Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND...

25
Nottingham and Nottinghamshire Integrated Care System (https://healthandcarenotts.co.uk) 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood Prepared by Nottinghamshire County Council and Nottingham City Council, Public Health Intelligence

Transcript of Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND...

Page 1: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

1

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILE

Version 16

Beeston Neighbourhood

Prepared by Nottinghamshire County Council and Nottingham City Council Public Health Intelligence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

2

Purpose of this profile

These profiles are a detailed view covering the various aspects of the health wellbeing and social care of the different Primary Care Networks (PCNs)

They are intended to help inform the needs of the local population to assist and support the planning of local services

They will allow organisations and teams working in PCNs to develop tailored approaches to engagement and communications and understand issues unique to each population

The intention is that they are conversation starters for local government health and social services and the community

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

3

What does this profile reveal about this Neighbourhood

This Neighbourhood is responsible for 13 of the registered patients in South Notts ICP and 45 of the registered population of Nottingham West PCN

The population structure is relatively young with a high proportion of young adults it is ethnically diverse and relatively affluent

Life Expectancy and Healthy Life Expectancy compare well with national figures On average health may begin to decline around age 66 2 years later than England

Prevalence of circulatory disease asthma and cancer is higher than nationally but primary care (as measured by QOF) is at least as good as England and better in some disease areas

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

4

There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary

76 of the population resident within the NHD boundary are registered with its GP practices

Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar

2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)

The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP

Asian and mixed ethnic groups form the predominant BME groups in the area

46 of people rate their health as lsquobadrsquo

or lsquovery badrsquo slightly lower than the ICP and England values

The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England

Over 65 of school children achieve five A - C grade GCSEs better than the than England average

A higher proportion of the population experience fuel poverty

Incidence of selected cancers is similar or better than compared to the England

All-age death rates for all causes and cancer are better or similar to England

However deaths from stroke are higher than expected

The death rate among people aged under 75 is better than expected than England

This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote

There are 5 GP practices in this NHD(shown in green) one having closed

Quick statistics for this Neighbourhood (NHD)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

5

The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District

There are 5 GP practices in this NHD

93 of patients registered with the practices live within the boundary

76 of people living within the boundary area are registered with NHD practices

Patient population pyramidPatient population density

This chart shows the April 2019 GP registered population for the NHD ICP and England

There are a total of 48039 patients registered with the GP practices

Overall the population profile shows a much higher proportion of young adults than the ICP

The proportion of older adults is slightly lower than the ICP population

Source NHS Digital Patients registered at GP practices (April 2019 extract)

5 4 3 2 1 0 1 2 3 4 5

00-04

05-09

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90-94

95+

Population in (Gender Age) band as a percent of Total NHD population

This NHD Male This NHD Female This ICP England

Males 23962

Females 24077

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

6

104 of the resident population is from a BME background

This is higher than across the ICP (67)

42 of children in this NHD are living in areas defined as the most deprived 20 in England

This is lower than for the ICP and England

Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability

89

6 r

esid

ents

37

7 r

esid

ents

48

3 r

esid

ents

29

42

36

53

87

45

20

4

23

7

13

9

0

5

10

15

20

25

Income deprivation Income deprivation

affecting children

Income deprivation

affecting older people

Res

iden

ts li

vin

g in

the

mo

st d

epri

ved

qu

inti

le

(per

cen

t o

f to

tal)

This NHD This ICP England

Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

23

79

res

iden

ts

92

09

res

iden

ts

10

54

res

iden

ts

46

17

7

20

50

18

2

23

55

17

6

24

0

2

4

6

8

10

12

14

16

18

20

Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a

week

Cen

sus2

01

1 r

esp

on

ses

by

resi

den

ts

(per

cen

t o

f to

tal)

This NHD This ICP England

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

0

2

4

6

8

10

12

14

16

This NHDThis ICPEnglandC

ensu

s20

11

eth

nic

ity

of

resi

den

ts

(per

cen

t o

f to

tal)

White (remainder to 100)

Other Ethnic Group

MixedMultiple Ethnic Groups

GypsyTravellerIrish Traveller

BlackAfricanCaribbeanBlack British

AsianAsian British

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

Ethnicity

1 (most deprived)

2

2

3

3

3

4

4

4

5 (least deprived)

5 (least deprived)

5 (least deprived)

0

10

20

30

40

50

60

70

80

90

100

This NHDThis ICPEngland

Res

iden

ts li

vin

g in

ea

ch d

epri

vati

on

q

uin

tile

(per

cen

t o

f to

tal)

1 (most deprived) 2 3 4 5 (least deprived)

Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

Deprivation (Index of Multiple Deprivation)

Deprivation (Income Domain) Self reported health and care

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

7

Public Health England Local Health Indicators

Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas

Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains

Our Community

Behavioural risk factor and child health

Disease and poor health

Life expectancy and causes of death

Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England

These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution

Life expectancy at birth for Females is higher than for Males

o Life expectancy for Males in 2013-17 was 807 years

o hellip and for Females was 839 years

Females live in poor health for longer than Males

o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males

o hellip and 174 years for Females

Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages

Areas where this NHD fares worse than England include

o Fuel poverty

o Back pain and severe back pain prevalence

o Deaths from stroke (all ages)

England average

Central 50 of values

This NHD value

Lower or Worse than England

Higher or Better than England

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Shading and border show comparison to

England

Features to note for this NHD

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 2: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

2

Purpose of this profile

These profiles are a detailed view covering the various aspects of the health wellbeing and social care of the different Primary Care Networks (PCNs)

They are intended to help inform the needs of the local population to assist and support the planning of local services

They will allow organisations and teams working in PCNs to develop tailored approaches to engagement and communications and understand issues unique to each population

The intention is that they are conversation starters for local government health and social services and the community

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

3

What does this profile reveal about this Neighbourhood

This Neighbourhood is responsible for 13 of the registered patients in South Notts ICP and 45 of the registered population of Nottingham West PCN

The population structure is relatively young with a high proportion of young adults it is ethnically diverse and relatively affluent

Life Expectancy and Healthy Life Expectancy compare well with national figures On average health may begin to decline around age 66 2 years later than England

Prevalence of circulatory disease asthma and cancer is higher than nationally but primary care (as measured by QOF) is at least as good as England and better in some disease areas

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

4

There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary

76 of the population resident within the NHD boundary are registered with its GP practices

Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar

2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)

The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP

Asian and mixed ethnic groups form the predominant BME groups in the area

46 of people rate their health as lsquobadrsquo

or lsquovery badrsquo slightly lower than the ICP and England values

The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England

Over 65 of school children achieve five A - C grade GCSEs better than the than England average

A higher proportion of the population experience fuel poverty

Incidence of selected cancers is similar or better than compared to the England

All-age death rates for all causes and cancer are better or similar to England

However deaths from stroke are higher than expected

The death rate among people aged under 75 is better than expected than England

This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote

There are 5 GP practices in this NHD(shown in green) one having closed

Quick statistics for this Neighbourhood (NHD)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

5

The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District

There are 5 GP practices in this NHD

93 of patients registered with the practices live within the boundary

76 of people living within the boundary area are registered with NHD practices

Patient population pyramidPatient population density

This chart shows the April 2019 GP registered population for the NHD ICP and England

There are a total of 48039 patients registered with the GP practices

Overall the population profile shows a much higher proportion of young adults than the ICP

The proportion of older adults is slightly lower than the ICP population

Source NHS Digital Patients registered at GP practices (April 2019 extract)

5 4 3 2 1 0 1 2 3 4 5

00-04

05-09

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90-94

95+

Population in (Gender Age) band as a percent of Total NHD population

This NHD Male This NHD Female This ICP England

Males 23962

Females 24077

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

6

104 of the resident population is from a BME background

This is higher than across the ICP (67)

42 of children in this NHD are living in areas defined as the most deprived 20 in England

This is lower than for the ICP and England

Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability

89

6 r

esid

ents

37

7 r

esid

ents

48

3 r

esid

ents

29

42

36

53

87

45

20

4

23

7

13

9

0

5

10

15

20

25

Income deprivation Income deprivation

affecting children

Income deprivation

affecting older people

Res

iden

ts li

vin

g in

the

mo

st d

epri

ved

qu

inti

le

(per

cen

t o

f to

tal)

This NHD This ICP England

Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

23

79

res

iden

ts

92

09

res

iden

ts

10

54

res

iden

ts

46

17

7

20

50

18

2

23

55

17

6

24

0

2

4

6

8

10

12

14

16

18

20

Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a

week

Cen

sus2

01

1 r

esp

on

ses

by

resi

den

ts

(per

cen

t o

f to

tal)

This NHD This ICP England

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

0

2

4

6

8

10

12

14

16

This NHDThis ICPEnglandC

ensu

s20

11

eth

nic

ity

of

resi

den

ts

(per

cen

t o

f to

tal)

White (remainder to 100)

Other Ethnic Group

MixedMultiple Ethnic Groups

GypsyTravellerIrish Traveller

BlackAfricanCaribbeanBlack British

AsianAsian British

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

Ethnicity

1 (most deprived)

2

2

3

3

3

4

4

4

5 (least deprived)

5 (least deprived)

5 (least deprived)

0

10

20

30

40

50

60

70

80

90

100

This NHDThis ICPEngland

Res

iden

ts li

vin

g in

ea

ch d

epri

vati

on

q

uin

tile

(per

cen

t o

f to

tal)

1 (most deprived) 2 3 4 5 (least deprived)

Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

Deprivation (Index of Multiple Deprivation)

Deprivation (Income Domain) Self reported health and care

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

7

Public Health England Local Health Indicators

Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas

Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains

Our Community

Behavioural risk factor and child health

Disease and poor health

Life expectancy and causes of death

Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England

These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution

Life expectancy at birth for Females is higher than for Males

o Life expectancy for Males in 2013-17 was 807 years

o hellip and for Females was 839 years

Females live in poor health for longer than Males

o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males

o hellip and 174 years for Females

Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages

Areas where this NHD fares worse than England include

o Fuel poverty

o Back pain and severe back pain prevalence

o Deaths from stroke (all ages)

England average

Central 50 of values

This NHD value

Lower or Worse than England

Higher or Better than England

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Shading and border show comparison to

England

Features to note for this NHD

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 3: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

3

What does this profile reveal about this Neighbourhood

This Neighbourhood is responsible for 13 of the registered patients in South Notts ICP and 45 of the registered population of Nottingham West PCN

The population structure is relatively young with a high proportion of young adults it is ethnically diverse and relatively affluent

Life Expectancy and Healthy Life Expectancy compare well with national figures On average health may begin to decline around age 66 2 years later than England

Prevalence of circulatory disease asthma and cancer is higher than nationally but primary care (as measured by QOF) is at least as good as England and better in some disease areas

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

4

There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary

76 of the population resident within the NHD boundary are registered with its GP practices

Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar

2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)

The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP

Asian and mixed ethnic groups form the predominant BME groups in the area

46 of people rate their health as lsquobadrsquo

or lsquovery badrsquo slightly lower than the ICP and England values

The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England

Over 65 of school children achieve five A - C grade GCSEs better than the than England average

A higher proportion of the population experience fuel poverty

Incidence of selected cancers is similar or better than compared to the England

All-age death rates for all causes and cancer are better or similar to England

However deaths from stroke are higher than expected

The death rate among people aged under 75 is better than expected than England

This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote

There are 5 GP practices in this NHD(shown in green) one having closed

Quick statistics for this Neighbourhood (NHD)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

5

The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District

There are 5 GP practices in this NHD

93 of patients registered with the practices live within the boundary

76 of people living within the boundary area are registered with NHD practices

Patient population pyramidPatient population density

This chart shows the April 2019 GP registered population for the NHD ICP and England

There are a total of 48039 patients registered with the GP practices

Overall the population profile shows a much higher proportion of young adults than the ICP

The proportion of older adults is slightly lower than the ICP population

Source NHS Digital Patients registered at GP practices (April 2019 extract)

5 4 3 2 1 0 1 2 3 4 5

00-04

05-09

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90-94

95+

Population in (Gender Age) band as a percent of Total NHD population

This NHD Male This NHD Female This ICP England

Males 23962

Females 24077

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

6

104 of the resident population is from a BME background

This is higher than across the ICP (67)

42 of children in this NHD are living in areas defined as the most deprived 20 in England

This is lower than for the ICP and England

Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability

89

6 r

esid

ents

37

7 r

esid

ents

48

3 r

esid

ents

29

42

36

53

87

45

20

4

23

7

13

9

0

5

10

15

20

25

Income deprivation Income deprivation

affecting children

Income deprivation

affecting older people

Res

iden

ts li

vin

g in

the

mo

st d

epri

ved

qu

inti

le

(per

cen

t o

f to

tal)

This NHD This ICP England

Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

23

79

res

iden

ts

92

09

res

iden

ts

10

54

res

iden

ts

46

17

7

20

50

18

2

23

55

17

6

24

0

2

4

6

8

10

12

14

16

18

20

Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a

week

Cen

sus2

01

1 r

esp

on

ses

by

resi

den

ts

(per

cen

t o

f to

tal)

This NHD This ICP England

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

0

2

4

6

8

10

12

14

16

This NHDThis ICPEnglandC

ensu

s20

11

eth

nic

ity

of

resi

den

ts

(per

cen

t o

f to

tal)

White (remainder to 100)

Other Ethnic Group

MixedMultiple Ethnic Groups

GypsyTravellerIrish Traveller

BlackAfricanCaribbeanBlack British

AsianAsian British

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

Ethnicity

1 (most deprived)

2

2

3

3

3

4

4

4

5 (least deprived)

5 (least deprived)

5 (least deprived)

0

10

20

30

40

50

60

70

80

90

100

This NHDThis ICPEngland

Res

iden

ts li

vin

g in

ea

ch d

epri

vati

on

q

uin

tile

(per

cen

t o

f to

tal)

1 (most deprived) 2 3 4 5 (least deprived)

Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

Deprivation (Index of Multiple Deprivation)

Deprivation (Income Domain) Self reported health and care

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

7

Public Health England Local Health Indicators

Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas

Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains

Our Community

Behavioural risk factor and child health

Disease and poor health

Life expectancy and causes of death

Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England

These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution

Life expectancy at birth for Females is higher than for Males

o Life expectancy for Males in 2013-17 was 807 years

o hellip and for Females was 839 years

Females live in poor health for longer than Males

o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males

o hellip and 174 years for Females

Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages

Areas where this NHD fares worse than England include

o Fuel poverty

o Back pain and severe back pain prevalence

o Deaths from stroke (all ages)

England average

Central 50 of values

This NHD value

Lower or Worse than England

Higher or Better than England

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Shading and border show comparison to

England

Features to note for this NHD

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 4: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

4

There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary

76 of the population resident within the NHD boundary are registered with its GP practices

Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar

2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)

The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP

Asian and mixed ethnic groups form the predominant BME groups in the area

46 of people rate their health as lsquobadrsquo

or lsquovery badrsquo slightly lower than the ICP and England values

The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England

Over 65 of school children achieve five A - C grade GCSEs better than the than England average

A higher proportion of the population experience fuel poverty

Incidence of selected cancers is similar or better than compared to the England

All-age death rates for all causes and cancer are better or similar to England

However deaths from stroke are higher than expected

The death rate among people aged under 75 is better than expected than England

This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote

There are 5 GP practices in this NHD(shown in green) one having closed

Quick statistics for this Neighbourhood (NHD)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

5

The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District

There are 5 GP practices in this NHD

93 of patients registered with the practices live within the boundary

76 of people living within the boundary area are registered with NHD practices

Patient population pyramidPatient population density

This chart shows the April 2019 GP registered population for the NHD ICP and England

There are a total of 48039 patients registered with the GP practices

Overall the population profile shows a much higher proportion of young adults than the ICP

The proportion of older adults is slightly lower than the ICP population

Source NHS Digital Patients registered at GP practices (April 2019 extract)

5 4 3 2 1 0 1 2 3 4 5

00-04

05-09

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90-94

95+

Population in (Gender Age) band as a percent of Total NHD population

This NHD Male This NHD Female This ICP England

Males 23962

Females 24077

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

6

104 of the resident population is from a BME background

This is higher than across the ICP (67)

42 of children in this NHD are living in areas defined as the most deprived 20 in England

This is lower than for the ICP and England

Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability

89

6 r

esid

ents

37

7 r

esid

ents

48

3 r

esid

ents

29

42

36

53

87

45

20

4

23

7

13

9

0

5

10

15

20

25

Income deprivation Income deprivation

affecting children

Income deprivation

affecting older people

Res

iden

ts li

vin

g in

the

mo

st d

epri

ved

qu

inti

le

(per

cen

t o

f to

tal)

This NHD This ICP England

Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

23

79

res

iden

ts

92

09

res

iden

ts

10

54

res

iden

ts

46

17

7

20

50

18

2

23

55

17

6

24

0

2

4

6

8

10

12

14

16

18

20

Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a

week

Cen

sus2

01

1 r

esp

on

ses

by

resi

den

ts

(per

cen

t o

f to

tal)

This NHD This ICP England

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

0

2

4

6

8

10

12

14

16

This NHDThis ICPEnglandC

ensu

s20

11

eth

nic

ity

of

resi

den

ts

(per

cen

t o

f to

tal)

White (remainder to 100)

Other Ethnic Group

MixedMultiple Ethnic Groups

GypsyTravellerIrish Traveller

BlackAfricanCaribbeanBlack British

AsianAsian British

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

Ethnicity

1 (most deprived)

2

2

3

3

3

4

4

4

5 (least deprived)

5 (least deprived)

5 (least deprived)

0

10

20

30

40

50

60

70

80

90

100

This NHDThis ICPEngland

Res

iden

ts li

vin

g in

ea

ch d

epri

vati

on

q

uin

tile

(per

cen

t o

f to

tal)

1 (most deprived) 2 3 4 5 (least deprived)

Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

Deprivation (Index of Multiple Deprivation)

Deprivation (Income Domain) Self reported health and care

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

7

Public Health England Local Health Indicators

Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas

Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains

Our Community

Behavioural risk factor and child health

Disease and poor health

Life expectancy and causes of death

Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England

These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution

Life expectancy at birth for Females is higher than for Males

o Life expectancy for Males in 2013-17 was 807 years

o hellip and for Females was 839 years

Females live in poor health for longer than Males

o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males

o hellip and 174 years for Females

Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages

Areas where this NHD fares worse than England include

o Fuel poverty

o Back pain and severe back pain prevalence

o Deaths from stroke (all ages)

England average

Central 50 of values

This NHD value

Lower or Worse than England

Higher or Better than England

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Shading and border show comparison to

England

Features to note for this NHD

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 5: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

5

The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District

There are 5 GP practices in this NHD

93 of patients registered with the practices live within the boundary

76 of people living within the boundary area are registered with NHD practices

Patient population pyramidPatient population density

This chart shows the April 2019 GP registered population for the NHD ICP and England

There are a total of 48039 patients registered with the GP practices

Overall the population profile shows a much higher proportion of young adults than the ICP

The proportion of older adults is slightly lower than the ICP population

Source NHS Digital Patients registered at GP practices (April 2019 extract)

5 4 3 2 1 0 1 2 3 4 5

00-04

05-09

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90-94

95+

Population in (Gender Age) band as a percent of Total NHD population

This NHD Male This NHD Female This ICP England

Males 23962

Females 24077

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

6

104 of the resident population is from a BME background

This is higher than across the ICP (67)

42 of children in this NHD are living in areas defined as the most deprived 20 in England

This is lower than for the ICP and England

Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability

89

6 r

esid

ents

37

7 r

esid

ents

48

3 r

esid

ents

29

42

36

53

87

45

20

4

23

7

13

9

0

5

10

15

20

25

Income deprivation Income deprivation

affecting children

Income deprivation

affecting older people

Res

iden

ts li

vin

g in

the

mo

st d

epri

ved

qu

inti

le

(per

cen

t o

f to

tal)

This NHD This ICP England

Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

23

79

res

iden

ts

92

09

res

iden

ts

10

54

res

iden

ts

46

17

7

20

50

18

2

23

55

17

6

24

0

2

4

6

8

10

12

14

16

18

20

Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a

week

Cen

sus2

01

1 r

esp

on

ses

by

resi

den

ts

(per

cen

t o

f to

tal)

This NHD This ICP England

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

0

2

4

6

8

10

12

14

16

This NHDThis ICPEnglandC

ensu

s20

11

eth

nic

ity

of

resi

den

ts

(per

cen

t o

f to

tal)

White (remainder to 100)

Other Ethnic Group

MixedMultiple Ethnic Groups

GypsyTravellerIrish Traveller

BlackAfricanCaribbeanBlack British

AsianAsian British

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

Ethnicity

1 (most deprived)

2

2

3

3

3

4

4

4

5 (least deprived)

5 (least deprived)

5 (least deprived)

0

10

20

30

40

50

60

70

80

90

100

This NHDThis ICPEngland

Res

iden

ts li

vin

g in

ea

ch d

epri

vati

on

q

uin

tile

(per

cen

t o

f to

tal)

1 (most deprived) 2 3 4 5 (least deprived)

Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

Deprivation (Index of Multiple Deprivation)

Deprivation (Income Domain) Self reported health and care

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

7

Public Health England Local Health Indicators

Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas

Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains

Our Community

Behavioural risk factor and child health

Disease and poor health

Life expectancy and causes of death

Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England

These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution

Life expectancy at birth for Females is higher than for Males

o Life expectancy for Males in 2013-17 was 807 years

o hellip and for Females was 839 years

Females live in poor health for longer than Males

o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males

o hellip and 174 years for Females

Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages

Areas where this NHD fares worse than England include

o Fuel poverty

o Back pain and severe back pain prevalence

o Deaths from stroke (all ages)

England average

Central 50 of values

This NHD value

Lower or Worse than England

Higher or Better than England

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Shading and border show comparison to

England

Features to note for this NHD

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 6: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

6

104 of the resident population is from a BME background

This is higher than across the ICP (67)

42 of children in this NHD are living in areas defined as the most deprived 20 in England

This is lower than for the ICP and England

Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability

89

6 r

esid

ents

37

7 r

esid

ents

48

3 r

esid

ents

29

42

36

53

87

45

20

4

23

7

13

9

0

5

10

15

20

25

Income deprivation Income deprivation

affecting children

Income deprivation

affecting older people

Res

iden

ts li

vin

g in

the

mo

st d

epri

ved

qu

inti

le

(per

cen

t o

f to

tal)

This NHD This ICP England

Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

23

79

res

iden

ts

92

09

res

iden

ts

10

54

res

iden

ts

46

17

7

20

50

18

2

23

55

17

6

24

0

2

4

6

8

10

12

14

16

18

20

Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a

week

Cen

sus2

01

1 r

esp

on

ses

by

resi

den

ts

(per

cen

t o

f to

tal)

This NHD This ICP England

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

0

2

4

6

8

10

12

14

16

This NHDThis ICPEnglandC

ensu

s20

11

eth

nic

ity

of

resi

den

ts

(per

cen

t o

f to

tal)

White (remainder to 100)

Other Ethnic Group

MixedMultiple Ethnic Groups

GypsyTravellerIrish Traveller

BlackAfricanCaribbeanBlack British

AsianAsian British

Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries

Ethnicity

1 (most deprived)

2

2

3

3

3

4

4

4

5 (least deprived)

5 (least deprived)

5 (least deprived)

0

10

20

30

40

50

60

70

80

90

100

This NHDThis ICPEngland

Res

iden

ts li

vin

g in

ea

ch d

epri

vati

on

q

uin

tile

(per

cen

t o

f to

tal)

1 (most deprived) 2 3 4 5 (least deprived)

Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries

Deprivation (Index of Multiple Deprivation)

Deprivation (Income Domain) Self reported health and care

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

7

Public Health England Local Health Indicators

Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas

Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains

Our Community

Behavioural risk factor and child health

Disease and poor health

Life expectancy and causes of death

Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England

These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution

Life expectancy at birth for Females is higher than for Males

o Life expectancy for Males in 2013-17 was 807 years

o hellip and for Females was 839 years

Females live in poor health for longer than Males

o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males

o hellip and 174 years for Females

Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages

Areas where this NHD fares worse than England include

o Fuel poverty

o Back pain and severe back pain prevalence

o Deaths from stroke (all ages)

England average

Central 50 of values

This NHD value

Lower or Worse than England

Higher or Better than England

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Shading and border show comparison to

England

Features to note for this NHD

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 7: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

7

Public Health England Local Health Indicators

Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas

Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains

Our Community

Behavioural risk factor and child health

Disease and poor health

Life expectancy and causes of death

Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England

These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution

Life expectancy at birth for Females is higher than for Males

o Life expectancy for Males in 2013-17 was 807 years

o hellip and for Females was 839 years

Females live in poor health for longer than Males

o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males

o hellip and 174 years for Females

Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages

Areas where this NHD fares worse than England include

o Fuel poverty

o Back pain and severe back pain prevalence

o Deaths from stroke (all ages)

England average

Central 50 of values

This NHD value

Lower or Worse than England

Higher or Better than England

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Shading and border show comparison to

England

Features to note for this NHD

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 8: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

8

Public Health England Local Health IndicatorsOur Community

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017

Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017

Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017

Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017

Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017

Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011

Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011

Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011

Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015

Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015

Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015

Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314

GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314

Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718

Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per

1000Lower is better 201718

Fuel povertyNot

applicable121 111 206 62 Proportion Lower is better 2016

Percentage of households in PovertyNot

applicable181 211 426 106 Proportion Lower is better 201314

Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011

Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015

Ou

r co

mm

un

ity

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 9: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

9

Public Health England Local Health IndicatorsBehavioural risk factors and child health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -

1516

Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year

aggregateFemale 580 632 373 913

Crude rate per

1000- 2011 - 15

Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15

Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per

1000Lower is better

201314 -

1516

AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per

1000Lower is better

201314 -

1516

Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per

10000Lower is better

201112 -

1516

Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per

10000Lower is better

201112 -

1516

Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -

1718

Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -

1718

Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -

1718

Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -

1718

Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014

Smoking prevalence at age 15 - regular or occasional smokers (modelled

estimates)Persons 76 82 142 37 Proportion Lower is better 2014

Be

hav

iou

ral r

isk

fact

ors

an

d c

hil

d h

eal

th

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 10: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

10

Public Health England Local Health IndicatorsDisease and poor health

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Emergency hospital admissions for all causes all ages standardised admission

ratioPersons 770 1000 1590 649 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for coronary heart disease standardised

admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -

1718

Emergency hospital admissions for Myocardial Infarction (heart attack)

standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for Chronic Obstructive Pulmonary Disease

(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better

201314 -

1718

Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16

Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16

Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16

Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16

Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16

Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -

1718

Hospital stays for alcohol-related harm (Narrow definition) standardised

admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better

201314 -

1718

Hospital stays for alcohol-related harm (Broad definition) standardised

admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better

201314 -

1718

Emergency hospital admissions for hip fracture in persons 65 years and over

standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better

201314 -

1718

Percentage of people who reported having a l imiting long-term il lness or

disabilityPersons 177 176 268 100 Proportion Lower is better 2011

Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012

Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012

Dis

eas

e a

nd

po

or

he

alth

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 11: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

11

Public Health England Local Health IndicatorsLife expectancy and cause of death

England average

Central 50 of values

Not tested

Significantly HIGHER than England

Significantly LOWER than England

SIMILAR to England

Significantly BETTER than England

Significantly WORSE than England

Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy

YearsHigher is better 2013 - 17

Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy

YearsHigher is better 2013 - 17

Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17

Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17

Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17

Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17

Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17

Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17

Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17

Deaths from causes considered preventable all ages standardised mortality

ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17

Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy

YearsHigher is better 2009 - 13

Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy

YearsHigher is better 2009 - 13

Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy

YearsHigher is better 2009 - 13

Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy

YearsHigher is better 2009 - 13

Life

exp

ect

ancy

an

d c

ause

s o

f d

eat

h

Indicator Sex PCN valueEngland

value

England

Lowest or

Worst

England rangeEngland

Highest or

Best

Units

To be Better

value should

be hellip

Period

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 12: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

12

Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents

Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March

1A Younger adults (aged 18-64)

904 per 100000 residents

(60 clients)

This rate is lower than England

England 1229per 100000 residents

1B Older adults (aged 65 and over)

21229 per 100000 residents

(455 clients)

This rate is higher than England

England 14787 per 100000 residents

Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March

2A Younger adults (aged 18-64)

5727 per 100000 residents

(380 clients)

This rate is similar to England

England 6303per 100000 residents

2B Older adults (aged 65 and over)

21929 per 100000 residents

(470 clients)

This rate is similar to England

England 23277 per 100000 residents

Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes

Lower rates are considered better

3A Younger adults (aged 18-64)

151 per 100000 residents

(10 clients)

This rate is similar to England

England 139per 100000 residents

3B Older adults (aged 65 and over)

8865 per 100000 residents

(190 clients)

This rate is worse than England

England 5828 per 100000 residents

Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement

rehabilitation services

Higher percentages are considered better

4 Older adults (aged 65 and over)

545 percent

(30 clients)

This percentage is worse than England

England Value 827 percent

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 13: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

13

COPD prevalenceQuality outcomes framework (QOF)

COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers

The NHD population had a similar prevalence of COPD to England

966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963

829 of patients had received an influenza vaccination similar to the England average of 784

The QOF is a performance management and payment system for General Practices

GPs keep a record of people with specific diseases such as

bull chronic chest disease (COPD)

bull diabetes

bull heart disease (CHD)

bull mental health

bull dementia

bull atrial fibrillation

bull asthma

bull learning disability

bull osteoporosis

bull palliative care and

bull smoking

These registers are used to calculate recorded disease prevalence which is compared to England in these profiles

The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 14: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

14

CHD prevalence

Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD

The NHD population had a similar prevalence to the England population 32 compared with 31

777 of CHD patients had well controlled blood pressure similar to the England average (806)

852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)

Diabetes prevalence

Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed

The NHD population had a lower prevalence of diabetes than the England population

739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average

The uptake of influenza immunisation (82) was better than England

However referral to structured education was lower than England

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 15: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

15

Dementia prevalence

Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement

The NHD population had a higher prevalence than England 13 compared to 08 for England

779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703

875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)

Mental health prevalence

This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers

The NHD population had a lower prevalence than England 09 compared to 1 for England

699 of patients had a comprehensive care plan This is similar to England (705)

963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 16: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

16

Asthma prevalence

Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care

The NHD population had a higher prevalence (63) than England (60)

Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78

Asthma review had been carried out in 897 of patients worse than the England average (916)

Recorded variabilityreversibility (924) was better than the England average (885)

Atrial fibrillation prevalence

AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home

The NHD population had a significantly higher prevalence than England 24 compared with 20

The proportion having their risk of stroke assessed (88) was higher than the England average (821)

Anticoagulant treatment of at risk patients (86) was higher than the England average (811)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 17: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

17

Osteoporosis (secondary prevention) prevalence

Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones

The NHD population had a significantly higher prevalence (13) than England (08)

The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)

The proportion of those treated that were age 75 or over was lower than England 875 compared with 906

Learning disabilities prevalence

People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs

The NHD population had a prevalence 05 the same as the England average (05)

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 18: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

18

Smoking prevalence

The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months

The NHD population had a significantly lower smoking prevalence than England 137 compared with 166

A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)

Palliative care prevalence

Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team

The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04

Prevalence

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 19: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

19

QOF Prevalence - NHD overview - all QOF disease registers

England

DOMAIN

DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band

Number on

disease

register

Percent of age

specific

practice

population

Compared to

ENGLAND

this NHD

prevalence is

significantly hellip

ENGLAND

Clinical Hypertension All ages 6767 142 Similar 140

Clinical Depression 18 and over 3794 99 Lower 107

Clinical Diabetes mellitus 17 and over 2539 65 Lower 69

Clinical Asthma All ages 3009 63 Higher 60

Clinical Chronic kidney disease 18 and over 1704 44 Higher 41

Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31

Clinical Cancer All ages 1712 36 Higher 30

Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19

Clinical Atrial fibril lation All ages 1120 24 Higher 20

Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18

Clinical Mental health All ages 409 09 Lower 10

Clinical Epilepsy 18 and over 388 10 Higher 08

Clinical Heart failure All ages 572 12 Higher 09

Clinical Dementia All ages 620 13 Higher 08

Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08

Clinical Peripheral arterial disease All ages 298 06 Similar 06

Clinical Learning Disability All ages 256 05 Similar 05

Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08

Clinical Palliative care All ages 265 06 Higher 04

Public Health Obesity 18 and over 3660 95 Lower 101

Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11

Public Health Smoking 15 and over 5412 137 Lower 166

QOF disease registers Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 20: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

20

QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance

compared to

England

indicator

group

code

indicator

code

indicator description

England This NHD

NHD Value

compared to

England

Oaks Abbey Manor BramcoteChilwell

Meadows

DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better

DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better

DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better

DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar

DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar

DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar

DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better

DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better

DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar

DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better

AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better

AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar

AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better

CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar

CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better

CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse

COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar

COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better

COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better

COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar

COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar

AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better

AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better

MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar

MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar

MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar

MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better

MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar

MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better

DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better

DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar

OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better

OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better

SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse

SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar

SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better

Percent of age

specific practice

population receiving

intervention

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 21: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

21

MMR uptake

MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications

The practices achieved 88 immunisation uptake at age 5 during 201819

Three practices did not reach 90 coverage

DTAP 5yrs immunisation uptake

Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat

The practices achieved immunisation uptake at age 5 of 878 during 201819

Three practices did not reach 90 coverage

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 22: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

22

Childhood Vaccinations and Immunisations ndash NHD overview

England

Coverage at

ageIntervention

Number

eligible

Percent

receiving

intervention

Coverage Band England Value

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917

Hepatitis B (included in 6-in-1 from August 2017) No data

Meningococcal B 511 932 90-95 918

Pneumococcal disease (primary course) 511 941 90-95 923

Rotavirus (primary course) 511 916 90-95 900

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942

Hepatitis B (included in 6-in-1 from August 2017) No data

Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903

Measlesmumpsrubella 522 954 95+ 900

Pneumococcal disease (booster) 522 960 95+ 899

5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945

Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922

Measlesmumpsrubella (first dose) 516 953 95+ 943

Measlesmumpsrubella (second dose) 516 880 lt90 865

Child Vaccinations and Immunisations Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 23: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

23

Childhood Vaccinations and Immunisations - by practice

Coverage

Band

Coverage at

ageIntervention This NHD

West End

(closed)Oaks Abbey Manor Bramcote

Chilwell

Meadows

12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data

Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+

Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+

Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95

24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+

Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data

Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+

Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+

Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+

5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90

5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+

Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95

Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+

Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90

Child Vaccinations and Immunisations

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 24: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

24

Where to look for more information about this profile

Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page

PCN Health and Care Profiles

httpsnottinghamshireinsightorguk

Prepared by Nottinghamshire County Public Health Intelligence Team

phinfonottsccgovuk

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16

Page 25: Beeston Neighbourhood HEALTH AND CARE PROFILE · 2020-01-17 · Beeston Neighbourhood HEALTH AND CARE PROFILE 1 PRIMARY CARE NETWORKS HEALTH AND CARE PROFILE Version 1.6 Beeston Neighbourhood

Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)

PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood

25

NHD Profiles

South Notts ICPNottingham West CCG

Beeston Neighbourhood

Version v16