Network Profile and November 2019

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READER INFORMATION

Title Network Profile – Anfield and Everton

Team CCG Business Intelligence Team; Public Health Epidemiology Team Author(s) Sophie Kelly, AnnMarie Daley, Danielle Wilson, Karen Jones

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

Status Final

Date of release November 2019

Review date Annual update

Purpose The packs are intended for Primary Care Networks to use to understand the needs of the populations they serve. They will support networks 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 contains Population Segmentation intelligence about each of the 14 Primary Care Network Units in Liverpool. The information benchmarks each network against its peers to help understand population need, management and service utilisation in the given area. The pack contains information on individual network demograpthics, wider determinants, population segments and care setting utilisation. 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

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Contents 1. Introduction ...... 4 1.1 Network Profiles ...... 4 1.2 Population Segmentation ...... 4 1.3 Care setting usage rates by population segments (Total registered population) ...... 5 1.4 Population segment profile (Total registered population) ...... 6 1.5 Headline Opportunities ...... 7 1.6 GP Practice ...... 8 1.7 Registered Population ...... 8 1.8 Registered Patient Ward Alignment ...... 8 1.9 Service Provision ...... 9 1.10 Service Assets for Health and Wellbeing ...... 10 2. Network Maps ...... 12 3. Network population pyramid ...... 13 4. Demographics and Wider Determinants of Health ...... 15 4.1 Demographics ...... 15 4.2 Wider Detainments of Health ...... 15 5. Potential Areas of Focus ...... 15 5.1 Healthy Adults and Children (Segment 1) ...... 15 5.2 Long Term Conditions (Segment 2) ...... 16 5.3 Disability (Segment 3) ...... 17 5.4 Complex Lives (Segment 4) ...... 17 5.5 Frailty, Dementia and End of Life (Segment 5&6) ...... 17 5.6 Care Settings ...... 17 6. Network Profile Spine Chart ...... 17

See separate Metadata document for indicator definitions, sources and timeframes

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1. Introduction

1.1 Network Profiles The Network profiles are intended for Primary Care Networks to use to understand the needs of the populations they serve. They will support networks in understanding health inequalities that may exist for their population and subsequently how they may want to configure services around patients.

This series of reports contains Population Segmentation intelligence about each of the 14 Primary Care Network Units (PCN) in Liverpool. The information benchmarks each network against its peers to help understand population need, management and service utilisation across PCNs. The pack contains information on individual network demographics, wider determinants, population segments and care setting utilisation. 1.2 Population Segmentation For the purposes of this profile the population has been segmented into the following groupings according to similar health need. The below are the emerging Population Segments for Liverpool. Technical definitions for each segment are in development. Intelligence to date is based on working definitions.

This is an All Age model. Therefore, definitions for each segment have been considered in respect of both adults, children and families. So, except for Frailty and Dementia, which is an elderly specific segment, the other segments include children. Intelligence for each segment covers adults and children where available.

This model can evolve as the thinking of the system evolves. That means definitions, outcomes, profiles etc will be adapted based on feedback.

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1.3 Care setting usage rates by population segments (Total registered population) Below is a summary of contacts to secondary and community care settings by population segmentation for Liverpool CCG registered patients.

Rate of Use Of Different Care Settings By Population Segment

SecondaryCare Contacts Face -to-FaceCommunityContacts

EOL Frailty & Dementia Complex Lives Cancer LTC Pre-Conditions Learning Disability Physical Disability Healthy People

Date Range is 1st October 2018 to 30th September 2019, apart from Community Contacts, where data range is 1st April 2018 to 31st March 2019 Rates are number of contacts in 12 months per 100 people in the segment Elective admissions include overnight and day case admissions and regular day/night attendances (e.g. dialysis)

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1.4 Population segment profile (Total registered population) Data below is based on all registered patients for whom data is extracted in the monthly primary care dataflow, so anyone who dissents from the data sharing is not included below. Segments are mutually exclusive, e.g. if a person's dominant segment is 'End of Life' then they will not be counted in any other segment. Cancer segment represents people coded with Cancer in the last 2 years, rather than anyone who has ever had cancer.

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1.5 Headline Opportunities Using the latest data available for measures included within the network spine chart (Section 6), the following opportunities have been calculated for measures where statistically this network reports a significantly worse rate than the Liverpool average. The opportunity has been calculated based on the Network rate moving in line with the Liverpool average rate. Below is a high-level summary, further analysis is provided in section 5 of this report;

If Anfield and Everton Network moved in line with the Liverpool average rate potentially there could be;

1. 187 fewer premature deaths 2. 1,785 less smokers 3. 222 fewer Adults and Children classed as being overweight (Year 6) /Obese (BMI >30) 4. 160 less patients with alcohol intake above indicated levels 5. 1,070 more patients invited for a health check and 153 more completing an annual health check 6. 1,059 more eligible patients screened for cancer (Bowel, Cervical and Breast) 7. 56 more 2-year olds receiving relevant vaccinations and immunisations 8. 39 more babies breastfed 9. 2,179 fewer patients on 5 or more prescriptions 10. 143 fewer patients prescribed antibiotics 11. 49 fewer premature cancer deaths 12. 165 more Diabetes patients receiving 8 care processes 13. 18 more newly diagnosed diabetes patients offered structed education 14. 105 more eligible patients having a CVD risk assessment 15. 134 more undiagnosed PAD diagnosed 16. 84 more Hypertension patients managing BP to 150/90 17. 833 more undiagnosed CHD diagnosed 18. 32 more CHD patients prescribed aspirin/anti platelet/ anticoagulant 19. 32 more reviews for newly diagnosed with depression 20. 41 more SMI patients having a comprehensive care plan 21. 79 fewer respiratory deaths 22. 114 fewer AED attendances for lower respiratory tract infections (Children) 23. 600 more undiagnosed COPD cases diagnosed 24. Between 78 – 112 more COPD patients with FEV1 recorded and having an annual review 25. 206 more asthma patients achieving asthma management measures 26. 47 more LD patients with a health check 27. 160 more referrals to Telehealth 28. 267 less AED attendances following accidents in children 29. 34 fewer hospital admissions due to unintential and deliberate injuries (0-24 years) 30. 16 less hospital admissions for substance misuse (15-24 years) 31. 33 fewer self-harm admissions (18+) 32. 296 fewer alcohol related admissions 33. 44 fewer admissions for Violence 34. 44 less admissions to hospital from care homes

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

Practice Code CCG Lead Address and Postcode N82011 Steve Connolly Belmont Grove, Liverpool, L6 4EW Townsend Lane Neighbourhood Health Centre 98 N82052 Jos Mendiguren Townsend Lane L6 0BB From 23rd April 2018 - 45 Everton Road, Liverpool, L6 2EH N82081 Dr Helen O'Connor

N82095 Tobias Keyser 45 Everton Road, Liverpool, L6 2EH Mere Lane Neighbourhood Health Centre 49-51 Mere Lane N82099 Dr Sarwar Khan L5 0QW Mere Lane Neighbourhood Health Centre N82669 Dr Abrams 49-51 Mere Lane, Liverpool, L5 0QW

1.7 Registered Population The registered population in this network is 37,247 which equates to 6.9% of overall CCG registered population. 1.8 Registered Patient Ward Alignment The wards that this network is most aligned to are:

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Anfield & Everton Wards % Dominant Ward Everton 31.2% Second Ward Anfield 28.8% Third Ward and 12.2% Fourth Ward 9.6% Fifth Ward 4.4% Sixth Ward 3.5% Seventh Ward Kensington and Fairfield 3.2% Eighth Ward 1.6% Ninth Ward 1.2% Tenth Ward 0.9% Other Wards 3.6% 1.9 Service Provision National Code N82095 N82669 N82623 N82081 N82099 N82647 N82665 N82011 N82052 QOF 111111111 DES signup returned 1 1 1 1 1 1 1 1 1 LES signup returned 1 1 1 1 1 1 1 1 Extended Hours Access 1 1 1 Until 11/5/18 Learning Disabilities 1 1 1 1 1 1 1 1 1 Out of Area Registration 1 1 Zero Tolerance Scheme 1 Minor surgery own patients excisions and incisions 1 1 1 1 1 1 1 1 Minor surgery own patients injections 1 1 1 1 1 1 1 1 1 Learning Disabilities Health Check Scheme 1 1 1 1 1 1 1 1 1 GMS/PMS Core Contract Data Collection 1 1 1 1 1 1 1 1 1 Alcohol Risk Reduction 1 1 1 1 1 1 1 1 1 Liverpool Quality Improvement Scheme 1 1 1 1 1 1 1 1 1 Minor surgery FOR OTHER PRACTICES excisions and incisions Minor surgery FOR OTHER PRACTICES injections Drug Misusers 1 1 1 Near Patient 1 1 1 1 1 1 1 1 Sexual Health 1 1 Homeless Asylum Seekers 1 1 1 1 1 Travellers ABPI 1 1 11 1 ABPI - For other practices 1 H Pylori 11 1 11 11 H Pylori for other practices 1 1 1 Health checks 1 1 1 1 1 1 1 1 1 IGR 11 111111 Gonadorelin Therapy LES 1 1 1 1 1 1 1 1 Latent TB 1 1 1 1 1 1

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1.10 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 infographic below shows some of the physical assets that lie within the network boundary (lower super output areas with population density => 1,000 registered patients per sq km) which may include GP practices from outside the network:

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2. Network Maps1

1 Maps Icons Collection https://mapicons.mapsmarker.com 12 | Page

3. Network population pyramid

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4. Demographics and Wider Determinants of Health 4.1 Demographics  37,247 currently registered in this network, 6.9% of overall CCG registered population  Anfield and Everton Network has the highest deprivation score across the city; 60.8 compared to the city average score of 41.1. This Network also has one of the highest scores of income deprivation affecting children and older people.  This network has a significantly higher proportion of children aged between 0 – 18 years, however a significantly lower proportion of 19-25 years olds and people aged over 65  The general fertility rate in this network is significantly higher than the Liverpool average (65.7 per 1,000 female population) with 455 births reported during 2018/19.  This network has the lowest average age of life expectancy and healthy life expectancy across all networks (LE 60.6 years compared to 62.3 years and HLE 76.6 years compared to 79.8 years). 4.2 Wider Detainments of Health  Three in five households (59.6%) have no access to a car/van, significantly higher than the Liverpool average  Unemployment rates and Long term sick rates in Anfield and Everton network are amougst the highest rates across all networks o 8.8% are unemployed o 3.8% are long term unemployed o 41.3% economically inactive o 11.7% of those economically inactive are long term sick or disabled  Compared to other Networks, Anfield and Everton report the lowest median household income value of £17,754, a higher proportion of older people 65+ living alone (12.9% compared to 11.8%) and a higher proportion of people live in social or privately rented housing; 62.8% compared to 52.9% across the city.  Anfield and Everton network also report the highest rate of domestic violence (26.5 cases per 1,000 population) and Violent crime rate is significantly higher than the city-wide average; 17.8 per 1,000 compared to 13.1 per 1,000.

5. Potential Areas of Focus 5.1 Healthy Adults and Children (Segment 1)  Prevention 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. Recorded hypertension prevalence in this network is significantly higher than the city average (18,168 per 100,00 compared to 17,355 per 100,000). This is also true for the smoking prevalence; with a quarter (25.9%) of 15+ population registered as smokers compared to 20.1% city wide. This network has a significantly higher proportion of people who are classed as ‘Obese’ (BMI >30 – 12.6%) and ‘Severely Obese’ (BMI >40 – 3.1%) and alcohol intake levels are significantly higher. The proportion of patients aged 40-74 years offered a health check is significantly lower (59.2% compared to 70.5% for Liverpool), and the proportion of those who have completed their health check is 32.4%, ranked 6th lowest in the city. Early detection of cancers is essential to ensure prompt appropriate treatment thus reducing premature deaths. Uptake rates for cancer screening programmes are significantly lower in this network compared to all other networks.  Vaccinations and Immunisations Children’s vaccination rates between the ages of 0 – 1 years and 5 years are in line with the city average, however vaccinations and immunisation rates for 2-year olds are significantly lower than the city average.  Maternity A significantly higher proportion of births are reported in this network compared to the Liverpool average rate (65.7 per 1,000 population compared to 53.4). Breastfeeding initiation and 6-8 week uptake rates are significantly lower in this network with just over a third (38.5% n=154) of babies

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being breastfed at birth and just over a quarter (28.2% n=111) at 6-8 weeks compared to Liverpool average where just under half of births (48.1%) are breastfed at birth and over a third (38.4%) uptake at 6-8 weeks .

5.2 Long Term Conditions (Segment 2)  People with long term conditions can often be intensive users of health and social care services, including community services, urgent and emergency care and acute services and account for half of all GP appointments. In Anfield and Everton a significantly higher proportion of people aged 40+ have at least one long term condition, however those with two or more conditions are in line with the city average.  Cancer Early detection of cancer is essential to ensure prompt appropriate treatment, thus reducing premature deaths. Uptake of cancer screening programmes are significantly lower in this network and cancer prevalence rates are significantly lower, however Cancer mortality rates are the highest in the city with 391.1 cancer deaths reported per 100,000 population, suggesting late diagnosis of cancer detected.  Diabetes Diabetes prevalence is in line with the city average and a significantly higher proportion of observed to expected diabetes is reported for this network, suggesting that people with Diabetes are detected more timely. A significantly lower proportion of diabetes patients receive all 8-care process measures this network (56% compared to 63.8%) and a significantly lower proportion of newly diagnosed patients are referred to structed education with 66.2% referred (n=129) compared to city average rate of 75.5%.  Cardiovascular Disease Primary prevention of CVD requires 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. Less than a third (32.4% n=3.090) of patients aged between 40-74 years have had a health check completed in Anfield and Everton Network, significantly below the network average. A significantly lower proportion of people in this network receive a CVD risk assessment (75% compared to 78%). Prevalence of hypertension is significantly higher in this network compared to city average; 18,168 per 100,000 compared to 17,355 however the ratio of observed to expected hypertension prevalence is significantly higher than the city average suggesting that there are fewer undiagnosed patients in this network compared to other networks. Blood pressure management in those aged <80 with hypertension is significantly below the city average with 69% managing BP to <140/90 (NICE Guidelines) compared to city average of 71.1%.  Mental Health Common mental health prevalence in Anfield and Everton Network is amongst the highest rates across the city with 17,035 cases reported per 100,000 population compared to 15,284 per 100,000 for Liverpool. A significantly higher proportion of people in this network with CMHP also have COPD (8.5% n=530 compared to 7.4% for Liverpool and smoke (38.4% compared to 31.5%). Prevalence of severe mental illness is significantly higher than the Liverpool average, and achievement against primary care management measures like SMI patients with a comprehensive care plan, BP recorded and alcohol consumption recorded are amongst the lowest rates in the city with 79.7% of people with SMI having a care plan documented, 77.9% with BP recorded and 77.5% having alcohol consumption recorded.  Respiratory Recorded COPD prevalence is significantly higher than the city average (5,449 compared to 4,118 per 100,000). Asthma prevalence is the highest, when compared to all networks, with a rate of 7,696 per 100,000 population. Ratio of observed to expected prevalence for COPD is significantly lower suggesting that there are patients currently living with COPD undiagnosed and therefore not managing their condition. Disease management is relatively poor compared to city average achievement rates for COPD and Asthma, with 71% of COPD patients having a record of FEV1 in the previous 12 months and 80% having an annual review. For Asthma, recording of asthma symptoms, day and night, is significantly lower with 59.7% compared to 68.4% and asthma patients having an annual review, 72.2% compared to 76.4%. Compared to other networks, Anfield and Everton has the 3rd highest under 75 respiratory mortality rate; 97.6 per 100,000 compared to city average of 58.2.

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5.3 Disability (Segment 3)  Anfield and Everton network has the third highest LD prevalence rate with 194 people currently registered with LD, this network reports the lowest achievement rate for people with LD having a health check completed with a third (35.1%) of LD patients having a health check. Of those who have had a health check completed, one fifth (19%) have a health action plan completed; this is significantly lower than the Liverpool average rate of 29%. 5.4 Complex Lives (Segment 4)  For the majority of measures within this section, Anfield and Everton network have the highest or significantly higher rates of Children in need, Looked after children, Child protection plans, Early help family assessments, troubled families, child A&E attendances for accidents, Hospital admissions for self- harm (18+), alcohol related/specific conditions, substance misuse, mental and behavioural conditions and violence. People with 10 or more A&E attendances in the last 12 months is in line with the city average with 2.9 per 1,000 patients compared to 2.4 per 1,000.

5.5 Frailty, Dementia and End of Life (Segment 5&6)  This network has a relatively younger population compared to other networks however, 14.1% of the network population is aged over 65 (n=5,290). In this network, the proportion of older people who have a frailty score recorded, over half are classed as having ‘Moderate’ frailty; significantly higher compared to city average. Emergency admissions from care homes is significantly higher in this network with a rate of 32.2 per 100,000 population compared to city average of 27.6 per 100,000. Anfield and Everton network have the 2nd highest Carers prevalence rate with 1,136 people registered as carers in this network.

5.6 Care Settings  Emergency Care Risk stratification allows GP practices to identify patients at risk of a hospital admission based on risk score, 2.3% of the Anfield and Everton network population fall into risk score bracket >50%<90% (significantly above the Liverpool average of 2%). As reported within the relative sections above Anfield and Everton network have significantly higher rates of Child A&E attendances for Accidents and Lower respiratory tract infections. Significantly higher rates of admissions for Acute Care Sensitive Conditions (ACS), alcohol related and specific conditions, self-harm (18+), violence and admissions from care homes.  Outpatient Referrals Overall referral rate are generally in line with or significantly lower than the city average. This network has significantly higher proportion of patients who are discharged following their first outpatient appointment for 5 out of the 9 specialities (Dermatology, ENT, Rheumatology, Urology and Vascular) which could be potential inappropriate referrals.  General Practice and Community Services Need Telehealth referral rate is amongst the lowest across all other networks; 13.3 referrals per 1,000 population compared to 23.8.  Social Care Need Demand for social services in Anfield and Everton network is significantly higher or comparable to the Liverpool average.

6. Network Profile Spine Chart

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Key: Significantly better than Liverpool average Not significantly different from Liverpool average Significantly worse than Liverpool average No significance can be calculated Liverpool Key Liverpool Low 25th percentile 75th percentile Anfield & Everton Primary Care Network Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 1 DEMOGRAPHICS AND WIDER DETERMINANTS OF HEALTH 2 DEMOGRAPHICS n/a 3 Deprivation Score (IMD) 2015 - 60.8 41.1 21.7 60.8 21.8 4 Income Deprivation Affecting Children Index (IDACI) 2015 - 45.1% 32.0% 16.3% 47.6% 17.6% 5 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 40.8% 34.2% 21.4% 47.0% 15.3% 6 Not White British or Irish ethnic group (%) 4,133 11.0% 15.0% 4.6% 35.1% 19.2% 7 White Other ethnic group (%) 928 2.5% 2.7% 0.9% 5.6% 4.6% 8 Mixed/Multiple ethnic group (%) 654 1.7% 2.6% 0.9% 6.4% 2.3% 9 Asian/Asian British ethnic group (%) 1,250 3.3% 4.7% 1.2% 16.7% 7.8% 10 Black/African/Caribbean/Black British ethnic group (%) 829 2.2% 2.9% 0.6% 9.1% 3.5% 11 Other ethnic group (including Arab) (%) 472 1.3% 2.0% 0.3% 7.6% 1.0% 12 Main language not English (%) 2,067 5.5% 7.1% 2.1% 20.9% 8.0% 13 People registered as asylum seekers or refugees (%) 259 0.7% 1.0% 0.0% 6.4% n/a 14 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 455 65.7 53.4 21.1 71.1 62.5 15 Children aged 0-4 years (%) 2,324 6.2% 5.5% 1.3% 6.8% 5.5% 16 Children aged 5-10 years (%) 2,658 7.1% 6.5% 1.1% 8.6% 7.2% 17 Children aged 11-18 years (%) 3,173 8.5% 7.9% 3.1% 9.6% 8.8% 18 Young People aged 19-25 years (%) 3,770 10.1% 13.2% 6.9% 56.0% 8.8% 19 Children and Young People aged 0-25 years (%) 11,925 31.8% 33.2% 26.4% 61.5% 30.3% 20 Population 65+ (%) 5,290 14.1% 14.4% 1.8% 20.4% 17.9% 21 Population 75+ (%) 2,205 5.9% 6.3% 0.5% 9.4% 8.1% 22 Population 85+ (%) 565 1.5% 1.7% 0.1% 2.9% 2.4% 23 Population 95+ (%) 43 0.1% 0.1% 0.0% 0.2% 0.2% 24 WIDER DETERMINANTS - 25 No car or van in household (%) - 59.6% 47.3% 29.2% 62.6% 25.8% 26 Economically active (%) 16,611 58.7% 62.4% 50.4% 68.8% 69.9% 27 Economically active: Unemployed (%) 2,484 8.8% 6.6% 3.6% 9.0% 4.4% 28 Economically active: Long-term unemployed (%) 1,084 3.8% 2.7% 1.4% 3.8% 1.7% 29 Economically inactive (%) 11,708 41.3% 37.6% 31.2% 49.6% 30.1% 30 Economically inactive: Long-term sick or disabled (%) 3,312 11.7% 7.9% 4.2% 11.7% 4.0% 31 Housing Tenure: Social or Private Rented (%) - 62.8% 52.9% 32.2% 77.9% 36.7% 32 One person household: Aged 65 and over (%) - 12.9% 11.8% 6.4% 14.0% 12.4% 33 Median Household Income £ - £17,754 £23,249 £17,754 £33,290 £32,650 34 Domestic violence rate per 1,000 879 26.5 16.7 8.9 26.5 - 35 Violent crime rate per 1,000 591 17.8 13.1 5.7 24.2 - 36 SEGMENT 1. HEALTHY ADULTS AND CHILDREN - 37 HEALTHY LIFE EXPECTANCY at birth - males (3 Year Pooled) - 59.5 61.5 59.5 63.6 63.4 38 HEALTHY LIFE EXPECTANCY at birth - females (3 Year Pooled) - 61.8 63.1 61.2 65.1 63.8 39 HEALTHY LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 60.6 62.3 60.6 64.4 63.6 40 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 74.5 78.2 74.5 82.4 79.6 41 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 79.0 81.4 77.9 85.4 83.1 42 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 76.6 79.8 76.6 84.0 81.4 43 ALL CAUSE Mortality - DSR per 100,000 population 1,161 1,420.3 1,101.2 794.2 1,420.3 959.0 44 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 537 595.2 425.5 257.9 595.2 332.0 45 Population 40+ with no LTCs (%) 6,641 38.3% 40.4% 35.6% 53.2% n/a 46 Population 40+ with 1 LTC (%) 4,969 28.7% 27.7% 25.4% 29.6% n/a 47 Population 40+ with 2 LTC (%) 2,922 16.9% 15.9% 11.3% 18.0% n/a 48 Population 40+ with 3 or more LTC (%) 2,804 16.2% 15.9% 10.2% 19.4% n/a 49 Percentage of the population 40+ with risk score >=50% 435 2.5% 2.1% 1.0% 2.9% n/a 50 Percentage of the population 40+ with risk score >=70% 146 0.8% 0.7% 0.3% 1.6% n/a 51 Percentage of the population 40+ with risk score >=50% <=90% 402 2.3% 2.0% 1.0% 2.7% n/a 52 RISK FACTORS AND INTERVENTIONS - 53 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 13,223 91.6% 90.9% 86.2% 93.1% 89.2% 54 HYPERTENSION Prevalence DSR per 100,000 population 5,099 18,168.2 17,355.1 15,143.5 19,591.8 n/a 55 People aged 65 years and over excluding People with AF who have received a pulse check (%) 3,612 77.3% 75.8% 64.8% 82.0% n/a 56 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 706 2,653.5 2,518.6 2,194.0 3,012.8 n/a 57 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 758 2.4% 3.4% 0.8% 4.8% n/a 58 CURRENT SMOKERS aged 15+ (QOF) (%) 7,925 25.9% 20.1% 12.1% 27.8% 17.2% 59 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 7,079 89.3% 90.0% 75.9% 98.6% 89.2% 60 Child Excess Weight Reception (age 4-5 years) (%) 301 26.7% 26.1% 21.7% 29.6% 22.4% 61 Child Excess Weight Year 6 (age 10-11 years) (%) 413 42.8% 38.8% 33.1% 44.2% 34.3% 62 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,718 12.6% 12.0% 3.9% 16.1% 9.8% 63 People with BMI >=40 recorded in the last 12m (%) 1,229 3.1% 2.7% 0.9% 4.0% n/a 64 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 460 37.4% 46.6% 25.1% 61.2% n/a 65 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 66 14.9% 22.8% 14.9% 31.1% n/a 66 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 19,358 65.4% 65.7% 63.5% 70.0% n/a 67 People aged 18+ who have ALCOHOL above indicated levels (%) 2,040 10.5% 9.7% 6.1% 12.2% n/a 68 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,834 89.9% 88.5% 80.4% 99.9% n/a 69 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,647 59.2% 70.5% 47.6% 94.1% 90.0% 70 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,090 54.7% 48.3% 29.8% 81.0% 48.1% 71 Eligible persons 40-74 years with a Health Check completed as % of eligible population 5 years cumulative 3,090 32.4% 34.0% 19.9% 51.5% 43.3% 72 Health Trainer Referral rate per 1,000 persons 18+ 214 7.2 6.8 3.8 15.2 n/a 73 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,744 46.1% 52.2% 42.8% 61.2% 57.4% 74 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,537 48.7% 53.9% 44.9% 62.6% 59.1% 75 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,017 63.8% 68.1% 52.2% 75.2% 72.1% 76 36 month coverage for BREAST screening aged 50-70 2,616 57.1% 65.5% 54.5% 74.4% 72.5% 77 VACS AND IMMS - 78 Children's DtaPipVHib at 1 Yr (%) 446 89.4% 92.0% 87.6% 96.5% 93.4% 79 Children's PCV at 2 Yrs (%) 415 85.0% 89.2% 80.6% 94.2% 91.5% 80 Children's MMR1 at 2 Yrs (%) 421 86.3% 90.2% 81.3% 94.2% 91.6% 81 Children's Hib Men C at 2 Yrs (%) 427 87.5% 90.9% 83.8% 95.3% 91.5% 82 Children's Pre School Booster at 5 Yrs (%) 416 85.6% 88.2% 77.9% 95.5% n/a 83 Children's MMR2 at 5 Yrs (%) 409 84.2% 87.6% 78.2% 94.6% 87.6% 84 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,709 87.1% 90.6% 83.5% 95.0% n/a 85 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 68 16.2% 29.5% 16.2% 46.9% 43.8% 86 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 97 24.3% 33.2% 20.9% 47.1% 45.9% 87 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,424 70.3% 71.4% 64.8% 74.6% 72.0% 88 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 3,010 48.9% 49.7% 42.5% 54.2% 48.0% 89 Seasonal Flu Vaccine Uptake - Carers (%) 366 46.0% 48.8% 35.3% 58.6% n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 90 SEXUAL HEALTH - 91 GP prescribed user dependent contraception per 1,000 females aged 15-44 850 109.5 125.5 84.8 152.0 n/a 92 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 216 27.8 28.0 18.8 48.3 n/a 93 GP prescribed condoms rate per 1,000 <5 0.0 0.7 0.0 3.9 n/a 94 Uptake of HIV testing in specialist sexual health services rate per 1,000 88 2.3 4.5 1.2 13.5 n/a 95 MATERNITY - 96 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 455 65.7 53.4 21.1 71.1 62.5 97 Low birthweight of all babies <2500g (3 year pooled) (%) 137 10.3% 8.5% 6.4% 10.3% 7.3% 98 Breastfeeding Initiation Rates (%) 154 38.5% 48.1% 34.0% 68.1% 74.5% 99 Breastfeeding at 6-8 weeks (%) 111 28.2% 38.4% 23.6% 59.7% 42.7% 100 Smoking Status at Time of Delivery (SATOD) % 74 18.1% 12.9% 5.8% 19.9% 10.8% 101 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 155 33.0% 41.0% 33.0% 46.7% 45.2% 102 EDUCATIONAL ATTAINMENT - 103 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 211 59.0% 56.4% 45.5% 64.1% 61.6% 104 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 75 27.9% 34.9% 23.0% 48.4% 56.6% 105 Children who are receiving Special Educational Needs (SEN) Support (%) 1,055 18.8% 16.4% 13.2% 20.1% 14.4% 106 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 139 0.02 0.02 0.02 0.03 n/a 107 Children's Speech and language Therapy referrals - Rate per 1,000 220 21.5 20.3 3.5 51.5 n/a 108 SEGMENT 2. LONG TERM CONDITIONS - 109 Population 40+ with 1 LTC (%) 4,969 28.7% 27.7% 25.4% 29.6% n/a 110 Population 40+ with 2 LTC (%) 2,922 16.9% 15.9% 11.3% 18.0% n/a 111 Population 40+ with 3 or more LTC (%) 2,804 16.2% 15.9% 10.2% 19.4% n/a 112 People on proactive care (%) 35 0.1% 0.1% 0.0% 0.3% n/a 113 People on 1 to 5 or more prescriptions (%) 21,488 64.4% 56.2% 38.4% 64.4% n/a 114 People on 5 or more prescriptions (%) 9,482 28.4% 21.9% 4.0% 28.4% n/a 115 People on 10 or more prescriptions (%) 3,332 10.0% 7.2% 1.0% 10.0% n/a 116 Antibiotic Prescribing rate per 1,000 population 2,425 45.9 43.2 33.1 52.2 n/a 117 Broad Spectrum antbiotic prescribing rate per 1,000 population 190 3.6 3.5 2.8 4.4 n/a 118 Proportion of people who use services who have control over their daily life (ASCOF 1B) 38 82.6% 79.4% 50.0% 90.0% n/a 119 The proportion of users and carers receiving self directed support (ASCOF 1C1A) 308 83.9% 86.1% 64.3% 92.5% n/a 120 The proportion of carers who receive self directed support (ASCOF 1C1B) 43 42.6% 49.2% 37.6% 55.4% n/a 121 The proportion of people who use services who receive direct payments (ASCOF 1C2A) 67 18.3% 19.9% 14.3% 31.9% n/a 122 The proportion of carers who receive direct payments (ASCOF 1C2B) 29 28.7% 36.8% 28.1% 44.0% n/a 123 The outcome of short term service: sequel to service (ASCOF 2D) 95 62.1% 60.7% 47.3% 67.3% n/a 124 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 51 998.7 724.3 306.0 1,220.8 n/a 125 CANCER - 126 New CANCER cases (Crude incidence rate: new cases per 100,000 population) 226 572.8 505.9 88.9 640.4 520.8 127 People with a review within 6 mths of CANCER diagnosis 99 86.8% 93.0% 83.0% 96.6% 69.3% 128 Percentage reporting CANCER in the last 5 years 16 3.6% 3.6% 1.6% 4.9% 3.2% 129 CANCER Prevalence DSR per 100,000 population 1,464 5,232.0 5,601.0 4,302.0 6,470.9 n/a 130 CANCER Mortality - DSR per 100,000 population 332 391.1 303.7 246.8 391.1 268.0 131 LUNG CANCER - DSR per 100,000 population 116 139.4 85.7 49.2 148.3 56.3 132 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 83 96.5 87.5 63.7 119.4 n/a 133 CANCER Mortality Under 75 Years - DSR per 100,000 population 178 201.8 157.3 119.8 201.8 134.6 134 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 57 67.1 45.4 22.9 84.0 n/a 135 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 49 54.4 46.4 32.2 59.8 n/a 136 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,744 46.1% 52.2% 42.8% 61.2% 57.4% 137 BOWEL Screening Coverage (Population Aged 60-74 Screened Over 2.5 Years) (%) 2,537 48.7% 53.9% 44.9% 62.6% 59.1% 138 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 6,017 63.8% 68.1% 52.2% 75.2% 72.1% 139 36 month coverage for BREAST screening aged 50-70 2,616 57.1% 65.5% 54.5% 74.4% 72.5% 140 Emergency admissions for CANCER 251 5.1 5.6 2.9 6.8 n/a 141 DIABETES - 142 Children with DIABETES 0-17 years (%) 19 0.2% 0.2% 0.1% 0.4% n/a 143 DIABETES Prevalence DSR per 100,000 population 1,943 6,745.3 6,483.7 5,101.5 7,872.4 n/a 144 Ratio of Observed (QOF) to Expected DIABETES Prevalence 2,154 89.7% 76.6% 29.1% 97.1% 81.6% 145 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 758 2.4% 3.4% 0.8% 4.8% n/a 146 Prevalence of MI last 12m, Stroke, CKD stage 5 in people with DIABETES aged 17+ (%) 33 1.6% 1.5% 0.4% 2.2% n/a 147 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,180 55.6% 58.7% 50.2% 63.4% 79.4% 148 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,189 56.0% 63.8% 53.1% 73.9% n/a 149 People with DIABETES and HbA1c (%) 1,875 88.4% 92.8% 88.4% 95.9% n/a 150 People with DIABETES and BP recorded (%) 1,924 90.7% 94.0% 90.7% 96.7% n/a 151 People with DIABETES and Cholesterol recorded (%) 1,787 84.2% 88.8% 84.2% 92.4% n/a 152 People with DIABETES and Microalb recorded (%) 1,388 65.4% 72.3% 62.5% 79.5% n/a 153 People with DIABETES and Creatinine recorded (%) 1,841 86.8% 91.7% 86.8% 94.8% n/a 154 People with DIABETES and Foot Check (%) 1,683 79.3% 85.4% 79.3% 90.1% 81.2% 155 People with DIABETES and BMI recorded (%) 1,733 81.7% 86.9% 79.9% 92.8% n/a 156 People with DIABETES and Smoking Status recorded (%) 1,837 86.6% 89.8% 83.1% 95.1% n/a 157 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 1,179 44.7% 43.1% 37.5% 46.2% n/a 158 People with DIABETES who have CHD and/or CKD (%) 949 36.0% 33.6% 28.5% 38.1% n/a 159 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 284 37.5% 40.9% 33.1% 52.0% n/a 160 Preventable sight loss - DIABETIC eye disease rate per 1,000 753 28.5% 29.0% 23.1% 36.4% n/a 161 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 129 66.2% 75.5% 38.1% 93.2% n/a 162 Emergency admissions for DIABETIC COMPLICATIONS 29.00 0.59 0.45 0.19 0.92 n/a 163 DIABETES Specialist Nurses Face to Face Contacts 712 46.6 33.6 20.2 54.9 n/a 164 DIABETES Case Load 158 10.35 8.84 6.48 12.16 n/a 165 CARDIOVASCULAR DISEASE - 166 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,647 59.2% 70.5% 47.6% 94.1% 90.0% 167 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,090 54.7% 48.3% 29.8% 81.0% 48.1% 168 Eligible persons 40-74 years with a Health Check completed as % of eligible population 5 years cumulative 3,090 32.4% 34.0% 19.9% 51.5% 43.3% 169 People 40-74 with HYPERTENSION, CKD, BMI>30 who have had a risk score ever (%) 3,622 75.9% 78.1% 72.8% 85.4% n/a 170 People with Stage 3 CKD who have received a CVD risk score & ACR in the last 12m (%) 500 34.0% 33.0% 19.6% 50.3% n/a 171 Over 40 prevalence of PERIPHERAL VASCULAR DISEASE (%) 393 2.3% 1.8% 1.2% 2.7% n/a 172 Ratio of Observed (QOF) to Expected PAD Prevalence 426 58.5% 76.9% 39.8% 305.6% 57.9% 173 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 370 1,348.1 1,047.4 734.5 1,514.8 n/a 174 GP ref, 1st outpatient attendances VASCULAR 73 1.48 1.90 0.82 2.37 n/a 175 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 64 87.7% 70.5% 59.6% 87.7% n/a 176 HYPERTENSION - 177 CKD Prevalence DSR per 100,000 population 1,609 6,055.3 6,549.4 4,653.5 8,229.4 n/a 178 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,663 103.6% 99.8% 52.7% 117.6% 62.3% 179 HYPERTENSION Prevalence DSR per 100,000 population 5,099 18,168.2 17,355.1 15,143.5 19,591.8 n/a 180 Ratio of Observed (QOF) to Expected HYPERTENSION Prevalence 5,633 56.7% 52.9% 18.4% 61.3% 50.6% 181 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 13,223 91.6% 90.9% 86.2% 93.1% 89.2% 182 People with HYPERTENSION whose latest BP reading is <150/90 (QOF) (%) 4,102 81.1% 82.7% 78.5% 86.9% 86.8% 183 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 3,090 69.3% 71.1% 67.3% 76.1% n/a 184 People aged >=80 with HYPERTENSION whose latest blood pressure reading is < 150/90 (%) 803 90.0% 89.6% 86.7% 93.7% 86.8% 185 People with HYPERTENSION with physical activity recorded (%) 2,136 47.9% 57.4% 36.7% 82.0% n/a 186 People with HYPERTENSION who do not meet recommended activity levels who have received brief advice (%) 1,065 49.9% 57.4% 32.0% 70.1% n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 187 CHD - 188 CVD Mortality - DSR per 100,000 population 231 282.1 239.8 168.1 320.8 n/a 189 CVD Mortality Under 75 Years - DSR per 100,000 population 102 114.2 90.2 56.0 150.9 72.5 190 CHD Prevalence DSR per 100,000 population 1,278 4,687.9 4,434.2 3,593.1 5,614.3 n/a 191 Ratio of Observed (QOF) to Expected CHD Prevalence 1,396 27.6% 44.0% 20.5% 110.5% 41.5% 192 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,113 90.6% 91.6% 88.9% 95.4% 92.4% 193 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,206 94.4% 96.9% 94.2% 99.4% n/a 194 People with CHD whose latest total cholesterol (previous 12m) is 5mmol or less (%) 807 62.1% 66.6% 58.0% 74.3% n/a 195 People with CHD prescribed statins (%) 1,012 77.5% 79.3% 75.6% 83.0% n/a 196 Emergency admissions for ANGINA 39 0.8 0.9 0.6 1.7 n/a 197 GP ref, 1st outpatient attendances CARDIOLOGY 620 12.5 14.1 9.8 17.7 n/a 198 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 418 0.7 0.6 0.5 0.7 n/a 199 HEART FAILURE - 200 HEART FAILURE Prevalence DSR per 100,000 population 362 1,357.3 1,343.3 1,096.6 1,760.9 n/a 201 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 358 97.0% 92.1% 59.8% 122.1% 72.8% 202 People with HEART FAILURE eligible who are prescribed a beta blocker (%) 82 86.3% 92.1% 86.3% 100.0% n/a 203 Emergency admissions for CONGESTIVE HEART FAILURE 55 1.1 1.3 0.6 1.9 n/a 204 HEART FAILURE Team Face to Face Contacts 172 11.3 13.3 6.6 33.3 n/a 205 HEART FAILURE Team Case Load <5 0.2 0.4 - 1.1 n/a 206 ATRIAL FIBRILLATION and STROKE - 207 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 706 2,653.5 2,518.6 2,194.0 3,012.8 n/a 208 People on the AF case finding search who have had their notes reviewed 41 13.1% 11.9% 3.5% 32.1% n/a 209 People with AF with CHADS2-VASc score 2 or more treated with anti-coagulation or anti-platelets therapy (%) 603 79.3% 77.7% 60.2% 81.1% 84.0% 210 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 328 43.2% 42.4% 34.6% 71.2% 93.6% 211 People on Warfarin who have INR recorded in last 12 months (%) 273 100.0% 96.9% 92.8% 100.0% n/a 212 STROKE/TIA Prevalence DSR per 100,000 population 697 2,539.7 2,317.6 1,909.9 2,907.9 n/a 213 Ratio of Observed (QOF) to Expected STROKE Prevalence 771 64.3% 56.2% 10.8% 73.4% 56.8% 214 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 666 88.0% 89.7% 86.0% 93.3% 91.7% 215 People with STROKE/TIA referred for further investigation after last stroke or first TIA (QOF) % 232 78.1% 88.3% 78.1% 94.3% 83.4% 216 People with STROKE/TIA whose latest total cholesterol (prev 12m) is 5mmol or less (%) 427 56.4% 60.0% 54.4% 66.9% n/a 217 Emergency admissions for STROKE 69 1.40 1.39 0.56 1.74 n/a 218 EPILEPSY - 219 Children with EPILEPSY 0-17 years (%) 28 0.4% 0.3% 0.2% 0.4% n/a 220 EPILEPSY Prevalence DSR per 100,000 population 330 1,035.0 969.5 693.0 1,137.6 n/a 221 Emergency admissions for EPILEPSY 79 1.6 1.4 0.5 3.6 n/a 222 MENTAL HEALTH - 223 COMMON MENTAL HEALTH PROBLEMS - 224 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 444 3.6% 3.3% 2.3% 4.7% n/a 225 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 5,466 17,035.0 15,284.2 12,409.6 19,842.4 n/a 226 People with CMHP with no other LTCs (%) 3,580 57.5% 57.2% 50.7% 76.0% n/a 227 People with CMHP with 1 other LTC (%) 1,406 22.6% 22.1% 15.0% 23.8% n/a 228 People with CMHP with 2 other LTCs (%) 608 9.8% 10.9% 5.6% 12.8% n/a 229 People with CMHP and CHD (%) 365 5.9% 6.3% 2.2% 8.2% n/a 230 People with CMHP and COPD (%) 530 8.5% 7.4% 4.0% 9.5% n/a 231 People with CMHP and Cancer (%) 366 5.9% 7.1% 2.0% 10.0% n/a 232 People with CMHP and Diabetes (%) 531 8.5% 9.1% 3.5% 11.1% n/a 233 People with CMHP and Hypertension (%) 1,269 20.4% 21.8% 7.7% 28.0% n/a 234 People with CMHP and SMI (%) 293 4.7% 4.7% 3.4% 6.7% n/a 235 People with CMHP and Current Smoker 15+ (%) 2,387 38.4% 31.5% 19.9% 39.1% n/a 236 Children and Adolescent Mental Health Services (CAMHS) Referrals per 1,000 480 40.3 22.5 2.1 40.3 n/a 237 Children and Adolescent Mental Health Services (CAMHS) Assessments per 1,000 330 27.7 15.7 1.5 27.7 n/a 238 Children and Adolescent Mental Health Services (CAMHS) 1st Interventions per 1,000 280 23.5 13.4 1.4 23.5 n/a 239 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 388 73.3% 79.3% 55.9% 86.9% 64.2% 240 Access to early intervention teams rate per 1,000 32 0.97 0.60 0.35 0.99 n/a 241 IAPT referral rate per 1,000 1,065 39.3 33.1 27.0 39.3 n/a 242 SERIOUS MENTAL ILLNESS - 243 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 22 0.2% 0.2% 0.1% 0.2% n/a 244 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 522 1,660.4 1,443.2 1,034.5 2,704.9 n/a 245 People with SMI with no other LTCs (%) 171 28.8% 27.8% 21.4% 35.5% n/a 246 People with SMI with 1 other LTC (%) 237 39.9% 39.0% 33.3% 43.0% n/a 247 People with SMI with 2 other LTCs (%) 91 15.3% 18.3% 12.1% 23.3% n/a 248 People with SMI and CHD (%) 26 4.4% 5.0% 2.6% 8.1% n/a 249 People with SMI and COPD (%) 67 11.3% 8.1% 5.1% 11.3% n/a 250 People with SMI and CANCER (%) 27 4.5% 5.1% 1.8% 8.3% n/a 251 People with SMI and Diabetes (%) 71 12.0% 12.9% 7.0% 16.2% n/a 252 People with SMI and CMHP (%) 293 49.3% 50.5% 43.8% 59.2% n/a 253 People with SMI and Hypertension (%) 97 16.3% 18.7% 10.6% 23.1% n/a 254 People with SMI and Current Smoker 15+ (%) 320 53.9% 49.8% 34.2% 63.6% n/a 255 People with SMI receiving list of physical checks previous 12 months (%) 173 27.7% 34.5% 21.6% 40.2% n/a 256 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 41 95.3% 97.3% 94.1% 100.0% 94.2% 257 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 370 79.7% 88.5% 70.4% 94.2% 78.2% 258 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 385 77.9% 86.8% 77.9% 93.6% 81.5% 259 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 382 77.5% 87.7% 75.7% 96.5% 80.6% 260 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 107 87.0% 84.4% 76.4% 95.5% 69.6% 261 Referrals to Community MENTAL HEALTH rate per 1,000 766 23.1 17.7 10.1 23.1 n/a 262 Community MENTAL HEALTH contacts rate per 1,000 766 23.1 17.7 10.1 23.1 n/a 263 Referrals to PSYCHIATRIC LIAISON rate per 1,000 539 16.27 10.29 5.74 16.27 n/a 264 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 202 33.3% 34.1% 5.7% 53.9% n/a 265 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 113 4.91 3.45 1.96 6.69 n/a 266 Emergency admissions for MENTAL HEALTH 115 2.33 2.30 1.55 3.63 n/a 267 MUSCULOSKELETAL - 268 RHEUMATOID ARTHRITIS prevalence 185 0.6% 0.7% 0.1% 1.0% 0.7% 269 RHEUMATOID ARTHRITIS estimated prevalence <5 100.0% 100.0% 100.0% 100.0% n/a 270 People with RHEUMATOID ARTHRITIS having a face by face review in last 12 months (QOF - RA002) 167 90.3% 93.5% 86.2% 97.5% 84.1% 271 People with OSTEOPOROSIS aged 50-74 with a fragility fracture (QOF) 9 52.9% 80.9% 42.9% 97.7% n/a 272 People with OSTEOPOROSIS aged 75 and over with a fragility fracture (QOF) 26 48.1% 67.0% 33.3% 87.5% n/a 273 People with OSTEOPOROSIS aged 50-74 with a fragility fracture treated with bone-sparing agent (QOF) 7 70.0% 82.1% 66.7% 100.0% 71.3% 274 People with OSTEOPOROSIS aged 75 and over with a fragility fracture treated with bone-sparing agent (QOF) 12 50.0% 70.7% 50.0% 100.0% 59.7% 275 Admission rate FACET JOINT INJECTIONS (3+ Admissions) 10 0.20 0.23 0.00 0.66 n/a 276 Admission rate EPIDURAL/SPINAL NERVE ROOT INJECTIONS FOR NON ESPECIFIC BACK/ PAIN (3+ admissions) <5 0.02 0.04 0.00 0.13 n/a 277 GP ref, 1st outpatient attendances RHEUMATOLOGY 121 2.45 3.38 2.09 4.72 n/a 278 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 81 66.9% 51.6% 39.5% 66.9% n/a 279 RESPIRATORY - 280 RESPIRATORY Mortality - DSR per 100,000 population 198 247.5 180.0 122.3 276.4 n/a 281 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 86 97.6 58.2 23.7 119.3 34.3 282 Community RESPIRATORY team Face to Face contacts 646 42.3 26.1 9.8 44.5 n/a 283 Community RESPIRATORY Team Case Load 12 0.79 0.31 - 0.79 n/a 284 Child AED attendances - LRTI 539 80.1 63.2 47.8 80.1 n/a 285 Emergency admissions for LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1,000 aged 0-18 years 39 5.5 5.3 3.8 7.9 n/a 286 Emergency admissions for FLU & PNEUMO 234 4.73 4.21 3.21 5.37 n/a 287 GP ref, 1st outpatient attendances RESPIRATORY 195 3.94 4.42 2.76 5.35 n/a 288 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 34 17.4% 22.3% 14.8% 32.8% n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 289 COPD - 290 COPD Prevalence DSR per 100,000 population 1,529 5,449.4 4,118.6 2,499.2 5,885.0 n/a 291 Ratio of Observed (QOF) to Expected COPD Prevalence 1,672 75.4% 102.4% 58.0% 1923.8% 61.9% 292 People with COPD and diagnosis confirmed by post bronchodilator spirometry (QOF) (%) 757 88.0% 88.0% 84.8% 91.1% 80.8% 293 People with COPD and MRC dyspnoea grade ≥3 and oxygen saturation value in last 12 months (QOF) (%) 645 97.4% 96.1% 92.8% 98.9% 95.6% 294 People with COPD and an influenza vaccination in the preceeding Aug-March (QOF) (%) 959 89.4% 93.5% 86.3% 98.7% 80.0% 295 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 843 70.8% 77.3% 61.6% 83.1% 71.1% 296 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,133 80.8% 88.7% 80.8% 93.3% 79.4% 297 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 645 97.4% 96.1% 92.8% 98.9% n/a 298 Emergency admissions for COPD 187 3.78 3.43 1.66 5.53 n/a 299 ASTHMA - 300 Children with ASTHMA 0-17 years (%) 323 4.1% 4.1% 3.4% 4.8% n/a 301 Young People with ASTHMA aged 18-25 years (%) 201 4.7% 3.9% 2.4% 5.9% n/a 302 ASTHMA Prevalence DSR per 100,000 population 2,409 7,696.2 6,692.0 5,986.4 7,696.2 n/a 303 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 2,530 73.8% 60.0% 30.9% 74.8% 117.4% 304 People with ASTHMA Day and Night Symptoms Recorded (%) 1,410 59.7% 68.4% 59.7% 75.0% n/a 305 People with ASTHMA aged 8+ with measures of variability or reversibility recorded (QOF) (%) 866 90.1% 93.0% 90.1% 94.9% 84.9% 306 People with ASTHMA with asthma review, including assessment using 3 RCP questions (QOF) (%) 1,381 72.2% 76.4% 71.1% 82.2% 70.2% 307 People with ASTHMA aged 14-19 years with record of smoking status in last 12 months (QOF) (%) 112 92.6% 90.8% 85.6% 95.7% 83.5% 308 Emergency admissions for ASTHMA 48 0.97 1.26 0.55 2.01 n/a 309 SEGMENT 3. DISABILITY - 310 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 85 122.0 123.2 75.8 175.8 n/a 311 LEARNING - 312 LEARNING DISABILITIES Prevalence DSR per 100,000 population 194 571.6 412.7 106.3 606.4 n/a 313 Persons 18+ with a LEARNING DISABILITY and HEALTH CHECK completed (%) 72 35.1% 58.2% 35.1% 76.4% 48.1% 314 Persons 18+ with a LEARNING DISABILITY eligible for a Health Check and health action plan completed (%) 39 19.0% 28.9% 6.4% 48.6% n/a 315 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 132 85.4% 84.8% 49.3% 110.5% n/a 316 PHYSICAL - 317 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 322 1,203.8 1,538.9 1,092.5 2,223.6 n/a 318 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 2,000 6,804.7 6,941.5 5,045.5 7,917.7 n/a 319 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 448 87.7 76.4 43.4 112.3 n/a 320 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 242 47.4 43.8 24.8 60.0 n/a 321 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 133 26.1 26.1 15.9 35.1 n/a 322 SEGMENT 4. COMPLEX LIVES - 323 Children in Need - Rate per 10,000 under 18 years 398 571.4 375.9 192.3 571.4 330.4 324 Looked After Children - Rate per 10,000 under 18 years 136 195.3 128.2 55.6 233.1 62.0 325 Child Protection Plan - Rate per 10,000 under 18 years 60 86.1 58.9 38.9 87.6 43.3 326 Early Help Assessment Tool (EHAT) Family Assessments (%) 271 3.9% 3.0% 2.0% 0.0 n/a 327 Troubled Families - Rate per 1,000 population 1,329 41.4 25.9 12.8 49.8 n/a 328 Child AED attendances - ACCIDENTS 1,047 155.6 116.0 74.7 155.6 n/a 329 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 183 1,601.2 1,298.1 685.9 1,869.6 n/a 330 Emergency admissions for SELF HARM under 18s 10 1.5 1.5 - 2.4 n/a 331 Hospital admissions as a result of SELF-HARM (10-24 years) DSR per 100,000 33 494.1 403.1 113.5 723.9 421.2 332 Persons under 18 admitted to hospital for ALCOHOL-SPECIFIC conditions crude rate per 100,000 (3 Year Pooled) 11 45.9 49.1 21.8 106.7 32.9 333 Hospital admissions due to SUBSTANCE MISUSE (15-24 years) DSR per 100,000 (3 Year Pooled) 29 190.5 84.0 21.6 190.5 87.9 334 MH emergency admissions MENTAL & BEHAVIOURAL - ALCOHOL 78 2.4 1.6 0.7 2.6 n/a 335 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 92 2.8 1.8 0.8 2.9 n/a 336 Emergency admissions for VIOLENCE 171 3.5 2.6 1.1 6.6 n/a 337 Emergency admissions for SELF HARM over 18s 109 4.2 2.9 1.4 5.5 n/a 338 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 393 1,270.3 868.9 459.3 2,269.5 n/a 339 ALCOHOL SPECIFIC admissions DSR per 100,000 164 440.4 315.1 118.6 875.9 118.3 340 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,246 3,705.3 2,914.7 1,963.6 6,096.5 2,224.0 341 People registered as homeless by their GP rate per 1,000 49 1.2 1.9 0.1 14.8 - 342 People with 10 or more Accident and Emergency attendances in last 12 months rate per 1,000 96 2.9 2.4 1.6 3.1 n/a 343 SEGMENT 5. FRAILTY AND DEMENTIA - 344 FRAILTY - 345 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 40.8% 34.2% 21.4% 47.0% 15.3% 346 Population 65+ (%) 5,290 14.1% 14.4% 1.8% 20.4% 17.9% 347 Population 75+ (%) 2,205 5.9% 6.3% 0.5% 9.4% 8.1% 348 Population 85+ (%) 565 1.5% 1.7% 0.1% 2.9% 2.4% 349 Population 95+ (%) 43 0.1% 0.1% 0.0% 0.2% 0.2% 350 People with a MILD frailty score (%) 202 9.8% 17.3% 0.8% 35.7% n/a 351 People with a MODERATE frailty score (%) 1,194 58.2% 51.3% 40.1% 65.5% n/a 352 People with a SEVERE frailty score (%) 656 32.0% 31.3% 24.2% 47.6% n/a 353 Injuries due to FALLS 65+ 187 38.3 33.0 25.5 51.0 n/a 354 Emergency admissions for HIP FRACTURES aged over 65 46 9.4 7.2 5.2 9.4 n/a 355 Emergency admissions for ANGINA 39 0.8 0.9 0.6 1.7 n/a 356 Emergency admissions for CELLULITIS 90 1.8 1.7 1.4 2.3 n/a 357 Emergency admissions for CONGESTIVE HEART FAILURE 55 1.1 1.3 0.6 1.9 n/a 358 Emergency admissions for DEMENTIA aged over 65 14 1.5 1.7 0.2 7.3 n/a 359 Emergency admissions for FLU & PNEUMO 234 4.7 4.2 3.2 5.4 n/a 360 Emergency admissons for GASTRO/DEHYDRATION 8 0.2 0.2 - 0.5 n/a 361 Emergency admissions for PYLO NEFRITIS 19 0.4 0.6 0.4 1.0 n/a 362 Emergency admissions for STROKE 69 1.4 1.4 0.6 1.7 n/a 363 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 188 36.8 28.8 9.4 56.7 n/a 364 Emergency admissions from CARE HOMES 200 20.9 22.6 2.3 81.6 n/a 365 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 51 998.7 724.3 306.0 1,220.8 n/a 366 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 28 80% 84% 74% 96% n/a 367 Social Services Users OLDER PERSONS per 1,000 65+ resident population 670 126.1 115.9 85.7 147.2 n/a 368 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 48 9.3 9.2 4.3 14.5 n/a 369 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 448 87.7 76.4 43.4 112.3 n/a 370 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 242 47.4 43.8 24.8 60.0 n/a 371 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 133 26.1 26.1 15.9 35.1 n/a 372 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 184 36.0 40.3 15.3 71.2 n/a 373 CARERS Prevalence (GP Recorded) DSR per 100,000 population 1,136 3,815.5 2,854.9 1,781.5 3,873.6 n/a 374 DEMENTIA - 375 DEMENTIA Prevalence DSR per 100,000 population 205 804.3 792.0 565.2 1,142.9 n/a 376 Ratio of Observed (QOF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 251 73.6% 64.7% 43.1% 92.0% 60.0% 377 Ratio of Observed (QOF) to Expected DEMENTIA (CFAS II) Prevalence 251 83.3% 73.0% 48.7% 104.2% 67.4% 378 People with DEMENTIA with no other LTCs (%) 20 9.8% 9.3% 4.8% 14.3% n/a 379 People with DEMENTIA with 1 other LTC (%) 37 18.0% 19.3% 14.3% 26.9% n/a 380 People with DEMENTIA with 2 other LTCs (%) 48 23.4% 25.5% 17.7% 31.9% n/a 381 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 161 79.3% 83.2% 70.8% 89.9% 77.5% 382 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 25 89.3% 84.3% 50.0% 92.0% 68.0% 383 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 48 9.3 9.2 4.3 14.5 n/a 384 Emergency admissions for DEMENTIA aged over 65 14 1.5 1.7 0.2 7.3 n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 385 SEGMENT 6. END OF LIFE - 386 SHORT PERIOD OF DECLINE AND DYING (CANCER) - 387 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 141 517.5 642.8 430.0 1,071.9 n/a 388 Emergency admissions END OF LIFE 113 23.1 19.4 13.3 23.9 n/a 389 CANCER Mortality - DSR per 100,000 population 332 391.1 303.7 246.8 391.1 268.0 390 LUNG CANCER - DSR per 100,000 population 116 139.4 85.7 49.2 148.3 56.3 391 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 83 96.5 87.5 63.7 119.4 n/a 392 CANCER Mortality Under 75 Years - DSR per 100,000 population 178 201.8 157.3 119.8 201.8 134.6 393 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 57 67.1 45.4 22.9 84.0 n/a 394 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 49 54.4 46.4 32.2 59.8 n/a 395 CANCER Prevalence DSR per 100,000 population 1,464 5,232.0 5,601.0 4,302.0 6,470.9 n/a 396 NEUROLOGICAL (PARKINSONS, MND) - 397 ORGAN FAILURE (HEART, LUNG, LIVER) - 398 HEART FAILURE Prevalence DSR per 100,000 population 362 1,357.3 1,343.3 1,096.6 1,760.9 n/a 399 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 358 97.0% 92.1% 59.8% 122.1% 72.8% 400 CKD Prevalence DSR per 100,000 population 1,609 6,055.3 6,549.4 4,653.5 8,229.4 n/a 401 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,663 103.6% 99.8% 52.7% 117.6% 62.3% 402 ACUTELY ILL - 403 EMERGENCY CARE/GP Enhanced Access - 404 111 call rate per 1,000 weighted population 5,929 179.0 149.7 99.1 179.0 n/a 405 Walk in Centre attendances 6,223 125.8 213.6 107.4 324.2 n/a 406 A&E not admitted (using discharge method, discharge with no treatment, no follow up) 9,284 187.7 246.6 187.7 329.1 n/a 407 Total NEL admissions <=1 day LOS rate per 1,000 3,042 61.5 72.0 55.1 97.1 n/a 408 Total NEL admissions >2 day LOS rate per 1,000 2,405 48.6 53.0 39.6 61.9 n/a 409 Child AED attendance rate per 1,000 population aged 0-4 years 1,575 657.3 740.7 567.4 878.2 n/a 410 Child AED attendances - ACCIDENTS 1,047 155.6 116.0 74.7 155.6 n/a 411 Child AED attendances - LRTI 539 80.1 63.2 47.8 80.1 n/a 412 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 113 4.9 3.4 2.0 6.7 n/a 413 Child Emergency Admission Average Length of Stay <1 day 472 70.2 56.7 47.3 77.5 n/a 414 Rate per 1,000 HCHS weighted pop for GP Spec AE attendances 459 9.3 7.4 4.0 12.0 n/a 415 Rate per 1,000 HCHS weighted pop for GP Spec ACS admissions 696 14.1 12.2 7.9 14.5 n/a 416 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,246 3,705.3 2,914.7 1,963.6 6,096.5 2,224.0 417 ALCOHOL SPECIFIC admissions DSR per 100,000 164 440.4 315.1 118.6 875.9 118.3 418 Emergency admissions for ANGINA 39 0.8 0.9 0.6 1.7 n/a 419 Emergency admissions for ASTHMA 48 1.0 1.3 0.5 2.0 n/a 420 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1,000 aged 0-18 years 3 0.4 0.8 0.3 1.3 n/a 421 Emergency admissions for CANCER 251 5.1 5.6 2.9 6.8 n/a 422 Emergency admissions for CELLULITIS 90 1.8 1.7 1.4 2.3 n/a 423 Emergency admissions for CONGESTIVE HEART FAILURE 55 1.1 1.3 0.6 1.9 n/a 424 Emergency admissions for COPD 187 3.8 3.4 1.7 5.5 n/a 425 Emergency admissions for DEMENTIA aged over 65 14 1.5 1.7 0.2 7.3 n/a 426 Emergency admissions for DIABETIC COMPLICATIONS 29 0.6 0.5 0.2 0.9 n/a 427 Emergency admissions for ENT 78 1.6 2.0 0.9 3.6 n/a 428 Emergency admissions for EPILEPSY 79 1.6 1.4 0.5 3.6 n/a 429 Emergency admissions for FLU & PNEUMO 234 4.7 4.2 3.2 5.4 n/a 430 Emergency admissons for GASTRO/DEHYDRATION 8 0.2 0.2 - 0.5 n/a 431 Emergency admissions for HIP FRACTURES aged over 65 46 9.4 7.2 5.2 9.4 n/a 432 Emergency admissions for LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1,000 aged 0-18 years 39 5.5 5.3 3.8 7.9 n/a 433 Emergency admissions for MENTAL HEALTH 115 2.3 2.3 1.6 3.6 n/a 434 Emergency admissions for PYLO NEFRITIS 19 0.4 0.6 0.4 1.0 n/a 435 Emergency admissions for SELF HARM over 18s 109 4.2 2.9 1.4 5.5 n/a 436 Emergency admissions for STROKE 69 1.4 1.4 0.6 1.7 n/a 437 Emergency admissions for VIOLENCE 171 3.5 2.6 1.1 6.6 n/a 438 Injuries due to FALLS 65+ 187 38.30 32.96 25.54 51.05 n/a 439 Emergency re-admissions within 30 days to hospital (%) 933 0.1 0.1 0.1 0.2 0.1 440 Emergency admissions END OF LIFE 113 23.1 19.4 13.3 23.9 n/a 441 Emergency admissions from CARE HOMES 200 20.9 22.6 2.3 81.6 n/a 442 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1,000 HCHS population) - 443 GP ref, 1st outpatient attendances 3,443 69.6 80.3 69.5 91.7 n/a 444 GP ref, 1st outpatient attendances CARDIOLOGY 620 12.5 14.1 9.8 17.7 n/a 445 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 418 67.4% 62.6% 53.1% 72.9% n/a 446 GP ref, 1st outpatient attendances DERMATOLOGY 436 8.8 12.6 8.8 17.4 n/a 447 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 266 61.0% 54.1% 41.7% 63.8% n/a 448 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 181 41.5% 33.1% 27.3% 41.5% n/a 449 GP ref, 1st outpatient attendances ENT 585 11.8 16.1 11.8 18.1 n/a 450 GP ref, 1st outpatient attendances ENT - % referred on 2WW 111 19.0% 15.6% 10.2% 21.8% n/a 451 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 281 48.0% 42.7% 37.6% 48.2% n/a 452 GP ref, 1st outpatient attendances GASTRO 390 7.9 9.4 7.6 11.0 n/a 453 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 86 22.1% 31.7% 14.2% 52.6% n/a 454 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 158 40.5% 41.5% 29.6% 56.4% n/a 455 GP ref, 1st outpatient attendances GYNAECOLOGY 287 5.8 8.9 5.8 10.3 n/a 456 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 64 22.3% 20.6% 16.3% 28.0% n/a 457 GP ref, 1st outpatient attendances RESPIRATORY 195 3.9 4.4 2.8 5.3 n/a 458 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 34 17.4% 22.3% 14.8% 32.8% n/a 459 GP ref, 1st outpatient attendances RHEUMATOLOGY 121 2.4 3.4 2.1 4.7 n/a 460 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 81 66.9% 51.6% 39.5% 66.9% n/a 461 GP ref, 1st outpatient attendances UROLOGY 310 6.3 9.0 6.3 10.5 n/a 462 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 161 51.9% 41.6% 30.8% 53.5% n/a 463 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 105 33.9% 34.5% 25.2% 46.8% n/a 464 GP ref, 1st outpatient attendances VASCULAR 73 1.5 1.9 0.8 2.4 n/a 465 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 64 87.7% 70.5% 59.6% 87.7% n/a 466 COMMUNITY AND GENERAL PRACTICE SERVICES NEED AND EXPERIENCE - 467 Patient Experience: Overall good experience of making an appointment (%) 251 72.5% 70.4% 60.4% 80.3% n/a 468 Patient experience: Overall Experience of General Practice (%) 411 85.4% 85.7% 77.8% 92.0% n/a 469 Community Matrons Face to Face Contacts 1,383 90.6 59.4 22.9 106.4 n/a 470 Community Matrons Case Load 14 0.9 0.9 0.4 2.9 n/a 471 Community RESPIRATORY team Face to Face contacts 646 42.3 26.1 9.8 44.5 n/a 472 Community RESPIRATORY Team Case Load 12 0.8 0.3 - 0.8 n/a 473 DIABETES Specialist Nurses Face to Face Contacts 712 46.6 33.6 20.2 54.9 n/a 474 DIABETES Case Load 158 10.3 8.8 6.5 12.2 n/a 475 District Nursing Face to Face Contacts 21,417 1,402.3 1,102.6 719.9 1,402.3 n/a 476 District Nursing Case Load 248 16.2 12.8 10.3 16.7 n/a 477 HEART FAILURE Team Face to Face Contacts 172 11.3 13.3 6.6 33.3 n/a 478 HEART FAILURE Team Case Load <5 0.2 0.4 - 1.1 n/a 479 IV Therapy Face to Face Contacts 351 23.0 17.4 3.7 43.6 n/a 480 IV Therapy Case Load <5 0.2 0.2 - 0.3 n/a 481 Therapy Face to Face Contacts 6,831 447.3 388.1 195.2 483.1 n/a 482 Therapy Case Load 1,204 78.8 67.4 30.5 84.5 n/a 483 Treatment Rooms Face to Face Contacts 5,079 332.5 216.3 73.3 332.5 n/a 484 Treatment Rooms Case Load 89 5.8 5.8 1.0 13.3 n/a 485 Telehealth referrals rate per 1,000 adult registered pop 203 13.3 23.8 1.0 125.8 n/a 486 Referrals to Community MENTAL HEALTH rate per 1,000 766 23.1 17.7 10.1 23.1 n/a Network Network Liverpool Liverpool Liverpool National Indicator Liverpool Range Number Rate Average Lowest Highest Average 487 SOCIAL CARE NEED (LIVERPOOL CITY COUNCIL) - 488 Social Services Users TOTAL per 1,000 40+ resident population 1,822 263.2 185.9 71.7 348.5 n/a 489 Social Services Users OLDER PERSONS per 1,000 65+ resident population 670 126.1 115.9 85.7 147.2 n/a 490 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 202 33.3% 34.1% 5.7% 53.9% n/a 491 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 132 85.4% 84.8% 49.3% 110.5% n/a 492 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 48 9.3 9.2 4.3 14.5 n/a 493 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 40+ resident population 511 73.8 57.3 18.4 105.2 n/a 494 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 448 87.7 76.4 43.4 112.3 n/a 495 Social Services Users DOMICILIARY CARE per 1,000 40+ resident population 280 40.4 32.5 10.1 55.5 n/a 496 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 242 47.4 43.8 24.8 60.0 n/a 497 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 40+ resident population 196 28.2 22.8 8.2 36.0 n/a 498 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 133 26.1 26.1 15.9 35.1 n/a 499 Social Services Users OTHER COMMUNITY per 1,000 40+ resident population 223 32.2 29.6 14.1 49.8 n/a 500 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 184 36.0 40.3 15.3 71.2 n/a 501 RESIDENTIAL & NURSING placements TOTAL per 1,000 40+ resident population 207 29.8 20.7 3.5 42.1 n/a 502 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 188 36.8 28.8 9.4 56.7 n/a 503 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 51 998.7 724.3 306.0 1,220.8 n/a 504 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 28 80.5% 84.2% 74.0% 96.0% n/a