Neighbourhood Profiles Aintree Summer 2018

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READER INFORMATION

Title Neighbourhood Profiles

Team CCG Business Intelligence Team; Public Health Epidemiology Team Author(s) Sophie Kelly, Andrea Hutchinson, and Kate Hodgkiss

Contributor(s) Liverpool City Council Social Services Analysis Team; Liverpool Community Health Analysis Team Reviewer(s) Neighbourhood Clinical Leads; Locality Clinical Leads; Liverpol CCG Primary Care Team; Liverpool CCG Business Intelligence Team: Liverpool City Council Public Health Team; Liverpool Community Health Intelligence and Public Health Teams Circulated to Neighbourhood Clinical and Managerial Leads; Liverpool GP Bulletin; Liverpool CCG employees including Primary Care Team and Programme Managers; Adult Social Services (LCC); Public Health (LCC); Liverpool Community Health Version 1.0

Status Final

Date of release July 2018

Review date To be confirmed

Purpose The packs are intended 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 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 2.5 Service Assets for Health and Wellbeing ...... 7 3. Neighbourhood Map ...... 10 4. Population Map ...... 11 5. Co – Morbidities ...... 13 6. Population Structure, Demographics, Risk Factors and 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+ (16.1 % compared to 14.4%) and the proportion of one person households is significantly higher (12.7% compared to 11.9%). The rate of people who are recorded on the end of life register is significantly higher and this cohort of patients will require access to high quality care in general practice and the community. Mortality rates across most disease areas have improved since last year. Hearing impairment prevalence is one of the highest rates in the city (7,935.1 compared to 6,797.5 per 100,000 population). Patients aged over 40 years with a risk score above 40% is significantly higher. Dementia prevalence is comparable to the Liverpool average 898.1 per 100,000 population however the observed to expected ratio is significantly lower suggesting there are patients living in Aintree neighbourhood undiagnosed. Patients with a fragility fracture treated with bone sparing agents is significantly lower than the city average with 42.9% compared to 58.2% city wide. End of life prevalence is significantly higher with 826 per 100,000 population compared to 655 per 100,000 for Liverpool, although emergency admission for end of life patents remains the lowest in the city. However admissions due to falls in 65+ is ranked the highest in Liverpool with 38.45 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, 1.7% of the Aintree neighbourhood population fall into risk score bracket >50%<90% (significantly above the Liverpool average with 1.3%). Proactive case management using an MDT approach via the community care teams will help to prevent unnecessary visits to hospital.

• Hypertension Management 90% of risk factors for hypertension are modifiable. High blood pressure accounts for 80% of all cases of CHD and contributes to 9% of the burden of disease in the UK, second only to tobacco. Overall recorded hypertension prevalence in this neighbourhood is comparable to the city average, however those with CHD is significantly lower than the city average with 85.8% compared to 88.3% for Liverpool. Patients that are on some form of treatment i.e. aspirin, anti-platelet therapy, or anticoagulant is also significantly lower. The completion of health checks in patients aged 40-74 years is significantly lower with 47.1% compared to 48.7% for Liverpool.

• Diabetes prevalence is higher than the Liverpool average 62.73.4 per 100,000 however disease management in patients is significantly lower for example 61.3% of patients have maintained their HbA1C level to 7.5 or less compared to 65% for Liverpool. Only 60% of patients have had all of their 8 care processes in the previous 12 months and emergency admissions for diabetic complications is significantly higher than the city average with 0.52 per 1,000 population compared to 0.40

• Children 16.1% of the population in Aintree neighbourhood are children aged 5-18 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 27.8% and 18% respectively. Asthma prevalence in amongst young people aged 18-25 years is significantly higher than the Liverpool average (6.6% compared to 4%) and is ranked highest out of all neighbourhoods. The Child AED attendance rate for accidents is significantly higher than the city average (356.2 compared to 116.6 per 1,000 population) this is also the same for AED attendances for LRTI with a rate of 209 compared to 59.3 per 1,000. GSCE attainment rates are significantly below the city average with 42.3% achieving grade A*-C compared to 53.4% for Liverpool, this is also a reduction on last year’s performance.

• Cancer Early detection of cancers is essential to ensure prompt appropriate treatment thus reducing premature deaths. Cancer prevalence rates are the highest in the city with a rate of 4177.1 per 100,000 population.

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However, uptake rates for all three cancer screening programmes are either comparable or significantly higher, than the Liverpool average and cancer mortality in the neighbourhood is the lowest in the city, suggesting early detection of cancer and successful treatment.

• Respiratory Management Recorded COPD prevalence is lower than the city average yet, the ratio of observed to expected prevalence suggests there may be undiagnosed cases in the neighbourhood. The overall asthma prevalence is ranked 3rd highest with a rate of 7,125 per 100,000 population and GP recording of day and night symptoms is among the lowest in the city. Community Respiratory Team Face to Face Contacts is comparable with 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 under half (47.1%) of patients aged between 40-74 years have had a health check completed and blood pressure management is also significantly below city average with 85.6% of patients managing the BP below 150/90. Yet deaths from CVD remain the lowest in the City with a rate of 161.4 per 100,000 population. Prevalence of CHD is significantly higher than Liverpool with 4,700 per 100,000 population and ranked 5th highest when compared to all neighbourhoods. Heat failure prevalence is ranked 2nd highest when compared to the Liverpool average and again blood pressure management is significantly higher than the city average and those patient taking aspirin, anti-platelet therapy is significantly below the city average with 87.4% recorded.

• Mental Health The percentage of people with Serious Mental Illness is comparable to Liverpool average with a rate of 1,109 per 100,000 population, and the proportion of patient who have received a health check is comparable with 59.2% of the neighbourhood. However, those who have a comprehensive care plan documented is the lowest in the city (77% compared to 83.6% average). The prevalence of people with CMHP per 100,000 population is significantly higher than the city average (15,423 compared to 14,022) and is ranked 4th highest when compared to all neighbourhoods. Referrals to community mental health team is significantly lower and ranked 3rd lowest when compared to all neighbourhoods with a rate of 30.7 per 1,000 population

• Urgent Care 111 call rate per is significantly higher in Aintree Neighbourhood with 112.8 per 1,000 population, admission to hospital for Ambulatory Care Sensitive Condition is ranked 2nd highest when compared to all neighbourhood, this is also an increase on last year’s performance (7.7 per 1,000 population). Emergency admission for Angina, Heart Failure, Asthma, Cellulitis, and Cancer are all significantly higher than the city wide averages. Readmissions within 30 days of discharge have increased since last year with 14.4% compared to 12.8% and is ranked highest when compared to all neighbourhoods.

• GP Referrals most referral rates are either comparable or significantly lower than the city average apart from Cardiology, Gynaecology, and Respiratory which are significantly below.

Social Care • Social Services total activity is significantly higher for Aintree neighbourhood with a rate of 64.1 per 1,000 population compared to 56.1 for the city, this is also an increase on usage compared to last year. All other departments are either comparable or lower than the city wide average.

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2. Introduction

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

Practice CCG Lead Address Postcode Code Hospital, Longmoore Lane, N82037 McQuillan S Fazakerley L9 7AL N82648 Ghose SL 34 Poulter Road, Fazakerley L9 0HJ N82053 Wigglesworth M 46 Moss Lane, L9 8AL N82110 Laurie S Long Lane, Aintree L9 6DQ

2.2 Registered Population The registered population is 37,421

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

Aintree Wards %

Dominant Ward Fazakerley 33.1% Second Ward Molyneux 18.7% Third Ward 16.7% Fourth Ward 11.5% Fifth Ward Netherton and Orrell 8.5% Sixth Ward Cherryfield 3.5% Seventh Ward 1.8% Eighth Ward 1.6% Ninth Ward St Oswald 1.2% Tenth Ward Derby 0.8% Other Wards 2.6%

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2.4 Service Provision

Practice Code & CCG Lead

Wigglesworth M Laurie S McQuillan S N82053 N82110 SL Ghose N82648 N82037

QOF 1 1 1 1 DES signup returned 1 1 1 1 LES signup returned 1 1 1 1 Extended Hours Access 1 1 1 Learning Disabilities 1 1 1 1 Out of Area Registration Zero Tolerance Scheme Minor surgery own patients excisions and incisions 1 1 1 1 Minor surgery own patients injections 1 1 1 1 Learning Disabilities Health Check Scheme 1 1 1 1 GMS/PMS Core Contract Data Collection 1 1 Alcohol Risk Reduction 1 1 Liverpool Quality Improvement Scheme 1 1 1 1 Minor surgery - For Other Practices excisions and incisions 1 1 Minor surgery - For Other Practices injections 1 Drug Misusers 1 1 1 Near Patient 1 1 1 1 Sexual Health 1 1 1 1 Homeless Asylum Seekers 1 Travellers ABPI 1 1 1 1 ABPI - For other practices 1 H Pylori 1 1 1 H Pylori - For other practices 1 1 Health checks 1 1 1 1 IGR 1 1 1 1 Gonadorelin Therapy LES 1 1 1 1 Healthy Lung Latent TB 1 1 1 1

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

7 | Page 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 Amberleigh House Care Home L9 7AL Autumn Lodge Residential Home L9 8AD Cherry Cottage L10 1LD Ennerdale Nursing Centre L9 7JU Grace Lodge Nursing Home L9 2DB Jasmine House L9 9DJ Laburnum Cottage L10 1LD Lilac Cottage L10 1LD Lyndhurst Residential Care Home L9 8BX Children's Centre Fazakerley Children's Centre Barlows Lane L9 9EH Cross Border Pharmacy Aintree Pharmacy 11 Molyneux Way L10 2JA Asda Aintree Ormskirk Road L10 3JN Boots Pharmacy Unit 5A, Aintree Racecourse Retail Park L9 5AN Kelly's Pharmacy 195 Altway L10 6LB GP Practice N82037 Westmoreland GP Centre L9 7AL N82053 The Orrell Park Surgery L9 8AL N82110 Long Lane Medical Centre L9 6DQ N82648 Poulter Road Medical Centre L9 0HL N82678 Stopgate Lane Medical Centre L9 6AP GP Practice (Branch) The Old Roan Surgery (Branch) L10 6NJ Aintree University Hospitals NHS Hospital Foundation Trust Aintree University Hospital L9 7AL Clatterbridge Cancer Centre NHS Foundation Trust Clatterbridge Cancer Centre - Aintree L9 7AL The Walton Centre NHS Foundation Trust The Walton Centre L9 7LJ Library Fazakerley Library Formosa Drive L10 7LQ Walton Library Evered Avenue L9 2AF Pharmacy Boots Pharmacy 45 Walton Vale L9 4RF Cohens Chemist 181 Walton Hall Avenue L11 7BY Gateley Pharmacy 138 Longmoor Lane L9 0EJ Orrell Park Pharmacy 65 Moss Lane L9 8AE Pryia Limited Unit 7&8 Brookfield Trading Centre L9 7AS Rowlands Pharmacy 718 Longmoor Lane L10 7LN Station Pharmacy 21 Orrell Lane L9 8BU Tiffenbergs Chemist 388 Longmoor Lane L9 9DP Your Local Boots Pharmacy Orrell Park Medical Centre L9 8BU The former District Nurses Station L9 6DN

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Schools & Colleges Archbishop Beck (Cedar Rd) Secondary Voluntary Bank View High School Special Barlows Prim Primary Community Blessed Sacrament Inf Primary Voluntary Blessed Sacrament Jm Primary Voluntary Secondary Education Brookside Pru Otherwise Davenhill Prim (Sefton) Dyson Hall All Special Fazakerley High Secondary Community Fazakerley Prim Primary Community Holy Name Prim Primary Voluntary Holy Rosary Rcp (Sefton) Longmoor Prim Primary Community Meadow Bank (Sec) All Special Meadowbank (Prim) All Special Our Lady & St Philomenas Prim Primary Voluntary Ranworth Square Prim Primary Community Redbridge High Secondary Special RiCE Lane Inf Primary Community RiCE Lane Jm Primary Community Nursery & Infants White Thorn Special

Stop Smoking Service Community Fazakerley Fed L9 4SG Community Fazakerley Long Lane L9 6DQ Community The Breeze Inn L9 0EA Pharmacy Cohens Walton Hall Av L11 7BY Pharmacy Orrell Park Pharmacy L9 8AE

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3. Neighbourhood Map

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4. Population Map

Aintree Neighbourhood - CCG Registered Population Pyramid [Source: Risk Stratification Dataset Effective Date: April 2018]

Aintree Neighbourhood - CCG Registered Population Pyramid Aintree Neighbourhood - CCG Registered Population Pyramid Number Aintree As % of Total Aintree As % of Liverpool within Ageband Age Band % Total Population Male Female Person Male Female Person Male Female Person Under 1 yrs 230 224 454 0.6% 0.6% 1.3% 3.7% 3.6% 7.3% -6.0% -4.0% -2.0% 0.0% 2.0% 4.0% 6.0% 1-4 yrs 878 849 1,727 2.4% 2.4% 4.8% 3.7% 3.6% 7.3% 90+ yrs 5-9 yrs 1,144 1,091 2,235 3.2% 3.0% 6.2% 4.0% 3.8% 7.8% 85-89 yrs 10-14 yrs 1,069 1,032 2,101 3.0% 2.9% 5.8% 4.2% 4.0% 8.2% 80-84 yrs 15-19 yrs 1,009 970 1,979 2.8% 2.7% 5.5% 3.3% 3.2% 6.6% 75-79 yrs 70-74 yrs 20-24 yrs 1,080 1,046 2,126 3.0% 2.9% 5.9% 2.1% 2.1% 4.2% 65-69 yrs 25-29 yrs 1,287 1,293 2,580 3.6% 3.6% 7.1% 2.9% 2.9% 5.8% 60-64 yrs 30-34 yrs 1,271 1,335 2,606 3.5% 3.7% 7.2% 3.1% 3.2% 6.3% 55-59 yrs 35-39 yrs 1,234 1,247 2,481 3.4% 3.5% 6.9% 3.4% 3.5% 6.9% 50-54 yrs 40-44 yrs 1,045 1,043 2,088 2.9% 2.9% 5.8% 3.6% 3.5% 7.1% 45-49 yrs Age Band 45-49 yrs 1,313 1,265 2,578 3.6% 3.5% 7.1% 4.1% 3.9% 8.0% 40-44 yrs 50-54 yrs 1,359 1,352 2,711 3.8% 3.7% 7.5% 4.1% 4.0% 8.1% 35-39 yrs 30-34 yrs 55-59 yrs 1,320 1,421 2,741 3.7% 3.9% 7.6% 4.1% 4.4% 8.6% 25-29 yrs 60-64 yrs 1,049 1,130 2,179 2.9% 3.1% 6.0% 4.0% 4.3% 8.2% 20-24 yrs 65-69 yrs 766 827 1,593 2.1% 2.3% 4.4% 3.5% 3.8% 7.3% 15-19 yrs 70-74 yrs 643 743 1,386 1.8% 2.1% 3.8% 3.6% 4.2% 7.8% 10-14 yrs 75-79 yrs 441 536 977 1.2% 1.5% 2.7% 3.5% 4.2% 7.7% 5-9 yrs 80-84 yrs 337 491 828 0.9% 1.4% 2.3% 3.4% 4.9% 8.3% 1-4 yrs Under 1 yrs 85-89 yrs 188 309 497 0.5% 0.9% 1.4% 3.3% 5.4% 8.7% 90+ yrs 78 140 218 0.2% 0.4% 0.6% 2.9% 5.1% 8.0% - - - - Liverpool CCG Registered Males Aintree Aintree Males All Ages 17,741 18,344 36,085 49.2% 50.8% 100.0% 3.5% 3.6% 7.1%

- - - - Liverpool CCG Registered Females Aintree Aintree Females

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

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

Aintree Neighbourhood CVD Population Aintree Neighbourhood COPD Population Aintree Neighbourhood Cancer Population

% Total Population % Total Population % Total Population -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% 10% 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 Aintree Males - - - - Liverpool COPD Males COPD Aintree Males - - - - Liverpool Cancer Males Cancer Aintree Males

- - - - Liverpool CVD Females CVD Aintree Females - - - - Liverpool COPD Females COPD Aintree Females - - - - Liverpool Cancer Females Cancer Aintree Females

Number diagnosed = 6473 Prevalence = 17.9% Number diagnosed = 1073 Prevalence = 3% Number diagnosed = 1325 Prevalence = 3.7% Includes patients with a diagnosis of Atrial Fibrilation, CHD, Heart Failure, Hypertension, PAD or Stroke

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

Aintree Neighbourhood Diabetes Population Aintree Neighbourhood Serious Mental Illness Population Aintree Neighbourhood Dementia Population

% Total Population % Total Population % Total Population -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% -10% -8% -6% -4% -2% 0% 2% 4% 6% 8% 10% -15% -10% -5% 0% 5% 10% 15% 20% 25% 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 Aintree Males - - - - Liverpool Serious Mental Illness Males Serious Mental Illness Aintree Males - - - - Liverpool Dementia Males Dementia Aintree Males

- - - - Liverpool Diabetes Females Diabetes Aintree Females - - - - Liverpool Serious Mental Illness Females Serious Mental Illness Aintree Females - - - - Liverpool Dementia Females Dementia Aintree Females

Number diagnosed = 2032 Prevalence = 5.6% Number diagnosed = 390 Prevalence = 1.1% Number diagnosed = 226 Prevalence = 0.6% 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

Rates of Co-Morbidity in People with Long Term Conditions Aintree 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 21.8% 55.5% 53.2% 62.4% 48.7% 22.8% 61.2% 62.2% 60.2% 63.2% 51.1% 18.5% 20.7% 9.3%

Depression 22.2% 23.3% 24.4% 22.1% 33.2% 26.6% 16.3% 24.6% 21.5% 14.6% 22.6% 53.8% 21.9% 12.6%

Diabetes 21.1% 8.7% 29.8% 26.1% 19.9% 8.8% 23.5% 26.7% 29.2% 36.2% 22.6% 7.9% 9.2% 7.0%

CHD 14.3% 6.4% 21.1% 23.5% 22.7% 7.2% 31.6% 27.5% 54.2% 16.5% 25.3% 5.6% 7.7% 2.8%

CKD 19.1% 6.7% 21.0% 26.7% 18.7% 7.6% 29.3% 24.5% 37.1% 30.2% 31.2% 8.5% 8.3% 2.8%

9.8% 6.5% 10.5% 17.0% 12.3% 7.9% 17.6% 14.9% 22.1% 27.3% 19.0% 7.4% 5.6% COPD

Asthma 10.6% 12.2% 10.7% 12.5% 11.6% 25.0% 10.2% 11.9% 9.6% 12.1% 10.4% 13.1% 10.1% 7.9%

AF 8.0% 2.1% 8.1% 15.4% 12.5% 11.5% 3.4% 21.0% 37.1% 14.0% 21.3% 2.6% 4.4% 0.5%

Stroke/TIA 7.7% 3.0% 8.7% 12.6% 10.5% 9.1% 3.3% 18.0% 14.2% 15.9% 21.7% 2.3% 8.0% 0.9%

HF 5.4% 1.9% 6.9% 18.1% 9.8% 9.9% 2.1% 25.2% 10.3% 14.0% 11.8% 1.8% 3.3% 0.5%

PAD 3.7% 1.2% 5.6% 8.4% 5.8% 8.0% 1.5% 7.0% 6.7% 7.9% 5.4% 1.3% 0.3%

Dementia 2.1% 0.9% 2.5% 3.9% 4.2% 3.9% 0.9% 6.7% 7.3% 5.4% 3.8% 1.8% 0.9%

SMI 1.4% 3.9% 1.5% 1.5% 2.0% 2.5% 2.1% 1.4% 1.4% 1.5% 1.3% 3.2% 4.4% 9.3%

Epilepsy 1.3% 1.4% 1.5% 1.8% 1.7% 1.8% 1.4% 2.1% 4.1% 2.3% 1.3% 1.4% 3.8% 12.6%

LD 0.4% 0.5% 0.7% 0.4% 0.3% 0.7% 0.1% 0.3% 0.2% 5.1% 8.0%

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

• 37,421 people are registered with the Aintree neighbourhood (7.0% of the CCG). • Life expectancy in this neighbourhood is the highest in the city and this has improved since the last reporting period (82.5 years) • Children aged 0-4 years is comparable to the city average (5.6% compared to 5.5%). However the population for over 65s is older than the city average with a significantly higher proportion 16.1% compared to 14.4%, and people aged 75+ (7.4% compared to 6.3%) and 85+ (2.1% compared to 1.7%). • It is estimated that 4.6% of the population are Not White British/Irish and 2.1% of the population’s main language is not English, ranked lowest when compared to all neighbourhoods. • Aintree neighbourhood’s deprivation score is the lowest in Liverpool. o 34.4% of the population have no access to a car/van, significantly lower than the Liverpool average o The average household income is around £28,645, comparable to the Liverpool average. o Unemployment is significantly lower than the city rate (5.8% compared to 6.6%) and 7.1% of the population are classified as long term sick or disabled. o Around a third (31.5%) of the population are economically inactive which is significantly lower than the city average and 2nd lowest when compared to all neighbourhoods. o Is ranked lowest for proportion of housing tenure that is social or privately rented; 32.1% compared to 52.5% across the city. o People aged 65 and over living alone account for 12.7% of households, significantly higher than the city rate of 11.9%. o Birth rate is significantly higher than the city average with a rate of 63.7 per 1,000 live births compared to 55 per 1,000 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 England Low High 25th percentile 75th percentile Aintree 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 - 33.8 41.1 22.1 59.6 33.8 21.8 4 Not White British or Irish ethnic group (%) 1,725 4.61% 15.7% 4.6% 38.9% 4.63% 19.2% 5 White Other ethnic group (%) 342 0.91% 2.8% 0.9% 5.3% 0.92% 4.6% 6 Mixed/Multiple ethnic group (%) 331 0.88% 2.7% 0.9% 6.7% 0.89% 2.3% 7 Asian/Asian British ethnic group (%) 699 1.87% 5.0% 1.4% 14.4% 1.87% 7.8% 8 Black/African/Caribbean/Black British ethnic group (%) 225 0.60% 3.1% 0.6% 10.2% 0.60% 3.5% 9 Other ethnic group (including Arab) (%) 129 0.34% 2.1% 0.3% 8.3% 0.35% 1.0% 10 Main language not English (%) 776 2.07% 7.5% 2.1% 18.4% 2.08% 8.0% 11 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 343 63.7 55.0 24.8 81.2 64.6 62.5 12 Children aged 0-4 years (%) 2,100 5.6% 5.5% 2.0% 6.8% 5.7% 5.6% 13 Population 65+ (%) 6,005 16.1% 14.4% 3.8% 20.2% 16.0% 17.9% 14 Population 75+ (%) 2,786 7.4% 6.3% 1.3% 9.4% 7.5% 8.1% 15 Population 85+ (%) 794 2.1% 1.7% 0.3% 2.9% 2.1% 2.4% 16 Population 95+ (%) 50 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 17 Population 40+ with 1 or more LTC (%) 5,125 28.8% 27.9% 26.5% 29.3% 28.4% n/a 18 Population 40+ with 2 or more LTC (%) 2,734 15.4% 15.2% 13.3% 16.5% 15.0% n/a 19 Population 40+ with 3 or more LTC (%) 1,344 7.6% 7.9% 6.9% 9.3% 7.3% n/a 20 Percentage of the population 40+ with risk score >=50% 318 1.8% 1.3% 0.7% 1.9% 2.2% n/a 21 Percentage of the population 40+ with risk score >=70% 88 0.5% 0.4% 0.2% 0.7% 0.8% n/a 22 Percentage of the population 40+ with risk score >=50% <=90% 296 1.7% 1.3% 0.7% 1.8% 2.0% n/a 23 WIDER DETERMINANTS - - 24 No car or van in household (%) - 34.4% 47.0% 29.1% 61.5% 34.5% 25.8% 25 Economically active (%) 19,009 68.5% 62.1% 51.4% 68.8% 68.5% 69.9% 26 Economically active: Unemployed (%) 1,623 5.8% 6.6% 4.1% 9.2% 5.8% 4.4% 27 Economically active: Long-term unemployed (%) 661 2.4% 2.7% 1.6% 3.9% 2.4% 1.7% 28 Economically inactive (%) 8,732 31.5% 37.9% 31.2% 48.6% 31.5% 30.1% 29 Economically inactive: Long-term sick or disabled (%) 1,966 7.1% 7.9% 4.6% 11.7% 7.1% 4.0% 30 Housing Tenure: Social or Private Rented (%) - 32.1% 52.5% 32.1% 77.0% 32.1% 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 £ - £28,645 £27,565 £21,310 £38,138 £28,803 £39,472 33 Domestic violence rate per 1,000 348 12.8 12.0 6.4 18.9 10.0 - 34 Violent crime rate per 1,000 339 12.5 12.2 5.6 21.6 12.3 - 35 RISK FACTORS - - 36 CURRENT SMOKERS aged 15+ (QOF) (%) 5,864 19.2% 21.5% 13.5% 29.6% 19.5% 17.6% 37 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,561 94.8% 88.4% 83.7% 98.3% 89.0% 88.8% 38 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,974 13.5% 11.9% 5.2% 15.4% 13.0% 9.7% 39 People with BMI >=40 recorded in the last 12m (%) 993 2.6% 2.6% 1.2% 3.8% 2.5% - 40 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 599 60.3% 49.6% 38.4% 60.3% 53.9% - 41 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 68 24.5% 22.8% 15.1% 31.1% - n/a 42 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 20,733 69.6% 68.3% 63.0% 77.4% 67.7% - 43 People aged 18+ who have ALCOHOL above indicated levels (%) 1,159 5.6% 9.1% 5.6% 12.1% 3.9% - 44 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,084 93.5% 90.4% 85.0% 99.2% 96.1% - 45 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 236 675 797 419 1,522 754 n/a 46 LIFE EXPECTANCY / MORTALITY - - 47 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 83.6 77.0 74.4 83.6 82.5 79.5 48 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 86.4 80.8 78.5 86.4 86.4 83.1 49 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 85.0 78.9 76.8 85.0 84.4 81.3 50 ALL CAUSE Mortality - DSR per 100,000 population 702 729.3 1,136.4 729.3 1,428.1 778.8 968.7 51 CVD Mortality - DSR per 100,000 population 153 161.4 247.1 161.4 307.1 165.2 267.3 52 CANCER Mortality - DSR per 100,000 population 206 211.1 320.5 211.1 426.2 214.0 276.8 53 LUNG CANCER - DSR per 100,000 population 62 64.4 93.2 59.5 143.3 56.6 57.7 54 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 68 68.8 89.2 65.3 114.1 65.6 n/a 55 RESPIRATORY Mortality - DSR per 100,000 population 90 93.9 178.0 93.9 240.0 95.5 n/a 56 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 259 273.4 437.8 273.4 559.9 286.3 333.8 57 CVD Mortality Under 75 Years - DSR per 100,000 population 51 55.7 89.4 52.1 127.9 58.3 73.5 58 CANCER Mortality Under 75 Years - DSR per 100,000 population 101 106.6 163.5 106.6 206.4 113.5 136.8 59 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 31 34.4 49.9 24.9 79.6 37.1 33.6 60 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 37 39.7 46.7 31.4 59.8 37.6 n/a 61 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 29 30.9 57.5 25.7 84.9 25.2 33.8 62 DISEASE PREVALENCE / POPULATION GROUPS - - 63 CHD Prevalence DSR per 100,000 population 1,437 4,700.4 4,273.6 3,481.4 4,961.5 4,986.7 n/a 64 CANCER Prevalence DSR per 100,000 population 1,325 4,177.1 3,812.8 3,129.9 4,328.7 4,176.8 n/a 65 COPD Prevalence DSR per 100,000 population 1,073 3,476.9 3,853.2 2,297.3 5,344.8 3,593.8 n/a 66 ASTHMA Prevalence DSR per 100,000 population 2,482 7,125.2 6,465.9 6,095.6 7,369.1 7,049.7 n/a 67 DIABETES Prevalence DSR per 100,000 population 2,032 6,273.4 6,065.8 4,847.9 7,560.9 6,270.9 n/a 68 HYPERTENSION Prevalence DSR per 100,000 population 5,333 16,642.5 16,840.4 15,813.1 18,716.6 16,653.4 n/a 69 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,635 5,371.5 6,543.1 5,371.5 7,748.4 5,508.4 n/a 70 HEART FAILURE Prevalence DSR per 100,000 population 480 1,589.7 1,155.5 949.8 1,647.8 1,611.4 n/a 71 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 699 2,340.3 2,388.0 1,930.8 2,795.6 2,385.5 n/a 72 STROKE/TIA Prevalence DSR per 100,000 population 658 2,160.4 2,225.5 1,956.8 3,037.2 2,220.7 n/a 73 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 315 1,046.8 1,034.4 716.2 1,678.4 1,158.1 n/a 74 DEMENTIA Prevalence DSR per 100,000 population 226 776.8 898.1 613.5 1,363.2 852.0 n/a 75 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 390 1,108.7 1,425.4 1,043.9 2,441.8 1,089.3 n/a 76 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 5,440 15,422.5 14,022.1 11,956.3 21,198.7 14,990.9 n/a 77 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 483 1,600.8 1,516.3 1,237.6 1,984.8 1,860.2 n/a 78 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 2,617 7,935.1 6,797.5 5,387.3 8,000.4 7,970.6 n/a 79 LEARNING DISABILITIES Prevalence DSR per 100,000 population 214 577.9 412.8 264.8 577.9 672.1 n/a 80 CARERS Prevalence (GP Recorded) DSR per 100,000 population 683 1,975.7 2,788.8 1,949.5 4,193.2 1,868.8 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 Aintree 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) (%) 5,864 19.2% 21.5% 13.5% 29.6% 19.5% 17.6% 84 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,561 94.8% 88.4% 83.7% 98.3% 89.0% 88.8% 85 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,974 13.5% 11.9% 5.2% 15.4% 13.0% 9.7% 86 People with BMI >=40 recorded in the last 12m (%) 993 2.6% 2.6% 1.2% 3.8% 2.5% - 87 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 599 60.3% 49.6% 38.4% 60.3% 53.9% - 88 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 68 24.5% 22.8% 15.1% 31.1% - n/a 89 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 20,733 69.6% 68.3% 63.0% 77.4% 67.7% - 90 People aged 18+ who have ALCOHOL above indicated levels (%) 1,159 5.6% 9.1% 5.6% 12.1% 3.9% - 91 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,084 93.5% 90.4% 85.0% 99.2% 96.1% - 92 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 236 675.5 796.5 418.6 1,522.2 753.8 n/a 93 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 124 337.9 289.5 118.3 587.1 296.6 110.2 94 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 983 2,770.4 2,747.0 1,889.9 4,430.6 2,671.7 2,185.0 95 PREVENTION - - 96 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 14,850 90.3% 91.1% 88.8% 92.9% 91.2% 90.7% 97 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 7,673 79.0% 72.9% 55.7% 98.2% - 74.1% 98 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,611 47.1% 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 3,611 37.2% 35.5% 27.3% 46.7% - 36.2% 100 Persons 18+ with a learning disability and HEALTH CHECK completed (%) 150 61.5% 63.6% 38.5% 74.4% 45.3% 0.5 101 Persons 18+ with a learning disability eligible for a HEALTH CHECK and health action plan completed (%) 136 55.7% 34.3% 9.3% 59.7% 30.9% n/a 102 Health Trainer Referral rate per 1,000 persons 18+ 37 1.2 6.1 1.2 14.3 2.2 n/a 103 Referrals to Liverpool Community Alcohol Service (LCAS) Rate per 1,000 18+ 165 5.6 7.0 3.8 13.1 - n/a 104 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,561 94.8% 88.4% 83.7% 98.3% 89.0% 88.8% 105 CANCER SCREENING - - 106 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 2,143 54.3% 51.7% 43.4% 60.7% 52.1% 57.4% 107 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 3,034 55.8% 53.1% 44.9% 62.0% 52.5% 59.1% 108 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,091 72.5% 67.6% 59.6% 73.5% 72.7% 72.1% 109 36 month coverage for BREAST screening aged 50-70 3,520 68.7% 64.8% 54.4% 72.7% 64.8% 72.5% 110 CHILD HEALTH - - 111 Low birthweight of all babies <2500g (3 year pooled) (%) 80 7.8% 8.8% 6.9% 10.6% 7.6% 7.4% 112 Breastfeeding Initiation Rates (%) 90 27.8% 44.9% 27.8% 65.4% 23.5% 74.5% 113 Breastfeeding at 6-8 weeks (%) 60 18.0% 35.1% 18.0% 53.5% 17.1% 44.4% 114 Smoking Status at Time of Delivery (SATOD) % 50 14.8% 13.1% 5.0% 20.8% 15.6% 10.7% 115 Child Excess Weight Reception (age 4-5 years) (%) 306 29.2% 26.2% 23.4% 29.2% 27.1% 22.6% 116 Child Excess Weight Year 6 (age 10-11 years) (%) 335 38.4% 38.7% 33.0% 42.6% 39.2% 34.2% 117 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 66 622.4 716.9 531.3 1002.9 1457.3 n/a 118 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 10 157.9 446.6 157.9 933.6 363.7 n/a 119 Child AED attendance rate per 1,000 population aged 0-4 years 1,676 800.0 729.2 631.2 864.0 772.6 n/a 120 VACS AND IMMS - - 121 Children's DtaPipVHib at 1 Yr (%) 400 94.3% 94.2% 90.9% 96.9% 96.2% 93.4% 122 Children's PCV at 2 Yrs (%) 408 93.8% 90.6% 80.9% 95.3% 92.6% 91.5% 123 Children's MMR1 at 2 Yrs (%) 412 94.7% 92.5% 84.1% 96.0% 93.5% 91.6% 124 Children's Hib Men C at 2 Yrs (%) 414 95.2% 92.6% 83.5% 96.4% 93.9% 91.5% 125 Children's Pre School Booster at 5 Yrs (%) 417 89.9% 87.0% 78.1% 92.9% 88.7% n/a 126 Children's MMR2 at 5 Yrs (%) 412 88.8% 86.4% 76.8% 92.9% 87.8% 87.6% 127 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,634 94.5% 92.5% 76.8% 92.9% 94.0% n/a 128 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 148 34.3% 37.4% 26.9% 50.7% 27.9% 38.9% 129 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 146 34.5% 39.1% 26.7% 54.3% 32.4% 41.5% 130 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 164 37.6% 44.8% 37.6% 50.9% 39.6% 44.9% 131 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 4,472 74.6% 73.5% 64.9% 75.9% 74.0% 70.5% 132 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 2,689 47.8% 48.9% 44.4% 51.6% 50.0% 48.6% 133 Seasonal Flu Vaccine Uptake - Carers (%) 198 57.4% 46.9% 37.0% 57.5% 56.5% 41.9% 134 SEXUAL HEALTH - - 135 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 343 63.7 55.0 24.8 81.2 64.6 62.5 136 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,091 72.5% 67.6% 59.6% 73.5% 72.7% 72.1% 137 GP prescribed user dependent contraception per 1,000 females aged 15-44 1,162 162.6 139.4 84.9 164.0 171.7 n/a 138 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 355 49.7 28.6 12.5 49.7 51.1 n/a 139 GP prescribed condoms rate per 1,000 <5 0.08 0.97 - 6.34 0.24 n/a 140 Uptake of HIV testing in specialist sexual health services rate per 1,000 94 2.51 4.26 1.01 12.24 2.64 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 Aintree 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 - 27.0% 34.0% 21.3% 45.9% 27.0% 15.3% 144 Population 65+ (%) 6,005 16.1% 14.4% 3.8% 20.2% 16.0% 17.9% 145 Population 75+ (%) 2,786 7.4% 6.3% 1.3% 9.4% 7.5% 8.1% 146 Population 85+ (%) 794 2.1% 1.7% 0.3% 2.9% 2.1% 2.4% 147 Population 95+ (%) 50 0.1% 0.1% 0.0% 0.2% 0.1% 0.2% 148 Population 40+ with 1 or more LTC (%) 5,125 28.8% 27.9% 26.5% 29.3% 28.4% n/a 149 Population 40+ with 2 or more LTC (%) 2,734 15.4% 15.2% 13.3% 16.5% 15.0% n/a 150 Population 40+ with 3 or more LTC (%) 1,344 7.55% 7.85% 6.87% 9.25% 7.3% n/a 151 Percentage of the population 40+ with risk score >=50% 318 1.79% 1.35% 0.72% 1.95% 2.2% n/a 152 Percentage of the population 40+ with risk score >=70% 88 0.49% 0.40% 0.20% 0.73% 0.8% n/a 153 Percentage of the population 40+ with risk score >=50% <=90% 296 1.66% 1.27% 0.69% 1.79% 2.0% n/a 154 People on 5 or more prescriptions (%) 8,232 22.81% 20.64% 7.48% 25.81% 22.6% n/a 155 People on 10 or more prescriptions (%) 2,424 6.72% 6.18% 2.31% 8.65% 6.5% n/a 156 Anitibiotic Prescribing rate per 1000 population 1,756 46.93 43.20 33.06 52.19 - n/a 157 Broad Spectrum anitbiotic prescribing rate per 1000 population 166 4.44 3.55 2.84 4.44 - n/a 158 People on Warfarin who have INR recorded in last 12 months (%) 490 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 49 94.2% 84.8% 67.4% 94.7% - 95.8% 161 People aged 50-74 with a fragility fracture and osteoporosis treated with bone-sparing agent 33 67.3% 72.8% 60.0% 82.0% 73.3% 85.8% 162 People aged 75 and over with a record of fragility fracture and an osteoporosis diagnosis 79 82.3% 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. 45 42.9% 58.2% 36.1% 72.0% 65.0% 79.5% 164 DEMENTIA - - 165 DEMENTIA Prevalence DSR per 100,000 population 226 776.8 898.1 613.5 1,363.2 852.0 n/a 166 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 259 60.6% 66.5% 55.4% 104.7% 61.4% 61.1% 167 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 259 68.6% 75.0% 62.2% 117.7% 69.4% 68.6% 168 People with DEMENTIA with no other LTCs (%) 26 11.8% 13.9% 9.0% 17.4% 9.2% n/a 169 People with DEMENTIA with 1 other LTC (%) 46 20.8% 21.4% 14.1% 24.3% 20.7% n/a 170 People with DEMENTIA with 2 other LTCs (%) 51 23.1% 23.9% 17.8% 29.1% 24.3% n/a 171 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 197 76.4% 80.0% 69.4% 88.52% 81.2% 83.7% 172 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 40 85.1% 86.9% 78.6% 91.84% 85.7% 87.6% 173 Emergency admissions for DEMENTIA aged over 65 10 1.66 2.11 1.10 3.11 0.29 n/a 174 END OF LIFE - - 175 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 253 826 655 451 1,149 1,036 n/a 176 Reduction in Emergency admissions END OF LIFE 88 14.6 21.7 14.6 28.9 26.6 n/a 177 RESIDENTIAL AND CARE HOMES - - 178 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 117 31.1 30.1 9.6 86.4 14.9 n/a 179 Reduction in Emergency admissions from CARE HOMES 151 25.1 29.6 - 72.8 36.2 n/a 180 CARERS - - 181 CARERS Prevalence (GP Recorded) DSR per 100,000 population 683 1,976 2,789 1,950 4,193 1,869 n/a 182 EMERGENCY ADMISSIONS per 1000 HCHS weighted pop - - 183 Injuries due to FALLS 65+ 231 38.4 31.4 24.1 38.4 31.9 n/a 184 Emergency admissions for DEMENTIA aged over 65 10 1.66 2.11 1.10 3.11 0.29 n/a 185 Emergency admissions for HIP FRACTURES aged over 65 67 11.13 8.44 4.31 11.13 7.24 n/a 186 Emergency admissions for CELLULITIS 67 1.51 1.00 0.60 1.51 1.81 n/a 187 Emergency admissions for FLU & PNEUMO 112 2.53 2.69 2.10 3.38 2.01 n/a 188 Emergency admissions for PYLO NEFRITIS 30 0.68 0.53 0.31 0.81 0.61 n/a 189 Emergency admissons for GASTRO/DEHYDRATION 5 0.11 0.18 0.10 0.31 2.30 n/a 190 Emergency re-admissions within 30 days to hospital (%) 638 14.4% 12.8% 11.5% 14.4% 13.4% 0.1 191 COMMUNITY SERVICES per 1000 HCHS weighted pop - - 192 Community Matrons Face to Face Contacts 1,396 74.09 65.41 46.25 90.86 180.92 n/a 193 Community Matrons Case Load 12 0.64 1.18 0.17 3.15 3.90 n/a 194 District Nursing Face to Face Contacts 18,051 958.07 1,098.57 781.44 1,365.45 1,126.57 n/a 195 District Nursing Case Load 255 13.53 13.17 10.53 17.08 12.23 n/a 196 IV Therapy Face to Face Contacts 157 8.33 16.65 8.33 31.25 13.67 n/a 197 IV Therapy Case Load <5 0.21 0.28 0.06 0.48 0.11 n/a 198 Therapy Face to Face Contacts 7,327 388.89 405.91 363.03 462.54 385.86 n/a 199 Therapy Case Load 1,344 71.33 72.65 63.73 92.12 84.03 n/a 200 Treatment Rooms Face to Face Contacts 4,527 240.27 252.16 212.49 317.62 251.39 n/a 201 Treatment Rooms Case Load 240 12.74 6.61 1.22 14.52 11.32 n/a 202 SOCIAL SERVICES (LIVERPOOL CITY COUNCIL) - - 203 Social Services Users OLDER PERSONS per 1000 65+ resident population 599 159.2 125.00 91.80 198.31 87.7 n/a 204 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 37 9.83 8.29 3.37 17.45 8.98 n/a 205 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 65+ resident population 469 124.6 93.85 70.68 144.75 69.5 n/a 206 Social Services Users DOMICILIARY CARE per 1000 65+ resident population 177 47.0 37.40 24.74 47.44 38.6 n/a 207 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 65+ resident population 39 10.4 7.80 4.53 13.71 19.7 n/a 208 Social Services Users OTHER COMMUNITY per 1000 65+ resident population 128 34.0 23.89 15.14 39.61 7.6 n/a 209 RESIDENTIAL & NURSING placements TOTAL per 1000 65+ resident population 117 31.1 30.11 9.62 86.37 14.9 n/a 210 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 35 0.9 0.84 0.62 0.92 0.9 n/a 211 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 41 0.1 0.05 0.02 0.06 0.0 n/a 212 VACS AND IMMS - - 213 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 4,472 74.6% 73.5% 64.9% 75.9% 74.0% 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 Aintree 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 - 24.6% 31.9% 16.1% 44.4% 24.6% 17.6% 217 16-18 year olds not in education, employment or training (%) 32 5.1% 5.6% 3.2% 8.3% 7.8% 6.0% 218 Children aged 0-4 years (%) 2,100 5.6% 5.5% 2.0% 6.8% 5.7% 5.6% 219 Children aged 5-10 years (%) 2,707 7.2% 6.5% 1.9% 8.5% 7.3% 7.3% 220 Children aged 11-18 years (%) 3,299 8.8% 7.9% 4.2% 9.4% 8.9% 8.8% 221 Young People aged 19-25 years (%) 3,054 8.2% 13.3% 7.0% 49.9% 8.4% 8.9% 222 Children and Young People aged 0-25 years (%) 11,160 29.8% 33.3% 26.5% 58.0% 30.2% 30.5% 223 CHILD HEALTH - - 224 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 343 63.7 55.0 24.8 81.2 64.6 62.5 225 Low birthweight of all babies <2500g (3 year pooled) (%) 80 7.8% 8.8% 6.9% 10.6% 7.6% 7.4% 226 Breastfeeding Initiation Rates (%) 90 27.8% 44.9% 27.8% 65.4% 23.5% 74.5% 227 Breastfeeding at 6-8 weeks (%) 60 18.0% 35.1% 18.0% 53.5% 17.1% 44.4% 228 Smoking Status at Time of Delivery (SATOD) % 50 14.8% 13.1% 5.0% 20.8% 15.6% 10.7% 229 Child Excess Weight Reception (age 4-5 years) (%) 306 29.2% 26.2% 23.4% 29.2% 27.1% 22.6% 230 Child Excess Weight Year 6 (age 10-11 years) (%) 335 38.4% 38.7% 33.0% 42.6% 39.2% 34.2% 231 SOCIAL CARE (LIVERPOOL CITY COUNCIL) - - 232 Children in Need - Rate per 10,000 under 18 years 172 288.3 381.2 288.3 618.0 276.4 330.4 233 Looked After Children - Rate per 10,000 under 18 years 53 88.8 117.5 88.8 190.4 72.4 62.0 234 Child Protection Plan - Rate per 10,000 under 18 years 18 29.9 39.5 29.9 64.0 27.8 43.3 235 Early Help Assessment Tool (EHAT) Family Assessments (%) 208 3.5% 4.6% 3.5% 7.5% 5.3% n/a 236 Troubled Families (%) 376 5.2% 5.4% 2.7% 8.2% 3.4% n/a 237 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 32 53.1 70.3 53.1 113.9 68.3 n/a 238 Children who are receiving Special Educational Needs (SEN) Support (%) 638 10.7% 11.4% 8.4% 19.5% 10.6% n/a 239 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 113 190.0 179.7 121.8 317.3 256.1 n/a 240 EDUCATIONAL ATTAINMENT - - 241 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 178 59.1% 55.7% 47.5% 64.6% 47.7% 61.1% 242 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 84 42.3% 53.4% 42.3% 67.6% 43.1% 59.3% 243 Pupil Persistent Absenteeism (10% Threshold) - Primary Schools (%) 216 11.4% 11.0% 7.1% 14.8% 12.7% 3.9% 244 Pupil Persistent Absenteeism (10% Threshold) - Secondary Schools (%) 187 16.7% 16.4% 11.5% 21.4% 18.2% 5.0% 245 VACS AND IMMS - - 246 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,634 94.5% 92.5% 85.2% 96.1% 94.0% n/a 247 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 148 34.3% 37.4% 26.9% 50.7% 27.9% 38.9% 248 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 146 34.5% 39.1% 26.7% 54.3% 32.4% 41.5% 249 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 164 37.6% 44.8% 37.6% 50.9% 39.6% 44.9% 250 DISEASE PREVALENCE - - 251 Children with ASTHMA 0-17 years (%) 304 4.0% 4.3% 3.4% 4.7% 4.7% n/a 252 Young People with ASTHMA aged 18-25 years (%) 223 6.6% 4.0% 2.6% 6.6% 6.9% n/a 253 Children with EPILEPSY 0-17 years (%) 25 0.3% 0.2% 0.2% 0.3% 0.4% n/a 254 Children with DIABETES 0-17 years (%) 21 0.3% 0.3% 0.2% 0.3% 0.3% n/a 255 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 284 2.6% 2.6% 2.1% 3.6% 2.5% n/a 256 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 24 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 5 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 44 5.7 4.4 3.3 5.7 1.6 n/a 260 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 66 622.4 716.9 531.3 1,002.9 1,457.3 n/a 261 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 7 30.4 40.4 17.4 64.0 39.1 39.6 262 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 9 70.5 102.3 30.8 182.8 76.6 89.8 263 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 10 157.9 446.6 157.9 933.6 363.7 n/a 264 Child AED attendance rate per 1,000 population aged 0-4 years 1,676 800.0 729.2 631.2 864.0 772.6 n/a 265 Child AED attendances - LRTI 548 209.0 59.3 48.5 209.0 60.3 n/a 266 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 61 2.6 3.6 2.5 8.4 2.7 n/a 267 Child AED attendances - ACCIDENTS 1,032 356.2 116.6 87.1 356.2 128.9 n/a 268 Child Emergency Admission Average Length of Stay <1 day 433 56.3 53.6 47.6 78.6 42.9 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 Aintree 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) (%) 5,864 19.2% 21.5% 13.5% 29.6% 19.5% 17.6% 272 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,561 94.8% 88.4% 83.7% 98.3% 89.0% 88.8% 273 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,974 13.5% 11.9% 5.2% 15.4% 13.0% 9.7% 274 People with BMI >=40 recorded in the last 12m (%) 993 2.6% 2.6% 1.2% 3.8% 2.5% - 275 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 599 60.3% 49.6% 38.4% 60.3% 53.9% - 276 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 68 24.5% 22.8% 15.1% 31.1% - n/a 277 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 20,733 69.6% 68.3% 63.0% 77.4% 67.7% - 278 People aged 18+ who have ALCOHOL above indicated levels (%) 1,159 5.6% 9.1% 5.6% 12.1% 3.9% - 279 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,084 93.5% 90.4% 85.0% 99.2% 96.1% - 280 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 236 675.5 796.5 418.6 1,522.2 753.8 n/a 281 HYPERTENSION - - 282 CKD Prevalence (Stages 1-5) DSR per 100,000 population 1,635 5,372 6,543 5,372 7,748 5,508 n/a 283 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,585 85.3% 99.4% 80.4% 120.7% 78.8% 64.0% 284 HYPERTENSION Prevalence DSR per 100,000 population 5,333 16,643 16,840 15,813 18,717 16,653 n/a 285 Ratio of Observed (PCQF) to Expected HYPERTENSION Prevalence 5,437 54.1% 51.9% 25.8% 59.6% 54.2% 67.1% 286 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 14,850 90.3% 91.1% 88.8% 92.9% 91.2% 90.7% 287 People with hypertension whose latest BP reading is <150/90 (QOF) (%) 4,390 78.6% 80.7% 76.3% 85.7% 79.2% 83.9% 288 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 3,268 69.2% 70.6% 66.0% 76.5% 58.0% n/a 289 People aged >=80 with hypertension whose latest blood pressure reading is < 150/90 (%) 928 85.6% 89.8% 85.6% 91.5% - n/a 290 People with hypertension with physical activity recorded (%) 3,364 57.9% 53.8% 36.9% 69.2% - n/a 291 People with hypertension who do not meet recommended activity levels who have received brief advice (%) 2,433 97.5% 91.8% 81.3% 97.5% - n/a 292 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 7,673 79.0% 72.9% 55.7% 98.2% - 74.1% 293 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,611 47.1% 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 3,611 37.2% 35.5% 27.3% 46.7% - 36.2% 295 CHD - - 296 CVD Mortality - DSR per 100,000 population 153 161.4 247.1 161.4 307.1 165.2 267.3 297 CVD Mortality Under 75 Years - DSR per 100,000 population 51 55.7 89.4 52.1 127.9 58.3 73.5 298 CHD Prevalence DSR per 100,000 population 1,437 4,700 4,274 3,481 4,961 4,987 n/a 299 Ratio of Observed (QOF) to Expected CHD Prevalence 1,601 63.8% 49.5% 19.5% 63.8% 63.7% n/a 300 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,339 85.8% 88.3% 82.8% 90.8% 85.9% 92.4% 301 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,400 87.4% 91.8% 82.1% 109.0% 89.6% 96.3% 302 Emergency admissions for ANGINA 56 1.26 1.00 0.60 1.26 1.47 n/a 303 HEART FAILURE - - 304 HEART FAILURE Prevalence DSR per 100,000 population 480 1,590 1,156 950 1,648 1,611 n/a 305 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 394 90.4% 70.9% 59.2% 90.4% 102.2% 71.3% 306 Emergency admissions for CONGESTIVE HEART FAILURE 76 1.72 1.24 0.85 1.72 1.54 n/a 307 HEART FAILURE Team Face to Face Contacts 509 27.02 13.25 6.40 32.66 19.38 n/a 308 HEART FAILURE Team Case Load 15 0.80 0.40 0.00 1.19 1.39 n/a 309 ATRIAL FIBRILLATION and STROKE - - 310 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 699 2,340 2,388 1,931 2,796 2,386 n/a 311 People on the AF case finding search who have had their notes reviewed 27 61.4% 38.1% 13.0% 68.0% - n/a 312 People with AF with CHADS score >1 treated with anti-coagulation or anti-platelets therapy (%) 570 92.5% 83.0% 39.8% 92.5% 85.9% 88.5% 313 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 365 99.7% 80.8% 63.8% 112.3% 94.5% 96.9% 314 STROKE/TIA Prevalence DSR per 100,000 population 658 2,160 2,225 1,957 3,037 2,221 n/a 315 Ratio of Observed (QOF) to Expected STROKE Prevalence 708 51.9% 48.6% 26.0% 59.2% 53.3% 47.0% 316 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 383 97.0% 97.9% 96.0% 99.6% 90.4% 97.4% 317 People with stroke/TIA referred for further investigation after last stroke or first TIA (QOF) % 155 81.2% 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 (%) 4,171 77.9% 77.2% 68.3% 84.8% 78.9% n/a 319 Emergency admissions for STROKE 79 1.78 1.46 0.83 1.78 1.51 n/a 320 DIABETES - - 321 DIABETES Prevalence DSR per 100,000 population 2,032 6,273 6,066 4,848 7,561 6,271 n/a 322 Ratio of Observed (PCQF) to Expected DIABETES Prevalence 2,118 82.5% 76.3% 45.2% 93.7% 84.1% 79.6% 323 Prevalence of Impaired Glucose Regulation (%) 1,742 4.6% 3.7% 1.2% 4.9% - n/a 324 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,344 61.3% 65.0% 56.4% 70.8% 58.5% n/a 325 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,322 60.3% 66.2% 60.3% 70.4% 67.7% n/a 326 People with DIABETES and HbA1c (%) 2,054 93.7% 93.1% 89.9% 94.5% 94.0% n/a 327 People with DIABETES and BP recorded (%) 2,065 94.2% 94.7% 92.1% 96.4% 95.7% n/a 328 People with DIABETES and Cholesterol recorded (%) 1,994 91.0% 89.5% 86.8% 92.0% 91.0% n/a 329 People with DIABETES and Microalb recorded (%) 1,534 70.0% 74.2% 69.0% 78.8% 75.8% n/a 330 People with DIABETES and Creatinine recorded (%) 2,042 93.2% 91.7% 89.0% 93.2% 94.0% n/a 331 People with DIABETES and Foot Check (%) 1,810 82.6% 87.0% 82.6% 93.2% 86.8% 89.8% 332 People with DIABETES and BMI recorded (%) 1,892 86.3% 87.7% 82.8% 92.2% 89.2% n/a 333 People with DIABETES and Smoking Status recorded (%) 1,984 90.5% 91.5% 88.6% 94.7% 91.4% n/a 334 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 838 38.2% 42.9% 37.5% 46.2% - n/a 335 People with DIABETES who have CHD and/or CKD (%) 768 35.0% 33.6% 28.5% 38.1% - n/a 336 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 233 45.8% 40.9% 33.1% 52.0% - n/a 337 Preventable sight loss - diabetic eye disease rate per 1000 797 36.4% 28.7% 23.1% 36.4% - n/a 338 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 116 80.0% 77.6% 65.9% 84.7% 75.4% n/a 339 Emergency admissions for DIABETIC COMPLICATIONS 23 0.52 0.40 0.11 0.81 0.59 n/a 340 DIABETES Specialist Nurses Face to Face Contacts 615 32.64 38.19 20.17 60.77 19.17 n/a 341 DIABETES Case Load 114 6.05 5.50 3.36 8.77 3.79 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 Aintree 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) (%) 5,864 19.2% 21.5% 13.5% 29.6% 19.5% 17.6% 345 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,561 94.8% 88.4% 83.7% 98.3% 89.0% 88.8% 346 MORTALITY - - 347 RESPIRATORY Mortality - DSR per 100,000 population 90 93.9 178.0 93.9 240.0 95.5 n/a 348 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 29 30.9 57.5 25.7 84.9 25.2 33.8 349 DISEASE PREVALENCE - - 350 COPD Prevalence DSR per 100,000 population 1,073 3,477 3,853 2,297 5,345 3,594 n/a 351 Ratio of Observed (PCQF) to Expected COPD Prevalence 1,180 81.3% 84.5% 60.3% 119.9% 80.4% 72.1% 352 ASTHMA Prevalence DSR per 100,000 population 2,482 7,125 6,466 6,096 7,369 7,050 n/a 353 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 2,641 77.4% 63.2% 38.5% 77.4% 74.8% 63.8% 354 RESPIRATORY CONDITIONS - - 355 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 656 57.9% 59.3% 49.5% 71.0% 84.0% 86.8% 356 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 765 67.5% 81.8% 67.5% 88.3% 86.5% 96.7% 357 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 204 30.5% 27.3% 19.6% 36.2% 64.4% n/a 358 People with ASTHMA Day and Night Symptoms Recorded (%) 1,606 60.9% 65.4% 48.6% 74.1% 62.4% n/a 359 SERVICE UTILISATION Rate per 1000 - - 360 Referrals to Pulmonary Rehab 83 2.22 1.34 0.34 2.22 2.21 n/a 361 Emergency admissions for COPD 158 3.57 2.94 1.74 4.59 2.73 n/a 362 Community RESPIRATORY team Face to Face contacts 790 41.93 24.59 8.20 42.60 49.70 n/a 363 Community RESPIRATORY Team Case Load 5 0.27 0.19 - 0.65 0.69 n/a Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool England Low High 25th percentile 75th percentile Aintree 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) (%) 5,864 19.2% 21.5% 13.5% 29.6% 19.5% 17.6% 367 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,561 94.8% 88.4% 83.7% 98.3% 89.0% 88.8% 368 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 68 24.5% 22.8% 15.1% 31.1% - n/a 369 MORTALITY - - 370 CANCER Mortality - DSR per 100,000 population 206 211.1 320.5 211.1 426.2 214.0 276.8 371 LUNG CANCER - DSR per 100,000 population 62 64.4 93.2 59.5 143.3 56.6 57.7 372 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 68 68.8 89.2 65.3 114.1 65.6 n/a 373 CANCER Mortality Under 75 Years - DSR per 100,000 population 101 106.6 163.5 106.6 206.4 113.5 136.8 374 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 31 34.4 49.9 24.9 79.6 37.1 33.6 375 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 37 39.7 46.7 31.4 59.8 37.6 n/a 376 PREVALENCE - - 377 CANCER Prevalence DSR per 100,000 population 1,325 4,177 3,813 3,130 4,329 4,177 n/a 378 CANCER SCREENING - - 379 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 2,143 54.3% 51.7% 43.4% 60.7% 52.1% 57.4% 380 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 3,034 55.8% 53.1% 44.9% 62.0% 52.5% 59.1% 381 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 7,091 72.5% 67.6% 59.6% 73.5% 72.7% 72.1% 382 36 month coverage for BREAST screening aged 50-70 3,520 68.7% 64.8% 54.4% 72.7% 64.8% 72.5% 383 SERVICE UTILISATION rate per 1000 HCHS Weighted population - - 384 Emergency admissions for CANCER 308 7.0 5.0 3.2 7.1 6.0 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 Aintree 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 226 776.8 898.1 613.5 1,363.2 852.0 n/a 388 Ratio of Observed (PCQF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 259 60.6% 66.5% 55.4% 104.7% 61.4% 61.1% 389 Ratio of Observed (PCQF) to Expected DEMENTIA (CFAS II) Prevalence 259 68.6% 75.0% 62.2% 117.7% 69.4% 68.6% 390 People with DEMENTIA with no other LTCs (%) 26 11.8% 13.9% 9.0% 17.4% 9.2% n/a 391 People with DEMENTIA with 1 other LTC (%) 46 20.8% 21.4% 14.1% 24.3% 20.7% n/a 392 People with DEMENTIA with 2 other LTCs (%) 51 23.1% 23.9% 17.8% 29.1% 24.3% n/a 393 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 197 76.4% 80.0% 69.4% 88.5% 81.2% 83.7% 394 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 40 85.1% 86.9% 78.6% 91.8% 85.7% 87.6% 395 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 37 9.8 8.3 3.4 17.5 9.0 n/a 396 SERIOUS MENTAL ILLNESS - - 397 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 390 1,109 1,425 1,044 2,442 1,089 n/a 398 People with SMI with no other LTCs (%) 114 29.2% 34.9% 28.3% 44.3% 24.5% n/a 399 People with SMI with 1 other LTC (%) 181 46.4% 41.5% 34.6% 46.5% 44.5% n/a 400 People with SMI with 2 other LTCs (%) 65 16.7% 15.2% 12.3% 18.4% 19.5% n/a 401 People with SMI and CHD (%) 22 5.6% 4.2% 2.9% 7.1% 6.1% n/a 402 People with SMI and COPD (%) 27 6.9% 7.0% 5.3% 9.5% 7.6% n/a 403 People with SMI and CANCER (%) 23 5.9% 4.4% 1.8% 8.0% 6.1% n/a 404 People with SMI and Diabetes (%) 31 7.9% 11.4% 6.9% 15.2% 8.4% n/a 405 People with SMI and CMHP (%) 210 53.8% 47.3% 38.5% 58.5% 54.7% n/a 406 People with SMI and Hypertension (%) 72 18.5% 16.3% 10.3% 21.5% 19.7% n/a 407 People with SMI and Current Smoker 15+ (%) 168 43.1% 46.5% 32.9% 54.0% 34.5% n/a 408 People with MH Conditions given list of physical checks previous 12 months (%) 158 59.2% 62.5% 38.9% 73.8% 50.6% n/a 409 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 49 98.0% 94.1% 82.2% 115.1% 97.9% 97.2% 410 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 271 77.0% 83.6% 76.9% 99.3% 84.7% 90.3% 411 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 291 82.7% 82.1% 72.9% 95.5% 90.7% 90.4% 412 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 287 81.5% 86.0% 77.4% 100.1% 90.6% 90.7% 413 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 83 69.2% 63.8% 49.5% 78.4% 95.1% 84.4% 414 Referrals to Community MENTAL HEALTH rate per 1000 1,359 30.70 33.85 20.52 46.82 10.62 n/a 415 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 88 23.2% 27.6% 15.3% 50.5% 11.7% n/a 416 COMMON MENTAL HEALTH PROBLEMS - - 417 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 5,440 15,423 14,022.1 11,956.3 21,198.7 14,990.9 n/a 418 People with CMHP with no other LTCs (%) 3,241 59.6% 61.4% 58.3% 70.5% 60.0% n/a 419 People with CMHP with 1 other LTC (%) 1,259 23.1% 21.0% 16.9% 23.1% 22.4% n/a 420 People with CMHP with 2 other LTCs (%) 543 10.0% 9.8% 7.1% 11.0% 10.0% n/a 421 People with CMHP and CHD (%) 350 6.4% 5.8% 4.3% 6.4% 6.7% n/a 422 People with CMHP and COPD (%) 356 6.5% 6.8% 5.0% 8.2% 6.7% n/a 423 People with CMHP and Cancer (%) 396 7.3% 6.4% 4.0% 8.5% 5.3% n/a 424 People with CMHP and Diabetes (%) 473 8.7% 8.4% 5.8% 9.7% 8.8% n/a 425 People with CMHP and Hypertension (%) 1,184 21.8% 20.6% 13.0% 23.4% 21.5% n/a 426 People with CMHP and SMI (%) 210 3.9% 4.8% 3.7% 7.8% 4.0% n/a 427 People with CMHP and Current Smoker 15+ (%) 1,262 23.2% 26.3% 16.1% 32.0% 22.8% n/a 428 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 457 57.1% 61.9% 53.7% 68.5% 77.5% 83.6% 429 SERVICE UTILISATION - - 430 Access to early intervention teams rate per 1000 8 0.27 0.32 0.18 0.77 0.14 n/a 431 IAPT referral rate per 1000 989 33.7 31.7 23.5 39.9 28.0 n/a 432 Referrals to Community MENTAL HEALTH rate per 1000 1,359 30.7 33.9 20.5 46.8 10.6 n/a 433 Emergency admissions for MENTAL HEALTH 95 2.15 2.55 1.76 3.37 0.93 n/a 434 MH emergency admissions Mental and Behavioural - ALCOHOL 68 1.54 1.58 0.63 3.21 1.65 n/a 435 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 8 0.18 0.14 0.05 0.33 0.11 n/a 436 Emergency admissions for VIOLENCE 87 1.97 2.87 1.45 5.68 0.93 n/a 437 Emergency admissions for SELF HARM 61 1.38 2.23 1.17 3.70 1.11 n/a 438 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 88 23.2% 27.6% 15.3% 50.5% 11.7% n/a 439 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 125 50.6% 55.5% 40.4% 83.1% 40.8% 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 Aintree 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 4,230 112.8 105.4 72.8 129.0 - n/a 443 Patient Experience: Overall good experience of making an appointment 410 79.3% 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 371 8.38 8.60 5.21 12.46 9.06 n/a 446 Walk in Centre attendances 4,687 105.9 199.1 105.9 259.3 - n/a 447 Rate per 1000 HCHS weighted pop for GP Spec ACS admissions 551 12.45 10.05 8.01 12.94 7.68 n/a 448 Emergency admissions for ANGINA 56 1.26 1.00 0.60 1.26 1.47 n/a 449 Emergency admissions for CONGESTIVE HEART FAILURE 76 1.72 1.24 0.85 1.72 1.54 n/a 450 Emergency admissions for STROKE 79 1.78 1.46 0.83 1.78 1.51 n/a 451 Emergency admissions for DIABETIC COMPLICATIONS 23 0.52 0.40 0.11 0.81 0.59 n/a 452 Emergency admissions for ASTHMA 82 1.85 1.18 0.72 1.85 1.47 n/a 453 Emergency admissions for COPD 158 3.57 2.94 1.74 4.59 2.73 n/a 454 Emergency admissions for CELLULITIS 67 1.51 1.00 0.60 1.51 1.81 n/a 455 Emergency admissions for FLU & PNEUMO 112 2.53 2.69 2.10 3.38 2.01 n/a 456 Emergency admissions for CANCER 308 6.96 5.00 3.19 7.11 5.96 n/a 457 Emergency admissions for MENTAL HEALTH 95 2.15 2.55 1.76 3.37 0.93 n/a 458 ALCOHOL SPECIFIC admissions [NARROW] DSR per 100,000 124 337.9 289.5 118.3 587.1 296.6 110.2 459 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 983 2,770.4 2,747.0 1,889.9 4,430.6 2,671.7 2,185.0 460 Reduction in Emergency admissions END OF LIFE 88 14.62 21.69 14.62 28.94 26.60 n/a 461 Reduction in Emergency admissions from CARE HOMES 151 25.09 29.57 - 72.84 36.18 n/a 462 Injuries due to FALLS 65+ 231 38.38 31.42 24.06 38.38 31.88 n/a 463 Emergency admissions for DEMENTIA aged over 65 10 1.66 2.11 1.10 3.11 0.29 n/a 464 Emergency admissions for HIP FRACTURES aged over 65 67 11.13 8.44 4.31 11.13 7.24 n/a 465 Emergency admissions for PYLO NEFRITIS 30 0.68 0.53 0.31 0.81 0.61 n/a 466 Emergency admissons for GASTRO/DEHYDRATION 5 0.11 0.18 0.10 0.31 2.30 n/a 467 Emergency re-admissions within 30 days to hospital (%) 638 14.4% 12.8% 11.5% 14.4% 13.4% 12.8% 468 Emergency admissions for VIOLENCE 87 1.97 2.87 1.45 5.68 0.93 n/a 469 Emergency admissions for SELF HARM 61 1.38 2.23 1.17 3.70 1.11 n/a 470 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1000 HCHS population) - - 471 GP ref, 1st outpatient attendances 2,885 65.2 65.1 44.5 123.1 65.2 n/a 472 GP ref, 1st outpatient attendances CARDIOLOGY 382 8.6 9.9 7.9 12.4 - n/a 473 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 242 0.5% 0.7% 0.5% 0.9% - n/a 474 GP ref, 1st outpatient attendances DERMATOLOGY 521 11.8 11.1 8.0 14.6 11.6 n/a 475 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 328 0.7% 0.6% 0.4% 0.9% - n/a 476 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 162 0.4% 0.3% 0.2% 0.4% - n/a 477 GP ref, 1st outpatient attendances ENT 409 9.2 9.9 7.9 11.6 17.0 n/a 478 GP ref, 1st outpatient attendances ENT - % referred on 2WW 61 0.14% 0.15% 0.10% 0.20% - n/a 479 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 172 0.4% 0.3% 0.2% 0.4% - n/a 480 GP ref, 1st outpatient attendances GASTRO 542 12.2 11.0 9.6 13.3 - n/a 481 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 250 0.6% 0.3% 0.1% 0.6% 0.6% n/a 482 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 281 0.6% 0.5% 0.4% 0.8% 0.1% n/a 483 GP ref, 1st outpatient attendances GYNAECOLOGY 365 8.2 9.1 7.8 10.1 11.2 n/a 484 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 39 0.09% 0.18% 0.09% 0.27% - n/a 485 GP ref, 1st outpatient attendances RESPIRATORY 172 3.9 2.4 1.4 4.3 - n/a 486 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 60 0.1% 0.1% 0.0% 0.1% - n/a 487 GP ref, 1st outpatient attendances RHEUMATOLOGY 95 2.1 2.3 1.7 3.0 2.5 n/a 488 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 27 0.1% 0.1% 0.1% 0.1% - n/a 489 GP ref, 1st outpatient attendances UROLOGY 322 7.3 7.3 0.0 0.0 8.5 n/a 490 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 188 0.4% 0.3% 0.2% 0.4% - n/a 491 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 141 0.3% 0.2% 0.1% 0.3% - n/a 492 GP ref, 1st outpatient attendances VASCULAR 77 1.7 2.0 1.1 2.8 2.4 n/a 493 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 58 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 Aintree 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 1,396 74.1 65.4 46.3 90.9 180.9 n/a 496 Community Matrons Case Load 12 0.64 1.18 0.17 3.15 3.90 n/a 497 Community RESPIRATORY team Face to Face contacts 790 41.9 24.6 8.2 42.6 49.7 n/a 498 Community RESPIRATORY Team Case Load 5 0.27 0.19 - 0.65 0.69 n/a 499 DIABETES Specialist Nurses Face to Face Contacts 615 32.6 38.2 20.2 60.8 19.2 n/a 500 DIABETES Case Load 114 6.05 5.50 3.36 8.77 3.79 n/a 501 District Nursing Face to Face Contacts 18,051 958.1 1,098.6 781.4 1,365.4 1,126.6 n/a 502 District Nursing Case Load 255 13.53 13.17 10.53 17.08 12.23 n/a 503 HEART FAILURE Team Face to Face Contacts 509 27.02 13.25 6.40 32.66 19.38 n/a 504 HEART FAILURE Team Case Load 15 0.80 0.40 - 1.19 1.39 n/a 505 IV Therapy Face to Face Contacts 157 8.33 16.65 8.33 31.25 13.67 n/a 506 IV Therapy Case Load <5 0.21 0.28 0.06 0.48 0.11 n/a 507 Therapy Face to Face Contacts 7,327 388.9 405.9 363.0 462.5 385.9 n/a 508 Therapy Case Load 1,344 71.3 72.7 63.7 92.1 84.0 n/a 509 Treatment Rooms Face to Face Contacts 4,527 240.3 252.2 212.5 317.6 251.4 n/a 510 Treatment Rooms Case Load 240 12.7 6.6 1.2 14.5 11.3 n/a 511 Intermediate Care Bed Based Admissions 11 0.58 0.15 - 0.58 0.59 n/a 512 Telehealth referrals rate per 1000 adult registered pop 90 4.78 28.04 0.62 80.50 4.80 n/a 513 Referrals to Community MENTAL HEALTH rate per 1000 1,359 30.7 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 811 64.1 56.1 39.2 87.8 40.8 n/a 516 Social Services Users OLDER PERSONS per 1000 65+ resident population 599 159.2 125.0 91.8 198.3 87.7 n/a 517 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 88 23.2% 27.6% 15.3% 50.5% 11.7% n/a 518 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 125 50.6% 55.5% 40.4% 83.1% 40.8% n/a 519 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1000 65+ resident population 37 9.8 8.3 3.4 17.5 9.0 n/a 520 Social Services Users PHYSICAL & SENSORY SUPPORT per 1000 40+ resident population 560 44.2 36.5 27.4 53.1 24.9 n/a 521 Social Services Users DOMICILIARY CARE per 1000 40+ resident population 210 16.6 14.5 9.3 18.4 14.0 n/a 522 Social Services Users EQUIPMENT AND ADAPTATIONS per 1000 40+ resident population 75 5.9 4.4 2.9 6.6 8.1 n/a 523 Social Services Users OTHER COMMUNITY per 1000 40+ resident population 190 15.0 13.4 8.2 22.0 8.9 n/a 524 RESIDENTIAL & NURSING placements TOTAL per 1000 40+ resident population 128 10.1 11.3 4.5 31.7 8.5 n/a 525 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 33 864.4 812.4 203.9 1,854.3 550.1 n/a 526 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 35 0.9 0.8 0.6 0.9 0.9 n/a 527 OLDER PEOPLE offered rehabilitation following discharge from acute or community hospital (residents) % 41 0.1 0.0 0.0 0.1 0.0 n/a 528 CHILDREN'S SERVICE UTILISATION - - 529 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1000 aged 0-18 years 5 0.62 0.57 0.08 1.33 - n/a 530 Emergency admissions LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1000 aged 0-18 years 44 5.72 4.44 3.25 5.72 1.60 n/a 531 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 66 622.4 716.9 531.3 1,002.9 1,457.3 n/a 532 Persons under 18 admitted to hospital for alcohol-specific conditions crude rate per 100,000 (3 Year Pooled) 7 30.4 40.4 17.4 64.0 39.1 39.6 533 Hospital admissions due to substance misuse (15-24 years) DSR per 100,000 (3 Year Pooled) 9 70.5 102.3 30.8 182.8 76.6 89.8 534 Hospital admissions as a result of self-harm (10-24 years) DSR per 100,000 10 157.9 446.6 157.9 933.6 363.7 n/a 535 Child AED attendance rate per 1,000 population aged 0-4 years 1,676 800.0 729.2 631.2 864.0 772.6 n/a 536 Child AED attendances - LRTI 548 209.0 59.3 48.5 209.0 60.3 n/a