Speke and Belle Vale Neighbourhood (6.3% of the CCG)

Neighbourhood Profiles Speke & Belle Vale Summer 2018

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READER INFORMATION

Title Neighbourhood Profiles

Team Liverpool CCG Business Intelligence Team; Liverpool City Council Public Health Epidemiology Team Author(s) 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, 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 Health ...... 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 5 Service Assets for Health and Wellbeing ...... 8 3. Neighbourhood Map ...... 10 4. Population Map ...... 11 5. Co –Morbidities ...... 13 6. Population Structure, Demographics, Risk Factors &Determinants of Health ...... 14 7. Neighbourhood Profile ...... 14 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 significantly higher proportions of older people aged 65+ (15.9% compared to 14.4%) and the proportion of one person households is significantly higher (13.2% compared to 11.9%). The rate of End of Life/Palliative Care is the lowest in the city (451 compared to 655). Mortality rates across most disease areas have improved since last year apart from lung cancer and digestive diseases cancer. Hearing impairment prevalence is one of the lowest rates in the city (6,362.6 compared to 6,797.5 per 100,000 population). Patients aged over 40 years with a risk score above 50% is significantly higher (1.7% to 1.3%). Dementia prevalence is comparable to the Liverpool average (912.5 compared to 898.1). Emergency admissions for end of life patients is comparable to the average in the city and injuries due to falls in 65+ is ranked the lowest in Liverpool with 24.1 per 1000 population.

• Risk of Hospital Admission Risk stratification allows GP practices to identify patients at risk of a hospital admission based on risk score, 1.5% of the Speke & Belle Vale neighbourhood population fall into risk score bracket between 50% and 90%, which is significantly above the Liverpool average of 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 the highest in the city (18,717 compared to 16,840, those with CHD is significantly higher than the city average with 4,765 compared to 4,274 for Liverpool. Patients that are on some form of treatment i.e. aspirin, anti-platelet therapy, or anticoagulant is significantly higher. The completion of health checks in patients aged 40-74 years is significantly higher with 50.9% compared to 48.7% for Liverpool.

• Diabetes Although diabetes prevalence is significantly higher than the city average, disease management in patients is comparable to the average, for example 65.3% of patients have maintained their HbA1C level to 7.5 or less compared to 65.0% for Liverpool. 68.5% 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 slightly higher than the city average with 0.53 per 1,000 population compared to 0.40.

• Children 22.6% of the population in Speke & Belle Vale are children aged 0-18 years, which is a significantly higher than the city average. Flu vaccination uptake in children aged 2 & 3 year olds is comparable to the city average. Breast feeding initiation rates at birth and 6 weeks are significantly lower 35.1% and 25.1% respectively. Asthma prevalence in amongst young people aged 18-25 years is significantly higher than the Liverpool average (5% compared to 4%) and is ranked 5th highest out of all neighbourhoods. The percentage of troubled families, those children receiving SEN support and the rate of children with an EHCP are the highest in the city. The Child AED attendance rate for accidents is significantly lower than the city average (99.7 compared to 116.6 per 1,000 population), this is also the same for AED attendances for LRTI with a rate of 50.8 compared to 59.3 per 1,000, however emergency admissions for asthma, diabetes and epilepsy for 0-18 year olds and admissions due to substance misuse are the highest in the city. Educational attainment rates are slightly or significantly lower than the city average for Key Stage 2 and 4 and pupil persistent absenteeism is significantly higher than average (20.6% compared to 16.4%).

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• Cancer Early detection of cancers is essential to ensure prompt appropriate treatment thus reducing premature deaths. The cancer prevalence rate is the 2nd highest in the city with a rate of 4,210 per 100,000 population compared to 3,813. However, uptake rates for all three cancer screening programmes are significantly lower than the Liverpool average and cancer mortality in the neighbourhood is comparable to the city wide average, suggesting late detection of cancer with successful treatment.

• Respiratory Management Recorded COPD prevalence is significantly higher than the city average (4,928 compared to 3,853). The overall asthma prevalence is ranked 6th highest with a rate of 6,698 per 100,000 population and GP recording of day and night symptoms is comparable to the average whereas Community Respiratory Team Face to Face Contacts is slightly higher than the city average.

• 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. Just over half (50.9%) of patients aged between 40-74 years have had a health check completed and blood pressure management is comparable to the city average with 91.2% of patients managing the BP below 150/90. Deaths from CVD is comparable to the city average with a rate of 245.7 per 100,000 population. Prevalence of CHD is significantly higher than Liverpool with 4,765 per 100,000 population and ranked 3rd highest when compared to all neighbourhoods. Heart failure prevalence is comparable to the city average, and those patients taking aspirin, anti-platelet therapy is slightly higher than the city average with 93.9% recorded.

• Mental Health The percentage of people with Serious Mental Illness is comparable to Liverpool average with a rate of 1,265 per 100,000 population, and the proportion of patient who have received a health check is the highest in the city (73.8% compared to 62.5%). The prevalence of people with CMHP per 100,000 population is significantly higher than the city average (15,402 compared to 14,022) and is ranked 6th highest when compared to all neighbourhoods. Referrals to community mental health team is comparable to the city average and ranked 4th lowest when compared to all neighbourhoods with a rate of 31.8 per 1,000 population.

• Urgent Care 111 call rate per is comparable to the city average in Speke & Belle Vale with 107.9 per 1,000 population. Emergency admissions for COPD are significantly higher than the city wide average (3.72 compared to 2.94) and emergency admissions for Flu/Pneumonia are the highest in the city (3.38 compared to 2.94). Readmissions within 30 days of discharge have decreased since last year and are the lowest in the city with 11.5% compared to 12.8%.

• GP Referrals Referral rates are comparable to the city average for all specialities.

Social Care • Social Services Total activity is comparable for Speke & Belle Vale neighbourhood with the city average (52.2 per 1,000 population compared to 56.1 for the city). This is also an increase on usage compared to last year. Social Services Users for Domiciliary Care are the highest in the city with a rate of 18.4 compared to 14.5. Social Services Users for Older Persons, Mental Health, Learning Disabilities, other Community, Residential and Nursing placements are either significantly lower or the lowest rates in the city.

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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 N82001 McKenzie Stephen 105 East Millwood Road, Speke L24 6TH N82004 Gruffudd-Jones Martin SLTC, 32 Church Road, Garston , Liverpool L19 2LW N82036 Rubina Kabir Middlemass Hey, Netherley L27 7AF N82050 Mittal S 49 Belle Vale Road, Gateacre L25 2PA N82094 Dr Rankin + Dr Allen Hedgefield Road, Belle Vale L25 2XE Speke Neighbourhood Health Centre, 75 South N82109 Thankur Anupam L24 2SF Parade Speke Neighbourhood Health Centre, 75 South N82621 Kishan Mangarai L24 2SF Parade Speke Neighbourhood Health Centre, 75 South N82650 Singh A L24 2SF Parade Y00110 Gruffudd-Jones Martin Blacklock Hall Road, Speke L24 3TY

2.2 Registered Population The registered population is 33,222 people.

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

Speke & Belle Vale Wards %

Dominant Ward Speke-Garston 48.1% Second Ward Belle Vale 31.5% Third Ward Woolton 3.6% Fourth Ward Hale 3.1% Fifth Ward Cressington 3.1% Sixth Ward Childwall 3.0% Seventh Ward Allerton and Hunts Cross 2.8% Eighth Ward Halewood North 1.5% Ninth Ward Halewood South 0.7% Tenth Ward Church 0.6% Other Wards 2.0%

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2.4 Service Provision

Jones Jones

- -

ittal S ittal Rankin /Allen Mangarai K Grufford Singh A M Mckenzie S Rubina K Anupam T Grufford

6 650 2621

Practice Code & CCG Lead N82094 N82050 N8 N82001 N82004 M N8203 Y00110 M N82 N82109 1 1 1 1 1 1 1 1 1 QOF 1 1 1 1 1 1 1 1 1 DES Signup Returned 1 1 1 1 1 1 1 1 1 LES Signup Returned 1 1 Extended Hours Access 1 1 1 1 1 1 1 1 1 Learning Disabilities 1 0 0 0 Out Of Area Registration 0 0 0 Zero Tolerance Scheme 1 1 1 0 0 0 1 1 Minor Surgery Own Patients Excisions And Incisions 1 1 1 1 0 0 1 1 Minor Surgery Own Patients Injections 1 1 1 1 1 1 1 1 1 Liverpool Quality Improvement Scheme

Minor Surgery For Other Practices Excisions And 1 1 1 1 1 1 1 Incisions

Minor Surgery For Other Practices Injections 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 Drug Misusers 1 1 1 Near Patient 1 1 1 1 Sexual Health 1 1 1 1 1 Homeless 1 1 1 1 1 1 1 1 1 Asylum Seekers 1 1 1 0 0 0 1 Travellers 0 0 0 ABPI 0 0 0 ABPI - For Other Practices 0 0 0 H Pylori 1 1 H Pylori For Other Practices Health Checks 1 1 1 1 1 1 1 1 IGR 1 1 1 1 Gonadorelin Therapy LES 1 1 1 1 1 1 1 1 1 Latent TB

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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 Beechwood Specialist Services L19 0LD Besford House L25 2XD Garden Lodge Care Home L27 7AR Grassendale L19 0LY Middleton Court L24 2RB Speke Care Home (Residential) L24 2TB Vancouver House L27 7DA Woodlands Residential Care L27 4YA Children's Centre Belle Vale Children's Centre Hedgefield Road L25 2RW Garston Children's Centre Banks Road L19 8JZ Speke Five Children’s Centre Conleach Road L24 0TW GP N'hood Centre South Liverpool TC Church Road L19 2LW Speke NC South Parade L24 2SF

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Supplementary Category Asset Name Address Postcode Information GP Practice N82001 Margaret Thompson Medical Centre L24 6TH N82004 Garston Family Health Centre L19 2LW N82034 The Village Surgery Long Lane L19 2LW N82036 Netherfield Health Centre L27 7AF N82050 Gateacre Medical Centre L25 2PA N82092 The Valley Medical Centre L25 1RY N82094 Belle Vale Health Centre L25 2XE N82109 Speke Health Centre L24 2SF N82621 Speke Health Centre L24 2SF N82650 Speke Health Centre L24 2SF Y00110 West Speke Health Centre L24 3TY Leisure Centre Austin Rawlinson Parklands L24 0TR Garston Long Lane L19 6PE Library Garston Library Bowden Road L19 1QN Lee Valley Library Childwall Valley Road L25 2RF Parklands Library Conleach Road L24 0TY One Stop Shop Garston One Stop Shop Garston Library L19 1QN Speke One Stop Shop Parklands L24 0TY Pharmacy Belle Vale Pharmacy 119 Belle Vale Road L25 2PE Boots Pharmacy Unit 9 L24 8QB Units 1 and 2 L25 2QY Dempsey Pharmacy St Andrews Business Centre L19 2NL Greencross Pharmacy West Speke Health Centre L24 3TY Kays Chemists Belle Vale Health Centre L25 2XE Lloyds Pharmacy 109 East Millwood Road L24 6TH 30 Church Road L19 2LW Rowlands Pharmacy 15 Penketh Drive L24 2WZ New Neighbourhood Health Centre L24 2XD Somerfield Store L19 2NJ The Pharmacy Netherley Health Centre L27 7AF Valley Pharmacy 77 Hartsbourne Avenue L25 1RS Schools & Colleges Banks Road Prim Primary Community Belle Vale Prim Primary Community Childwall Valley Prim Primary Community Cross Farm Prim Primary Community Enterprise South Liverpool Academy Secondary Voluntary Garston C.E. Prim Primary Voluntary Gateacre Secondary Community Nursery & Infants Greenways Special Hale CE Prim (Halton) Holy Trinity Prim Primary Voluntary Hope School Of Excellence Middlefield Prim Norman Pannell Prim Primary Community Our Lady Of The Assumption Cath Prim Parklands High ResourCE Provision Secondary Community Parklands High School Secondary Community Secondary Education South Liverpool Pru Otherwise Springwood Prim Primary Community St Ambrose Prim Primary Voluntary St Christopher's Cath Prim St Francis Of Assisi Prim Primary Voluntary St Gregorys Prim Primary Voluntary Stockton Wood Community Primary Primary Community Stop Smoking Service Community Belle Vale L25 2XE Community Garston L19 1QN Community Netherley L27 7AF Community Speke Health Centre L24 2SF Community Speke Margaret Thompson L24 6TH 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 Speke & Belle Vale Neighbourhood - CCG Registered Population Pyramid [Source: Risk Stratification Dataset Effective Date: April 2018]

Speke & Belle Vale Neighbourhood - CCG Registered Speke & Belle Vale Neighbourhood - CCG Registered Population Pyramid Number Speke & Belle Vale As % of Total Speke & Belle Vale As % of Liverpool within Ageband Population Pyramid Age Band % Total Population Male Female Person Male Female Person Male Female Person Under 1 yrs 226 186 412 0.7% 0.6% 1.3% 3.7% 3.0% 6.7% -6.0% -4.0% -2.0% 0.0% 2.0% 4.0% 6.0% 1-4 yrs 786 765 1,551 2.4% 2.4% 4.8% 3.3% 3.2% 6.6% 90+ yrs 5-9 yrs 1,052 1,033 2,085 3.3% 3.2% 6.5% 3.7% 3.6% 7.3% 85-89 yrs 10-14 yrs 1,013 955 1,968 3.2% 3.0% 6.1% 4.0% 3.7% 7.7% 80-84 yrs 15-19 yrs 864 872 1,736 2.7% 2.7% 5.4% 2.9% 2.9% 5.7% 75-79 yrs 70-74 yrs 20-24 yrs 1,021 1,006 2,027 3.2% 3.1% 6.3% 2.0% 2.0% 4.0% 65-69 yrs 25-29 yrs 1,322 1,281 2,603 4.1% 4.0% 8.1% 3.0% 2.9% 5.8% 60-64 yrs 30-34 yrs 1,228 1,247 2,475 3.8% 3.9% 7.7% 3.0% 3.0% 6.0% 55-59 yrs 35-39 yrs 1,089 1,014 2,103 3.4% 3.2% 6.5% 3.0% 2.8% 5.8% 50-54 yrs 40-44 yrs 929 846 1,775 2.9% 2.6% 5.5% 3.2% 2.9% 6.0% 45-49 yrs Age Band 45-49 yrs 1,068 1,083 2,151 3.3% 3.4% 6.7% 3.3% 3.3% 6.6% 40-44 yrs 50-54 yrs 1,190 1,167 2,357 3.7% 3.6% 7.3% 3.6% 3.5% 7.0% 35-39 yrs 30-34 yrs 55-59 yrs 1,099 1,106 2,205 3.4% 3.4% 6.9% 3.4% 3.5% 6.9% 25-29 yrs 60-64 yrs 861 899 1,760 2.7% 2.8% 5.5% 3.2% 3.4% 6.6% 20-24 yrs 65-69 yrs 738 805 1,543 2.3% 2.5% 4.8% 3.4% 3.7% 7.1% 15-19 yrs 70-74 yrs 583 714 1,297 1.8% 2.2% 4.0% 3.3% 4.0% 7.3% 10-14 yrs 75-79 yrs 392 538 930 1.2% 1.7% 2.9% 3.1% 4.2% 7.3% 5-9 yrs 80-84 yrs 280 346 626 0.9% 1.1% 1.9% 2.8% 3.5% 6.3% 1-4 yrs 85-89 yrs 132 212 344 0.4% 0.7% 1.1% 2.3% 3.7% 6.0% Under 1 yrs 90+ yrs 47 116 163 0.1% 0.4% 0.5% 1.7% 4.3% 6.0% - - - - Liverpool CCG Registered Males Speke & Belle Vale Speke & Belle Vale Males All Ages 15,920 16,191 32,111 49.6% 50.4% 100.0% 3.1% 3.2% 6.3%

- - - - Liverpool CCG Registered Females Speke & Belle Vale Speke & Belle Vale Females

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

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Speke & Belle Vale Neighbourhood CVD Population Speke & Belle Vale Neighbourhood COPD Population Speke & Belle Vale Neighbourhood Cancer Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018]

Speke & Belle Vale Neighbourhood CVD Population Speke & Belle Vale Neighbourhood COPD Population Speke & Belle Vale Neighbourhood Cancer Population

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

- - - - Liverpool CVD Males CVD Speke & Belle Vale Males - - - - Liverpool COPD Males COPD Speke & Belle Vale Males - - - - Liverpool Cancer Males Cancer Speke & Belle Vale Males

- - - - Liverpool CVD Females CVD Speke & Belle Vale Females - - - - Liverpool COPD Females COPD Speke & Belle Vale Females - - - - Liverpool Cancer Females Cancer Speke & Belle Vale Females

Number diagnosed = 6035 Prevalence = 18.8% Number diagnosed = 1336 Prevalence = 4.2% Number diagnosed = 1144 Prevalence = 3.6% Includes patients with a diagnosis of Atrial Fibrilation, CHD, Heart Failure, Hypertension, PAD or Stroke

Speke & Belle Vale Neighbourhood Diabetes Population Speke & Belle Vale Neighbourhood Serious Mental Illness Population Speke & Belle Vale Neighbourhood Dementia Population [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018] [Source: EMIS Effective Date April 2018]

Speke & Belle Vale Neighbourhood Diabetes Speke & Belle Vale Neighbourhood Serious Mental Illness Speke & Belle Vale Neighbourhood Dementia 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% -20% -10% 0% 10% 20% 30% 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 Speke & Belle Vale Males - - - - Liverpool Serious Mental Illness Males Serious Mental Illness Speke & Belle Vale Males - - - - Liverpool Dementia Males Dementia Speke & Belle Vale Males - - - - Liverpool Diabetes Females Diabetes Speke & Belle Vale Females - - - - Liverpool Serious Mental Illness Females Serious Mental Illness Speke & Belle Vale Females - - - - Liverpool Dementia Females Dementia Speke & Belle Vale Females

Number diagnosed = 1892 Prevalence = 5.9% Number diagnosed = 392 Prevalence = 1.2% Number diagnosed = 212 Prevalence = 0.7% Includes patients with a diagnosis of Schizophrenia, Bipolar or Other Pyschosis 12 | Page

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

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

• 32,111 people are registered with Speke and Belle Vale neighbourhood (6.3% of the CCG). • The birth rate is significantly higher with the city average, with 395 births in 2015 which is a rate of 81.2 per 1,000 female population, compared to the Liverpool average of 55.0. • The proportion of the population aged 65+ is significantly higher than the city average (15.9% compared to 14.4%). In total there are 5,272 people aged 65+ in this neighbourhood. Of these 2,241 are 75+ years old and 555 are 85+ years old. • It is estimated that 6.9% of the population are Not White British/Irish, compared to the Liverpool average of 15.7%. 2.8% of the population’s main language is not English. • Speke and Belle Vale neighbourhood is one of the more deprived neighbourhoods in the city and ranked 5th when compared to all neighbourhoods. It is estimated that: o The average household income is around £23,786 which is significantly lower than the Liverpool average (£27,565) and is a slight reduction from last year’s data. o Unemployment is significantly higher than the city rate (8.0% compared to 6.6%). Long-term unemployment is also significantly higher (3.3% compared to 2.7%). o The percentage of people long-term sick or disabled is significantly higher than city rate (9.9% of the population compared to 7.9%). o The percentage of the population that are economically inactive is 37.5%, which is in line with the city average of 37.9%. o Housing tenure, social or privately rented is comparable with city average; 51.9% compared to 52.5% across the city. o People aged 65 and over living alone account for 13.2% of households, significantly higher than the city rate of 11.9%. o 45.3% of households have no access to car/van which is slightly lower than the city average of 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 England Low High 25th percentile 75th percentile Speke & Belle Vale 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 - 47.3 41.1 22.1 59.6 47.3 21.8 4 Not White British or Irish ethnic group (%) 2,305 6.95% 15.7% 4.6% 38.9% 6.96% 19.2% 5 White Other ethnic group (%) 662 2.00% 2.8% 0.9% 5.3% 2.00% 4.6% 6 Mixed/Multiple ethnic group (%) 674 2.03% 2.7% 0.9% 6.7% 2.03% 2.3% 7 Asian/Asian British ethnic group (%) 448 1.35% 5.0% 1.4% 14.4% 1.35% 7.8% 8 Black/African/Caribbean/Black British ethnic group (%) 415 1.25% 3.1% 0.6% 10.2% 1.26% 3.5% 9 Other ethnic group (including Arab) (%) 105 0.32% 2.1% 0.3% 8.3% 0.32% 1.0% 10 Main language not English (%) 924 2.79% 7.5% 2.1% 18.4% 2.79% 8.0% 11 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 395 81.2 55.0 24.8 81.2 66.0 62.5 12 Children aged 0-4 years (%) 1,931 5.8% 5.5% 2.0% 6.8% 5.8% 5.6% 13 Population 65+ (%) 5,272 15.9% 14.4% 3.8% 20.2% 15.8% 17.9% 14 Population 75+ (%) 2,241 6.8% 6.3% 1.3% 9.4% 6.8% 8.1% 15 Population 85+ (%) 555 1.7% 1.7% 0.3% 2.9% 1.7% 2.4% 16 Population 95+ (%) 37 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 17 Population 40+ with 1 or more LTC (%) 4,311 28.5% 27.9% 26.5% 29.3% 28.0% n/a 18 Population 40+ with 2 or more LTC (%) 2,501 16.5% 15.2% 13.3% 16.5% 16.5% n/a 19 Population 40+ with 3 or more LTC (%) 1,391 9.2% 7.9% 6.9% 9.3% 9.4% n/a 20 Percentage of the population 40+ with risk score >=50% 250 1.7% 1.3% 0.7% 1.9% 2.3% n/a 21 Percentage of the population 40+ with risk score >=70% 71 0.5% 0.4% 0.2% 0.7% 0.8% n/a 22 Percentage of the population 40+ with risk score >=50% <=90% 232 1.5% 1.3% 0.7% 1.8% 2.1% n/a 23 WIDER DETERMINANTS - - 24 No car or van in household (%) - 45.3% 47.0% 29.1% 61.5% 45.3% 25.8% 25 Economically active (%) 15,336 62.5% 62.1% 51.4% 68.8% 62.5% 69.9% 26 Economically active: Unemployed (%) 1,965 8.0% 6.6% 4.1% 9.2% 8.0% 4.4% 27 Economically active: Long-term unemployed (%) 804 3.3% 2.7% 1.6% 3.9% 3.3% 1.7% 28 Economically inactive (%) 9,210 37.5% 37.9% 31.2% 48.6% 37.5% 30.1% 29 Economically inactive: Long-term sick or disabled (%) 2,441 9.9% 7.9% 4.6% 11.7% 9.9% 4.0% 30 Housing Tenure: Social or Private Rented (%) - 51.9% 52.5% 32.1% 77.0% 51.9% 36.7% 31 One person household: Aged 65 and over (%) - 13.2% 11.9% 7.8% 13.9% 13.2% 12.4% 32 Mean Household Income £ - £23,786 £27,565 £21,310 £38,138 £24,796 £39,472 33 Domestic violence rate per 1,000 351 11.9 12.0 6.4 18.9 9.9 - 34 Violent crime rate per 1,000 257 8.7 12.2 5.6 21.6 9.3 - 35 RISK FACTORS - - 36 CURRENT SMOKERS aged 15+ (QOF) (%) 7,427 27.5% 21.5% 13.5% 29.6% 28.0% 17.6% 37 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,575 88.5% 88.4% 83.7% 98.3% 87.8% 88.8% 38 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,987 15.4% 11.9% 5.2% 15.4% 15.4% 9.7% 39 People with BMI >=40 recorded in the last 12m (%) 1,262 3.8% 2.6% 1.2% 3.8% 3.6% - 40 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 642 50.9% 49.6% 38.4% 60.3% 59.2% - 41 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 72 25.4% 22.8% 15.1% 31.1% - n/a 42 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 18,888 72.4% 68.3% 63.0% 77.4% 70.6% - 43 People aged 18+ who have ALCOHOL above indicated levels (%) 1,671 8.8% 9.1% 5.6% 12.1% 6.2% - 44 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,527 91.4% 90.4% 85.0% 99.2% 96.2% - 45 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 238 799 797 419 1,522 868 n/a 46 LIFE EXPECTANCY / MORTALITY - - 47 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 77.4 77.0 74.4 83.6 77.5 79.5 48 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 81.6 80.8 78.5 86.4 81.1 83.1 49 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 79.5 78.9 76.8 85.0 79.3 81.3 50 ALL CAUSE Mortality - DSR per 100,000 population 857 1,102.1 1,136.4 729.3 1,428.1 1,134.6 968.7 51 CVD Mortality - DSR per 100,000 population 187 245.7 247.1 161.4 307.1 254.5 267.3 52 CANCER Mortality - DSR per 100,000 population 253 309.3 320.5 211.1 426.2 315.5 276.8 53 LUNG CANCER - DSR per 100,000 population 79 96.8 93.2 59.5 143.3 85.0 57.7 54 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 68 83.9 89.2 65.3 114.1 83.2 n/a 55 RESPIRATORY Mortality - DSR per 100,000 population 156 201.9 178.0 93.9 240.0 200.8 n/a 56 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 364 439.7 437.8 273.4 559.9 470.5 333.8 57 CVD Mortality Under 75 Years - DSR per 100,000 population 73 89.8 89.4 52.1 127.9 95.1 73.5 58 CANCER Mortality Under 75 Years - DSR per 100,000 population 128 155.7 163.5 106.6 206.4 169.1 136.8 59 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 44 55.6 49.9 24.9 79.6 49.7 33.6 60 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 31 38.1 46.7 31.4 59.8 47.2 n/a 61 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 65 80.8 57.5 25.7 84.9 88.4 33.8 62 DISEASE PREVALENCE / POPULATION GROUPS - - 63 CHD Prevalence DSR per 100,000 population 1,261 4,764.5 4,273.6 3,481.4 4,961.5 4,953.8 n/a 64 CANCER Prevalence DSR per 100,000 population 1,144 4,210.1 3,812.8 3,129.9 4,328.7 3,681.6 n/a 65 COPD Prevalence DSR per 100,000 population 1,336 4,927.9 3,853.2 2,297.3 5,344.8 5,078.6 n/a 66 ASTHMA Prevalence DSR per 100,000 population 2,074 6,698.0 6,465.9 6,095.6 7,369.1 6,376.5 n/a 67 DIABETES Prevalence DSR per 100,000 population 1,892 6,784.2 6,065.8 4,847.9 7,560.9 7,256.2 n/a 68 HYPERTENSION Prevalence DSR per 100,000 population 5,124 18,716.6 16,840.4 15,813.1 18,716.6 18,785.2 n/a 69 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,976 7,748.4 6,543.1 5,371.5 7,748.4 8,186.5 n/a 70 HEART FAILURE Prevalence DSR per 100,000 population 306 1,206.9 1,155.5 949.8 1,647.8 1,326.5 n/a 71 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 564 2,266.9 2,388.0 1,930.8 2,795.6 2,261.7 n/a 72 STROKE/TIA Prevalence DSR per 100,000 population 618 2,376.1 2,225.5 1,956.8 3,037.2 2,420.2 n/a 73 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 363 1,358.4 1,034.4 716.2 1,678.4 1,555.0 n/a 74 DEMENTIA Prevalence DSR per 100,000 population 212 912.5 898.1 613.5 1,363.2 877.3 n/a 75 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 392 1,264.7 1,425.4 1,043.9 2,441.8 1,302.3 n/a 76 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 4,748 15,402.5 14,022.1 11,956.3 21,198.7 15,066.5 n/a 77 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 320 1,263.9 1,516.3 1,237.6 1,984.8 1,612.0 n/a 78 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 1,804 6,362.6 6,797.5 5,387.3 8,000.4 6,345.8 n/a 79 LEARNING DISABILITIES Prevalence DSR per 100,000 population 134 415.2 412.8 264.8 577.9 645.2 n/a 80 CARERS Prevalence (GP Recorded) DSR per 100,000 population 815 2,765.9 2,788.8 1,949.5 4,193.2 2,732.4 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 Speke & Belle Vale 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) (%) 7,427 27.5% 21.5% 13.5% 29.6% 28.0% 17.6% 84 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,575 88.5% 88.4% 83.7% 98.3% 87.8% 88.8% 85 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,987 15.4% 11.9% 5.2% 15.4% 15.4% 9.7% 86 People with BMI >=40 recorded in the last 12m (%) 1,262 3.8% 2.6% 1.2% 3.8% 3.6% - 87 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 642 50.9% 49.6% 38.4% 60.3% 59.2% - 88 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 72 25.4% 22.8% 15.1% 31.1% - n/a 89 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 18,888 72.4% 68.3% 63.0% 77.4% 70.6% - 90 People aged 18+ who have ALCOHOL above indicated levels (%) 1,671 8.8% 9.1% 5.6% 12.1% 6.2% - 91 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,527 91.4% 90.4% 85.0% 99.2% 96.2% - 92 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 238 798.8 796.5 418.6 1,522.2 867.6 n/a 93 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 92 284.0 289.5 118.3 587.1 291.9 110.2 94 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 943 3,082.0 2,747.0 1,889.9 4,430.6 2,843.1 2,185.0 95 PREVENTION - - 96 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 12,864 92.3% 91.1% 88.8% 92.9% 92.8% 90.7% 97 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,399 71.6% 72.9% 55.7% 98.2% - 74.1% 98 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 2,750 50.9% 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 2,750 36.5% 35.5% 27.3% 46.7% - 36.2% 100 Persons 18+ with a learning disability and HEALTH CHECK completed (%) 163 74.4% 63.6% 38.5% 74.4% 69.9% 0.5 101 Persons 18+ with a learning disability eligible for a HEALTH CHECK and health action plan completed (%) 82 37.4% 34.3% 9.3% 59.7% 31.1% n/a 102 Health Trainer Referral rate per 1,000 persons 18+ 373 14.3 6.1 1.2 14.3 12.2 n/a 103 Referrals to Liverpool Community Alcohol Service (LCAS) Rate per 1,000 18+ 217 8.4 7.0 3.8 13.1 - n/a 104 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,575 88.5% 88.4% 83.7% 98.3% 87.8% 88.8% 105 CANCER SCREENING - - 106 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,635 47.3% 51.7% 43.4% 60.7% 46.7% 57.4% 107 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,357 49.0% 53.1% 44.9% 62.0% 47.8% 59.1% 108 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 5,352 64.3% 67.6% 59.6% 73.5% 64.1% 72.1% 109 36 month coverage for BREAST screening aged 50-70 2,792 64.4% 64.8% 54.4% 72.7% 65.6% 72.5% 110 CHILD HEALTH - - 111 Low birthweight of all babies <2500g (3 year pooled) (%) 107 9.0% 8.8% 6.9% 10.6% 7.8% 7.4% 112 Breastfeeding Initiation Rates (%) 132 35.1% 44.9% 27.8% 65.4% 31.7% 74.5% 113 Breastfeeding at 6-8 weeks (%) 96 25.1% 35.1% 18.0% 53.5% 22.8% 44.4% 114 Smoking Status at Time of Delivery (SATOD) % 58 15.1% 13.1% 5.0% 20.8% 17.4% 10.7% 115 Child Excess Weight Reception (age 4-5 years) (%) 300 27.3% 26.2% 23.4% 29.2% 25.1% 22.6% 116 Child Excess Weight Year 6 (age 10-11 years) (%) 367 38.3% 38.7% 33.0% 42.6% 40.0% 34.2% 117 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 74 756.1 716.9 531.3 1002.9 1602.5 n/a 118 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 23 398.8 446.6 157.9 933.6 829.5 n/a 119 Child AED attendance rate per 1,000 population aged 0-4 years 1,339 690.9 729.2 631.2 864.0 701.2 n/a 120 VACS AND IMMS - - 121 Children's DtaPipVHib at 1 Yr (%) 366 95.1% 94.2% 90.9% 96.9% 95.5% 93.4% 122 Children's PCV at 2 Yrs (%) 377 93.8% 90.6% 80.9% 95.3% 92.0% 91.5% 123 Children's MMR1 at 2 Yrs (%) 384 95.5% 92.5% 84.1% 96.0% 94.7% 91.6% 124 Children's Hib Men C at 2 Yrs (%) 384 95.5% 92.6% 83.5% 96.4% 93.3% 91.5% 125 Children's Pre School Booster at 5 Yrs (%) 351 88.0% 87.0% 78.1% 92.9% 90.8% n/a 126 Children's MMR2 at 5 Yrs (%) 351 88.0% 86.4% 76.8% 92.9% 90.6% 87.6% 127 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,511 95.0% 92.5% 76.8% 92.9% 93.9% n/a 128 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 164 40.1% 37.4% 26.9% 50.7% 36.5% 38.9% 129 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 164 42.3% 39.1% 26.7% 54.3% 38.4% 41.5% 130 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 163 39.5% 44.8% 37.6% 50.9% 47.7% 44.9% 131 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,951 75.1% 73.5% 64.9% 75.9% 74.7% 70.5% 132 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 2,515 50.1% 48.9% 44.4% 51.6% 51.3% 48.6% 133 Seasonal Flu Vaccine Uptake - Carers (%) 180 44.9% 46.9% 37.0% 57.5% 50.4% 41.9% 134 SEXUAL HEALTH - - 135 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 395 81.2 55.0 24.8 81.2 66.0 62.5 136 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 5,352 64.3% 67.6% 59.6% 73.5% 64.1% 72.1% 137 GP prescribed user dependent contraception per 1,000 females aged 15-44 779 120.7 139.4 84.9 164.0 130.1 n/a 138 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 208 32.2 28.6 12.5 49.7 25.9 n/a 139 GP prescribed condoms rate per 1,000 25 0.75 0.97 - 6.34 0.64 n/a 140 Uptake of HIV testing in specialist sexual health services rate per 1,000 81 2.43 4.26 1.01 12.24 1.52 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 Speke & Belle Vale 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 - 38.4% 34.0% 21.3% 45.9% 38.4% 15.3% 144 Population 65+ (%) 5,272 15.9% 14.4% 3.8% 20.2% 15.8% 17.9% 145 Population 75+ (%) 2,241 6.8% 6.3% 1.3% 9.4% 6.8% 8.1% 146 Population 85+ (%) 555 1.7% 1.7% 0.3% 2.9% 1.7% 2.4% 147 Population 95+ (%) 37 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 148 Population 40+ with 1 or more LTC (%) 4,311 28.5% 27.9% 26.5% 29.3% 28.0% n/a 149 Population 40+ with 2 or more LTC (%) 2,501 16.5% 15.2% 13.3% 16.5% 16.5% n/a 150 Population 40+ with 3 or more LTC (%) 1,391 9.18% 7.85% 6.87% 9.25% 9.4% n/a 151 Percentage of the population 40+ with risk score >=50% 250 1.65% 1.35% 0.72% 1.95% 2.3% n/a 152 Percentage of the population 40+ with risk score >=70% 71 0.47% 0.40% 0.20% 0.73% 0.8% n/a 153 Percentage of the population 40+ with risk score >=50% <=90% 232 1.53% 1.27% 0.69% 1.79% 2.1% n/a 154 People on 5 or more prescriptions (%) 7,824 24.37% 20.64% 7.48% 25.81% 24.6% n/a 155 People on 10 or more prescriptions (%) 2,402 7.48% 6.18% 2.31% 8.65% 7.5% n/a 156 Anitibiotic Prescribing rate per 1000 population 1,594 48.04 43.20 33.06 52.19 - n/a 157 Broad Spectrum anitbiotic prescribing rate per 1000 population 138 4.16 3.55 2.84 4.44 - n/a 158 People on Warfarin who have INR recorded in last 12 months (%) 319 97.0% 96.3% 89.0% 98.8% - n/a 159 OSTEOPOROSIS - - 160 People aged 50-74 with a record of a fragility fracture and a diagnosis of osteoporosis confirmed on a DXA scan 25 83.3% 84.8% 67.4% 94.7% - 95.8% 161 People aged 50-74 with a fragility fracture and osteoporosis treated with bone-sparing agent 8 72.7% 72.8% 60.0% 82.0% 50.0% 85.8% 162 People aged 75 and over with a record of fragility fracture and an osteoporosis diagnosis 39 84.8% 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. 9 69.2% 58.2% 36.1% 72.0% 68.8% 79.5% 164 DEMENTIA - - 165 DEMENTIA Prevalence DSR per 100,000 population 212 912.5 898.1 613.5 1,363.2 877.3 n/a 166 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 214 62.9% 66.5% 55.4% 104.7% 63.7% 61.1% 167 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 214 71.0% 75.0% 62.2% 117.7% 71.9% 68.6% 168 People with DEMENTIA with no other LTCs (%) 23 10.8% 13.9% 9.0% 17.4% 13.1% n/a 169 People with DEMENTIA with 1 other LTC (%) 42 19.7% 21.4% 14.1% 24.3% 23.8% n/a 170 People with DEMENTIA with 2 other LTCs (%) 62 29.1% 23.9% 17.8% 29.1% 29.6% n/a 171 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 177 83.1% 80.0% 69.4% 88.52% 86.9% 83.7% 172 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 34 79.1% 86.9% 78.6% 91.84% 92.0% 87.6% 173 Emergency admissions for DEMENTIA aged over 65 9 1.70 2.11 1.10 3.11 0.17 n/a 174 END OF LIFE - - 175 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 115 451 655 451 1,149 567 n/a 176 Reduction in Emergency admissions END OF LIFE 117 22.2 21.7 14.6 28.9 27.2 n/a 177 RESIDENTIAL AND CARE HOMES - - 178 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 80 16.4 30.1 9.6 86.4 11.7 n/a 179 Reduction in Emergency admissions from CARE HOMES 48 9.1 29.6 - 72.8 30.4 n/a 180 CARERS - - 181 CARERS Prevalence (GP Recorded) DSR per 100,000 population 815 2,766 2,789 1,950 4,193 2,732 n/a 182 EMERGENCY ADMISSIONS per 1000 HCHS weighted pop - - 183 Injuries due to FALLS 65+ 127 24.1 31.4 24.1 38.4 31.1 n/a 184 Emergency admissions for DEMENTIA aged over 65 9 1.70 2.11 1.10 3.11 0.17 n/a 185 Emergency admissions for HIP FRACTURES aged over 65 42 7.96 8.44 4.31 11.13 10.35 n/a 186 Emergency admissions for CELLULITIS 48 1.17 1.00 0.60 1.51 1.39 n/a 187 Emergency admissions for FLU & PNEUMO 139 3.38 2.69 2.10 3.38 2.80 n/a 188 Emergency admissions for PYLO NEFRITIS 32 0.78 0.53 0.31 0.81 0.44 n/a 189 Emergency admissons for GASTRO/DEHYDRATION 8 0.19 0.18 0.10 0.31 2.60 n/a 190 Emergency re-admissions within 30 days to hospital (%) 658 11.5% 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 1,093 68.82 65.41 46.25 90.86 104.89 n/a 193 Community Matrons Case Load 50 3.15 1.18 0.17 3.15 3.66 n/a 194 District Nursing Face to Face Contacts 21,686 1,365.45 1,098.57 781.44 1,365.45 1,052.82 n/a 195 District Nursing Case Load 249 15.68 13.17 10.53 17.08 16.54 n/a 196 IV Therapy Face to Face Contacts 222 13.98 16.65 8.33 31.25 24.36 n/a 197 IV Therapy Case Load <5 0.06 0.28 0.06 0.48 0.38 n/a 198 Therapy Face to Face Contacts 7,324 461.15 405.91 363.03 462.54 409.28 n/a 199 Therapy Case Load 1,463 92.12 72.65 63.73 92.12 104.83 n/a 200 Treatment Rooms Face to Face Contacts 4,223 265.90 252.16 212.49 317.62 261.34 n/a 201 Treatment Rooms Case Load 74 4.66 6.61 1.22 14.52 4.17 n/a 202 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 203 Social Services Users OLDER PERSONS per 1000 65+ resident population 540 110.5 125.00 91.80 198.31 89.1 n/a 204 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 40 8.18 8.29 3.37 17.45 7.94 n/a 205 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 65+ resident population 398 81.4 93.85 70.68 144.75 72.4 n/a 206 Social Services Users DOMICILIARY CARE per 1000 65+ resident population 215 44.0 37.40 24.74 47.44 46.8 n/a 207 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 65+ resident population 42 8.6 7.80 4.53 13.71 27.6 n/a 208 Social Services Users OTHER COMMUNITY per 1000 65+ resident population 74 15.1 23.89 15.14 39.61 6.7 n/a 209 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 80 16.4 30.11 9.62 86.37 11.7 n/a 210 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 23 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) % 36 0.0 0.05 0.02 0.06 0.0 n/a 212 VACS AND IMMS - - 213 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,951 75.1% 73.5% 64.9% 75.9% 74.7% 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 Speke & Belle Vale 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 - 37.5% 31.9% 16.1% 44.4% 37.5% 17.6% 217 16-18 year olds not in education, employment or training (%) 40 6.1% 5.6% 3.2% 8.3% 7.7% 6.0% 218 Children aged 0-4 years (%) 1,931 5.8% 5.5% 2.0% 6.8% 5.8% 5.6% 219 Children aged 5-10 years (%) 2,507 7.6% 6.5% 1.9% 8.5% 7.6% 7.3% 220 Children aged 11-18 years (%) 3,051 9.2% 7.9% 4.2% 9.4% 8.9% 8.8% 221 Young People aged 19-25 years (%) 2,896 8.7% 13.3% 7.0% 49.9% 9.3% 8.9% 222 Children and Young People aged 0-25 years (%) 10,385 31.3% 33.3% 26.5% 58.0% 31.7% 30.5% 223 CHILD HEALTH - - 224 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 395 81.2 55.0 24.8 81.2 66.0 62.5 225 Low birthweight of all babies <2500g (3 year pooled) (%) 107 9.0% 8.8% 6.9% 10.6% 7.8% 7.4% 226 Breastfeeding Initiation Rates (%) 132 35.1% 44.9% 27.8% 65.4% 31.7% 74.5% 227 Breastfeeding at 6-8 weeks (%) 96 25.1% 35.1% 18.0% 53.5% 22.8% 44.4% 228 Smoking Status at Time of Delivery (SATOD) % 58 15.1% 13.1% 5.0% 20.8% 17.4% 10.7% 229 Child Excess Weight Reception (age 4-5 years) (%) 300 27.3% 26.2% 23.4% 29.2% 25.1% 22.6% 230 Child Excess Weight Year 6 (age 10-11 years) (%) 367 38.3% 38.7% 33.0% 42.6% 40.0% 34.2% 231 SOCIAL CARE (LIVERPOOL CITY COUNCIL) - - 232 Children in Need - Rate per 10,000 under 18 years 218 543.0 381.2 288.3 618.0 382.6 330.4 233 Looked After Children - Rate per 10,000 under 18 years 67 167.3 117.5 88.8 190.4 104.2 62.0 234 Child Protection Plan - Rate per 10,000 under 18 years 23 56.2 39.5 29.9 64.0 65.4 43.3 235 Early Help Assessment Tool (EHAT) Family Assessments (%) 263 6.6% 4.6% 3.5% 7.5% 5.6% n/a 236 Troubled Families (%) 480 8.2% 5.4% 2.7% 8.2% 3.9% n/a 237 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 40 100.1 70.3 53.1 113.9 47.2 n/a 238 Children who are receiving Special Educational Needs (SEN) Support (%) 783 19.5% 11.4% 8.4% 19.5% 11.5% n/a 239 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 127 317.3 179.7 121.8 317.3 242.7 n/a 240 EDUCATIONAL ATTAINMENT - - 241 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 177 52.0% 55.7% 47.5% 64.6% 40.1% 61.1% 242 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 112 45.1% 53.4% 42.3% 67.6% 40.0% 59.3% 243 Pupil Persistent Absenteeism (10% Threshold) - Primary Schools (%) 245 11.3% 11.0% 7.1% 14.8% 11.6% 3.9% 244 Pupil Persistent Absenteeism (10% Threshold) - Secondary Schools (%) 288 20.6% 16.4% 11.5% 21.4% 22.2% 5.0% 245 VACS AND IMMS - - 246 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,511 95.0% 92.5% 85.2% 96.1% 93.9% n/a 247 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 164 40.1% 37.4% 26.9% 50.7% 36.5% 38.9% 248 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 164 42.3% 39.1% 26.7% 54.3% 38.4% 41.5% 249 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 163 39.5% 44.8% 37.6% 50.9% 47.7% 44.9% 250 DISEASE PREVALENCE - - 251 Children with ASTHMA 0-17 years (%) 327 4.6% 4.3% 3.4% 4.7% 4.9% n/a 252 Young People with ASTHMA aged 18-25 years (%) 162 5.0% 4.0% 2.6% 6.6% 5.5% n/a 253 Children with EPILEPSY 0-17 years (%) 20 0.3% 0.2% 0.2% 0.3% 0.3% n/a 254 Children with DIABETES 0-17 years (%) 15 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 (%) 304 3.0% 2.6% 2.1% 3.6% 3.2% n/a 256 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 18 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 10 1.3 0.6 0.1 1.3 - n/a 259 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 31 4.3 4.4 3.3 5.7 1.9 n/a 260 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 74 756.1 716.9 531.3 1,002.9 1,602.5 n/a 261 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 13 61.9 40.4 17.4 64.0 52.9 39.6 262 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 22 182.8 102.3 30.8 182.8 184.6 89.8 263 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 23 398.8 446.6 157.9 933.6 829.5 n/a 264 Child AED attendance rate per 1,000 population aged 0-4 years 1,339 690.9 729.2 631.2 864.0 701.2 n/a 265 Child AED attendances - LRTI 381 50.8 59.3 48.5 209.0 51.4 n/a 266 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 81 3.6 3.6 2.5 8.4 3.9 n/a 267 Child AED attendances - ACCIDENTS 711 99.7 116.6 87.1 356.2 94.7 n/a 268 Child Emergency Admission Average Length of Stay <1 day 354 49.6 53.6 47.6 78.6 41.9 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 Speke & Belle Vale 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) (%) 7,427 27.5% 21.5% 13.5% 29.6% 28.0% 17.6% 272 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,575 88.5% 88.4% 83.7% 98.3% 87.8% 88.8% 273 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,987 15.4% 11.9% 5.2% 15.4% 15.4% 9.7% 274 People with BMI >=40 recorded in the last 12m (%) 1,262 3.8% 2.6% 1.2% 3.8% 3.6% - 275 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 642 50.9% 49.6% 38.4% 60.3% 59.2% - 276 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 72 25.4% 22.8% 15.1% 31.1% - n/a 277 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 18,888 72.4% 68.3% 63.0% 77.4% 70.6% - 278 People aged 18+ who have ALCOHOL above indicated levels (%) 1,671 8.8% 9.1% 5.6% 12.1% 6.2% - 279 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,527 91.4% 90.4% 85.0% 99.2% 96.2% - 280 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 238 798.8 796.5 418.6 1,522.2 867.6 n/a 281 HYPERTENSION - - 282 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,976 7,748 6,543 5,372 7,748 8,187 n/a 283 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,819 116.2% 99.4% 80.4% 120.7% 116.7% 64.0% 284 HYPERTENSION Prevalence DSR per 100,000 population 5,124 18,717 16,840 15,813 18,717 18,785 n/a 285 Ratio of Observed (PCQF) to Expected HYPERTENSION Prevalence 5,223 59.6% 51.9% 25.8% 59.6% 59.7% 67.1% 286 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 12,864 92.3% 91.1% 88.8% 92.9% 92.8% 90.7% 287 People with hypertension whose latest BP reading is <150/90 (QOF) (%) 4,359 81.1% 80.7% 76.3% 85.7% 81.0% 83.9% 288 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 3,346 71.2% 70.6% 66.0% 76.5% 61.3% n/a 289 People aged >=80 with hypertension whose latest blood pressure reading is < 150/90 (%) 796 91.2% 89.8% 85.6% 91.5% - n/a 290 People with hypertension with physical activity recorded (%) 3,859 69.2% 53.8% 36.9% 69.2% - n/a 291 People with hypertension who do not meet recommended activity levels who have received brief advice (%) 2,488 93.6% 91.8% 81.3% 97.5% - n/a 292 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,399 71.6% 72.9% 55.7% 98.2% - 74.1% 293 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 2,750 50.9% 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 2,750 36.5% 35.5% 27.3% 46.7% - 36.2% 295 CHD - - 296 CVD Mortality - DSR per 100,000 population 187 245.7 247.1 161.4 307.1 254.5 267.3 297 CVD Mortality Under 75 Years - DSR per 100,000 population 73 89.8 89.4 52.1 127.9 95.1 73.5 298 CHD Prevalence DSR per 100,000 population 1,261 4,765 4,274 3,481 4,961 4,954 n/a 299 Ratio of Observed (QOF) to Expected CHD Prevalence 1,368 58.6% 49.5% 19.5% 63.8% - n/a 300 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,220 89.7% 88.3% 82.8% 90.8% 89.3% 92.4% 301 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,285 93.9% 91.8% 82.1% 109.0% 93.0% n/a 302 Emergency admissions for ANGINA 51 1.24 1.00 0.60 1.26 1.14 n/a 303 HEART FAILURE - - 304 HEART FAILURE Prevalence DSR per 100,000 population 306 1,207 1,156 950 1,648 1,326 n/a 305 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 281 78.7% 70.9% 59.2% 90.4% 98.5% 71.3% 306 Emergency admissions for CONGESTIVE HEART FAILURE 39 0.95 1.24 0.85 1.72 0.92 n/a 307 HEART FAILURE Team Face to Face Contacts 168 10.58 13.25 6.40 32.66 11.86 n/a 308 HEART FAILURE Team Case Load 5 0.31 0.40 0.00 1.19 0.57 n/a 309 ATRIAL FIBRILLATION and STROKE - - 310 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 564 2,267 2,388 1,931 2,796 2,262 n/a 311 People on the AF case finding search who have had their notes reviewed 12 13.0% 38.1% 13.0% 68.0% - n/a 312 People with AF with CHADS score >1 treated with anti-coagulation or anti-platelets therapy (%) 452 88.1% 83.0% 39.8% 92.5% 92.5% 88.5% 313 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 256 105.3% 80.8% 63.8% 112.3% 95.3% n/a 314 STROKE/TIA Prevalence DSR per 100,000 population 618 2,376 2,225 1,957 3,037 2,420 n/a 315 Ratio of Observed (QOF) to Expected STROKE Prevalence 658 51.6% 48.6% 26.0% 59.2% 51.3% 47.0% 316 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 385 97.7% 97.9% 96.0% 99.6% 92.4% 97.4% 317 People with stroke/TIA referred for further investigation after last stroke or first TIA (QOF) % 149 85.6% 83.4% 77.5% 88.9% - n/a 318 People aged 65 years and over excluding People with AF who have received a pulse check (%) 3,998 84.8% 77.2% 68.3% 84.8% 81.2% n/a 319 Emergency admissions for STROKE 73 1.77 1.46 0.83 1.78 1.48 n/a 320 DIABETES - - 321 DIABETES Prevalence DSR per 100,000 population 1,892 6,784 6,066 4,848 7,561 7,256 n/a 322 Ratio of Observed (PCQF) to Expected DIABETES Prevalence 2,084 93.7% 76.3% 45.2% 93.7% 95.1% 79.6% 323 Prevalence of Impaired Glucose Regulation (%) 1,407 4.2% 3.7% 1.2% 4.9% - n/a 324 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,400 65.3% 65.0% 56.4% 70.8% 64.1% n/a 325 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,469 68.5% 66.2% 60.3% 70.4% 68.9% n/a 326 People with DIABETES and HbA1c (%) 2,011 93.8% 93.1% 89.9% 94.5% 94.8% n/a 327 People with DIABETES and BP recorded (%) 2,051 95.7% 94.7% 92.1% 96.4% 96.1% n/a 328 People with DIABETES and Cholesterol recorded (%) 1,946 90.8% 89.5% 86.8% 92.0% 90.9% n/a 329 People with DIABETES and Microalb recorded (%) 1,597 74.5% 74.2% 69.0% 78.8% 76.8% n/a 330 People with DIABETES and Creatinine recorded (%) 1,997 93.1% 91.7% 89.0% 93.2% 94.2% n/a 331 People with DIABETES and Foot Check (%) 1,906 88.9% 87.0% 82.6% 93.2% 89.0% 89.8% 332 People with DIABETES and BMI recorded (%) 1,918 89.5% 87.7% 82.8% 92.2% 89.9% n/a 333 People with DIABETES and Smoking Status recorded (%) 1,994 93.0% 91.5% 88.6% 94.7% 94.9% n/a 334 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 938 43.8% 42.9% 37.5% 46.2% - n/a 335 People with DIABETES who have CHD and/or CKD (%) 817 38.1% 33.6% 28.5% 38.1% - n/a 336 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 236 38.8% 40.9% 33.1% 52.0% - n/a 337 Preventable sight loss - diabetic eye disease rate per 1000 514 24.0% 28.7% 23.1% 36.4% - n/a 338 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 108 77.1% 77.6% 65.9% 84.7% 85.5% n/a 339 Emergency admissions for DIABETIC COMPLICATIONS 22 0.53 0.40 0.11 0.81 0.58 n/a 340 DIABETES Specialist Nurses Face to Face Contacts 818 51.50 38.19 20.17 60.77 36.67 n/a 341 DIABETES Case Load 98 6.17 5.50 3.36 8.77 6.31 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 Speke & Belle Vale 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) (%) 7,427 27.5% 21.5% 13.5% 29.6% 28.0% 17.6% 345 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,575 88.5% 88.4% 83.7% 98.3% 87.8% 88.8% 346 MORTALITY - - 347 RESPIRATORY Mortality - DSR per 100,000 population 156 201.9 178.0 93.9 240.0 200.8 n/a 348 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 65 80.8 57.5 25.7 84.9 88.4 33.8 349 DISEASE PREVALENCE - - 350 COPD Prevalence DSR per 100,000 population 1,336 4,928 3,853 2,297 5,345 5,079 n/a 351 Ratio of Observed (PCQF) to Expected COPD Prevalence 1,439 101.1% 84.5% 60.3% 119.9% 102.7% 72.1% 352 ASTHMA Prevalence DSR per 100,000 population 2,074 6,698 6,466 6,096 7,369 6,377 n/a 353 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 2,093 68.9% 63.2% 38.5% 77.4% 64.5% 63.8% 354 RESPIRATORY CONDITIONS - - 355 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 696 49.5% 59.3% 49.5% 71.0% 74.8% 86.8% 356 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,133 80.6% 81.8% 67.5% 88.3% 88.3% 96.7% 357 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 211 22.9% 27.3% 19.6% 36.2% 74.7% n/a 358 People with ASTHMA Day and Night Symptoms Recorded (%) 1,386 65.9% 65.4% 48.6% 74.1% 66.0% n/a 359 SERVICE UTILISATION Rate per 1000 - - 360 Referrals to Pulmonary Rehab 59 1.78 1.34 0.34 2.22 2.92 n/a 361 Emergency admissions for COPD 153 3.72 2.94 1.74 4.59 3.48 n/a 362 Community RESPIRATORY team Face to Face contacts 449 28.27 24.59 8.20 42.60 26.25 n/a 363 Community RESPIRATORY Team Case Load <5 0.13 0.19 - 0.65 0.63 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 Speke & Belle Vale 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) (%) 7,427 27.5% 21.5% 13.5% 29.6% 28.0% 17.6% 367 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,575 88.5% 88.4% 83.7% 98.3% 87.8% 88.8% 368 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 72 25.4% 22.8% 15.1% 31.1% - n/a 369 MORTALITY - - 370 CANCER Mortality - DSR per 100,000 population 253 309.3 320.5 211.1 426.2 315.5 276.8 371 LUNG CANCER - DSR per 100,000 population 79 96.8 93.2 59.5 143.3 85.0 57.7 372 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 68 83.9 89.2 65.3 114.1 83.2 n/a 373 CANCER Mortality Under 75 Years - DSR per 100,000 population 128 155.7 163.5 106.6 206.4 169.1 136.8 374 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 44 55.6 49.9 24.9 79.6 49.7 33.6 375 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 31 38.1 46.7 31.4 59.8 47.2 n/a 376 PREVALENCE - - 377 CANCER Prevalence DSR per 100,000 population 1,144 4,210 3,813 3,130 4,329 3,682 n/a 378 CANCER SCREENING - - 379 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,635 47.3% 51.7% 43.4% 60.7% 46.7% 57.4% 380 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,357 49.0% 53.1% 44.9% 62.0% 47.8% 59.1% 381 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 5,352 64.3% 67.6% 59.6% 73.5% 64.1% 72.1% 382 36 month coverage for BREAST screening aged 50-70 2,792 64.4% 64.8% 54.4% 72.7% 65.6% 72.5% 383 SERVICE UTILISATION rate per 1000 HCHS Weighted population - - 384 Emergency admissions for CANCER 206 5.0 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 Speke & Belle Vale 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 212 912.5 898.1 613.5 1,363.2 877.3 n/a 388 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 214 62.9% 66.5% 55.4% 104.7% 63.7% 61.1% 389 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 214 71.0% 75.0% 62.2% 117.7% 71.9% 68.6% 390 People with DEMENTIA with no other LTCs (%) 23 10.8% 13.9% 9.0% 17.4% 13.1% n/a 391 People with DEMENTIA with 1 other LTC (%) 42 19.7% 21.4% 14.1% 24.3% 23.8% n/a 392 People with DEMENTIA with 2 other LTCs (%) 62 29.1% 23.9% 17.8% 29.1% 29.6% n/a 393 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 177 83.1% 80.0% 69.4% 88.5% 86.9% 83.7% 394 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 34 79.1% 86.9% 78.6% 91.8% 92.0% 87.6% 395 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 40 8.2 8.3 3.4 17.5 7.9 n/a 396 SERIOUS MENTAL ILLNESS - - 397 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 392 1,265 1,425 1,044 2,442 1,302 n/a 398 People with SMI with no other LTCs (%) 135 34.4% 34.9% 28.3% 44.3% 32.6% n/a 399 People with SMI with 1 other LTC (%) 163 41.6% 41.5% 34.6% 46.5% 35.3% n/a 400 People with SMI with 2 other LTCs (%) 67 17.1% 15.2% 12.3% 18.4% 21.7% n/a 401 People with SMI and CHD (%) 16 4.1% 4.2% 2.9% 7.1% 4.2% n/a 402 People with SMI and COPD (%) 23 5.9% 7.0% 5.3% 9.5% 5.9% n/a 403 People with SMI and CANCER (%) 15 3.8% 4.4% 1.8% 8.0% 2.5% n/a 404 People with SMI and Diabetes (%) 49 12.5% 11.4% 6.9% 15.2% 13.1% n/a 405 People with SMI and CMHP (%) 181 46.2% 47.3% 38.5% 58.5% 45.7% n/a 406 People with SMI and Hypertension (%) 81 20.7% 16.3% 10.3% 21.5% 19.3% n/a 407 People with SMI and Current Smoker 15+ (%) 183 46.7% 46.5% 32.9% 54.0% 42.7% n/a 408 People with MH Conditions given list of physical checks previous 12 months (%) 172 73.8% 62.5% 38.9% 73.8% 57.2% n/a 409 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 27 96.4% 94.1% 82.2% 115.1% 100.0% n/a 410 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 321 88.2% 83.6% 76.9% 99.3% 91.8% 90.3% 411 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 325 89.3% 82.1% 72.9% 95.5% 91.4% 90.4% 412 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 338 92.9% 86.0% 77.4% 100.1% 94.3% 90.7% 413 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 81 62.8% 63.8% 49.5% 78.4% 88.8% 84.4% 414 Referrals to Community MENTAL HEALTH rate per 1000 1,308 31.80 33.85 20.52 46.82 10.55 n/a 415 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 87 21.5% 27.6% 15.3% 50.5% 11.5% n/a 416 COMMON MENTAL HEALTH PROBLEMS - - 417 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 4,748 15,402 14,022.1 11,956.3 21,198.7 15,066.5 n/a 418 People with CMHP with no other LTCs (%) 2,769 58.3% 61.4% 58.3% 70.5% 58.3% n/a 419 People with CMHP with 1 other LTC (%) 1,077 22.7% 21.0% 16.9% 23.1% 22.9% n/a 420 People with CMHP with 2 other LTCs (%) 520 11.0% 9.8% 7.1% 11.0% 10.6% n/a 421 People with CMHP and CHD (%) 304 6.4% 5.8% 4.3% 6.4% 6.6% n/a 422 People with CMHP and COPD (%) 391 8.2% 6.8% 5.0% 8.2% 8.5% n/a 423 People with CMHP and Cancer (%) 307 6.5% 6.4% 4.0% 8.5% 4.3% n/a 424 People with CMHP and Diabetes (%) 451 9.5% 8.4% 5.8% 9.7% 9.8% n/a 425 People with CMHP and Hypertension (%) 1,091 23.0% 20.6% 13.0% 23.4% 22.9% n/a 426 People with CMHP and SMI (%) 181 3.8% 4.8% 3.7% 7.8% 4.0% n/a 427 People with CMHP and Current Smoker 15+ (%) 1,516 32.0% 26.3% 16.1% 32.0% 30.3% n/a 428 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 442 55.3% 61.9% 53.7% 68.5% 72.3% 83.6% 429 SERVICE UTILISATION - - 430 Access to early intervention teams rate per 1000 6 0.23 0.32 0.18 0.77 - n/a 431 IAPT referral rate per 1000 848 33.0 31.7 23.5 39.9 27.8 n/a 432 Referrals to Community MENTAL HEALTH rate per 1000 1,308 31.8 33.9 20.5 46.8 10.6 n/a 433 Emergency admissions for MENTAL HEALTH 107 2.60 2.55 1.76 3.37 1.17 n/a 434 MH emergency admissions Mental and Behavioural - ALCOHOL 70 1.70 1.58 0.63 3.21 1.17 n/a 435 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 5 0.12 0.14 0.05 0.33 0.11 n/a 436 Emergency admissions for VIOLENCE 96 2.33 2.87 1.45 5.68 1.26 n/a 437 Emergency admissions for SELF HARM 101 2.46 2.23 1.17 3.70 2.43 n/a 438 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 87 21.5% 27.6% 15.3% 50.5% 11.5% n/a 439 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 89 42.2% 55.5% 40.4% 83.1% 44.1% 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 Speke & Belle Vale 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 3,586 107.9 105.4 72.8 129.0 - n/a 443 Patient Experience: Overall good experience of making an appointment 361 79.4% 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 312 7.58 8.60 5.21 12.46 7.95 n/a 446 Walk in Centre attendances 8,382 203.8 199.1 105.9 259.3 - n/a 447 Rate per 1000 HCHS weighted pop for GP Spec ACS admissions 471 11.45 10.05 8.01 12.94 8.14 n/a 448 Emergency admissions for ANGINA 51 1.24 1.00 0.60 1.26 1.14 n/a 449 Emergency admissions for CONGESTIVE HEART FAILURE 39 0.95 1.24 0.85 1.72 0.92 n/a 450 Emergency admissions for STROKE 73 1.77 1.46 0.83 1.78 1.48 n/a 451 Emergency admissions for DIABETIC COMPLICATIONS 22 0.53 0.40 0.11 0.81 0.58 n/a 452 Emergency admissions for ASTHMA 41 1.00 1.18 0.72 1.85 0.73 n/a 453 Emergency admissions for COPD 153 3.72 2.94 1.74 4.59 3.48 n/a 454 Emergency admissions for CELLULITIS 48 1.17 1.00 0.60 1.51 1.39 n/a 455 Emergency admissions for FLU & PNEUMO 139 3.38 2.69 2.10 3.38 2.80 n/a 456 Emergency admissions for CANCER 206 5.01 5.00 3.19 7.11 4.96 n/a 457 Emergency admissions for MENTAL HEALTH 107 2.60 2.55 1.76 3.37 1.17 n/a 458 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 92 284.0 289.5 118.3 587.1 291.9 110.2 459 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 943 3,082.0 2,747.0 1,889.9 4,430.6 2,843.1 2,185.0 460 Reduction in Emergency admissions END OF LIFE 117 22.16 21.69 14.62 28.94 27.17 n/a 461 Reduction in Emergency admissions from CARE HOMES 48 9.09 29.57 - 72.84 30.41 n/a 462 Injuries due to FALLS 65+ 127 24.06 31.42 24.06 38.38 31.05 n/a 463 Emergency admissions for DEMENTIA aged over 65 9 1.70 2.11 1.10 3.11 0.17 n/a 464 Emergency admissions for HIP FRACTURES aged over 65 42 7.96 8.44 4.31 11.13 10.35 n/a 465 Emergency admissions for PYLO NEFRITIS 32 0.78 0.53 0.31 0.81 0.44 n/a 466 Emergency admissons for GASTRO/DEHYDRATION 8 0.19 0.18 0.10 0.31 2.60 n/a 467 Emergency re-admissions within 30 days to hospital (%) 658 11.5% 12.8% 11.5% 14.4% 12.2% 12.8% 468 Emergency admissions for VIOLENCE 96 2.33 2.87 1.45 5.68 1.26 n/a 469 Emergency admissions for SELF HARM 101 2.46 2.23 1.17 3.70 2.43 n/a 470 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1000 HCHS population) - - 471 GP ref, 1st outpatient attendances 2,575 62.6 65.1 44.5 123.1 62.6 n/a 472 GP ref, 1st outpatient attendances CARDIOLOGY 380 9.2 9.9 7.9 12.4 - n/a 473 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 238 0.6% 0.7% 0.5% 0.9% - n/a 474 GP ref, 1st outpatient attendances DERMATOLOGY 455 11.1 11.1 8.0 14.6 11.9 n/a 475 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 246 0.6% 0.6% 0.4% 0.9% - n/a 476 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 165 0.4% 0.3% 0.2% 0.4% - n/a 477 GP ref, 1st outpatient attendances ENT 403 9.8 9.9 7.9 11.6 16.7 n/a 478 GP ref, 1st outpatient attendances ENT - % referred on 2WW 82 0.20% 0.15% 0.10% 0.20% - n/a 479 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 100 0.2% 0.3% 0.2% 0.4% - n/a 480 GP ref, 1st outpatient attendances GASTRO 434 10.6 11.0 9.6 13.3 - n/a 481 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 77 0.2% 0.3% 0.1% 0.6% 0.5% n/a 482 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 211 0.5% 0.5% 0.4% 0.8% 0.2% n/a 483 GP ref, 1st outpatient attendances GYNAECOLOGY 355 8.6 9.1 7.8 10.1 9.4 n/a 484 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 74 0.18% 0.18% 0.09% 0.27% - n/a 485 GP ref, 1st outpatient attendances RESPIRATORY 78 1.9 2.4 1.4 4.3 - n/a 486 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 26 0.1% 0.1% 0.0% 0.1% - n/a 487 GP ref, 1st outpatient attendances RHEUMATOLOGY 82 2.0 2.3 1.7 3.0 2.8 n/a 488 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 29 0.1% 0.1% 0.1% 0.1% - n/a 489 GP ref, 1st outpatient attendances UROLOGY 298 7.2 7.3 0.0 0.0 8.3 n/a 490 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 104 0.3% 0.3% 0.2% 0.4% - n/a 491 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 82 0.2% 0.2% 0.1% 0.3% - n/a 492 GP ref, 1st outpatient attendances VASCULAR 90 2.2 2.0 1.1 2.8 2.9 n/a 493 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 51 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 Speke & Belle Vale 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 1,093 68.8 65.4 46.3 90.9 104.9 n/a 496 Community Matrons Case Load 50 3.15 1.18 0.17 3.15 3.66 n/a 497 Community RESPIRATORY team Face to Face contacts 449 28.3 24.6 8.2 42.6 26.3 n/a 498 Community RESPIRATORY Team Case Load <5 0.13 0.19 - 0.65 0.63 n/a 499 DIABETES Specialist Nurses Face to Face Contacts 818 51.5 38.2 20.2 60.8 36.7 n/a 500 DIABETES Case Load 98 6.17 5.50 3.36 8.77 6.31 n/a 501 District Nursing Face to Face Contacts 21,686 1,365.4 1,098.6 781.4 1,365.4 1,052.8 n/a 502 District Nursing Case Load 249 15.68 13.17 10.53 17.08 16.54 n/a 503 HEART FAILURE Team Face to Face Contacts 168 10.58 13.25 6.40 32.66 11.86 n/a 504 HEART FAILURE Team Case Load 5 0.31 0.40 - 1.19 0.57 n/a 505 IV Therapy Face to Face Contacts 222 13.98 16.65 8.33 31.25 24.36 n/a 506 IV Therapy Case Load <5 0.06 0.28 0.06 0.48 0.38 n/a 507 Therapy Face to Face Contacts 7,324 461.2 405.9 363.0 462.5 409.3 n/a 508 Therapy Case Load 1,463 92.1 72.7 63.7 92.1 104.8 n/a 509 Treatment Rooms Face to Face Contacts 4,223 265.9 252.2 212.5 317.6 261.3 n/a 510 Treatment Rooms Case Load 74 4.7 6.6 1.2 14.5 4.2 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 454 28.59 28.04 0.62 80.50 28.65 n/a 513 Referrals to Community MENTAL HEALTH rate per 1000 1,308 31.8 33.9 20.5 46.8 10.6 n/a 514 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 515 Social Services Users TOTAL per 1000 40+ resident population 734 52.2 56.1 39.2 87.8 44.5 n/a 516 Social Services Users OLDER PERSONS per 1000 65+ resident population 540 110.5 125.0 91.8 198.3 89.1 n/a 517 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 87 21.5% 27.6% 15.3% 50.5% 11.5% n/a 518 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 89 42.2% 55.5% 40.4% 83.1% 44.1% n/a 519 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 40 8.2 8.3 3.4 17.5 7.9 n/a 520 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 40+ resident population 474 33.7 36.5 27.4 53.1 29.7 n/a 521 Social Services Users DOMICILIARY CARE per 1000 40+ resident population 259 18.4 14.5 9.3 18.4 18.1 n/a 522 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 40+ resident population 73 5.2 4.4 2.9 6.6 13.9 n/a 523 Social Services Users OTHER COMMUNITY per 1000 40+ resident population 115 8.2 13.4 8.2 22.0 8.3 n/a 524 RESIDENTIAL & NURSING placements TOTAL per 1000 40+ resident population 90 6.4 11.3 4.5 31.7 8.0 n/a 525 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 16 338.0 812.4 203.9 1,854.3 588.4 n/a 526 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 23 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) % 36 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 10 1.33 0.57 0.08 1.33 - n/a 530 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 31 4.35 4.44 3.25 5.72 1.91 n/a 531 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 74 756.1 716.9 531.3 1,002.9 1,602.5 n/a 532 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 13 61.9 40.4 17.4 64.0 52.9 39.6 533 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 22 182.8 102.3 30.8 182.8 184.6 89.8 534 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 23 398.8 446.6 157.9 933.6 829.5 n/a 535 Child AED attendance rate per 1,000 population aged 0-4 years 1,339 690.9 729.2 631.2 864.0 701.2 n/a 536 Child AED attendances - LRTI 381 50.8 59.3 48.5 209.0 51.4 n/a