joint strategic needs assessment for appleton village practice

Joint Strategic Needs Assessment for Appleton Village Practice

By Public Health Team, Halton Borough Council

1

Reader Information

Author Samantha Wu, Jessica Scott

Contributors James Watson, Jennifer Oultram

Reviewers Ifeoma Onyia, Anna Donaldson

Number of

pages 6

Release date September 2014

Description

This Joint Strategic Needs Assessment (JSNA) provides an overview of some of the key

areas of public health need for your practice population.

The following document includes a summary of data on cancer screening and profile,

flu immunisation, CVD, COPD, obesity, alcohol, smoking and A&E admissions for your

practice. Recommendations are also made for future practice development.

Detailed practice-specific data is provided across several public health domains in the

Public Health England Practice Profile in this pack. Also included is a table of key health

indicators for your ward and an Area Forum Profile detailing socio-economic indicators

for your ward and neighbouring wards.

Please see the accompanying document ‘Joint Strategic Needs Assessment for Halton’

for how other GPs in Halton are performing. Results from other Halton practices,

national averages and targets have been included for comparison. There is also a

directory of services accessible via GP referral or for signposting patients to. If this pack

is missing, or you would like a replacement pack, please email

[email protected].

Contact

Dr Ifeoma Onyia

Consultant in Public Health

Halton Borough Council

Tel: 0151 511 6738

[email protected]

Questions &

Feedback Email: [email protected]

Related

documents

Joint Strategic Needs Assessment for Halton

http://www4.halton.gov.uk/Pages/health/JSNA.aspx

http://www4.halton.gov.uk/Pages/health/JSNA.aspx

2

Executive Summary

This is the second JSNA for GP practices in Halton. The aim of collating this data is to help identify

which services are working effectively, which prevention and screening measures are used the most,

and also highlight areas where resources may need to be focused to optimise the health of the

practice population.

This GP Pack includes: Summary of the JSNA for your practice only

National General Practice Profile by Public Health England for your practice

GP Cancer Profile containing screening, referral and detection data for your practice

Area Forum Profile containing health, economic, academic and crime indicators for your

ward

Changes in health indicators for your ward

Please refer to the Halton Pack for: Summary of the JSNA for Halton Local Authority

JSNA – A Comparison of Halton Practice Profiles

Directory of Services for GP referrals and their contact details

We hope you find this JSNA useful and informative to enable positive change for your patients.

3

Appleton Village Surgery

Your practice covers a population of 10,859. Is it located in the Appleton ward which falls within the

most deprived decile in England. For full local demography, QOF domains, patient satisfaction

survey, disease prevalence estimates and admission rates, please refer to the accompanying

document in this pack – General Practice Profile by Public Health England.

Below is a summary of the JSNA with data for your practice only. For the full report which includes

tables and charts, please refer to the document ‘JSNA – A Comparison of Practice Profiles’ in the

Halton Pack.

Cancer Screening

Your cervical cancer screening rate of 75.2% was below the Halton average of 75.8%, and did not

meet the national target of 80%.

Your breast cancer screening rate of 70.1% was above the Halton average of 69.8% and exceeded

the national target of 70%.

The rate of bowel cancer screening rate was 54.3%, which was above the Halton average of 48.8%

but did not meet the national target of 60%.

Cancer Profile

Your two-week referral rate of 2,919 per 100,000 was similar to the CCG rate of 2,776 per 100,000 and higher than the England average of 2,166 per 100,000. The percentage of all two week referrals that were subsequently diagnosed with cancer (conversion rate) was 13.9%. This was higher than the CCG average of 8.1% and the England average of 10.0%. The proportion of new cancer cases treated that were referred through the two week wait route (detection rate) was 51.2%. This was higher than the CCG average of 46.7% and the England average of 47.7%. The rate of emergency hospital admissions with a diagnostic code that includes cancer was 478 per 100,000. This was similar to the CCG rate of 464 per 100,000 and the England rate of 481 per 100,000.

Flu Vaccinations

Flu vaccination in the over 65s from your practice was 70.5%, which was below the Halton average

of 73.5%, and did not meet the national target of 75%. The England average was 73.2%.

Uptake of flu vaccinations by pregnant women was 51.2% which was above the Halton average of

38.3%, but did not meet the national target of 75%. The England average was 39.8%.

The vaccination rate for at-risk patients aged under 65 was 38.5%, which was below the Halton

average of 51.9%, and did not meet the national target of 75%. The England average was 52.3%.

Vaccination uptake in children aged 2 was 52.8%, which was above the Halton average of 47.3% but

did not meet the national target of 75%. The England average was 42.6%.

4

Vaccination uptake in children aged 3 was 43.9%, which was just above the Halton average of 43.4%

but did not meet the national target of 75%. The England average was 39.6%.

Chronic Diseases

Based on QOF data from 2012/13, the CHD prevalence for your practice was 4.8%, which was higher

than the Halton average of 4.4%, and the England average of 3.3%.

In 2012/13, practice BP checks in the last 9 months were completed for 83.2% of your patients with

hypertension, which was lower than the Halton average of 90.4% and the England average of 91.1%.

Cholesterol levels were recorded as ≤5 mmol/L for 84.1% of your patients with CHD. This was above

both the Halton average of 80.6% and the national average of 80.1%.

According to QOF data from 2012/13, the prevalence of COPD for your practice was 2.2%, which was

lower than the CCG average of 2.5% but higher than the England average of 1.7%.

The rate of admissions due to COPD in 2010-2013 was 142 per 100,000 for your practice, which was

significantly lower than the Halton average of 242 per 100,000. It was also lower than the national

average of 200 per 100,000.

BMI/Obesity

QOF data from 2012/13 showed that 11.4% of adult patients registered at your practice were obese.

This was below the Halton average of 14.5% but above the national average of 10.7%.

Results from the National Child Measurement Programme for 2009-2013 showed that 24.6% of 5

year olds from Appleton ward were classed as overweight or obese. This was lower than the Halton

average of 27.3%, but higher than the England average of 22.3%.

The percentage of overweight or obese 11 year olds in Appleton ward was 38.0%, which was higher

than both the Halton average of 36.8%, and the England average of 33.3%.

Alcohol/Smoking

The rate of hospital admissions directly related to alcohol among patients from your practice

between 2011 and 2014 was 432 per 100,000. This was significantly lower than the average for

Halton which was 598 per 100,000.

In 2012/13, 88.1% of your patients had a smoking status recorded in the previous 27 months. This

was above both the Halton average of 86.1% and the England average of 86.0%.

An offer of smoking cessation support and treatment was recorded for 81.9% of eligible patients,

which was just above the Halton average of 81.6% but below the England average of 83.1%.

A&E Admissions

According to QOF figures from 2012/13, the rate of A&E admissions from your practice was 19,375

per 100,000. This was not significantly different to the Halton average of 20,610 per 100,000.

5

Recommendations

Your practice is performing better than the Halton average in a number of areas, including breast

and bowel cancer screening rates; flu vaccinations amongst pregnant women at risk and 2-3 year

olds; cholesterol levels amongst those with CHD; prevalence of - and hospital admissions due to –

COPD; registered obese adults; rate of hospital admissions directly related to alcohol; recording

smoking status and offering smokers cessation support and treatment.

Areas for further development:

Cancer Screening and Detection

o You needed to screen 59 (5.7%) more patients on the Bowel Cancer Screening

Programme in order to meet the national target of 60% uptake.

o You needed to screen 129 (4.8%) more patients on the Cervical Screening Programme in

order to meet the national target of 80% coverage.

Flu Vaccinations needed in order to meet the national target of 75% uptake:

o You needed to vaccinate 21 (23.8%) more pregnant women.

o You needed to vaccinate 24 (22.2%) more 2 year olds.

o You needed to vaccinate 38 (31.1%) more 3 year olds.

o You needed to vaccinate 96 (4.5%) more over 65s.

o You needed to vaccinate 401 (36.5%) more under 65s at risk.

Smoking

o You were 1.2% behind the England average for the percentage of patients who were

offered smoking cessation support and treatment. This equates to offering help to just

19 more smokers in your surgery.

Blood Pressure Monitoring

o You were 7.9% behind the England average for the percentage of patients with

hypertension in whom there is a record of BP in the preceding 9 months. This equates to

measuring BP for 133 more patients.

The Merseyside Screening and Immunisation Team (Public Health England) work alongside GPs to help improve screening and immunisation rates. If you’d like further advice, they can be contacted on 03442 251 295 (option 1, 3 then 2).

To receive non-clinical staff cancer education (including signs and symptom awareness and screening information for breast, bowel and cervical) and health promotion materials, including screening promotion, please contact Kerry Grimes (Health Improvement Practitioner) on 0300 029 0029.

For practice team reflection on the cancer profiles, to highlight key actions and request support (such as GP appraisal resources, clinical audit of new cancer diagnoses or urgent 2 week wait referrals), please contact Anna Murray (Primary Care Engagement Facilitator at Cancer Research UK) on 07787 000068 or [email protected].

The Halton Stop Smoking Service welcomes GP referrals for smokers wishing to quit. Nicotine

replacement therapy is offered in conjunction with group support and/or one-to-one advice.

Attendees are followed up at various intervals. Call 0300 029 0029 to refer.

mailto:[email protected]

NATIONAL GENERAL PRACTICE PROFILES

PROFILE FOR

APPLETON VILLAGE SURGERY2-6 APPLETON VILLAGE, WIDNES, CHESHIRE

These profiles are designed tosupport clinical commissioninggroups (CCGs), GPs and localauthorities to ensure that they areproviding and commissioningeffective and appropriatehealthcare services for their localpopulation. The tool presents arange of practice-level indicatorsdrawn from the latest availabledata, including: • local demography;• Quality and Outcomes

Framework domains;• patient satisfaction survey;• disease prevalence estimates;• admission rates

In addition to displaying individualpractice profiles, the web toolallows you to view summaryprofiles for CCGs. Each practicecan be compared with its CCGand with England, and also withthe practice in the samedeprivation decile and ‘peergroup’ (although PDF generationis limited to CCG and Englandcomparison).The profiles do not provide anexhaustive list of primary careindicators, but they do allow aconsistent approach to comparingand benchmarking acrossEngland.

The profiles have been designedas a web tool and the fullfunctionality and various charttypes such as scatter plots andtrend charts are only available viathe web version. For moreinformation consult the Userguide and FAQs via theSupporting documents link, andfor full metadata view the'Definitions' on the website.

The development of this tool hasbeen led by Public HealthEngland, Knowledge andIntelligence Team (East). Forfurther information contact:[email protected]

2013 Age Distribution

Males Age Females

Population (%)

0 02 24 4

0 to 4

5 to 9

10 to 14

15 to 19

20 to 24

25 to 29

30 to 34

35 to 39

40 to 44

45 to 49

50 to 54

55 to 59

60 to 64

65 to 69

70 to 74

75 to 79

80 to 84

85+

England CCG

Registered PersonsAPPLETON VILLAGE SURGERY 10,859

NHS Halton CCG 7,566 (average)

England 7,041 (average)

DeprivationFourth more deprived decile

4

More deprived Less deprived

QOF achievement 961.6 (out of 1000)Male life expectancy 75.3 years

Female life expectancy 79.4 years% of patients that would

recommend their practice56.7%

Ethnicity Estimate0.8% non-white ethnic groups

http://fingertips.phe.org.uk/profile/general-practice

CCG - N81035 - APPLETON VILLAGE SURGERY Date created: Tue 12 Aug 2014 1

How to read the indicator spine charts

The light grey bar shows therange of values found inEngland. The dark greysections mark out the rangewithin which the middle half ofthe observed values lie (25th to75th percentile).

The red line shows where theEngland average is. Theposition of the circle shows thepractice value, a triangle theCCG value, in relation to thisscale.

The corresponding numberscan be found in the cells next tothe chart.

If significance has beencalculated for the indicator, thenit is determined by whether thepractice value is significantlyhigher or lower than theEngland average usually using99.8% confidence intervals.

No significant difference fromEngland averageSignificantly different fromEngland averageSignificance not calculated

PracticeClinical Commissioning Group

England Lowest England Average England Highest

25th Percentile 75th Percentile

Practice SummaryIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.

England Range Eng.High.

% aged 0 to 4 years 2013 4.9% 6.2% 6.0% 0.0% 16.4%

% aged 5 to 14 years 2013 10.7% 11.8% 11.2% 0.0% 29.8%

% aged under 18 years 2013 19.0% 21.6% 20.8% 0.1% 53.9%

% aged 65+ years 2013 18.9% 15.3% 16.7% 0.0% 48.4%

% aged 75+ years 2013 8.3% 6.4% 7.7% 0.0% 26.8%

% aged 85+ years 2013 2.0% 1.6% 2.2% 0.0% 9.7%

Deprivation score (IMD) 2012 26.7 33.2 21.5 2.9 68.4

IDACI (Income Deprivation AffectingChildren)

2012 19.0% 27.0% 21.8% 1.0% 68.0%

IDAOPI (Income DeprivationAffecting Older People)

2012 20.0% 24.6% 18.1% 4.0% 80.0%

% who would recommend practice 2012/13 56.7% 75.5% 79.9% 23.8% 100%

% satisfied with phone access 2012/13 35.1% 60.5% 75.0% 11.2% 100%

% satisfied with opening hours 2012/13 75.9% 80.2% 79.6% 37.9% 100%

% who saw/spoke to nurse or GPsame or next day

2012/13 56.8% 53.9% 49.4% 9.9% 98.9%

% reporting good overall experienceof making appointment

2012/13 55.0% 67.7% 76.3% 20.4% 100%

% who know how to contact anout-of-hours GP service

2012/13 71.7% 60.6% 57.6% 14.6% 90.4%

% with a long-standing healthcondition

2012/13 56.2% 58.2% 53.5% 8.3% 83.0%

% with health-related problems indaily life

2011/12 58.0% 56.9% 48.7% 12.8% 95.5%

% with caring responsibility 2012/13 28.9% 22.3% 18.6% 0.0% 39.6%

Disability allowance claimants (per1000)

Nov2011

72.1 83.2 48.3 8.7 235.1

Nursing home patients 2010/11 0.6% 0.5% 0.5% 0.0% 21.9%

Working status - Paid work orfull-time education

2012/13 55.7% 57.8% 60.7% 10.3% 100%

Working status - Unemployed 2012/13 3.9% 7.1% 5.6% 0.0% 62.2%

Total QOF points 2012/13 96.2% 96.8% 96.1% 28.6% 100%


Modelled Disease PrevalenceIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Estimated prevalence of CVD (allages)

2011 10.2% 9.7% 9.5% 2.6% 19.4%

Estimated prevalence of CHD (allages)

2011 5.4% 5.4% 4.7% 0.0% 12.9%

Ratio of recorded vs expected CHDprevalence

2010/11 0.83 0.72 0.00 2.72

Estimated prevalence of COPD (allages)

2011 2.97% 2.84% 2.91% 0.62% 6.47%

Ratio of recorded vs expected COPDprevalence

2010/11 0.73 0.56 0.00 2.54

Estimated prevalence ofhypertension (all ages)

2011 27.0% 25.1% 24.9% 4.2% 44.7%

Ratio of recorded vs expectedhypertension prevalence

2010/11 0.55 0.54 0.01 1.61

Estimated prevalence of stroke (allages)

2011 2.27% 2.24% 2.07% 0.16% 5.44%

Ratio of recorded vs expected strokeprevalence

2010/11 0.78 0.83 0.00 2.84

CVD - Coronary heart diseaseIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


CHD: QOF prevalence (all ages) 2012/13 4.8% 4.4% 3.3% 0.0% 9.1%

Estimated prevalence of CHD (allages)

2011 5.4% 5.4% 4.7% 0.0% 12.9%

Ratio of recorded vs expected CHDprevalence

2010/11 0.83 0.72 0.00 2.72

Heart failure w LVD: QOF prevalence 2012/13 0.5% 0.6% 0.4% 0.0% 2.5%

Exception rate for CHD indicators 2012/13 11.3% 10.3% 9.5% 0.0% 54.5%

CHD emergency admissions (per 100patients on register)

2010/11 8.3 9.8 7.1 0.0 100.0

CHD elective admissions (per 100patients on register)

2010/11 3.7 5.2 5.3 0.0 57.1

CHD 6: Last BP reading in last15mths is <=150/90

2012/13 88.4% 90.7% 90.6% 0.0% 100%

CHD 8: Last total cholesterol is<=5mmol/l

2012/13 84.1% 80.6% 80.1% 0.0% 100%

CHD 9: Record that aspirin, APT orACT is taken

2012/13 92.6% 93.4% 93.3% 67.6% 100%

CHD 10: Currently treated with betablocker

2012/13 68.9% 75.3% 76.3% 43.8% 100%

CHD 12: CHD patients given fluimmunisation 1 Sep - 31 Mar

2012/13 92.1% 88.3% 92.2% 0.0% 100%

CHD 14: History of MI: treated withACE-I

2012/13 90.0% 87.0% 88.2% 0.0% 100%


CVD - Stroke and TIAIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Stroke: QOF prevalence (all ages) 2012/13 1.9% 1.8% 1.7% 0.0% 6.5%

Estimated prevalence of stroke (allages)

2011 2.27% 2.24% 2.07% 0.16% 5.44%

Ratio of recorded vs expected strokeprevalence

2010/11 0.78 0.83 0.00 2.84

Exception rate for stroke indicators 2012/13 7.3% 7.1% 7.7% 0.0% 75.0%

Stroke 13: New patients referred forfurther investigation

2012/13 80.0% 88.1% 88.7% 0.0% 100%

Stroke 6: Last BP reading is 150/90or less

2012/13 84.7% 89.3% 89.3% 40.0% 100%

PAD 3: last blood pressure reading(last 15 mnths) <=150/90

2012/13 92.6% 87.7% 89.6% 0.0% 100%

Stroke 7: Total cholesterol recordedin last 15mths

2012/13 80.8% 89.6% 91.0% 0.0% 100%

PAD 4: last total cholesterolmeasurement (last 15 mnths) <= 5.0mmol/l

2012/13 84.2% 79.4% 79.9% 0.0% 100%

Stroke 8: Last measured totalcholesterol <=5mmol/l

2012/13 65.4% 77.1% 77.3% 0.0% 100%

Stroke 12: Record of aspirin, APT orACT taken

2012/13 92.0% 94.0% 93.8% 0.0% 100%

PAD 2: record of aspirin being taken(last 15 mnth)

2012/13 94.4% 90.2% 90.4% 0.0% 100%

Stroke 10: Influenza immunisationgiven 1 Sep-31 Mar

2012/13 87.1% 87.3% 89.7% 0.0% 100%

CVD - Heart failure and atrial fibrillationIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Heart Failure: QOF prevalence (allages)

2012/13 1.1% 0.8% 0.7% 0.0% 3.9%

Heart failure w LVD: QOF prevalence 2012/13 0.5% 0.6% 0.4% 0.0% 2.5%

Exception rate for heart failureindicators

2012/13 13.8% 11.8% 12.0% 0.0% 100%

Atrial fibrillation: QOF prevalence 2012/13 2.3% 1.7% 1.5% 0.0% 5.1%

Exception rate for atrial fibrillationindicators

2012/13 9.8% 8.9% 8.2% 0.0% 100%

HF 2: Diagnosis conf. byECG/specialist assessm.

2012/13 92.7% 96.1% 95.3% 0.0% 100%

HF 3: HF w LVD: treated with ACE-Ior ARB

2012/13 84.9% 86.4% 89.7% 0.0% 100%

HF 4: Heart failure w LVD: treatmentw ACE inh. or ARB, and beta-blocker

2012/13 83.3% 90.5% 86.7% 0.0% 100%

AF 5: stroke risk assessed withCHADS2 (last 15 mnths)

2012/13 94.1% 96.1% 97.2% 0.0% 100%

AF 6: treated w anti-coag./platelettherapy (if CHADS2 =1)

2012/13 92.6% 93.8% 95.1% 0.0% 100%

AF 7: treated w anti-coag. therapy(CHADS2 >1)

2012/13 71.2% 77.2% 81.3% 0.0% 100%


CVD - Risk factors for CVDIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Hypertension: QOF prevalence (allages)

2012/13 15.9% 14.8% 13.7% 0.0% 36.1%

Estimated prevalence ofhypertension (all ages)

2011 27.0% 25.1% 24.9% 4.2% 44.7%

Ratio of recorded vs expectedhypertension prevalence

2010/11 0.55 0.54 0.01 1.61

Exception rate for hypertensionindicators

2012/13 3.7% 3.1% 2.8% 0.0% 100%

Exception rate for smoking indicators 2012/13 0.3% 0.3% 0.6% 0.0% 10.4%

Exception rate for CVD primaryprevention indicators

2012/13 4.9% 6.2% 6.2% 0.0% 85.9%

Obesity: QOF prevalence (16+) 2012/13 11.4% 14.5% 10.7% 0.0% 43.3%

GP patient survey: smokingprevalence

2012/13 25.1% 21.1% 18.1% 0.0% 84.9%

GP patient survey: ex-smokingprevalence

2012/13 29.6% 26.7% 27.3% 0.7% 47.0%

BP 4: Record of BP in last 9mths 2012/13 83.2% 90.4% 91.1% 57.5% 100%

BP 5: Last (9mths) blood pressure<=150/90

2012/13 67.9% 79.2% 80.8% 43.2% 100%

PP 1: CV risk assessment for newhypertension cases

2012/13 83.9% 84.7% 82.3% 0.0% 100%

PP 2: Lifestyle advice for newhypertension cases

2012/13 100% 85.3% 83.2% 0.0% 100%

Dep 1: Depression case finding inCHD and/or diabetes patients

2012/13 87.9% 88.8% 88.3% 0.4% 100%

Smoking 5: status recorded in last 15mths (certain conditions)

2012/13 93.9% 96.0% 95.8% 74.7% 100%

Smoking 6: cessation support andtreatment offered (certain conditions)

2012/13 94.0% 91.6% 93.3% 10.5% 100%

Smoking 7: record of smoking statusin last 27 months (15+ y)

2012/13 88.1% 86.1% 86.0% 54.0% 100%

Smoking 8: record of offer of supportand treatment (15+ y)

2012/13 81.9% 81.6% 83.1% 5.2% 100%


DiabetesIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Diabetes: QOF prevalence (17+) 2012/13 7.0% 7.2% 6.0% 0.3% 18.5%

Exception rate for diabetes indicators 2012/13 7.0% 6.9% 7.1% 0.3% 45.9%

Hypertension: QOF prevalence (allages)

2012/13 15.9% 14.8% 13.7% 0.0% 36.1%

Exception rate for hypertensionindicators

2012/13 3.7% 3.1% 2.8% 0.0% 100%


Obesity: QOF prevalence (16+) 2012/13 11.4% 14.5% 10.7% 0.0% 43.3%

Diabetes admissions (per 1000) 2010/11 1.7 2.2 1.1 0.0 11.5

Ratio of recorded vs expecteddiabetes prevalence

2008/09 0.9 0.9 0.0 5.8

DM 2: Record of BMI in the last15mths

2012/13 92.9% 95.1% 94.6% 33.9% 100%

DM 26: Last HbA1c is <=7.5% in last15mths

2012/13 66.7% 69.8% 66.5% 19.7% 100%

DM 27: Last HbA1c is <=8% in last15mths

2012/13 75.2% 77.6% 75.4% 30.6% 100%

DM 28: Last HbA1c is <=9% in last15mths

2012/13 85.0% 87.3% 86.4% 32.9% 100%

DM 21: Retinal screening in last15mths

2012/13 98.0% 93.3% 91.7% 28.7% 100%

DM 29: Record of peripheral pulseslast 15mths

2012/13 87.8% 90.8% 90.4% 0.0% 100%

DM 10: Record of neuropathy testlast 15mths

2012/13 87.9% 91.2% 90.9% 8.0% 100%

DM 30: Last BP is <=150/90 2012/13 84.5% 90.1% 90.4% 61.5% 100%

DM 31: Last BP is <=140/80 2012/13 60.5% 72.8% 72.9% 28.4% 100%

DM 13: Record of micro-albuminuriatest last 15mths

2012/13 91.0% 88.2% 88.0% 1.7% 100%

DM 22: eGFR or serum creatinintesting in last 15mths

2012/13 94.9% 96.3% 96.7% 68.6% 100%

DM 15: Proteinuria/micro-album.treated w inhibitors

2012/13 90.5% 87.0% 86.8% 0.0% 100%

DM 17: Measured total chol (last15mths) <=5mmol/l

2012/13 80.7% 80.2% 81.2% 40.9% 100%

DM 18: Influenza immunisation given1 Sep - 31 Mar

2012/13 90.6% 87.8% 90.0% 0.0% 100%


2012/13 87.9% 88.8% 88.3% 0.4% 100%


2012/13 93.9% 96.0% 95.8% 74.7% 100%


2012/13 94.0% 91.6% 93.3% 10.5% 100%


Mental HealthIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Mental Health: QOF prevalence (allages)

2012/13 0.59% 0.78% 0.8% 0.1% 18.0%

Dementia: QOF prevalence (all ages) 2012/13 0.6% 0.6% 0.6% 0.0% 9.6%

% reporting Alzheimer's disease ordementia

2012/13 0.6% 0.6% 0.5% 0.0% 6.1%

Exception rate for dementiaindicators

2012/13 14.8% 10.2% 12.2% 0.0% 100%

Depression: QOF prevalence (18+) 2012/13 11.2% 6.0% 5.8% 0.0% 25.6%

Exception rate for depressionindicators

2012/13 5.0% 3.7% 5.3% 0.0% 41.5%

% reporting a long-term mentalhealth problem

2012/13 5.8% 7.2% 4.5% 0.0% 52.5%

MH 10: comprehensive care plan 2012/13 94.6% 90.1% 87.3% 0.0% 100%

MH 11: record of alcoholconsumption

2012/13 96.0% 93.1% 90.9% 0.0% 100%

MH 12: record of BMI 2012/13 98.0% 92.1% 89.5% 10.0% 100%

MH 13: record of blood pressure 2012/13 100% 94.2% 92.0% 33.3% 100%

MH 16: record of cervical screeningtest

2012/13 100% 88.3% 88.5% 0.0% 100%

MH 17: Li-therapy: record of s.creat.& TSH last 9mths

2012/13 100% 96.8% 95.9% 0.0% 100%

MH 18: Lithium therapy: record ofLi-levels last 4mths

2012/13 90.9% 83.5% 88.9% 0.0% 100%

MH 19: record of cholesterol:hdl ratio 2012/13 83.3% 83.5% 81.7% 0.0% 100%

MH 20: record of blood glucose orHbA1c in last 15 months

2012/13 91.7% 89.5% 86.7% 0.0% 100%

DEM 2: Dementia care has beenreviewed last 15mths

2012/13 83.3% 84.3% 83.2% 0.0% 100%

DEM 4: Blood tests recorded 2012/13 77.8% 69.4% 76.6% 0.0% 100%


2012/13 87.9% 88.8% 88.3% 0.4% 100%

Dep 6: Depression cases withseverity assessment

2012/13 97.0% 92.9% 90.6% 0.0% 100%

Dep 7: Depression cases withsecond assessment of severity

2012/13 59.5% 71.4% 75.4% 0.0% 100%


Respiratory DiseaseIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


COPD: QOF prevalence (all ages) 2012/13 2.2% 2.5% 1.7% 0.0% 8.2%

Estimated prevalence of COPD (allages)

2011 2.97% 2.84% 2.91% 0.62% 6.47%

Ratio of recorded vs expected COPDprevalence

2010/11 0.73 0.56 0.00 2.54

Exception rate for COPD indicators 2012/13 15.9% 13.3% 11.6% 0.0% 100%

COPD admissions (per 1000) 2010/11 1.4 3.6 2.1 0.0 16.2

Asthma: QOF prevalence (all ages) 2012/13 6.5% 6.9% 6.0% 0.0% 13.7%

Exception rate for asthma indicators 2012/13 3.1% 9.5% 6.6% 0.0% 100%


GP patient survey: smokingprevalence

2012/13 25.1% 21.1% 18.1% 0.0% 84.9%

GP patient survey: ex-smokingprevalence

2012/13 29.6% 26.7% 27.3% 0.7% 47.0%

COPD 8: Influenza immunisationgiven 1 Sep - 31 Mar

2012/13 88.9% 89.8% 92.7% 0.0% 100%

COPD 10: Record of FEV1 in last15mths

2012/13 80.5% 89.4% 88.4% 0.0% 100%

COPD 13: assessed using MRCdyspnoea score last 15mths

2012/13 97.0% 94.2% 91.1% 0.0% 100%

COPD 15: Diagnosis conf. byspirometry

2012/13 97.2% 93.6% 91.3% 0.0% 100%

Asthma 8: with measures ofvariability/reversibility (8+)

2012/13 83.1% 90.5% 87.6% 16.7% 100%

Asthma 9: review in the last 15months (incl. an assessment usingthe 3 RCP questions)

2012/13 71.1% 76.1% 74.8% 0.0% 100%

Asthma 10: smoking recorded in last15 mths (14-19y w asthma)

2012/13 100% 88.9% 89.3% 0.0% 100%


2012/13 93.9% 96.0% 95.8% 74.7% 100%


2012/13 94.0% 91.6% 93.3% 10.5% 100%

Smoking 7: record of smoking statusin last 27 months (15+ y)

2012/13 88.1% 86.1% 86.0% 54.0% 100%

Smoking 8: record of offer of supportand treatment (15+ y)

2012/13 81.9% 81.6% 83.1% 5.2% 100%

Uptake seasonal flu vaccine (65+) 2010/11 71.1% 72.8% 9.0% 99.4%

Uptake seasonal infuenza vaccine (6months to 64 years old)

2010/11 47.4% 50.4% 3.0% 100%


Chronic Kidney DiseaseIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


CKD: QOF prevalence (18+) 2012/13 5.0% 4.5% 4.3% 0.0% 24.1%

Exception rate for CKD indicators 2012/13 5.2% 2.2% 3.6% 0.0% 100%

CKD 2: Record of BP in last 15mths 2012/13 98.2% 97.5% 97.1% 60.0% 100%

CKD 3: Last BP reading measured inlast 15mths is <=140/85

2012/13 72.8% 75.7% 76.2% 0.0% 100%

CKD 5: Hypertension treated withACE inhibitor/ARB

2012/13 100% 88.9% 89.3% 0.0% 100%

CKD 6: Urine albumin:creatinine ratiotest last 15mths

2012/13 85.5% 81.9% 81.8% 0.0% 100%


Other ConditionsIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Cancer: QOF prevalence (all ages) 2012/13 2.7% 1.9% 1.9% 0.0% 5.5%

Exception rate for cancer indicators 2012/13 0.0% 0.5% 1.5% 0.0% 100%

Cancer admissions (per 1000) 2010/11 23.9 22.4 28.6 0.0 97.0

Cancer 3: review within 6mths ofdiagnosis

2012/13 92.0% 95.5% 93.2% 0.0% 100%

% reporting cancer in the last 5 years 2012/13 3.6% 3.3% 3.1% 0.0% 12.5%

Epilepsy: QOF prevalence (18+) 2012/13 1.0% 0.9% 0.8% 0.1% 4.0%

Exception rate for epilepsy indicators 2012/13 20.0% 19.2% 14.0% 0.0% 70.0%

Epilepsy 6: Record of seizurefrequency

2012/13 96.3% 95.0% 94.8% 0.0% 100%

Epilepsy 8: Seizure free for last12mths

2012/13 75.9% 75.1% 75.4% 0.0% 100%

Epilepsy 9: Contraception,conception and pregnancy

2012/13 93.8% 94.9% 93.5% 0.0% 100%

Learning disability: QOF prevalence(18+)

2012/13 0.6% 0.7% 0.5% 0.0% 5.6%

% reporting learning difficulty 2012/13 0.6% 1.3% 1.3% 0.0% 14.8%

LD 2: Downâ��s Syndrome with bloodTSH record

2012/13 100% 84.4% 92.3% 0.0% 100%

Hypothyroidism: QOF prevalence (allages)

2012/13 2.9% 2.8% 3.2% 0.2% 8.5%

Exception rate for hypothyroidismindicators

2012/13 0.3% 0.2% 0.5% 0.0% 40.0%

Thyroid 2: function test recorded last15mths

2012/13 90.4% 94.3% 95.7% 60.0% 100%

Palliative/supportive care: QOFprevalence (all ages)

2012/13 0.3% 0.3% 0.2% 0.0% 3.3%

% reporting blindness or severevisual impairment

2012/13 1.1% 0.9% 1.1% 0.0% 9.2%

% reporting deafness or severehearing impairment

2012/13 5.2% 4.9% 4.0% 0.0% 14.5%

% reporting a long-term backproblem

2012/13 14.3% 12.1% 10.2% 0.0% 32.9%

% reporting arthritis or long-term jointproblem

2012/13 19.8% 17.2% 13.1% 0.0% 36.1%

Osteoporosis: QOF prevalence (50+) 2012/13 0.2 0.2 0.2 0.0 13.5

OST 2: currently treated with abone-sparing agent (50-74 yrs)

2012/13 100% 91.7% 97.1% 0.0% 100%

OST 3: Patients (75+ yrs) with afragility fracture treated withbone-sparing agent

2012/13 83.3% 86.4% 84.4% 0.0% 100%


Secondary Care Use - OutpatientsIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


All outpatient attendances (per 1000) 2010/11 986 886 853 150 2541

Total outpatient appointmentexpenditure per registered population

2010 108 96 92 16 222

First outpatient appointment (per1000)

2010 377 359 347 72 1077

First outpatient appointmentexpenditure per registered population

2010 44 43 43 8 139

GP referrals to outpatients - 1stattendance (per 1000)

2010/11 212 202 192 30 557

Follow-ups to first outpatientappointments (per 1000)

2010 690 591 550 78 1384

Outpatients discharged at 1stappointment (per 1000)

2010 156 150 110 6 583

DNA: Rate of total outpatientappointments (per 1000)

2010 257 215 191 3 846

DNA: proportion of total 1stoutpatient appointments

2010/11 0.0% 3.0% 7.0% 0.0% 34.7%

GP referrals to General Medicine -1st attendance (per 1000)

2010/11 16.7 14.8 10.8 0.0 87.4

General Medicine - return ratio 2010/11 3.5 2.5 0.0 17.2

GP referrals to General Surgery - 1stattendance (per 1000)

2010/11 28 32 24 2 71

General Surgery - return ratio 2010/11 1.60 1.40 0.00 4.90

GP referrals to Gynaecology - 1stattendance (per 1000)

2010/11 21 20 17 0 80

Gynaecology - return ratio 2010/11 1.6 1.2 0.0 4.2

GP referrals to Orthopaedics - 1stattendance (per 1000)

2010/11 19 15 21 1 100

Orthopaedics - return ratio 2010/11 2.00 1.80 0.50 3.80

GP Referrals to Urology - 1stattendance (per 1000)

2010/11 11.2 9.5 8.0 0.0 27.4

Urology - return ratio 2010/11 2.8 2.2 0.0 15.0

GP referrals to Paediatrics - 1stattendance (per 1000)

2010/11 4.8 5.7 6.2 0.0 78.9

GP referrals to Dermatology - 1stattendance (per 1000)

2010/11 19.2 16.4 13.9 0.4 56.1


Secondary Care Use - A&E and InpatientsIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


A&E attendances (per 1000) 2010/11 264 343 387 14 1519

A&E admissions (per 1000) 2010/11 26 24 10 0 199

A&E attendances with primarydiagnosis recorded

2010/11 62.1% 30.6% 59.8% 1.0% 100%

A&E referrals (weighted) 2010 9.8 7.5 16.8 0.0 398.4

Total admissions (per 1000) 2010/11 270 281 235 11 585

Elective admissions (per 1000) 2010/11 139 128 121 6 327

Emergency admissions (per 1000) 2010/11 109 123 89 4 440

Elective inpatient admissions (per1000)

2010/11 32.2 28.7 25.6 0.0 78.3

Day case admissions (per 1000) 2010/11 107.2 99.0 93.2 4.9 277.5

Long term conditions emergency beddays (per 1000)

2010/11 466 596 470 21 2544

Average emergency overnightoccupied beds (per 1000)

2010/11 1.2 1.5 1.2 0.0 3.5

CHD total admissions (per 1000) 2010/11 5.4 6.2 4.6 0.0 17.1

CHD elective admissions (per 100patients on register)

2010/11 3.7 5.2 5.3 0.0 57.1

CHD emergency admissions (per 100patients on register)

2010/11 8.3 9.8 7.1 0.0 100.0

Respiratory disease admissions (per1000)

2010/11 21 22 17 1 61

Diabetes admissions (per 1000) 2010/11 1.7 2.2 1.1 0.0 11.5

COPD admissions (per 1000) 2010/11 1.4 3.6 2.1 0.0 16.2

Cancer admissions (per 1000) 2010/11 23.9 22.4 28.6 0.0 97.0

Admissions for long term neurologicalconditions (per 1000)

2011/12 6.9 5.9 5.7 0.0 35.8

Emergency admissions for chronicconditions (per 1000)

2010/11 18.4 22.8 15.0 0.7 67.4

Total admissions expenditure (Â£ perpatient)

2010 378 390 333 32 770

Expenditure on elective admissions(Â£ per patient)

2010 163 144 137 0 319

Expenditure on emergencyadmissions (Â£ per patient)

2010 180 205 157 14 579


Indicators for Needs AssessmentIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


Life expectancy - MSOA basedestimate (Female)

2006 -10

79.4 82.3 75.1 91.0

Fertility rate (MSOA based) 2006 -10

63.4 63.1 12.0 134.3

Low birthweight births - MSOA basedestimate

2006 -10

7.8% 7.5% 2.4% 13.0%

All cause elective standardisedadmission ratio (MSOA based)

2006/07- 10/11

101.2 100.0 47.7 174.8

All cause emergency standardisedadmission ratio (MSOA based)

2006/07- 10/11

152.0 100.0 43.8 235.2

CHD elective standardised admissionratio (MSOA based)

2006/07- 10/11

126.9 100.0 32.6 293.5

CHD emergency standardisedadmission ratio (MSOA based)

2006/07- 10/11

148.5 100.0 40.2 376.0

Stroke emergency standardisedadmission ratio (MSOA based)

2006/07- 10/11

110.4 100.0 43.3 212.3

COPD emergency standardisedadmission ratio (MSOA based)

2006/07- 10/11

146.7 100.0 17.7 541.8

Limiting long-term illness (MSOAbased)

2009 19.7% 16.9% 6.0% 32.0%

Long term unemployment (MSOAbased)

2010/11 5.4 6.0 0.1 40.8

Healthy eating adults (MSOA based) 2006 -08

24.1% 28.7% 13.8% 54.1%

Prevalence of adults who binge drink 2007 -08

22.1% 20.0% 4.3% 50.4%

Standardised admission ratio foralcohol attributable harm (MSOAbased)

2006/07- 10/11

100.0 34.0 273.7

Prevalence of obese adults 2006 -08

25.1% 24.2% 9.6% 33.8%

Incidence of all cancers (MSOAbased)

2005 -09

115.5 100.0 66.7 147.0

Cancer mortality age <75 (MSOAbased)

2006 -10

129.5 100.0 37.2 205.3

Circulatory disease mortality age <75(MSOA based)

2006 -10

127.2 100.0 26.8 265.8


Child healthIndicator Period Prac.

ValueCCG

ValueEng.Ave.

Eng.Low.


% aged 0 to 4 years 2013 4.9% 6.2% 6.0% 0.0% 16.4%

% aged 5 to 14 years 2013 10.7% 11.8% 11.2% 0.0% 29.8%

% aged under 18 years 2013 19.0% 21.6% 20.8% 0.1% 53.9%

IDACI (Income Deprivation AffectingChildren)

2012 19.0% 27.0% 21.8% 1.0% 68.0%

Fertility rate (MSOA based) 2006 -10

63.4 68.3 63.1 12.0 134.3

Low birthweight births - MSOA basedestimate

2006 -10

7.8% 8.1% 7.5% 2.4% 13.0%

A&E attendances (0-4) 2009/10- 11/12

515 526 488 16 2282

A&E attendances (5-17) 2009/10- 11/12

267 349 287 4 1209

A&E attendances (<18) 2009/10- 11/12

334 398 345 6 1423

Elective hospital admissions for allcauses (<18)

2009/10- 11/12

45.4 45.0 47.3 0.0 245.2

Emergency hospital admissions forall causes (<18)

2009/10- 11/12

105.0 93.3 67.6 2.1 261.3

Emergency respiratory admissions(<18)

2007/08- 11/12

5.7 4.7 3.6 0.0 16.1

Emergency gastroenteritisadmissions (0-4)

2007/08- 11/12

25.0 18.7 11.8 0.0 70.7

Emergency admissions for asthma, diabetes or epilepsy (<18)

2007/08- 11/12

4.4 4.6 3.5 0.0 35.2

Admissions due to injury (<18) 2009/10- 11/12

14.3 16.3 12.1 0.0 34.8

Outpatient first attendances (<18) 2009/10- 11/12

222 210 226 5 948

Ratio of first to follow-up outpatientattendances (<18)

2009/10- 11/12

0.4 0.5 0.5 0.2 3.2

DNA rate for outpatient appointments(<18)

2009/10- 11/12

9.8% 13.6% 12.3% 0.6% 50.0%


General Practice Profile File is significantly different from CCG mean

File is not significantly different from CCG mean

Statistical significance cannot be assessed

England mean

CCG Median

¦Lowest inCCG

25thPercentile

75thHighest in

CCG

Schofield + Brindle (N81035) (Practice:N81035)

2013 NHS Halton CCG (01F)

File population (2013): 10,859CCG population (2013): 128,661All File population (2013): 55,948,304

Practice rates or proportion in CCG/PCT

Section # IndicatorPracticeindicator

value

Practiceindicator rateor proportion

Lower 95%Confidence

Limit

Upper 95%Confidence

Limit

CCG/PCTmean England

mean

LowestPractice Range

HighestPractice Source Period

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1 Practice Population aged 65+ (% of population in this practice aged 65+) 2045 18.9 % 18.2 % 19.6 % 15.3 % 16.7 % 6.7 % ¦ 19.0 % ADS April 2013

2 Socio-economic deprivation, "Quintile 1" = affluent (% of population income deprived) Quintile4 15.4 % 14.7 % 16.1 % 20.6 % 15.1 % 8.0 % ¦ 30.1 % APHO 2010

3 New cancer cases (Crude incidence rate: new cases per 100,000 population) 53 488 366 638 492 479 371 ¦ 648 NCIN/UKACR 2011

4 Cancer deaths (Crude mortality rate: deaths per 100,000 population) 29 267 179 384 245 230 161 ¦ 368 PCMD 2011/12

5 Prevalent cancer cases (% of practice population on practice cancer register) 296 2.7 % 2.4 % 3.0 % 1.9 % 1.9 % 0.9 % ¦ 2.7 % QOF 2012/2013

6 Females, 50-70, screened for breast cancer in last 36 months (3 year coverage, %) 1110 70.1 % 67.8 % 72.3 % 69.8 % 72.1 % 57.6 % ¦ 78.5 % Open Exeter 2012/2013

7 Females, 50-70, screened for breast cancer within 6 months of invitation (Uptake, %) < 6 < 6 n/a n/a 66.8 % 73.3 % 53.1 % ¦ 77.8 % Open Exeter 2012/2013

8 Females, 25-64, attending cervical screening within target period (3.5 or 5.5 year coverage, %) 1925 71.6 % 69.8 % 73.2 % 71.5 % 74.0 % 66.9 % ¦ 79.6 % Open Exeter 2012/2013

9 Persons, 60-69, screened for bowel cancer in last 30 months (2.5 year coverage, %) 783 57.6 % 55.0 % 60.2 % 52.2 % 58.8 % 43.3 % ¦ 64.0 % Open Exeter 2012/2013

10 Persons, 60-69, screened for bowel cancer within 6 months of invitation (Uptake, %) 372 58.3 % 54.4 % 62.1 % 52.5 % 58.7 % 43.6 % ¦ 65.1 % Open Exeter 2012/2013

11 Two-week wait referrals (Number per 100,000 population) 317 2919 2607 3259 2776 2166 1227 ¦ 5237 CWT 2012/2013

12 Two-week wait referrals (Indirectly age standardised referral ratio) 317 115.5 % 103.2 % 129.0 % n/a 100.0 % 55.8 % ¦ 316.6 % CWT 2012/2013

13 Two-week referrals with cancer (Conversion rate: % of all TWW referrals with cancer) 44 13.9 % 10.5 % 18.1 % 8.1 % 10.0 % 4.9 % ¦ 23.1 % CWT 2012/2013

14 Number of new cancer cases treated (% of which are TWW referrals) 86 51.2 % 40.8 % 61.4 % 46.7 % 47.7 % 33.3 % ¦ 70.8 % CWT 2012/2013

15 Two-week wait referrals with suspected breast cancer (Number per 100,000 population) 78 718 568 896 509 391 223 ¦ 1088 CWT 2012/2013

16 Two-week wait referrals with suspected lower GI cancer (Number per 100,000 population) 57 524 398 680 560 379 268 ¦ 1133 CWT 2012/2013

17 Two-week wait referrals with suspected lung cancer (Number per 100,000 population) 11 101 50 181 117 90 99 ¦ 296 CWT 2012/2013

18 Two-week wait referrals with suspected skin cancer (Number per 100,000 population) 68 626 486 794 515 375 271 ¦ 1333 CWT 2012/2013

19 In-patient or day-case colonoscopy procedures (Number per 100,000 population) 95 875 708 1069 700 674 357 ¦ 890 HES 2012/13

20 In-patient or day-case sigmoidoscopy procedures (Number per 100,000 population) 157 1446 1228 1690 1034 455 684 ¦ 1446 HES 2012/13

21 In-patient or day-case upper GI endoscopy procedures (Number per 100,000 population) 208 1915 1664 2194 1696 1132 799 ¦ 2062 HES 2012/13

22 Number of emergency admissions with cancer (Number per 100,000 population) 52 478 358 628 456 481 323 ¦ 738 HES Mar 2012 - Feb 2013

23 Number of emergency presentations (Number per 100,000 population) < 6 < 6 n/a n/a 0 214 0 n/a 0 Routes-Rapid 2012

24 Number of managed referral presentations (Number per 100,000 population) 43 395 356 434 335 305 208 ¦ 444 Routes-Rapid 2011-2012

Version 1.0, Dec 2013

We welcome comments and suggestions as to how to make future versions and iterations more relevant and useful for those who will use them. You can email us with your feedback at [email protected]

Where the "Practice indicator value" column shows "<6" then the indicator has been suppressed to minimise the risk that individual patients might be identified from the data.

APPLETON VILLAGE SURGERY CANCER PROFILE

Area Forum 2

Area Forum 2 key issues: The Area Forum has higher than

average levels of 16-18’s Not in Education, Employment or Training (NEET) and higher than average levels of children claiming free school meals.

Crime also remains an issue, with high levels of anti-social behaviour, burglary, criminal damage to dwellings and deliberate fires.

Overall, Area Forum 2 has a poorly performing economy, with higher rates of unemployment, people on out-of-work benefits and youth unemployment than the Halton average. The area also has low average house prices.

Generally the Area Forum performs worse than the Halton average for the majority of the health indicators, particularly in terms of alcohol hospital admissions and life expectancy.

Successful smoking quitter rates are significantly better for all wards in the Area Forum compared to the borough average.

Key Contacts: Lead Officer: [email protected] Community Development Officer:

[email protected] Area Forum Coordinator: [email protected] Cllr [email protected] (Chairman) Appleton; Cllr [email protected] Appleton; Cllr [email protected] Kingsway; Cllr [email protected] Kingsway; Cllr [email protected] Kingsway; Cllr [email protected] Appleton; Cllr [email protected] Riverside; Cllr [email protected] Riverside

Area Forum 2 is situated in the centre of Widnes and is made up of the following wards:

o Appleton o Kingsway o Riverside

It has a population of 18,820 who live in 8,030 households. There are 3,850 aged under 16; 12,200 of working age and 2,780 older people. It contains 5 areas that fall in the top 10% most deprived nationally. From the 2011 resident’s survey, the top 3 reasons for making this area a good place to live are:

o The level of crime o Clean Streets o Health Services

Resident’s also identified the following areas for improvement:

o Activities for teenagers o Road and pavement repairs o Job prospects

Overall, 79% of residents within this local area were satisfied with the area as a place to live. These profiles have been produced by Halton’s Customer Intelligence Unit and Public Health Intelligence Team. Please email [email protected] for further information, or [email protected] for more information on the health indicators.

Population 6,760 0-15 1,280 16-64 4,320 65+ 1,160 Households 3,060

Domain IndicatorWard Value

Halton Value

Halton Worst Halton Range

Halton Best

1 16-18's Not in Education, Employment or Training (NEET) - as a % of 16-18 population 8% 7% 11% 1%2 Free School Meals eligible pupils 34% 32% 59% 5%3 % achieving 5 GCSE's A* to C inc. English and Maths 68% 62% 39% 91%4 % Children classed as Overweight or Obese, Reception aged children 25% 27% 33% 18%5 % Children classed as Overweight or Obese, Year 6 aged children 38% 37% 60% 26%6 Low birth weight babies 7% 8% 11% 4%7 Teenage Conception Rate 54 55 96 218 JSA Claimant rate (Feb 14) 5% 4% 9% 1%9 Worklessness - % claiming out-of-work benefits (Aug 13) 19% 16% 31% 4%10 Youth Unemployment - % of 18-24 JSA Claimants (Feb 14) 9% 9% 15% 2%11 Avg House Price £87,197 £141,108 £65,979 £224,98612 Council Tax Band A properties 65% 47% 99% 0%13 Long term vacant properties 1% 1% 2% 0%14 IMD Score 41 33 64 715 Registered Social Landlord (RSL) Properties 19% 24% 78% 0%16 % in need of care (claiming care-related benefits) 13% 11% 18% 4%17 Emergency admissions for acute conditions that should not usually require hospital admission 162 156 240 8318 Hospital admissions due to accidents 513 386 575 18819 Emergency admissions due to lower respiratory tract infections, 0-15 years 418 496 775 6420 Cancer incidence 426 414 593 31421 Admission episodes for alcohol-attributable conditions 3,043 2,667 3,744 1,56822 Alcohol-specific hospital admissions - Males 1,202 803 1,379 21923 Alcohol-specific hospital admissions - Females 608 426 717 12424 Life expectancy – males 75 77 71 8325 Life expectancy – females 78 81 76 9326 Deaths under 75 due to circulatory disease 118 78 185 3327 Deaths under 75 due to cancer 151 138 222 7628 Successful smoking quitters at 4 week follow up 1,501 940 274 3,21329 Domestic Burglary rate 11 9 15 430 Anti-Social behaviour (ASB) rate 89 58 136 2131 Criminal Damage & Deliberate Fires rate 35 36 80 6

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*caution should be applied when using ward data due to the small numbers often involved Indicator Notes: 1 % 16-18 population who are NEET, HBC, Jan-14 2 % all pupils eligible for FSM, HBC School Census Jan-14 (Eng – www.gov.uk (National tables: SFR10/2012) - Jan 2013) 3 academic year, 2012/13 4-5 NCMP, 3-year average 2009/10, 2010/11, 2012/13 (Eng – HSCIC – 2012) 6 % of babies weighing less than 2500g at birth, Public health birth file 2008-12 (Eng – HSCIC – 2011) 7 rate of under 18 teenage conceptions per 1,000 females aged 15-17, ONS 2009-11 (Eng – ONS – 2012) 8-9 % 16-64 pop, NOMIS 10 % 18-24 pop, NOMIS 11 Land Registry Price Paid Data, 2013 12 % all properties in band A, 2014 13 % vacant for >6 months, 2014 14 IMD 2010 (the higher the IMD score, the more deprived an area is) 15 % all properties, HBC 2011 (Eng – www.gov.uk (table 119) – 2012) 16 % total pop claiming Disability Living Allowance or Attendance Allowance, DWP Aug-13 17 Standardised admission ratio, SUS data via EIS 2012/13 (Eng – HSCIC – 2012/13) 18 Directly Standardised Rate per 100,000 population, SUS data via EIS 2010/11 to 2012/13 (Eng – HSCIC – 2008/09) 19 rate per 100,000 population aged 0-15 years, SUS data via EIS 2010/11 to 2012/13 (Eng – HSCIC – 2011/12) 20 Directly Standardised Rate per 100,000 population diagnosed with cancer, all ages, North West Cancer Intelligence Service 2006-10 (Eng – HSCIC – 2008-10) 21 Directly Standardised Rate for hospital admissions due to alcohol-attributable conditions, for every 100,000 population (Individuals may be admitted more than once), SUS data via the alcohol universe 2012/13 (Eng – LAPE – 2010/11) 22-23 Directly Standardised Rate per 100,000 population for males/females, SUS data via the alcohol universe 2010/11 to 2012/13 (Eng – LAPE – 2010/11) 24-25 Life Expectancy at birth (in years), Public Health Mortality File 2009-13 (Eng – ONS – 2010-12) 26-27 Directly Standardised Rate per 100,000 population, Public Health Mortality File 2009-13 (Eng – HSCIC – 2010-12) 28 successfully quitting after 4 weeks, rate per 100,000 population aged 16+, Quit With Us (stop-smoking database) 2010/11 to 2012/13 (Eng – HSCIC – 2012/13) 29 rate per 1,000 households, 2013 30 rate per 1,000 population, ASB data includes finalisation codes for Domestic Disturbances, Nuisance, Environmental and Neighbour (Personal) behaviour (B and SE codes), 2013 31 Criminal damage to dwelling + deliberate fires, rate per 1,000 households, 2013 (Eng – Neighbourhood Statistics (NeSS) – 2012/13)

Appleton key points: Appleton performs worse than the Halton average in most of the economic and housing indicators. Alcohol-specific hospital admissions for males and hospital admissions due to accidents are significantly worse

than the borough average. The percentage of overweight or obese children in Reception is lower than the Halton average.

KEY:

Population 6,560 0-15 1,360 16-64 4,230 65+ 970 Households 2,670


Halton Value


Halton Best


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Kingsway key points: Kingsway performs worse than the Halton average in almost all of the economic, academic and crime

indicators. Alcohol-specific hospital admissions for females and males are both higher than the borough average. Hospital admissions for lower respiratory tract infections in 0-15 year olds are the 2nd worst in Halton. The successful smoking quitter rate (at 4 weeks) is significantly better than the Halton average.

KEY:

Population 5,500 0-15 1,210 16-64 3,650 65+ 640 Households 2,300


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Riverside key points: Riverside performs worse than the Halton figures in all of the economic, academic and housing indicators. All crime rates in Riverside are the highest rates out of the 21 wards in Halton. Rates of admissions due to accidents, alcohol-specific admissions for males and lower respiratory tract

infection admissions (0-15 years) in Riverside are amongst the highest in Halton. Male life expectancy in Riverside is the 2nd lowest in Halton. The successful smoking quitter rate (at 4 weeks) is significantly better than the Halton average.

KEY:

Community Physical Assets Building Name Building Type Ward Connexions Widnes http://www.help4me.info/Service.aspx?serviceid=%7B525c8360-b80e-4974-8836-3bd159db6d0f%7D

Adult Education Appleton

Kingsway Learning Centre http://www3.halton.gov.uk/educationandlearning/learningcentres/

Adult Education Kingsway

Riverside College Kingsway http://www.riversidecollege.ac.uk/website/

Adult Education Kingsway

YMCA training http://www.haltonymca.org.uk/training.html

Adult Education Riverside

Ferndale Court Care Home http://www.carehome.co.uk/carehome.cfm/searchazref/20003525FERB

Care Homes Riverside

Ferndale Mews http://www.hc-one.co.uk/homes/ferndale-mews/

Care Homes Riverside

Halton View Care Home http://www.carehome.co.uk/carehome.cfm/searchazref/10003525HANA

Care Homes Appleton

Millbrow Care Home http://www.carehome.co.uk/carehome.cfm/searchazref/20003525MILA

Care Homes Appleton

Oak Meadow Community Support Centre http://www.carehome.co.uk/carehome.cfm/searchazref/10003525OAKB

Care Homes Appleton

Appleton Village Surgery* http://www.appletonvillagesurgery.co.uk/

CCG Assets Appleton

Widnes Healthcare Resource Centre http://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=42857

CCG Assets Kingsway

Lugsdale Road Clinic CCG Assets Riverside Midwood House CCG Assets Appleton Millbrow Clinic http://www.nhs.uk/Services/clinics/MapsAndDirections/DefaultView.aspx?id=33224

CCG Assets Appleton

West Bank Surgery* http://www.westbankmedicalcentre.nhs.uk/contact1.aspx

CCG Assets Riverside

Kids Planet Nursery http://www.kidsplanetdaynurseries.co.uk/nursery/widnes/about-us.asp

Children’s Centres Kingsway

Ditton Evangelical Church Churches/Village Halls Ditton Holy Gospel Hall Churches/Village Halls Appleton St Bede’s Catholic Church Churches/Village Halls Appleton St Marie's Church http://stmarieschurch.com/

Churches/Village Halls Riverside

St Marys Church (West Bank)* http://stmaryswestbank.widnesdeanery.org/


St Paul’s Church http://www.stpaulswidnes.co.uk/

Churches/Village Halls Kingsway

St Raphael’s RC Church Churches/Village Halls Kingsway St Johns Church* http://www.stjohnswidnes.homecall.co.uk/

Churches/Village Halls Appleton

St Michael’s Catholic Church Churches/Village Halls Riverside The Foundry http://www.thefoundry.org.uk/


The Widnes National Spiritualist Church http://www.widnesspiritualistchurch.co.uk/


Trinity Methodist Church http://www.widnesmethodistchurches.org.uk/trinity.shtml


Widnes Baptist Church* http://www.widnesbaptistchurch.co.uk/


Deacon Dental Ltd. http://www.nhs.uk/Services/dentists/Overview/DefaultView.aspx?id=23914

Dentist Appleton

Dental Elements http://dental-elements.co.uk/

Dentist Appleton

Talking Teeth http://www.nhs.uk/Services/dentists/Overview/DefaultView.aspx?id=23916

Dentist Appleton

Dr Martin & Partners http://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=43830

GPs Appleton

Dr Narayana PL and Partner http://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=40076

GPs Riverside

Drs Schofield & Brindle http://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=38237

GPs Appleton

Newtown Surgery http://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=38788

GPs Kingsway

Oaks Place Surgery* http://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=40750

GPs Kingsway

Peelhouse Medical Plaza* http://www.peelhouse-medical-plaza.nhs.uk/

GPs Appleton

Widnes GP Health Centre http://www.nhs.uk/Services/gp/Overview/DefaultView.aspx?id=42857

GPs Kingsway

DW Sports Fitness – Widnes http://www.dwfitnessclubs.com/club/widnes

Leisure Appleton

Kingsway Leisure Centre http://www.dcleisurecentres.co.uk/centres/kingsway-leisure-centre/

Leisure Kingsway

Widnes Masonic Hall* http://www.widnesfreemasons.org.uk/

Leisure Kingsway

Muscle & Figure Leisure Riverside Stadium Fitness* http://www.stobartstadiumhalton.org.uk/stadium-fitness/

Leisure Kingsway

Widnes Library* http://www3.halton.gov.uk/educationandlearning/libraries/

Libraries Riverside

Conlon & Sons (Opticians) Ltd http://www.conlons.co.uk/widnes-opticians

Opticians Appleton

Crown Optical Centre http://www.widnesmarket.com/portfolio-type/crown-optical-centre/

Opticians Appleton

Merton Beck Opticians http://mertonbeck.co.uk/

Opticians Appleton

Scrivens Ltd http://scrivensopticians.com/

Opticians Appleton

Specsavers Opticians http://www.specsavers.co.uk/stores/widnes

Opticians Appleton

Vision Express http://www.visionexpress.com/opticians/opticians-in-northern-england/cheshire/widnes/

Opticians Appleton

Asda Stores Ltd http://storelocator.asda.com/store/widnes

Pharmacies Kingsway

Boots Uk Limited http://www.boots.com/en/Store-Locator/Boots-Widnes-Shopping-Park/

Pharmacies Appleton

Cooke's Chemist http://cookeschemist.com/index.php

Pharmacies Appleton

Instore Pharmacy http://www.nhs.uk/Services/pharmacies/Overview/DefaultView.aspx?id=34574

Pharmacies Riverside

Mcdougall's Pharmacy http://www.nhs.uk/Services/pharmacies/Overview/DefaultView.aspx?id=6855

Pharmacies Kingsway

The Co-Operative Pharmacy http://www.co-operative.coop/find-us/pharmacy/?q=widnes&lat=53.361024&long=-2.7336370000000443&filters=Pharmacy&options=

Pharmacies Appleton

West Bank Pharmacy http://www.nhs.uk/Services/pharmacies/Overview/DefaultView.aspx?id=7536

Pharmacies Riverside

Widnes Late Night Pharmacy http://www.nhs.uk/Services/pharmacies/Overview/DefaultView.aspx?id=4664

Pharmacies Appleton

Birchfield Nursery http://www.help4me.info/Service.aspx?serviceid=%7B224c9b79-f91f-4ddc-b393-b7dc764df258%7D

Schools Kingsway

Ditton Primary School http://www.thelifecloud.net/schools/DittonPrimarySchool/

Schools Kingsway

Fairfield Infant School http://clc2.uniservity.com/Grouphomepage.asp?GroupId=314778

Schools Appleton

Fairfield Junior School http://www.thelifecloud.net/schools/FairfieldJuniorSchool/

Schools Appleton

Saint Peter and Paul Catholic High School http://www.saintspeterandpaul.halton.sch.uk/

Schools Kingsway

Simms Cross Primary School http://www.thelifecloud.net/schools/SimmsCrossPrimarySchool/

Schools Kingsway

St Bedes Catholic Infant School http://www.thelifecloud.net/schools/StBedesCatholicInfantSchool/

Schools Appleton

St Bedes Catholic Junior School http://stbedejuniorscouk.ipage.com/sbjsite1/

Schools Appleton

St Gerard’s Catholic Primary and Nursery School http://www.thelifecloud.net/schools/StGerardsRCPrimarySchool/

Schools Appleton

Wade Deacon High School http://www.wadedeacon.com/page/default.asp?title=Home&pid=1

Schools Kingsway

West Bank Primary School http://www.westbankprimary.ik.org/

Schools Riverside

CRMZ* http://www3.halton.gov.uk/educationandlearning/youthsupport/149934/

Youth Centre Kingsway

Kingsway Learning Centre http://www3.halton.gov.uk/educationandlearning/learningcentres/

Youth Centres Kingsway

*Wellbeing Enterprises For more information around the Voluntary and Community sector please visit Halton and St Helens Voluntary and Community Action at https://www.haltonsthelensvca.org.uk/

Changes in Health Indicators for Appleton Ward

This is a summary of the changes in health indicators for 2014 compared with 2013 for Appleton

ward. For the full report, including socio-economic, academic and crime indicators, please see the

next section in this pack – ‘Area Forum 2’ by The Customer Intelligence Team at Halton Borough

Council. The Area Forum report also includes data from your neighbouring wards – Kingsway and

Riverside. Figure 1 (below) shows changes in health indicators over the previous two years, with a

percentage change in the last column.

Figure 1 Key health indicators for 2013 and 2014; percentage change in indicators

Indicator 2013 2014 % Diff Reception aged children with excess weight > (%) 25.8 20.9 -19.0% Year 6 aged children with excess weight > (%) 33.9 38.6 13.9% Teenage Conception Rate (Crude rate per 1,000 15-17 year old females) 54.0 53.5 -0.9%

Life expectancy – males 74.3 75.1 1.1% Life expectancy - females 79.1 78.4 -0.9% Deaths under 75 due to circulatory disease (DSR per 100,000 population under 75) 118.8 118.0 -0.7%

Deaths under 75 due to cancer (Directly Standardised Rate per 100,000 population under 75)

149.5 151.1 1.1%

Admission episodes for alcohol-attributable conditions (DSR per 100,000 population under 75) 3030.6 3043.2 0.4%

Alcohol-specific hospital admissions – Males (Directly Standardised Rate per 100,000 population) 1361.0 1201.7 -11.7%

Alcohol-specific hospital admissions – Females (Directly Standardised Rate per 100,000 population) 634.1 607.5 -4.2%

Emergency admissions for acute conditions that should not usually require hospital admission (Directly Standardised Rate per 100,000 population)

198.4 161.6 -18.5%

Hospital admissions due to accidents (Directly Standardised Rate per 100,000 population) 426.6 513.1 20.3%

Emergency admissions due to lower respiratory tract infections, 0-15 years (Crude rate of admissions per 100,000 population of 0-15 year olds)

551.9 418.0 -24.3%

Successful smoking quitters at 4 week follow up (Crude rate per 100,000 population 16+) 1213.6 1500.5 23.6%

Source: ‘Area Forum 2’ by The Customer Intelligence Team at Halton Borough Council

joint strategic needs assessment for appleton village practice

Documents