Airedale, Wharfedale and CravenClinical Commissioning Group

Julia BurrowsConsultant in Public Health

NHS Airedale, Bradford and Leeds

Population

Health needs and disease prevalence

Spend and Outcomes

Key Issues

Implications.....

• Risk factors• Health care services needed• Population characteristics• What issues are seen as

priorities?

2. Need and disease prevalence

3 Spend

£914m in 10/11 (£168m per 100k population)

Moved from £133m per 100k (06 07) to £167m / 100k (09 10)

(Range is £159m / 100k – £219 / 100k pop).

£

Where does the money get spent. £914m

Prevention and Health Promotion - £24m (2.6%)Primary Care – GMS, Dental and Opthalmology - £122m (13%)Primary care prescribing and pharmacy services - £107m (12%)Elective in patients (and day cases) - £80m (9%)Non elective – £122m (13%)Outpatients - £67m (7%)Other secondary care (non PBR) - £199m (22%)Ambulance £15m (1.7%)A&E – £15m (1.6%)Community care - £55m (6%)Health and social care in other settings - £67m (7.2%)Non health social care - £38m (4.2%)

4. Outcomes

All age, all cause mortality (NB axis labelled incorrectly - should be DSR/100,000)

Conditions amenable to treatment <75 death rate. DSR / 100,000

(NB axis labelled incorrectly - should be DSR/100,000)

Is the additional spend making a difference?

• Prevalence – Nothing lower than England average

• Higher than England average - non elective

• Outcomes – poor for CVD, respiratory and neurological

• Yorkshire & Humber Public Health Observatory analysis - Mental health, cancer (smoking etc), musculoskeletal, respiratory, neurological, low birth weight

What are the big issues?

How can you or your organisation contribute to the local health and wellbeing agenda?