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Network Profile

CLPCN ‐ Brownlow

November 2019

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READER INFORMATION

Title Network Profile ‐ CLPCN ‐ Brownlow

Team Liverpool CCG Business Intelligence Team; Liverpool City Council Intelligence & Data

Analytics 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 so they can understand the the relative need, management

and service utilisation of people in their area. The pack contains information on wider

determinants of health, health, social care and community services.

Reference Documents

JSNA 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) ............................................ 6

1.4 Population segment profile (Total registered population) ............................................................................... 7

1.5 Headline Opportunities ........................................................................................................................................... 8

1.6 GP Practice ........................................................................................................................................................ 9

1.7 Registered Population ....................................................................................................................................... 9

1.8 Registered Patient Ward Alignment ................................................................................................................. 9

1.9 Service Provision ............................................................................................................................................. 10

1.10 Service Assets for Health and Wellbeing ........................................................................................................ 11

2. Network Maps ......................................................................................................................................................... 14

3. Population Map ....................................................................................................................................................... 15

4. Demographics and Wider Determinants of Health..................................................................................................... 17

4.1 Demographics ....................................................................................................................................................... 17

4.2 Wider Determinants of Health .............................................................................................................................. 17

5. Potential Areas of Focus ......................................................................................................................................... 17

5.1 Healthy Adults and Children (Segment 1) ............................................................................................................. 17

5.2 Long Term Conditions (Segment 2) ....................................................................................................................... 18

5.3 Complex Lives (Segment 4) ................................................................................................................................... 18

5.3 Settings of Care ..................................................................................................................................................... 19

6. Network Profile ....................................................................................................................................................... 19

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

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)

Secondary Care Contacts Face -to-Face Community Contacts

EOL

Frailty & Dementia

Complex Lives

Cancer

LTC

Pre-Conditions

Learning Disability

Physical Disability

Healthy People

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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 CLPCN Brownlow Network moved in line with the Liverpool average rate potentially there could be;

1. 5,118 more people economically active 2. 458 less violent crimes reported 3. 206 fewer premature deaths 4. 168 more patients aged 45+ with a record of BP reading 5. 891 more smokers offered support and treatment, potentially leading to more smoking quitters 6. 84 more patients with BMI >40 (severely obese) offered weight management advice 7. 231 more eligible people offered a health check 8. 127 more referrals to health trainer (who offer lifestyle advice) 9. 51 more patients screened for bowel cancer 10. 1,093 more patients screened for cervical cancer 11. 99 more patients screened for breast cancer 12. 8 more children receiving pre school booster 13. 37 more flu vaccinations for 65+, 261 more flu vaccinations for under 65 ‘at risk’ and 14 more flu

vaccinations for carers 14. 50 more eligible patients receiving proactive care 15. 179 less antibiotic prescriptions 16. 3 more social care users and carers receiving self‐directed support 17. 709 undiagnosed diabetes cases diagnosed 18. 115 diabetic patients receiving 3 treatment targets, 16 more referred to structured education and 9 less

emergency admissions for diabetic complications 19. 172 currently undiagnosed CKD stage 3‐5 diagnosed 20. 1,754 currently undiagnosed hypertension cases diagnosed 21. 29 currently undiagnosed heart failure cases diagnosed 22. 20 more AF patients CHADS2 score 2+ treated with anticoag or anti platelet 23. 41 more SMI patients receiving list of physical checks 24. 88 more SMI patients with record of BP and alcohol consumption recorded 25. 22 fewer child AED attendances for Mental Health 26. 260 fewer mental health admissions 27. 75 less premature deaths from respiratory disease 28. 1,396 currently undiagnosed asthma cases diagnosed 29. 65 more asthma reviews 30. 41 less Children in Need 31. 248 less alcohol specific admissions and 1,407 less alcohol related admissions 32. 78 fewer admissions for Violence 33. 47 fewer admissions for Other Psychoactive Substances 34. 22 fewer Mental Health related AED attendances for children 35. 42 fewer A&E Attendances (Potentially unnecessary attendances where patient attending during GP

opening hours, given advice and discharged without being treated). 36. 57 less gynaecology referrals, 11 per practice 37. 77 fewer readmissions within 30 days of hospital discharge 38. 24 less cardiology outpatient referrals, where patient was discharged following first attendance 39. Review patients who could be referred to community or social services – this network has a relatively

low rate of referrals to Telehealth, Community Mental Health and Social Services.

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

1.7 Registered Population The registered population is 44,246.

1.8 Registered Patient Ward Alignment The wards that this network is most aligned to are:

Practice Code CCG Lead Address and Postcode

N82117 Debbie Faint 70 Pembroke Place, Liverpool, L69 3GF

CLPCN ‐ Brownlow Wards %

Dominant Ward Central 46.0%

Second Ward Riverside 15.3%

Third Ward Princes Park 8.5%

Fourth Ward Picton 7.3%

Fifth Ward Greenbank 6.5%

Sixth Ward Mossley Hill 4.0%

Seventh Ward Kensington and Fairfield 3.2%

Eighth Ward Everton 2.8%

Ninth Ward Kirkdale 1.9%

Tenth Ward St Michael's 1.3%

Other Wards 3.2%

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1.9 Service Provision

National Code N82117

QOF 1DES signup returned 1LES signup returned 1Extended Hours Access 1Learning Disabilities 1Out of Area Registration 1Zero Tolerance SchemeMinor surgery own patients excisions and incisions 1Minor surgery own patients injections 1Learning Disabilities Health Check Scheme 1GMS/PMS Core Contract Data Collection 1Alcohol Risk Reduction 1Liverpool Quality Improvement Scheme 1Minor surgery FOR OTHER PRACTICES excisions and incisionsMinor surgery FOR OTHER PRACTICES injectionsDrug Misusers 1Near Patient 1Sexual Health 1Homeless 1Asylum Seekers 1TravellersABPI 1ABPI - For other practicesH Pylori 1H Pylori for other practicesHealth checks 1IGR 1Gonadorelin Therapy LES 1Latent TB 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 infographics below show 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

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3. Population Map

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4. Demographics and Wider Determinants of Health

4.1 Demographics 44,238 people are registered with CLPCN ‐ Brownlow network (8.2% of the CCG).

Life expectancy and healthy life expectancy in CLPCN ‐ Brownlow network are significantly below the Liverpool average.

Adults aged 40+ years are significantly less likely to have a long‐term condition than the network average (46.8% compared to 59.6%) yet their risk of admission to hospital is significantly higher.

Around 301 children are born each year and children aged under 5 years old account for 1.3% of the population. Both rates are significantly below the Liverpool average and the lowest in the city.

The neighbourhood has a much younger population than the rest of the city. At least one in every two people are aged between 19 and 25 years (56%) reflecting the large student population in the city centre. There are 789 people aged 65+ (1.8% of the population) and 47 people aged 85+ (0.1% of the population), the lowest in Liverpool.

CLPCN ‐ Brownlow is the second most ethnically diverse network in the city after CLPCN – City South network. It is estimated that 34.9% of the population are Not White British/Irish, 16.7% are ‘Asian/Asian British’ ethnicity and 5.6% are White Other ethnicity. Around 20.9% of the population’s main language is not English, the highest in Liverpool. The network also has the highest proportion of people who are registered as asylum seekers or refugees.

CLPCN ‐ Brownlow network is among the most deprived network in the city, having the fourth highest level of deprivation out of 14 networks. Almost two‐fifths (37.4%) of older people in the network experience income deprivation and almost one in every ten (29%) children are from families which are income deprived.

4.2 Wider Determinants of Health Around three in every five (61.6%) households have no access to a car/van, significantly above the

Liverpool average and the second highest in the city.

The median household income is £22,349.

Levels of unemployment including long‐term unemployment are significantly below the Liverpool average and around 4.2% are long term sick or disabled.

Around half (49.6%) of the population are economically inactive (either in full‐time education/ retired/looking after home/other), significantly above the Liverpool average and the highest in the city.

Over three‐quarters (77.9%) of people live in rented or social housing accommodation, the highest in Liverpool.

6.4% of people aged 65 and over live alone, significantly below the network average (11.8%).

Violent crime is significantly above the Liverpool average and the highest in the city.

5. Potential Areas of Focus

5.1 Healthy Adults and Children (Segment 1) Prevention A high take up of NHS Health Checks is important to identify early signs of poor health leading

to opportunities for early interventions. Uptake of NHS Health Checks in CLPCN – Brownlow is the highest in among the networks, yet people are significantly less likely to be invited for a health check. The network’s rate of people invited for a health check in the last 5 years is fifth lowest out of 14 networks. Smoking remains the biggest single cause of preventable mortality and morbidity in the world. One in seven adults in CLPCN ‐ Brownlow are smokers equating to 6,328 people. Referrals for lifestyles interventions including smoking cessation, weight management for morbidly obese people (BMI>= 40) and health trainers are the lowest in Liverpool. High blood pressure is the second biggest risk factor for premature death and disability yet is often preventable. One in seven people aged 45+ in CLPCN – Brownlow have not had their blood pressure recorded in the last 5 years, the lowest level in Liverpool. The proportion of people with high blood pressure and not meeting recommended activity levels who

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receive brief advice is significantly below the Liverpool average (47.2% compared to 57.4%). Uptake of influenza immunisations are among the lowest in the city.

5.2 Long Term Conditions (Segment 2) Long Term Conditions 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. Around 2.9% of the 40+ population in CLPCN ‐ Brownlow have a 50% chance or more of being admitted to hospital in the next 12 months, significantly above the network average (2.1%) and the highest in the city. The network also has the highest prevalence of Peripheral Arterial Disease, Atrial Fibrillation and Stroke/Transient Ischaemic Attack (TIA) citywide. Compared to the Liverpool average, CLPCN ‐ Brownlow has significantly higher rates of walk in centre attendances, attendances at Accident & Emergency, emergency admissions with a length of stay of less than one day, readmissions within 30 days of discharge and a significantly higher rate of admission from care homes. The 111 call rate is the lowest in Liverpool. Emergency admissions for chronic obstructive pulmonary disease (COPD), diabetic complications, ENT, epilepsy, mental health, pyelonephritis are all significantly above Liverpool average and among the highest in the city. Community and general practice service usage is generally below the city level and significantly lower for telehealth referrals, treatment room and therapy caseloads, as well as face to face contacts with community matrons, diabetes specialist nurses, heart failure team, IV therapy and treatment rooms. Almost two in three (38.4%) of the population receive between one and five or more prescriptions, the lowest in Liverpool while the antibiotic prescribing rate is the highest. Patient satisfaction and enhanced access to care are among the highest in the city.

Cancer Early detection of cancers is essential to ensure prompt appropriate treatment and reduce premature deaths. Cancer screening rates in the in CLPCN – Brownlow network for bowel cancer, cervical cancer and breast cancer are significantly below the Liverpool average and among the lowest in the city.

Secondary Prevention Emergency admissions for diabetes complications in CLPCN ‐ Brownlow are the highest in Liverpool while only half (50.2%) of people with diabetes have their blood sugar levels controlled to within optimum levels (HbA1c ≤ 7.5), the lowest level in the city. Recording of cholesterol among people with diabetes, the proportion of diabetics achieving all three treatment targets (cholesterol, blood pressure and HbA1c) and the percentage of newly diagnosed diabetics being offered structured education are all significantly below the network average and among the lowest in Liverpool. For people with atrial fibrillation at increased risk of stroke, treatment with anticoagulant or antiplatelet therapy is significantly below the Liverpool average (60.2% compared to 77.7%). The network has the second highest rate of COPD emergency admissions in the city while the proportion of people with COPD receiving an influenza vaccination is second lowest. Compared to the Liverpool average, a significantly lower percentage of people with asthma have had an asthma review in the last 12 months (71.8% compared to 76.4%).

Mental Health Prevalence of common mental health problems among children and young people are the second highest in the city, while referrals to Children and Adolescent Mental Health Services (CAMHS) are the lowest. Prevalence of serious mental illness including schizophrenia, bipolar and other psychosis (all ages) and mental health emergency admissions are significantly above the Liverpool average while referrals and contacts with the community mental health team are significantly lower. Almost two in three (63.6%) people with serious mental illness are smokers, the highest among the networks. Compared to the Liverpool average, a significantly lower proportion of people with serious mental illness have a list of physical checks in the last 12 months or their blood pressure and alcohol consumption recorded in primary care.

5.3 Complex Lives (Segment 4) Complex Lives Alcohol related admissions in CLPCN – Brownlow are the highest in the city. Compared to

the Liverpool average, CLPCN – Brownlow has a significantly higher rate of emergency admissions for violence, self‐harm among adults, mental and behavioural conditions due to alcohol and people attending Accident and Emergency on 10 or more occasions in the last year. CLPCN – Brownlow network has the highest rate of homelessness among the networks, with 618 people registered as homeless by

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their GP. The network has the significantly higher levels of looked after children and children in need compared to the Liverpool average.

5.3 Settings of Care Social Services Overall, demand for social care in CLPCN ‐ Brownlow is significantly lower or not

significantly different to the Liverpool average apart from other community support for older residents which is significantly higher and the highest in the city. Demand for domiciliary care, and equipment and adaptations, among older residents are above the Liverpool average.

6. Network Profile

Key:

Liverpool Key

Low

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool

LowestLiverpool Range

Liverpool

Highest

National

Average

1 DEMOGRAPHICS AND WIDER DETERMINANTS OF HEALTH

2 DEMOGRAPHICS n/a

3 Deprivation Score (IMD) 2015 - 32.7 41.1 21.7 60.8 21.8

4 Income Deprivation Affecting Children Index (IDACI) 2015 - 29.0% 32.0% 16.3% 47.6% 17.6%

5 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 37.4% 34.2% 21.4% 47.0% 15.3%

6 Not White British or Irish ethnic group (%) 15,442 34.9% 15.0% 4.6% 35.1% 19.2%

7 White Other ethnic group (%) 2,475 5.6% 2.7% 0.9% 5.6% 4.6%

8 Mixed/Multiple ethnic group (%) 1,645 3.7% 2.6% 0.9% 6.4% 2.3%

9 Asian/Asian British ethnic group (%) 7,410 16.7% 4.7% 1.2% 16.7% 7.8%

10 Black/African/Caribbean/Black British ethnic group (%) 1,953 4.4% 2.9% 0.6% 9.1% 3.5%

11 Other ethnic group (including Arab) (%) 1,959 4.4% 2.0% 0.3% 7.6% 1.0%

12 Main language not English (%) 9,226 20.9% 7.1% 2.1% 20.9% 8.0%

13 People registered as asylum seekers or refugees (%) 60 0.1% 1.0% 0.0% 6.4% n/a

14 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 301 21.1 53.4 21.1 71.1 62.5

15 Children aged 0-4 years (%) 581 1.3% 5.5% 1.3% 6.8% 5.5%

16 Children aged 5-10 years (%) 493 1.1% 6.5% 1.1% 8.6% 7.2%

17 Children aged 11-18 years (%) 1,353 3.1% 7.9% 3.1% 9.6% 8.8%

18 Young People aged 19-25 years (%) 24,779 56.0% 13.2% 6.9% 56.0% 8.8%

19 Children and Young People aged 0-25 years (%) 27,206 61.5% 33.2% 26.4% 61.5% 30.3%

20 Population 65+ (%) 789 1.8% 14.4% 1.8% 20.4% 17.9%

21 Population 75+ (%) 230 0.5% 6.3% 0.5% 9.4% 8.1%

22 Population 85+ (%) 47 0.1% 1.7% 0.1% 2.9% 2.4%

23 Population 95+ (%) <5 0.0% 0.1% 0.0% 0.2% 0.2%

24 WIDER DETERMINANTS -

25 No car or van in household (%) - 61.6% 47.3% 29.2% 62.6% 25.8%

26 Economically active (%) 21,509 50.4% 62.4% 50.4% 68.8% 69.9%

27 Economically active: Unemployed (%) 1,530 3.6% 6.6% 3.6% 9.0% 4.4%

28 Economically active: Long-term unemployed (%) 596 1.4% 2.7% 1.4% 3.8% 1.7%

29 Economically inactive (%) 21,145 49.6% 37.6% 31.2% 49.6% 30.1%

30 Economically inactive: Long-term sick or disabled (%) 1,802 4.2% 7.9% 4.2% 11.7% 4.0%

31 Housing Tenure: Social or Private Rented (%) - 77.9% 52.9% 32.2% 77.9% 36.7%

32 One person household: Aged 65 and over (%) - 6.4% 11.8% 6.4% 14.0% 12.4%

33 Median Household Income £ - £22,349 £23,249 £17,754 £33,290 £32,650

34 Domestic violence rate per 1,000 576 13.9 16.7 8.9 26.5 -

35 Violent crime rate per 1,000 1,003 24.2 13.1 5.7 24.2 -

36 SEGMENT 1. HEALTHY ADULTS AND CHILDREN -

37 HEALTHY LIFE EXPECTANCY at birth - males (3 Year Pooled) - 60.0 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) - 60.7 62.3 60.6 64.4 63.6

40 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 75.6 78.2 74.5 82.4 79.6

41 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 79.4 81.4 77.9 85.4 83.1

42 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 77.1 79.8 76.6 84.0 81.4

43 ALL CAUSE Mortality - DSR per 100,000 population 191 1,259.6 1,101.2 794.2 1,420.3 959.0

44 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 149 592.1 425.5 257.9 595.2 332.0

45 Population 40+ with no LTCs (%) 2,509 53.2% 40.4% 35.6% 53.2% n/a

46 Population 40+ with 1 LTC (%) 1,197 25.4% 27.7% 25.4% 29.6% n/a

47 Population 40+ with 2 LTC (%) 533 11.3% 15.9% 11.3% 18.0% n/a

48 Population 40+ with 3 or more LTC (%) 479 10.2% 15.9% 10.2% 19.4% n/a

49 Percentage of the population 40+ with risk score >=50% 136 2.9% 2.1% 1.0% 2.9% n/a

50 Percentage of the population 40+ with risk score >=70% 76 1.6% 0.7% 0.3% 1.6% n/a

51 Percentage of the population 40+ with risk score >=50% <=90% 114 2.4% 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) (%) 3,088 86.2% 90.9% 86.2% 93.1% 89.2%

54 HYPERTENSION Prevalence DSR per 100,000 population 918 15,143.5 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 (%) 539 76.9% 75.8% 64.8% 82.0% n/a

56 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 122 3,012.8 2,518.6 2,194.0 3,012.8 n/a

57 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 302 0.8% 3.4% 0.8% 4.8% n/a

58 CURRENT SMOKERS aged 15+ (QOF) (%) 6,328 14.7% 20.1% 12.1% 27.8% 17.2%

59 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 4,802 75.9% 90.0% 75.9% 98.6% 89.2%

60 Child Excess Weight Reception (age 4-5 years) (%) 152 25.4% 26.1% 21.7% 29.6% 22.4%

61 Child Excess Weight Year 6 (age 10-11 years) (%) 195 39.4% 38.8% 33.1% 44.2% 34.3%

62 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 1,670 3.9% 12.0% 3.9% 16.1% 9.8%

63 People with BMI >=40 recorded in the last 12m (%) 391 0.9% 2.7% 0.9% 4.0% n/a

64 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 98 25.1% 46.6% 25.1% 61.2% n/a

65 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 75 21.9% 22.8% 14.9% 31.1% n/a

66 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 27,930 65.3% 65.7% 63.5% 70.0% n/a

67 People aged 18+ who have ALCOHOL above indicated levels (%) 2,677 9.6% 9.7% 6.1% 12.2% n/a

68 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 2,673 99.9% 88.5% 80.4% 99.9% n/a

69 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 2,151 63.6% 70.5% 47.6% 94.1% 90.0%

70 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 1,742 81.0% 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 1,742 51.5% 34.0% 19.9% 51.5% 43.3%

72 Health Trainer Referral rate per 1,000 persons 18+ 164 3.8 6.8 3.8 15.2 n/a

73 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 336 45.3% 52.2% 42.8% 61.2% 57.4%


75 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 3,578 52.2% 68.1% 52.2% 75.2% 72.1%

76 36 month coverage for BREAST screening aged 50-70 492 54.5% 65.5% 54.5% 74.4% 72.5%

77 VACS AND IMMS -

78 Children's DtaPipVHib at 1 Yr (%) 108 88.5% 92.0% 87.6% 96.5% 93.4%

79 Children's PCV at 2 Yrs (%) 92 89.3% 89.2% 80.6% 94.2% 91.5%

80 Children's MMR1 at 2 Yrs (%) 97 94.2% 90.2% 81.3% 94.2% 91.6%

81 Children's Hib Men C at 2 Yrs (%) 95 92.2% 90.9% 83.8% 95.3% 91.5%

82 Children's Pre School Booster at 5 Yrs (%) 67 77.9% 88.2% 77.9% 95.5% n/a

83 Children's MMR2 at 5 Yrs (%) 72 83.7% 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 (%) 392 91.0% 90.6% 83.5% 95.0% n/a

85 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 29 23.0% 29.5% 16.2% 46.9% 43.8%

86 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 31 30.1% 33.2% 20.9% 47.1% 45.9%

87 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 518 66.5% 71.4% 64.8% 74.6% 72.0%

88 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 1,535 42.5% 49.7% 42.5% 54.2% 48.0%

89 Seasonal Flu Vaccine Uptake - Carers (%) 36 35.3% 48.8% 35.3% 58.6% n/a

CLPCN - Brownlow Primary Care Network

Significantly better than Liverpool average

Not significantly different from Liverpool average

Significantly worse than Liverpool average

No significance can be calculated

25th percentile

England

Liverpool

75th percentile

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

90 SEXUAL HEALTH -

91 GP prescribed user dependent contraception per 1,000 females aged 15-44 2,588 133.3 125.5 84.8 152.0 n/a

92 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 405 20.9 28.0 18.8 48.3 n/a

93 GP prescribed condoms rate per 1,000 174 3.9 0.7 0.0 3.9 n/a

94 Uptake of HIV testing in specialist sexual health services rate per 1,000 598 13.5 4.5 1.2 13.5 n/a

95 MATERNITY -

96 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 301 21.1 53.4 21.1 71.1 62.5

97 Low birthweight of all babies <2500g (3 year pooled) (%) 74 8.1% 8.5% 6.4% 10.3% 7.3%

98 Breastfeeding Initiation Rates (%) 166 64.6% 48.1% 34.0% 68.1% 74.5%

99 Breastfeeding at 6-8 weeks (%) 139 54.8% 38.4% 23.6% 59.7% 42.7%

100 Smoking Status at Time of Delivery (SATOD) % 29 11.0% 12.9% 5.8% 19.9% 10.8%

101 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 104 39.4% 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 (%) 116 50.3% 56.4% 45.5% 64.1% 61.6%

104 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 53 34.2% 34.9% 23.0% 48.4% 56.6%

105 Children who are receiving Special Educational Needs (SEN) Support (%) 582 16.3% 16.4% 13.2% 20.1% 14.4%

106 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 70 0.02 0.02 0.02 0.03 n/a

107 Children's Speech and language Therapy referrals - Rate per 1,000 33 3.5 20.3 3.5 51.5 n/a

108 SEGMENT 2. LONG TERM CONDITIONS -

109 Population 40+ with 1 LTC (%) 1,197 25.4% 27.7% 25.4% 29.6% n/a

110 Population 40+ with 2 LTC (%) 533 11.3% 15.9% 11.3% 18.0% n/a

111 Population 40+ with 3 or more LTC (%) 479 10.2% 15.9% 10.2% 19.4% n/a

112 People on proactive care (%) <5 0.0% 0.1% 0.0% 0.3% n/a

113 People on 1 to 5 or more prescriptions (%) 16,608 38.4% 56.2% 38.4% 64.4% n/a

114 People on 5 or more prescriptions (%) 1,731 4.0% 21.9% 4.0% 28.4% n/a

115 People on 10 or more prescriptions (%) 432 1.0% 7.2% 1.0% 10.0% n/a

116 Antibiotic Prescribing rate per 1,000 population 1,042 52.2 43.2 33.1 52.2 n/a

117 Broad Spectrum antbiotic prescribing rate per 1,000 population 81 4.1 3.5 2.8 4.4 n/a

118 Proportion of people who use services who have control over their daily life (ASCOF 1B) <5 50.0% 79.4% 50.0% 90.0% n/a

119 The proportion of users and carers receiving self directed support (ASCOF 1C1A) 9 64.3% 86.1% 64.3% 92.5% n/a

120 The proportion of carers who receive self directed support (ASCOF 1C1B) <5 - 49.2% 37.6% 55.4% #DIV/0!

121 The proportion of people who use services who receive direct payments (ASCOF 1C2A) <5 14.3% 19.9% 14.3% 31.9% n/a

122 The proportion of carers who receive direct payments (ASCOF 1C2B) <5 - 36.8% 28.1% 44.0% #DIV/0!

123 The outcome of short term service: sequel to service (ASCOF 2D) <5 66.7% 60.7% 47.3% 67.3% n/a

124 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 11 395.4 724.3 306.0 1,220.8 n/a

125 CANCER -

126 New CANCER cases (Crude incidence rate: new cases per 100,000 population) 37 88.9 505.9 88.9 640.4 520.8

127 People with a review within 6 mths of CANCER diagnosis 32 91.4% 93.0% 83.0% 96.6% 69.3%

128 Percentage reporting CANCER in the last 5 years 19 4.1% 3.6% 1.6% 4.9% 3.2%

129 CANCER Prevalence DSR per 100,000 population 333 5,570.8 5,601.0 4,302.0 6,470.9 n/a

130 CANCER Mortality - DSR per 100,000 population 35 314.7 303.7 246.8 391.1 268.0

131 LUNG CANCER - DSR per 100,000 population 10 90.2 85.7 49.2 148.3 56.3

132 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 11 100.6 87.5 63.7 119.4 n/a

133 CANCER Mortality Under 75 Years - DSR per 100,000 population 22 134.1 157.3 119.8 201.8 134.6

134 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 6 39.4 45.4 22.9 84.0 n/a

135 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 7 32.2 46.4 32.2 59.8 n/a



138 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 3,578 52.2% 68.1% 52.2% 75.2% 72.1%

139 36 month coverage for BREAST screening aged 50-70 492 54.5% 65.5% 54.5% 74.4% 72.5%

140 Emergency admissions for CANCER 57 2.9 5.6 2.9 6.8 n/a

141 DIABETES -

142 Children with DIABETES 0-17 years (%) <5 0.1% 0.2% 0.1% 0.4% n/a

143 DIABETES Prevalence DSR per 100,000 population 445 5,527.6 6,483.7 5,101.5 7,872.4 n/a

144 Ratio of Observed (QOF) to Expected DIABETES Prevalence 434 29.1% 76.6% 29.1% 97.1% 81.6%

145 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 302 0.8% 3.4% 0.8% 4.8% n/a

146 Prevalence of MI last 12m, Stroke, CKD stage 5 in people with DIABETES aged 17+ (%) <5 0.4% 1.5% 0.4% 2.2% n/a

147 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 243 50.2% 58.7% 50.2% 63.4% 79.4%

148 People with DIABETES who have had all 8 care processes in the previous 12m (%) 323 66.7% 63.8% 53.1% 73.9% n/a

149 People with DIABETES and HbA1c (%) 439 90.7% 92.8% 88.4% 95.9% n/a

150 People with DIABETES and BP recorded (%) 449 92.8% 94.0% 90.7% 96.7% n/a

151 People with DIABETES and Cholesterol recorded (%) 414 85.5% 88.8% 84.2% 92.4% n/a

152 People with DIABETES and Microalb recorded (%) 385 79.5% 72.3% 62.5% 79.5% n/a

153 People with DIABETES and Creatinine recorded (%) 434 89.7% 91.7% 86.8% 94.8% n/a

154 People with DIABETES and Foot Check (%) 397 82.0% 85.4% 79.3% 90.1% 81.2%

155 People with DIABETES and BMI recorded (%) 428 88.4% 86.9% 79.9% 92.8% n/a

156 People with DIABETES and Smoking Status recorded (%) 452 93.4% 89.8% 83.1% 95.1% n/a

157 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 951 38.4% 43.1% 37.5% 46.2% n/a

158 People with DIABETES who have CHD and/or CKD (%) 799 32.3% 33.6% 28.5% 38.1% n/a

159 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 213 40.3% 40.9% 33.1% 52.0% n/a

160 Preventable sight loss - DIABETIC eye disease rate per 1,000 573 23.1% 29.0% 23.1% 36.4% n/a

161 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 16 38.1% 75.5% 38.1% 93.2% n/a

162 Emergency admissions for DIABETIC COMPLICATIONS 18.00 0.92 0.45 0.19 0.92 n/a

163 DIABETES Specialist Nurses Face to Face Contacts 125 25.4 33.6 20.2 54.9 n/a

164 DIABETES Case Load 34 6.90 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 2,151 63.6% 70.5% 47.6% 94.1% 90.0%

167 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 1,742 81.0% 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 1,742 51.5% 34.0% 19.9% 51.5% 43.3%

169 People 40-74 with HYPERTENSION, CKD, BMI>30 who have had a risk score ever (%) 892 81.2% 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 (%) 34 43.6% 33.0% 19.6% 50.3% n/a

171 Over 40 prevalence of PERIPHERAL VASCULAR DISEASE (%) 71 1.4% 1.8% 1.2% 2.7% n/a

172 Ratio of Observed (QOF) to Expected PAD Prevalence 66 305.6% 76.9% 39.8% 305.6% 57.9%

173 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 70 1,514.8 1,047.4 734.5 1,514.8 n/a

174 GP ref, 1st outpatient attendances VASCULAR 16 0.82 1.90 0.82 2.37 n/a

175 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 11 68.8% 70.5% 59.6% 87.7% n/a

176 HYPERTENSION -

177 CKD Prevalence DSR per 100,000 population 254 5,593.4 6,549.4 4,653.5 8,229.4 n/a

178 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 193 52.7% 99.8% 52.7% 117.6% 62.3%

179 HYPERTENSION Prevalence DSR per 100,000 population 918 15,143.5 17,355.1 15,143.5 19,591.8 n/a

180 Ratio of Observed (QOF) to Expected HYPERTENSION Prevalence 939 18.4% 52.9% 18.4% 61.3% 50.6%

181 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 3,088 86.2% 90.9% 86.2% 93.1% 89.2%

182 People with HYPERTENSION whose latest BP reading is <150/90 (QOF) (%) 770 82.0% 82.7% 78.5% 86.9% 86.8%

183 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 648 70.1% 71.1% 67.3% 76.1% n/a

184 People aged >=80 with HYPERTENSION whose latest blood pressure reading is < 150/90 (%) 74 89.2% 89.6% 86.7% 93.7% 86.8%

185 People with HYPERTENSION with physical activity recorded (%) 595 64.4% 57.4% 36.7% 82.0% n/a

186 People with HYPERTENSION who do not meet recommended activity levels who have received brief advice (%) 281 47.2% 57.4% 32.0% 70.1% n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

187 CHD -

188 CVD Mortality - DSR per 100,000 population 36 231.2 239.8 168.1 320.8 n/a

189 CVD Mortality Under 75 Years - DSR per 100,000 population 29 132.9 90.2 56.0 150.9 72.5

190 CHD Prevalence DSR per 100,000 population 216 4,475.1 4,434.2 3,593.1 5,614.3 n/a

191 Ratio of Observed (QOF) to Expected CHD Prevalence 184 110.5% 44.0% 20.5% 110.5% 41.5%

192 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 192 91.4% 91.6% 88.9% 95.4% 92.4%

193 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 194 94.2% 96.9% 94.2% 99.4% n/a

194 People with CHD whose latest total cholesterol (previous 12m) is 5mmol or less (%) 151 68.3% 66.6% 58.0% 74.3% n/a

195 People with CHD prescribed statins (%) 167 75.6% 79.3% 75.6% 83.0% n/a

196 Emergency admissions for ANGINA 12 0.6 0.9 0.6 1.7 n/a

197 GP ref, 1st outpatient attendances CARDIOLOGY 281 14.4 14.1 9.8 17.7 n/a

198 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 201 0.7 0.6 0.5 0.7 n/a

199 HEART FAILURE -

200 HEART FAILURE Prevalence DSR per 100,000 population 62 1,576.6 1,343.3 1,096.6 1,760.9 n/a

201 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 53 59.8% 92.1% 59.8% 122.1% 72.8%

202 People with HEART FAILURE eligible who are prescribed a beta blocker (%) 13 100.0% 92.1% 86.3% 100.0% n/a

203 Emergency admissions for CONGESTIVE HEART FAILURE 12 0.6 1.3 0.6 1.9 n/a

204 HEART FAILURE Team Face to Face Contacts 40 8.1 13.3 6.6 33.3 n/a

205 HEART FAILURE Team Case Load <5 - 0.4 - 1.1 n/a

206 ATRIAL FIBRILLATION and STROKE -

207 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 122 3,012.8 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 30 24.6% 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 (%) 71 60.2% 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) % 84 71.2% 42.4% 34.6% 71.2% 93.6%

211 People on Warfarin who have INR recorded in last 12 months (%) 45 100.0% 96.9% 92.8% 100.0% n/a

212 STROKE/TIA Prevalence DSR per 100,000 population 141 2,907.9 2,317.6 1,909.9 2,907.9 n/a

213 Ratio of Observed (QOF) to Expected STROKE Prevalence 141 10.8% 56.2% 10.8% 73.4% 56.8%

214 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 129 86.0% 89.7% 86.0% 93.3% 91.7%

215 People with STROKE/TIA referred for further investigation after last stroke or first TIA (QOF) % 61 88.4% 88.3% 78.1% 94.3% 83.4%

216 People with STROKE/TIA whose latest total cholesterol (prev 12m) is 5mmol or less (%) 84 56.0% 60.0% 54.4% 66.9% n/a

217 Emergency admissions for STROKE 11 0.56 1.39 0.56 1.74 n/a

218 EPILEPSY -

219 Children with EPILEPSY 0-17 years (%) <5 0.2% 0.3% 0.2% 0.4% n/a

220 EPILEPSY Prevalence DSR per 100,000 population 140 923.0 969.5 693.0 1,137.6 n/a

221 Emergency admissions for EPILEPSY 70 3.6 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 (%) 1,152 4.3% 3.3% 2.3% 4.7% n/a

225 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 3,320 15,228.7 15,284.2 12,409.6 19,842.4 n/a

226 People with CMHP with no other LTCs (%) 2,524 76.0% 57.2% 50.7% 76.0% n/a

227 People with CMHP with 1 other LTC (%) 498 15.0% 22.1% 15.0% 23.8% n/a

228 People with CMHP with 2 other LTCs (%) 185 5.6% 10.9% 5.6% 12.8% n/a

229 People with CMHP and CHD (%) 74 2.2% 6.3% 2.2% 8.2% n/a

230 People with CMHP and COPD (%) 133 4.0% 7.4% 4.0% 9.5% n/a

231 People with CMHP and Cancer (%) 66 2.0% 7.1% 2.0% 10.0% n/a

232 People with CMHP and Diabetes (%) 115 3.5% 9.1% 3.5% 11.1% n/a

233 People with CMHP and Hypertension (%) 255 7.7% 21.8% 7.7% 28.0% n/a

234 People with CMHP and SMI (%) 161 4.8% 4.7% 3.4% 6.7% n/a

235 People with CMHP and Current Smoker 15+ (%) 1,082 32.6% 31.5% 19.9% 39.1% n/a

236 Children and Adolescent Mental Health Services (CAMHS) Referrals per 1,000 56 2.1 22.5 2.1 40.3 n/a

237 Children and Adolescent Mental Health Services (CAMHS) Assessments per 1,000 41 1.5 15.7 1.5 27.7 n/a

238 Children and Adolescent Mental Health Services (CAMHS) 1st Interventions per 1,000 38 1.4 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) (%) 514 81.1% 79.3% 55.9% 86.9% 64.2%

240 Access to early intervention teams rate per 1,000 24 0.54 0.60 0.35 0.99 n/a

241 IAPT referral rate per 1,000 1,219 28.5 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 (%) 37 0.1% 0.2% 0.1% 0.2% n/a

244 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 330 2,203.9 1,443.2 1,034.5 2,704.9 n/a

245 People with SMI with no other LTCs (%) 117 35.5% 27.8% 21.4% 35.5% n/a

246 People with SMI with 1 other LTC (%) 137 41.5% 39.0% 33.3% 43.0% n/a

247 People with SMI with 2 other LTCs (%) 40 12.1% 18.3% 12.1% 23.3% n/a

248 People with SMI and CHD (%) 13 3.9% 5.0% 2.6% 8.1% n/a

249 People with SMI and COPD (%) 23 7.0% 8.1% 5.1% 11.3% n/a

250 People with SMI and CANCER (%) 6 1.8% 5.1% 1.8% 8.3% n/a

251 People with SMI and Diabetes (%) 23 7.0% 12.9% 7.0% 16.2% n/a

252 People with SMI and CMHP (%) 161 48.8% 50.5% 43.8% 59.2% n/a

253 People with SMI and Hypertension (%) 35 10.6% 18.7% 10.6% 23.1% n/a

254 People with SMI and Current Smoker 15+ (%) 210 63.6% 49.8% 34.2% 63.6% n/a

255 People with SMI receiving list of physical checks previous 12 months (%) 69 21.6% 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) (%) 19 95.0% 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) (%) 226 92.2% 88.5% 70.4% 94.2% 78.2%

258 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 197 79.1% 86.8% 77.9% 93.6% 81.5%

259 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 194 76.1% 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) (%) 40 78.4% 84.4% 76.4% 95.5% 69.6%

261 Referrals to Community MENTAL HEALTH rate per 1,000 445 10.1 17.7 10.1 23.1 n/a

262 Community MENTAL HEALTH contacts rate per 1,000 445 10.1 17.7 10.1 23.1 n/a

263 Referrals to PSYCHIATRIC LIAISON rate per 1,000 439 9.95 10.29 5.74 16.27 n/a

264 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 100 23.4% 34.1% 5.7% 53.9% n/a

265 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 47 6.69 3.45 1.96 6.69 n/a

266 Emergency admissions for MENTAL HEALTH 71 3.63 2.30 1.55 3.63 n/a

267 MUSCULOSKELETAL -

268 RHEUMATOID ARTHRITIS prevalence 49 0.1% 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) 46 93.9% 93.5% 86.2% 97.5% 84.1%

271 People with OSTEOPOROSIS aged 50-74 with a fragility fracture (QOF) <5 42.9% 80.9% 42.9% 97.7% n/a

272 People with OSTEOPOROSIS aged 75 and over with a fragility fracture (QOF) <5 33.3% 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) <5 66.7% 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) <5 100.0% 70.7% 50.0% 100.0% 59.7%

275 Admission rate FACET JOINT INJECTIONS (3+ Admissions) <5 0.00 0.23 0.00 0.66 n/a

276 Admission rate EPIDURAL/SPINAL NERVE ROOT INJECTIONS FOR NON ESPECIFIC BACK/ PAIN (3+ admissions) <5 0.05 0.04 0.00 0.13 n/a

277 GP ref, 1st outpatient attendances RHEUMATOLOGY 77 3.93 3.38 2.09 4.72 n/a

278 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 33 42.9% 51.6% 39.5% 66.9% n/a

279 RESPIRATORY -

280 RESPIRATORY Mortality - DSR per 100,000 population 34 236.2 180.0 122.3 276.4 n/a

281 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 27 119.3 58.2 23.7 119.3 34.3

282 Community RESPIRATORY team Face to Face contacts 107 21.7 26.1 9.8 44.5 n/a

283 Community RESPIRATORY Team Case Load <5 - 0.31 - 0.79 n/a

284 Child AED attendances - LRTI 90 61.2 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 10 3.8 5.3 3.8 7.9 n/a

286 Emergency admissions for FLU & PNEUMO 95 4.85 4.21 3.21 5.37 n/a

287 GP ref, 1st outpatient attendances RESPIRATORY 54 2.76 4.42 2.76 5.35 n/a

288 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 8 14.8% 22.3% 14.8% 32.8% n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

289 COPD -

290 COPD Prevalence DSR per 100,000 population 295 4,685.4 4,118.6 2,499.2 5,885.0 n/a

291 Ratio of Observed (QOF) to Expected COPD Prevalence 268 1923.8% 102.4% 58.0% 1923.8% 61.9%

292 People with COPD and diagnosis confirmed by post bronchodilator spirometry (QOF) (%) 178 85.6% 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) (%) 176 97.8% 96.1% 92.8% 98.9% 95.6%

294 People with COPD and an influenza vaccination in the preceeding Aug-March (QOF) (%) 188 89.1% 93.5% 86.3% 98.7% 80.0%

295 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 233 82.3% 77.3% 61.6% 83.1% 71.1%

296 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 263 90.1% 88.7% 80.8% 93.3% 79.4%

297 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 176 97.8% 96.1% 92.8% 98.9% n/a

298 Emergency admissions for COPD 93 4.75 3.43 1.66 5.53 n/a

299 ASTHMA -

300 Children with ASTHMA 0-17 years (%) 56 3.9% 4.1% 3.4% 4.8% n/a

301 Young People with ASTHMA aged 18-25 years (%) 618 2.4% 3.9% 2.4% 5.9% n/a

302 ASTHMA Prevalence DSR per 100,000 population 1,378 6,297.9 6,692.0 5,986.4 7,696.2 n/a

303 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 1,482 30.9% 60.0% 30.9% 74.8% 117.4%

304 People with ASTHMA Day and Night Symptoms Recorded (%) 1,053 70.8% 68.4% 59.7% 75.0% n/a

305 People with ASTHMA aged 8+ with measures of variability or reversibility recorded (QOF) (%) 537 94.7% 93.0% 90.1% 94.9% 84.9%

306 People with ASTHMA with asthma review, including assessment using 3 RCP questions (QOF) (%) 1,023 71.8% 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) (%) 167 92.8% 90.8% 85.6% 95.7% 83.5%

308 Emergency admissions for ASTHMA 22 1.12 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 36 81.5 123.2 75.8 175.8 n/a

311 LEARNING -

312 LEARNING DISABILITIES Prevalence DSR per 100,000 population 16 106.3 412.7 106.3 606.4 n/a

313 Persons 18+ with a LEARNING DISABILITY and HEALTH CHECK completed (%) 11 44.0% 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 (%) <5 16.0% 28.9% 6.4% 48.6% n/a

315 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 54 68.5% 84.8% 49.3% 110.5% n/a

316 PHYSICAL -

317 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 86 1,874.7 1,538.9 1,092.5 2,223.6 n/a

318 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 894 7,280.7 6,941.5 5,045.5 7,917.7 n/a

319 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 222 77.0 76.4 43.4 112.3 n/a

320 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 148 51.4 43.8 24.8 60.0 n/a

321 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 93 32.2 26.1 15.9 35.1 n/a

322 SEGMENT 4. COMPLEX LIVES -

323 Children in Need - Rate per 10,000 under 18 years 208 470.9 375.9 192.3 571.4 330.4

324 Looked After Children - Rate per 10,000 under 18 years 102 230.9 128.2 55.6 233.1 62.0

325 Child Protection Plan - Rate per 10,000 under 18 years 22 49.8 58.9 38.9 87.6 43.3

326 Early Help Assessment Tool (EHAT) Family Assessments (%) 110 2.5% 3.0% 2.0% 0.0 n/a

327 Troubled Families - Rate per 1,000 population 594 13.8 25.9 12.8 49.8 n/a

328 Child AED attendances - ACCIDENTS 197 133.9 116.0 74.7 155.6 n/a

329 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 151 685.9 1,298.1 685.9 1,869.6 n/a

330 Emergency admissions for SELF HARM under 18s <5 - 1.5 - 2.4 n/a

331 Hospital admissions as a result of SELF-HARM (10-24 years) DSR per 100,000 32 113.5 403.1 113.5 723.9 421.2

332 Persons under 18 admitted to hospital for ALCOHOL-SPECIFIC conditions crude rate per 100,000 (3 Year Pooled) <5 23.6 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) 17 21.6 84.0 21.6 190.5 87.9

334 MH emergency admissions MENTAL & BEHAVIOURAL - ALCOHOL 114 2.6 1.6 0.7 2.6 n/a

335 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 127 2.9 1.8 0.8 2.9 n/a

336 Emergency admissions for VIOLENCE 129 6.6 2.6 1.1 6.6 n/a

337 Emergency admissions for SELF HARM over 18s 79 1.9 2.9 1.4 5.5 n/a

338 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 310 2,269.5 868.9 459.3 2,269.5 n/a

339 ALCOHOL SPECIFIC admissions DSR per 100,000 167 875.9 315.1 118.6 875.9 118.3

340 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 739 6,096.5 2,914.7 1,963.6 6,096.5 2,224.0

341 People registered as homeless by their GP rate per 1,000 618 14.8 1.9 0.1 14.8 -

342 People with 10 or more Accident and Emergency attendances in last 12 months rate per 1,000 117 2.7 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 - 37.4% 34.2% 21.4% 47.0% 15.3%

346 Population 65+ (%) 789 1.8% 14.4% 1.8% 20.4% 17.9%

347 Population 75+ (%) 230 0.5% 6.3% 0.5% 9.4% 8.1%

348 Population 85+ (%) 47 0.1% 1.7% 0.1% 2.9% 2.4%

349 Population 95+ (%) <5 0.0% 0.1% 0.0% 0.2% 0.2%

350 People with a MILD frailty score (%) 25 10.0% 17.3% 0.8% 35.7% n/a

351 People with a MODERATE frailty score (%) 132 52.8% 51.3% 40.1% 65.5% n/a

352 People with a SEVERE frailty score (%) 92 36.8% 31.3% 24.2% 47.6% n/a

353 Injuries due to FALLS 65+ 21 27.0 33.0 25.5 51.0 n/a

354 Emergency admissions for HIP FRACTURES aged over 65 7 9.0 7.2 5.2 9.4 n/a


356 Emergency admissions for CELLULITIS 37 1.9 1.7 1.4 2.3 n/a


358 Emergency admissions for DEMENTIA aged over 65 <5 0.2 1.7 0.2 7.3 n/a


360 Emergency admissons for GASTRO/DEHYDRATION - - 0.2 - 0.5 n/a

361 Emergency admissions for PYLO NEFRITIS 20 1.0 0.6 0.4 1.0 n/a


363 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 34 11.9 28.8 9.4 56.7 n/a

364 Emergency admissions from CARE HOMES 14 2.3 22.6 2.3 81.6 n/a


366 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 14 95% 84% 74% 96% n/a

367 Social Services Users OLDER PERSONS per 1,000 65+ resident population 337 106.5 115.9 85.7 147.2 n/a

368 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 14 5.0 9.2 4.3 14.5 n/a




372 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 205 71.2 40.3 15.3 71.2 n/a

373 CARERS Prevalence (GP Recorded) DSR per 100,000 population 130 1,781.5 2,854.9 1,781.5 3,873.6 n/a

374 DEMENTIA -

375 DEMENTIA Prevalence DSR per 100,000 population 21 622.5 792.0 565.2 1,142.9 n/a

376 Ratio of Observed (QOF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 27 66.6% 64.7% 43.1% 92.0% 60.0%

377 Ratio of Observed (QOF) to Expected DEMENTIA (CFAS II) Prevalence 27 78.5% 73.0% 48.7% 104.2% 67.4%

378 People with DEMENTIA with no other LTCs (%) <5 4.8% 9.3% 4.8% 14.3% n/a

379 People with DEMENTIA with 1 other LTC (%) 5 23.8% 19.3% 14.3% 26.9% n/a

380 People with DEMENTIA with 2 other LTCs (%) 5 23.8% 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) (%) 20 87.0% 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) (%) <5 50.0% 84.3% 50.0% 92.0% 68.0%



IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

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 39 649.3 642.8 430.0 1,071.9 n/a

388 Emergency admissions END OF LIFE 11 14.1 19.4 13.3 23.9 n/a

389 CANCER Mortality - DSR per 100,000 population 35 314.7 303.7 246.8 391.1 268.0

390 LUNG CANCER - DSR per 100,000 population 10 90.2 85.7 49.2 148.3 56.3

391 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 11 100.6 87.5 63.7 119.4 n/a

392 CANCER Mortality Under 75 Years - DSR per 100,000 population 22 134.1 157.3 119.8 201.8 134.6

393 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 6 39.4 45.4 22.9 84.0 n/a

394 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 7 32.2 46.4 32.2 59.8 n/a

395 CANCER Prevalence DSR per 100,000 population 333 5,570.8 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 62 1,576.6 1,343.3 1,096.6 1,760.9 n/a

399 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 53 59.8% 92.1% 59.8% 122.1% 72.8%

400 CKD Prevalence DSR per 100,000 population 254 5,593.4 6,549.4 4,653.5 8,229.4 n/a

401 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 193 52.7% 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 4,372 99.1 149.7 99.1 179.0 n/a

405 Walk in Centre attendances 6,347 324.2 213.6 107.4 324.2 n/a

406 A&E not admitted (using discharge method, discharge with no treatment, no follow up) 6,369 325.3 246.6 187.7 329.1 n/a

407 Total NEL admissions <=1 day LOS rate per 1,000 1,826 93.3 72.0 55.1 97.1 n/a

408 Total NEL admissions >2 day LOS rate per 1,000 1,035 52.9 53.0 39.6 61.9 n/a

409 Child AED attendance rate per 1,000 population aged 0-4 years 393 695.5 740.7 567.4 878.2 n/a

410 Child AED attendances - ACCIDENTS 197 133.9 116.0 74.7 155.6 n/a

411 Child AED attendances - LRTI 90 61.2 63.2 47.8 80.1 n/a

412 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 47 6.7 3.4 2.0 6.7 n/a

413 Child Emergency Admission Average Length of Stay <1 day 114 77.5 56.7 47.3 77.5 n/a

414 Rate per 1,000 HCHS weighted pop for GP Spec AE attendances 186 9.5 7.4 4.0 12.0 n/a

415 Rate per 1,000 HCHS weighted pop for GP Spec ACS admissions 249 12.7 12.2 7.9 14.5 n/a

416 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 739 6,096.5 2,914.7 1,963.6 6,096.5 2,224.0

417 ALCOHOL SPECIFIC admissions DSR per 100,000 167 875.9 315.1 118.6 875.9 118.3


419 Emergency admissions for ASTHMA 22 1.1 1.3 0.5 2.0 n/a

420 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1,000 aged 0-18 years 1 0.4 0.8 0.3 1.3 n/a

421 Emergency admissions for CANCER 57 2.9 5.6 2.9 6.8 n/a

422 Emergency admissions for CELLULITIS 37 1.9 1.7 1.4 2.3 n/a


424 Emergency admissions for COPD 93 4.7 3.4 1.7 5.5 n/a


426 Emergency admissions for DIABETIC COMPLICATIONS 18 0.9 0.5 0.2 0.9 n/a

427 Emergency admissions for ENT 71 3.6 2.0 0.9 3.6 n/a

428 Emergency admissions for EPILEPSY 70 3.6 1.4 0.5 3.6 n/a


430 Emergency admissons for GASTRO/DEHYDRATION - - 0.2 - 0.5 n/a

431 Emergency admissions for HIP FRACTURES aged over 65 7 9.0 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 10 3.8 5.3 3.8 7.9 n/a

433 Emergency admissions for MENTAL HEALTH 71 3.6 2.3 1.6 3.6 n/a

434 Emergency admissions for PYLO NEFRITIS 20 1.0 0.6 0.4 1.0 n/a

435 Emergency admissions for SELF HARM over 18s 79 1.9 2.9 1.4 5.5 n/a


437 Emergency admissions for VIOLENCE 129 6.6 2.6 1.1 6.6 n/a

438 Injuries due to FALLS 65+ 21 26.96 32.96 25.54 51.05 n/a

439 Emergency re-admissions within 30 days to hospital (%) 525 0.2 0.1 0.1 0.2 0.1

440 Emergency admissions END OF LIFE 11 14.1 19.4 13.3 23.9 n/a

441 Emergency admissions from CARE HOMES 14 2.3 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 1,533 78.3 80.3 69.5 91.7 n/a

444 GP ref, 1st outpatient attendances CARDIOLOGY 281 14.4 14.1 9.8 17.7 n/a

445 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 201 71.5% 62.6% 53.1% 72.9% n/a

446 GP ref, 1st outpatient attendances DERMATOLOGY 218 11.1 12.6 8.8 17.4 n/a

447 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 139 63.8% 54.1% 41.7% 63.8% n/a

448 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 81 37.2% 33.1% 27.3% 41.5% n/a

449 GP ref, 1st outpatient attendances ENT 332 17.0 16.1 11.8 18.1 n/a

450 GP ref, 1st outpatient attendances ENT - % referred on 2WW 62 18.7% 15.6% 10.2% 21.8% n/a

451 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 160 48.2% 42.7% 37.6% 48.2% n/a

452 GP ref, 1st outpatient attendances GASTRO 183 9.3 9.4 7.6 11.0 n/a

453 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 26 14.2% 31.7% 14.2% 52.6% n/a

454 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 65 35.5% 41.5% 29.6% 56.4% n/a

455 GP ref, 1st outpatient attendances GYNAECOLOGY 183 9.3 8.9 5.8 10.3 n/a

456 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 46 25.1% 20.6% 16.3% 28.0% n/a

457 GP ref, 1st outpatient attendances RESPIRATORY 54 2.8 4.4 2.8 5.3 n/a

458 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 8 14.8% 22.3% 14.8% 32.8% n/a

459 GP ref, 1st outpatient attendances RHEUMATOLOGY 77 3.9 3.4 2.1 4.7 n/a

460 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 33 42.9% 51.6% 39.5% 66.9% n/a

461 GP ref, 1st outpatient attendances UROLOGY 189 9.7 9.0 6.3 10.5 n/a

462 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 80 42.3% 41.6% 30.8% 53.5% n/a

463 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 49 25.9% 34.5% 25.2% 46.8% n/a

464 GP ref, 1st outpatient attendances VASCULAR 16 0.8 1.9 0.8 2.4 n/a

465 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 11 68.8% 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 (%) 445 77.2% 70.4% 60.4% 80.3% n/a

468 Patient experience: Overall Experience of General Practice (%) 545 91.8% 85.7% 77.8% 92.0% n/a

469 Community Matrons Face to Face Contacts 113 22.9 59.4 22.9 106.4 n/a

470 Community Matrons Case Load <5 0.8 0.9 0.4 2.9 n/a

471 Community RESPIRATORY team Face to Face contacts 107 21.7 26.1 9.8 44.5 n/a

472 Community RESPIRATORY Team Case Load <5 - 0.3 - 0.8 n/a

473 DIABETES Specialist Nurses Face to Face Contacts 125 25.4 33.6 20.2 54.9 n/a

474 DIABETES Case Load 34 6.9 8.8 6.5 12.2 n/a

475 District Nursing Face to Face Contacts 5,440 1,104.8 1,102.6 719.9 1,402.3 n/a

476 District Nursing Case Load 82 16.7 12.8 10.3 16.7 n/a

477 HEART FAILURE Team Face to Face Contacts 40 8.1 13.3 6.6 33.3 n/a

478 HEART FAILURE Team Case Load <5 - 0.4 - 1.1 n/a

479 IV Therapy Face to Face Contacts 18 3.7 17.4 3.7 43.6 n/a

480 IV Therapy Case Load <5 - 0.2 - 0.3 n/a

481 Therapy Face to Face Contacts 961 195.2 388.1 195.2 483.1 n/a

482 Therapy Case Load 150 30.5 67.4 30.5 84.5 n/a

483 Treatment Rooms Face to Face Contacts 361 73.3 216.3 73.3 332.5 n/a

484 Treatment Rooms Case Load 5 1.0 5.8 1.0 13.3 n/a

485 Telehealth referrals rate per 1,000 adult registered pop 8 1.6 23.8 1.0 125.8 n/a

486 Referrals to Community MENTAL HEALTH rate per 1,000 445 10.1 17.7 10.1 23.1 n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

487 SOCIAL CARE NEED (LIVERPOOL CITY COUNCIL) -

488 Social Services Users TOTAL per 1,000 40+ resident population 1,024 71.7 185.9 71.7 348.5 n/a

489 Social Services Users OLDER PERSONS per 1,000 65+ resident population 337 106.5 115.9 85.7 147.2 n/a

490 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 100 23.4% 34.1% 5.7% 53.9% n/a

491 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 54 68.5% 84.8% 49.3% 110.5% n/a













504 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 14 95.0% 84.2% 74.0% 96.0% n/a