Croxteth and Norris Green

Neighbourhood Profiles Croxteth & Norris Green Summer 2018 1 | Page READER INFORMATION Title Neighbourhood Profiles Team Liverpool CCG Business Intelligence Team; Liverpool City Council 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 2 | Page 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 3 | Page 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. 4 | Page • 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

Load more