73.5 298 CHD Prevalence DSR per 100,000 population 1,491 4,815 4,274 3,481 4,961 5,081 n/a 299 Ratio of Observed (QOF) to Expected CHD Prevalence 1,612 60.7% 49.5% 19.5% 63.8% 59.2% n/a 300 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,398 87.6% 88.3% 82.8% 90.8% 91.0% 92.4% 301 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,449 89.9% 91.8% 82.1% 109.0% 91.7% 96.3% 302 Emergency admissions for ANGINA 57 1.19 1.00 0.60 1.26 1.27 n/a 303 HEART FAILURE - - 304 HEART FAILURE Prevalence DSR per 100,000 population 434 1,444 1,156 950 1,648 1,433 n/a 305 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 358 86.9% 70.9% 59.2% 90.4% 94.3% 71.3% 306 Emergency admissions for CONGESTIVE HEART FAILURE 67 1.40 1.24 0.85 1.72 0.50 n/a 307 HEART FAILURE Team Face to Face Contacts 632 32.66 13.25 6.40 32.66 28.44 n/a 308 HEART FAILURE Team Case Load 23 1.19 0.40 0.00 1.19 1.78 n/a 309 ATRIAL FIBRILLATION and STROKE - - 310 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 732 2,461 2,388 1,931 2,796 2,520 n/a 311 People on the AF case finding search who have had their notes reviewed 21 48.8% 38.1% 13.0% 68.0% - n/a 312 People with AF with CHADS score >1 treated with anti-coagulation or anti-platelets therapy (%) 557 86.9% 83.0% 39.8% 92.5% 82.1% 88.5% 313 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 368 85.0% 80.8% 63.8% 112.3% 90.7% 96.9% 314 STROKE/TIA Prevalence DSR per 100,000 population 701 2,278 2,225 1,957 3,037 2,387 n/a 315 Ratio of Observed (QOF) to Expected STROKE Prevalence 758 52.2% 48.6% 26.0% 59.2% 49.9% 47.0% 316 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 382 98.5% 97.9% 96.0% 99.6% 89.1% 97.4% 317 People with stroke/TIA referred for further investigation after last stroke or first TIA (QOF) % 164 82.8% 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 (%) 4,095 77.3% 77.2% 68.3% 84.8% 76.1% n/a 319 Emergency admissions for STROKE 85 1.77 1.46 0.83 1.78 1.33 n/a 320 DIABETES - - 321 DIABETES Prevalence DSR per 100,000 population 2,175 6,506 6,066 4,848 7,561 6,653 n/a 322 Ratio of Observed (PCQF) to Expected DIABETES Prevalence 2,267 85.8% 76.3% 45.2% 93.7% 87.7% 79.6% 323 Prevalence of Impaired Glucose Regulation (%) 1,633 3.9% 3.7% 1.2% 4.9% - n/a 324 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,592 67.6% 65.0% 56.4% 70.8% 63.9% n/a 325 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,575 66.9% 66.2% 60.3% 70.4% 70.7% n/a 326 People with DIABETES and HbA1c (%) 2,213 93.9% 93.1% 89.9% 94.5% 94.8% n/a 327 People with DIABETES and BP recorded (%) 2,256 95.8% 94.7% 92.1% 96.4% 96.3% n/a 328 People with DIABETES and Cholesterol recorded (%) 2,124 90.2% 89.5% 86.8% 92.0% 91.4% n/a 329 People with DIABETES and Microalb recorded (%) 1,807 76.7% 74.2% 69.0% 78.8% 80.9% n/a 330 People with DIABETES and Creatinine recorded (%) 2,192 93.0% 91.7% 89.0% 93.2% 94.1% n/a 331 People with DIABETES and Foot Check (%) 2,048 86.9% 87.0% 82.6% 93.2% 89.7% 89.8% 332 People with DIABETES and BMI recorded (%) 2,063 87.6% 87.7% 82.8% 92.2% 87.8% n/a 333 People with DIABETES and Smoking Status recorded (%) 2,088 88.6% 91.5% 88.6% 94.7% 90.0% n/a 334 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 1,041 44.2% 42.9% 37.5% 46.2% - n/a 335 People with DIABETES who have CHD and/or CKD (%) 775 32.9% 33.6% 28.5% 38.1% - n/a 336 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 211 37.9% 40.9% 33.1% 52.0% - n/a 337 Preventable sight loss - diabetic eye disease rate per 1000 634 26.9% 28.7% 23.1% 36.4% - n/a 338 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 114 65.9% 77.6% 65.9% 84.7% 89.4% n/a 339 Emergency admissions for DIABETIC COMPLICATIONS 25 0.52 0.40 0.11 0.81 0.67 n/a 340 DIABETES Specialist Nurses Face to Face Contacts 632 32.66 38.19 20.17 60.77 31.58 n/a 341 DIABETES Case Load 65 3.36 5.50 3.36 8.77 3.03 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 Croxteth & Norris Green 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) (%) 7,618 23.4% 21.5% 13.5% 29.6% 23.9% 17.6% 345 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,404 84.1% 88.4% 83.7% 98.3% 84.0% 88.8% 346 MORTALITY - - 347 RESPIRATORY Mortality - DSR per 100,000 population 159 173.3 178.0 93.9 240.0 195.0 n/a 348 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 48 52.3 57.5 25.7 84.9 68.3 33.8 349 DISEASE PREVALENCE - - 350 COPD Prevalence DSR per 100,000 population 1,365 4,275 3,853 2,297 5,345 4,102 n/a 351 Ratio of Observed (PCQF) to Expected COPD Prevalence 1,475 95.2% 84.5% 60.3% 119.9% 87.2% 72.1% 352 ASTHMA Prevalence DSR per 100,000 population 2,343 6,189 6,466 6,096 7,369 5,838 n/a 353 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 2,283 60.5% 63.2% 38.5% 77.4% 58.6% 63.8% 354 RESPIRATORY CONDITIONS - - 355 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 832 63.6% 59.3% 49.5% 71.0% 66.2% 86.8% 356 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,069 81.7% 81.8% 67.5% 88.3% 83.4% 96.7% 357 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 281 33.4% 27.3% 19.6% 36.2% 70.8% n/a 358 People with ASTHMA Day and Night Symptoms Recorded (%) 1,595 69.6% 65.4% 48.6% 74.1% 72.6% n/a 359 SERVICE UTILISATION Rate per 1000 - - 360 Referrals to Pulmonary Rehab 70 1.68 1.34 0.34 2.22 2.14 n/a 361 Emergency admissions for COPD 172 3.59 2.94 1.74 4.59 3.29 n/a 362 Community RESPIRATORY team Face to Face contacts 678 35.04 24.59 8.20 42.60 41.72 n/a 363 Community RESPIRATORY Team Case Load <5 0.10 0.19 - 0.65 0.58 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 Croxteth & Norris Green 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) (%) 7,618 23.4% 21.5% 13.5% 29.6% 23.9% 17.6% 367 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,404 84.1% 88.4% 83.7% 98.3% 84.0% 88.8% 368 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 89 19.0% 22.8% 15.1% 31.1% - n/a 369 MORTALITY - - 370 CANCER Mortality - DSR per 100,000 population 332 341.5 320.5 211.1 426.2 377.7 276.8 371 LUNG CANCER - DSR per 100,000 population 101 107.3 93.2 59.5 143.3 121.8 57.7 372 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 89 94.8 89.2 65.3 114.1 108.1 n/a 373 CANCER Mortality Under 75 Years - DSR per 100,000 population 178 184.8 163.5 106.6 206.4 205.7 136.8 374 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 53 58.1 49.9 24.9 79.6 74.7 33.6 375 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 43 46.6 46.7 31.4 59.8 48.0 n/a 376 PREVALENCE - - 377 CANCER Prevalence DSR per 100,000 population 1,185 3,672 3,813 3,130 4,329 3,528 n/a 378 CANCER SCREENING - - 379 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 2,024 48.1% 51.7% 43.4% 60.7% 45.7% 57.4% 380 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,787 49.6% 53.1% 44.9% 62.0% 47.1% 59.1% 381 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,365 69.3% 67.6% 59.6% 73.5% 69.8% 72.1% 382 36 month coverage for BREAST screening aged 50-70 3,365 64.5% 64.8% 54.4% 72.7% 62.9% 72.5% 383 SERVICE UTILISATION rate per 1000 HCHS Weighted population - - 384 Emergency admissions for CANCER 341 7.1 5.0 3.2 7.1 5.0 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 Croxteth & Norris Green 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 347 1,239.9 898.1 613.5 1,363.2 1,358.4 n/a 388 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 391 95.0% 66.5% 55.4% 104.7% 96.2% 61.1% 389 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 391 107.4% 75.0% 62.2% 117.7% 109.0% 68.6% 390 People with DEMENTIA with no other LTCs (%) 54 15.5% 13.9% 9.0% 17.4% 15.7% n/a 391 People with DEMENTIA with 1 other LTC (%) 79 22.7% 21.4% 14.1% 24.3% 24.5% n/a 392 People with DEMENTIA with 2 other LTCs (%) 85 24.4% 23.9% 17.8% 29.1% 23.4% n/a 393 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 347 88.5% 80.0% 69.4% 88.5% 86.5% 83.7% 394 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 58 89.2% 86.9% 78.6% 91.8% 75.4% 87.6% 395 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 49 8.5 8.3 3.4 17.5 10.7 n/a 396 SERIOUS MENTAL ILLNESS - - 397 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 421 1,144 1,425 1,044 2,442 1,163 n/a 398 People with SMI with no other LTCs (%) 122 29.0% 34.9% 28.3% 44.3% 28.7% n/a 399 People with SMI with 1 other LTC (%) 187 44.4% 41.5% 34.6% 46.5% 40.1% n/a 400 People with SMI with 2 other LTCs (%) 63 15.0% 15.2% 12.3% 18.4% 17.1% n/a 401 People with SMI and CHD (%) 30 7.1% 4.2% 2.9% 7.1% 7.6% n/a 402 People with SMI and COPD (%) 28 6.7% 7.0% 5.3% 9.5% 14.0% n/a 403 People with SMI and CANCER (%) 22 5.2% 4.4% 1.8% 8.0% 2.9% n/a 404 People with SMI and Diabetes (%) 64 15.2% 11.4% 6.9% 15.2% 14.0% n/a 405 People with SMI and CMHP (%) 220 52.3% 47.3% 38.5% 58.5% 48.5% n/a 406 People with SMI and Hypertension (%) 70 16.6% 16.3% 10.3% 21.5% 17.1% n/a 407 People with SMI and Current Smoker 15+ (%) 201 47.7% 46.5% 32.9% 54.0% 45.4% n/a 408 People with MH Conditions given list of physical checks previous 12 months (%) 147 72.8% 62.5% 38.9% 73.8% 50.8% n/a 409 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 33 100.0% 94.1% 82.2% 115.1% 94.3% 97.2% 410 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 344 86.4% 83.6% 76.9% 99.3% 91.0% 90.3% 411 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 344 86.4% 82.1% 72.9% 95.5% 87.0% 90.4% 412 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 346 86.9% 86.0% 77.4% 100.1% 93.9% 90.7% 413 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 93 67.4% 63.8% 49.5% 78.4% 81.8% 84.4% 414 Referrals to Community MENTAL HEALTH rate per 1000 1,639 34.16 33.85 20.52 46.82 10.44 n/a 415 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 120 28.5% 27.6% 15.3% 50.5% 15.9% n/a 416 COMMON MENTAL HEALTH PROBLEMS - - 417 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 6,007 16,010 14,022.1 11,956.3 21,198.7 16,148.7 n/a 418 People with CMHP with no other LTCs (%) 3,686 61.4% 61.4% 58.3% 70.5% 61.9% n/a 419 People with CMHP with 1 other LTC (%) 1,269 21.1% 21.0% 16.9% 23.1% 21.5% n/a 420 People with CMHP with 2 other LTCs (%) 608 10.1% 9.8% 7.1% 11.0% 9.4% n/a 421 People with CMHP and CHD (%) 376 6.3% 5.8% 4.3% 6.4% 6.5% n/a 422 People with CMHP and COPD (%) 431 7.2% 6.8% 5.0% 8.2% 6.6% n/a 423 People with CMHP and Cancer (%) 394 6.6% 6.4% 4.0% 8.5% 4.7% n/a 424 People with CMHP and Diabetes (%) 541 9.0% 8.4% 5.8% 9.7% 9.1% n/a 425 People with CMHP and Hypertension (%) 1,177 19.6% 20.6% 13.0% 23.4% 19.1% n/a 426 People with CMHP and SMI (%) 220 3.7% 4.8% 3.7% 7.8% 3.4% n/a 427 People with CMHP and Current Smoker 15+ (%) 1,509 25.1% 26.3% 16.1% 32.0% 23.1% n/a 428 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 477 65.2% 61.9% 53.7% 68.5% 80.4% 83.6% 429 SERVICE UTILISATION - - 430 Access to early intervention teams rate per 1000 11 0.35 0.32 0.18 0.77 0.32 n/a 431 IAPT referral rate per 1000 1,135 36.2 31.7 23.5 39.9 31.4 n/a 432 Referrals to Community MENTAL HEALTH rate per 1000 1,639 34.2 33.9 20.5 46.8 10.4 n/a 433 Emergency admissions for MENTAL HEALTH 122 2.54 2.55 1.76 3.37 1.06 n/a 434 MH emergency admissions Mental and Behavioural - ALCOHOL 90 1.88 1.58 0.63 3.21 1.67 n/a 435 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 7 0.15 0.14 0.05 0.33 0.45 n/a 436 Emergency admissions for VIOLENCE 118 2.46 2.87 1.45 5.68 1.21 n/a 437 Emergency admissions for SELF HARM 110 2.29 2.23 1.17 3.70 1.56 n/a 438 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 120 28.5% 27.6% 15.3% 50.5% 15.9% n/a 439 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 124 57.4% 55.5% 40.4% 83.1% 66.5% 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 Croxteth & Norris Green 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 5,335 128.2 105.4 72.8 129.0 - n/a 443 Patient Experience: Overall good experience of making an appointment 293 80.1% 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 598 12.46 8.60 5.21 12.46 11.51 n/a 446 Walk in Centre attendances 6,783 141.4 199.1 105.9 259.3 - n/a 447 Rate per 1000 HCHS weighted pop for GP Spec ACS admissions 534 11.13 10.05 8.01 12.94 8.32 n/a 448 Emergency admissions for ANGINA 57 1.19 1.00 0.60 1.26 1.27 n/a 449 Emergency admissions for CONGESTIVE HEART FAILURE 67 1.40 1.24 0.85 1.72 0.50 n/a 450 Emergency admissions for STROKE 85 1.77 1.46 0.83 1.78 1.33 n/a 451 Emergency admissions for DIABETIC COMPLICATIONS 25 0.52 0.40 0.11 0.81 0.67 n/a 452 Emergency admissions for ASTHMA 45 0.94 1.18 0.72 1.85 - n/a 453 Emergency admissions for COPD 172 3.59 2.94 1.74 4.59 3.29 n/a 454 Emergency admissions for CELLULITIS 66 1.38 1.00 0.60 1.51 0.98 n/a 455 Emergency admissions for FLU & PNEUMO 127 2.65 2.69 2.10 3.38 2.81 n/a 456 Emergency admissions for CANCER 341 7.11 5.00 3.19 7.11 5.00 n/a 457 Emergency admissions for MENTAL HEALTH 122 2.54 2.55 1.76 3.37 1.06 n/a 458 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 124 310.8 289.5 118.3 587.1 304.2 110.2 459 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,099 2,990.5 2,747.0 1,889.9 4,430.6 2,621.8 2,185.0 460 Reduction in Emergency admissions END OF LIFE 161 26.96 21.69 14.62 28.94 31.98 n/a 461 Reduction in Emergency admissions from CARE HOMES 435 72.84 29.57 - 72.84 52.07 n/a 462 Injuries due to FALLS 65+ 229 38.35 31.42 24.06 38.38 39.00 n/a 463 Emergency admissions for DEMENTIA aged over 65 18 3.01 2.11 1.10 3.11 0.50 n/a 464 Emergency admissions for HIP FRACTURES aged over 65 56 9.38 8.44 4.31 11.13 10.34 n/a 465 Emergency admissions for PYLO NEFRITIS 39 0.81 0.53 0.31 0.81 0.60 n/a 466 Emergency admissons for GASTRO/DEHYDRATION 15 0.31 0.18 0.10 0.31 2.23 n/a 467 Emergency re-admissions within 30 days to hospital (%) 950 12.5% 12.8% 11.5% 14.4% 12.2% 12.8% 468 Emergency admissions for VIOLENCE 118 2.46 2.87 1.45 5.68 1.21 n/a 469 Emergency admissions for SELF HARM 110 2.29 2.23 1.17 3.70 1.56 n/a 470 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1000 HCHS population) - - 471 GP ref, 1st outpatient attendances 2,137 44.5 65.1 44.5 123.1 61.3 n/a 472 GP ref, 1st outpatient attendances CARDIOLOGY 379 7.9 9.9 7.9 12.4 - n/a 473 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 227 0.5% 0.7% 0.5% 0.9% - n/a 474 GP ref, 1st outpatient attendances DERMATOLOGY 530 11.0 11.1 8.0 14.6 11.4 n/a 475 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 296 0.6% 0.6% 0.4% 0.9% - n/a 476 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 150 0.3% 0.3% 0.2% 0.4% - n/a 477 GP ref, 1st outpatient attendances ENT 380 7.9 9.9 7.9 11.6 16.2 n/a 478 GP ref, 1st outpatient attendances ENT - % referred on 2WW 69 0.14% 0.15% 0.10% 0.20% - n/a 479 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 126 0.3% 0.3% 0.2% 0.4% - n/a 480 GP ref, 1st outpatient attendances GASTRO 639 13.3 11.0 9.6 13.3 - n/a 481 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 309 0.6% 0.3% 0.1% 0.6% 0.8% n/a 482 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 366 0.8% 0.5% 0.4% 0.8% 0.1% n/a 483 GP ref, 1st outpatient attendances GYNAECOLOGY 444 9.3 9.1 7.8 10.1 11.5 n/a 484 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 61 0.13% 0.18% 0.09% 0.27% - n/a 485 GP ref, 1st outpatient attendances RESPIRATORY 207 4.3 2.4 1.4 4.3 - n/a 486 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 43 0.1% 0.1% 0.0% 0.1% - n/a 487 GP ref, 1st outpatient attendances RHEUMATOLOGY 145 3.0 2.3 1.7 3.0 3.0 n/a 488 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 64 0.1% 0.1% 0.1% 0.1% - n/a 489 GP ref, 1st outpatient attendances UROLOGY 338 7.0 7.3 0.0 0.0 7.3 n/a 490 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 170 0.4% 0.3% 0.2% 0.4% - n/a 491 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 132 0.3% 0.2% 0.1% 0.3% - n/a 492 GP ref, 1st outpatient attendances VASCULAR 97 2.0 2.0 1.1 2.8 2.1 n/a 493 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 68 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 Croxteth & Norris Green 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 895 46.3 65.4 46.3 90.9 205.2 n/a 496 Community Matrons Case Load 21 1.09 1.18 0.17 3.15 3.71 n/a 497 Community RESPIRATORY team Face to Face contacts 678 35.0 24.6 8.2 42.6 41.7 n/a 498 Community RESPIRATORY Team Case Load <5 0.10 0.19 - 0.65 0.58 n/a 499 DIABETES Specialist Nurses Face to Face Contacts 632 32.7 38.2 20.2 60.8 31.6 n/a 500 DIABETES Case Load 65 3.36 5.50 3.36 8.77 3.03 n/a 501 District Nursing Face to Face Contacts 23,650 1,222.2 1,098.6 781.4 1,365.4 1,180.9 n/a 502 District Nursing Case Load 254 13.13 13.17 10.53 17.08 14.80 n/a 503 HEART FAILURE Team Face to Face Contacts 632 32.66 13.25 6.40 32.66 28.44 n/a 504 HEART FAILURE Team Case Load 23 1.19 0.40 - 1.19 1.78 n/a 505 IV Therapy Face to Face Contacts 421 21.76 16.65 8.33 31.25 21.59 n/a 506 IV Therapy Case Load 5 0.26 0.28 0.06 0.48 0.37 n/a 507 Therapy Face to Face Contacts 8,661 447.6 405.9 363.0 462.5 436.6 n/a 508 Therapy Case Load 1,630 84.2 72.7 63.7 92.1 97.2 n/a 509 Treatment Rooms Face to Face Contacts 4,487 231.9 252.2 212.5 317.6 238.9 n/a 510 Treatment Rooms Case Load 154 8.0 6.6 1.2 14.5 7.4 n/a 511 Intermediate Care Bed Based Admissions <5 0.21 0.15 - 0.58 0.21 n/a 512 Telehealth referrals rate per 1000 adult registered pop 1,156 59.74 28.04 0.62 80.50 60.44 n/a 513 Referrals to Community MENTAL HEALTH rate per 1000 1,639 34.2 33.9 20.5 46.8 10.4 n/a 514 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 515 Social Services Users TOTAL per 1000 40+ resident population 802 44.9 56.1 39.2 87.8 52.3 n/a 516 Social Services Users OLDER PERSONS per 1000 65+ resident population 625 108.9 125.0 91.8 198.3 115.4 n/a 517 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 120 28.5% 27.6% 15.3% 50.5% 15.9% n/a 518 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 124 57.4% 55.5% 40.4% 83.1% 66.5% n/a 519 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 49 8.5 8.3 3.4 17.5 10.7 n/a 520 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 40+ resident population 540 30.2 36.5 27.4 53.1 35.0 n/a 521 Social Services Users DOMICILIARY CARE per 1000 40+ resident population 166 9.3 14.5 9.3 18.4 16.7 n/a 522 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 40+ resident population 55 3.1 4.4 2.9 6.6 12.1 n/a 523 Social Services Users OTHER COMMUNITY per 1000 40+ resident population 201 11.2 13.4 8.2 22.0 11.3 n/a 524 RESIDENTIAL & NURSING placements TOTAL per 1000 40+ resident population 217 12.1 11.3 4.5 31.7 13.2 n/a 525 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 52 934.5 812.4 203.9 1,854.3 882.6 n/a 526 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 28 0.7 0.8 0.6 0.9 0.7 n/a 527 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 32 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 6 0.59 0.57 0.08 1.33 - n/a 530 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 39 3.99 4.44 3.25 5.72 2.80 n/a 531 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 130 1,002.9 716.9 531.3 1,002.9 1,515.2 n/a 532 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 14 49.2 40.4 17.4 64.0 32.6 39.6 533 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 16 110.1 102.3 30.8 182.8 95.7 89.8 534 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 56 745.2 446.6 157.9 933.6 513.0 n/a 535 Child AED attendance rate per 1,000 population aged 0-4 years 2,427 864.0 729.2 631.2 864.0 815.6 n/a 536 Child AED attendances - LRTI 665 64.9 59.3 48.5 209.0 60.9 n/a