Network Profile · N82036 Dr Jude Middlemass Hey, Netherley, L27 7AF ... Speke and Belle Vale...

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Network Profile

SWAGGA – Speke and Belle

Vale

November 2019

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READER INFORMATION

Title Network Profile – SWAGGA Speke and Belle vale

Team Liverpool CCG Business Intelligence Team; Liverpool City Council Public Health

Epidemiology Team

Author(s) Sophie Kelly, AnnMarie Daley, Danielle Wilson, Karen Jones

Contributor(s) Liverpool City Council Social Services Analysis Team; Liverpool Community Health Analysis Team

Reviewer(s) Network Clinical Leads; Locality Clinical Leads; Liverpol CCG Primary Care Team;

Liverpool CCG Business Intelligence Team: Liverpool City Council Public Health Team;

Mersey Care Community Health Intelligence and Public Health Teams

Circulated to Network Clinical and Managerial Leads; Liverpool GP Bulletin; Liverpool CCG

employees including Primary Care Team and Programme Managers; Adult Social

Services (LCC); Public Health (LCC); Mersey Care, Provider Alliance

Version 1.0

Status Final

Date of release November 2019

Review date Annual update

Purpose The packs are intended for Primary Care Networks to use to understand the needs of

the populations they serve. They will support networks in understanding health

inequalities that may exist for their population and subsequently how they may want

to configure services around patients.

Description This series of reports contains Population Segmentation intelligence about each of the

14 Primary Care Networks Units in Liverpool. The information benchmarks each

network against its peers to help understand population need, management and

service utilisation in the given area. The pack contains information on individual

network demograpthics, wider determinants, population segments and care setting

utilisation.

Reference Documents

JSNA The Joint Strategic Needs Assessment (JSNA) identifies the key issues affecting the health and wellbeing of local people, both now and in the future. The JSNA looks at the strategic needs of Liverpool, as well as issues such as inequalities between different populations who live in the city. It is the main source of information on health and wellbeing, and acts as a reference for commissioners and policy makers across the Health & Care system. All the JSNA material is available via: www.liverpool.gov.uk/jsna

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Contents 1. Introduction .............................................................................................................................................................. 4

1.1 Network Profiles ..................................................................................................................................................... 4

1.2 Population Segmentation ................................................................................................................................. 4

1.3 Care setting usage rates by population segments (Total registered population) ............................................ 5

1.4 Population segment profile (Total registered population) ............................................................................... 6

1.5 Headline Opportunities ..................................................................................................................................... 7

1.6 GP Practice ........................................................................................................................................................ 8

1.7 Registered Population ....................................................................................................................................... 8

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

1.9 Service Provision ............................................................................................................................................... 9

1.10 Service Assets for Health and Wellbeing ........................................................................................................ 10

2. Network Maps ......................................................................................................................................................... 12

3. Network population pyramid .................................................................................................................................. 13

4.Demographics and Wider Determinants of Health ..................................................................................................... 15

4.1 Demographics ................................................................................................................................................. 15

4.2 Wider Detainments of Health ............................................................................................................................... 15

5. Potential Areas of Focus ......................................................................................................................................... 15

5.1 Healthy Adults and Children (Segment 1) ............................................................................................................. 15

5.2 Long Term Conditions (Segment 2) ....................................................................................................................... 16

5.4 Complex Lives (Segment 4) ................................................................................................................................... 16

5.5 Frailty, Dementia and End of Life (Segment 5&6) ................................................................................................ 16

5.6 Care Settings ......................................................................................................................................................... 16

6. Network Profile Spine Chart ................................................................................................................................... 17

See separate Metadata document for indicator definitions, sources and timeframes

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1. Introduction

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

This series of reports contains Population Segmentation intelligence about each of the 14 Primary Care Network Units (PCN) in Liverpool. The information benchmarks each network against its peers to help understand population need, management and service utilisation across PCNs. The pack contains information on individual network demographics, wider determinants, population segments and care setting utilisation.

1.2 Population Segmentation For the purposes of this profile the population has been segmented into the following groupings according to similar

health need. The below are the emerging Population Segments for Liverpool. Technical definitions for each segment

are in development. Intelligence to date is based on working definitions.

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

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

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

Rate of Use Of Different Care Settings By Population Segment

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

Secondary Care Contacts Face -to-Face Community Contacts

EOL

Frailty & Dementia

Complex Lives

Cancer

LTC

Pre-Conditions

Learning Disability

Physical Disability

Healthy People

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1.4 Population segment profile (Total registered population) Data below is based on all registered patients for whom data is extracted in the monthly primary care dataflow, so anyone who dissents from the data sharing is not included below.

Segments are mutually exclusive, e.g. if a person's dominant segment is 'End of Life' then they will not be counted in any other segment. Cancer segment represents people coded with

Cancer in the last 2 years, rather than anyone who has ever had cancer.

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1.5 Headline Opportunities Using the latest data available for measures included within the network spine chart (Section 6), the following

opportunities have been calculated for measures where statistically this network reports a significantly worse rate

than the Liverpool average. The opportunity has been calculated based on the Network rate moving in line with the

Liverpool average rate. Below is a high‐level summary, further analysis is provided in section 5 of this report;

If SWAGGA Speke and Belle Vale Network moved in line with the Liverpool average rate potentially there could be;

1. 1,595 fewer smokers

2. 811 fewer adults overweight

3. 231 more eligible patients screened for bowel cancer

4. 174 more eligible patients screened for breast cancer

5. 30 more babies breastfed

6. 24 more pupils gaining 5+ GCSEs A*‐C grades

7. 699 fewer patients on 5 or more prescriptions

8. 54 more CKD stage 3 patients receiving a CVD risk assessment

9. 102 more hypertension patients managing BP to recommend levels

10. 124 more patients newly diagnosed with depression with a review within 56 days of diagnosis

11. 238 fewer mental health admissions

12. 16 less patients with osteoporosis with a fragility fracture

13. 137 more COPD patients with a FEV1

14. 65 more COPD patients with an annual review

15. 69 more asthma patients with an annual review

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

1.7 Registered Population The registered population is 25,527.

Practice Code CCG Lead Address and Postcode

N82001 Stephen McKenzie 105 East Millwood Road, Speke, L24 6TH

N82004 Dr Jude SLTC, 32 Church Road, Garston , Liverpool, Merseyside, L19

2LW

N82036 Dr Jude Middlemass Hey, Netherley, L27 7AF

N82050 Savita Mittal 49 Belle Vale Road, Gateacre, L25 2PA

N82109 Thakur AnupamSpeke Neighbourhood Health Centre, 75 South Parade,

Speke, Liverpool, L24 2SF

N82621 Kishan MangaraiSpeke Neighbourhood Health Centre, 75 South Parade,


N82650 Amita Singh Speke Neighbourhood Health Centre, 75 South Parade,


Y00110 Dr Jude Blacklock Hall Road, Speke, L24 3TY

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

1.9 Service Provision

SWAGGA ‐ Speke Belle Vale Wards %

Dominant Ward Speke‐Garston 62.3%

Second Ward Belle Vale 20.2%

Third Ward Hale 4.2%

Fourth Ward Cressington 3.8%

Fifth Ward Allerton and Hunts Cross 2.9%

Sixth Ward Woolton 2.1%

Seventh Ward Halewood North 1.3%

Eighth Ward Halewood South 0.9%

Ninth Ward Ditton 0.4%

Tenth Ward Mossley Hill 0.3%

Other Wards 1.6%

National Code N82050 N82621 N82001 N82004 N82036 Y00110 N82650 N82109

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

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1.10 Service Assets for Health and Wellbeing Asset‐based working is an approach that aims to strengthen individuals and communities so they can stay well or better deal with illness. Asset mapping is a process for pulling together the people, places and services that are available locally that can improve health and wellbeing and reduce preventable health inequities. The LiveWell Directory, maintained by Healthwatch can be used to support patients and residents to access local services https://www.thelivewelldirectory.com/ For people without internet access or who need to talk through their situation the Healthwatch enquiry service (0300 7777007) can help.

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

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2. Network Maps1

1 Maps Icons Collection https://mapicons.mapsmarker.com

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3. Network population pyramid

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4.Demographics and Wider Determinants of Health

4.1 Demographics 25,527 people are registered with Speke and Belle Vale network

All person’s life expectancy is significantly lower in this network compared to city average (78.6 years compared to city average of 79.8 years)

Around 317 children are born each year and there are 1,602 children aged under 5 years old, accounting for 6.3% of the population. This network has a significantly higher proportion of aged between 0‐18 years.

Population aged over 65 is comparable to the Liverpool average rate (14.8% equating to 3,778 people)

Speke and Belle Vale network has a significantly lower deprivation score compared to the Liverpool average (5th lowest compared to 14 network unit scores). Around two in five children (40%) and old people (39.6%) experience income deprivation.

4.2 Wider Detainments of Health Just under half (46.6%) of households have no access to a car/van, comparable to the Liverpool average

The median household income is £19,150

Levels of unemployment including long‐term unemployment are significantly higher in this network compared to the Liverpool average and around 10.3% are long term sick or disabled.

Just over a third (37.6%) are economically inactive (either in full‐time education/retired/looking after home/other) which is comparable to the Liverpool average

Over half (54.4%) of people live in rented or social housing accommodation, significantly higher than the Liverpool average

12.5% of people aged 65 and over live alone, which is similar the city average (11.8%).

Domestic violence and Violent crime rates are comparable or lower than the Liverpool average.

5. Potential Areas of Focus

5.1 Healthy Adults and Children (Segment 1) Prevention Smoking remains the biggest single cause of preventable mortality and morbidity in the world.

Smoking prevalence in Speke and Belle Vale is the highest across all networks (27.8% compared to 20.1%), equating to 5,741 smokers and a significantly lower proportion of smokers are offered support/treatment (88.5% compared to 90%). Speke and Belle Vale network also reports the highest rates of Obesity (16.1% compared to 12%) and hypertension prevalence (4,218 cases reported as at March 2019). Health trainer referrals can be offered to any patients wanting to achieve and maintain a healthy lifestyle including healthy eating, losing weight physical activity. This network reports the highest referral rate to health trainer service with 15.2 referrals made per 1,000 population (equating to 302 referrals). Cancer screening uptake to Bowel and Breast programmes are amongst the lowest rates in the city.

Maternity The network reports the highest rate of live births with approx. 317 births reported per year (71.1 per 1,000 females compared to 53.4 for Liverpool). Breastfeeding initiation and take up at 6‐8 weeks is significantly below the Liverpool average with just over a third (37.4%) initiating breastfeeding during 2018/19.

Educational Attainment Speke and Belle Vale networks have the lowest rates of pupils achieving 5+ GCSEs A*‐C, with 23% achieving A*‐C compared to 34.9% reported for Liverpool (equates to 46 pupils in this network).

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5.2 Long Term Conditions (Segment 2) People with long term conditions can often be intensive users of health and social care services, including

community services, urgent and emergency care and acute services and account for half of all GP appointments. This network has the second highest rate of 40+ population with 3 or more Long term conditions and a significantly higher proportion of people are on 5 or more prescriptions (24.7% compared to 21.9%). Prevalence of Hypertension, Diabetes, Chronic Kidney Disease, Coronary Heart Disease and Peripheral Arterial Disease is significantly higher in this network and amongst the highest across all networks. Disease management measures are generally comparable to or better than the Liverpool average, however only a quarter (28.8% n=379) of stage 3 CKD patients received a CVD risk assessment (significantly lower than the Liverpool average) and a significantly lower proportion of hypertension patients manage their BP to the recommended level (80% compared to 82.7%).

Diabetes Diabetes Prevalence is significantly higher in this network with a rate of 7,459.0 per 100,000 population compared to 6,483.7 (equating to 1,626 cases). Overall this networks rate of diabetes patients achieving 8 care processes is comparable to the Liverpool average, when broken down by process measure a significantly lower proportion of diabetes patients have HbA1c, Microalb, Foot Check, BMI and Smoking status recorded.

Mental Health Speke and Belle Vale network has the third highest prevalence of common mental health problems (CMHPs – Depression, Anxiety and Stress) across 14 network units with 4,216 cases reported. Similarly, the proportion of children and young people (0‐25 years) with a CMHP is also significantly higher in this network. A significantly higher proportion of people with CMHP in this network also have COPD, Diabetes, Hypertension and Smoke. Just over half (55.9%) of patients newly diagnosed with depression receive a review within 56 days of diagnosis, the lowest rate across all networks. Mental Health admissions are significantly higher in this network with 3.0 admissions reported per 1,000 population equating to 98 admissions during 2018/19

Respiratory This network has the second highest COPD prevalence with a rate of 5,530.6 per 100,000 (n=1,179) population compared to 4,118.6 and a significantly higher proportion of 18‐25‐year olds are reported to have asthma. Generally, disease management measures are comparable to or significantly better than the Liverpool average with exception of COPD patients with a FEV1 recorded (worst rate across all networks) and COPD patients with a reviewed with an assessment of MRC dyspnoea. Asthma patients with day and night symptoms recorded and asthma patients reviewed are also amongst the lowest rates in the city.

5.4 Complex Lives (Segment 4) Speke and Belle Vale has the highest rate per 1,000 for Troubled Families at 49.8 (City average 25.9) Troubled

Families is a programme of targeted intervention for families with multiple problems, including crime, anti‐social behaviour, truancy, unemployment, mental health problems and domestic abuse. Emergency admissions for Alcohol Specific conditions (3 year pooled) are significantly higher in this network with a rate of 106.7 per 100,000 population compared to 49.1.

5.5 Frailty, Dementia and End of Life (Segment 5&6) The proportion of older people (65+) in this network is comparable to the city average with 14.8% of the

population aged over 65. Of the older people with a frailty score recorded the majority are categorised as having ‘Moderate’ frailty (61.3% n=892) followed by ‘Severe’ frailty (37.9% compared to 31.3%). A higher proportion of older people in this network are admitted to hospital following a hip fracture. A significantly higher proportion of people aged over 50 years with Osteoporosis are reported to have a fragility fracture in this network. Although observed to expected Dementia prevalence is higher than the Liverpool average only 73% of expected cases have been diagnosed suggesting there are undiagnosed dementia cases in this network. A significantly lower proportion of newly diagnosed dementia cases receive a record of tests in primary care (68.4% compared to 84.3%).

5.6 Care Settings Emergency Services Usage rates of emergency care services in Speke and Belle Vale network are comparable

or significantly lower than the Liverpool average with exception of NHS 111 calls, Walk in Centre attendances and emergency admissions for mental health conditions, where this network reports significantly higher rates compared to the Liverpool average.

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Social services Demand for social services in this network is significantly lower for older persons services and mental health services. Residential and nursing placements to 40+ population is also significantly lower compared to other networks. Older people still at home 91 days after discharge from hospital is comparable to the Liverpool average with 86.4% (n=15) still at home 91 days after discharge.

6. Network Profile Spine Chart

Key:

Liverpool Key

Low

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool

LowestLiverpool Range

Liverpool

Highest

National

Average

1 DEMOGRAPHICS AND WIDER DETERMINANTS OF HEALTH

2 DEMOGRAPHICS n/a

3 Deprivation Score (IMD) 2015 - 49.3 41.1 21.7 60.8 21.8

4 Income Deprivation Affecting Children Index (IDACI) 2015 - 40.0% 32.0% 16.3% 47.6% 17.6%

5 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 39.6% 34.2% 21.4% 47.0% 15.3%

6 Not White British or Irish ethnic group (%) 1,830 7.2% 15.0% 4.6% 35.1% 19.2%

7 White Other ethnic group (%) 569 2.2% 2.7% 0.9% 5.6% 4.6%

8 Mixed/Multiple ethnic group (%) 529 2.1% 2.6% 0.9% 6.4% 2.3%

9 Asian/Asian British ethnic group (%) 307 1.2% 4.7% 1.2% 16.7% 7.8%

10 Black/African/Caribbean/Black British ethnic group (%) 348 1.4% 2.9% 0.6% 9.1% 3.5%

11 Other ethnic group (including Arab) (%) 77 0.3% 2.0% 0.3% 7.6% 1.0%

12 Main language not English (%) 771 3.0% 7.1% 2.1% 20.9% 8.0%

13 People registered as asylum seekers or refugees (%) 37 0.1% 1.0% 0.0% 6.4% n/a

14 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 317 71.1 53.4 21.1 71.1 62.5

15 Children aged 0-4 years (%) 1,602 6.3% 5.5% 1.3% 6.8% 5.5%



18 Young People aged 19-25 years (%) 2,191 8.6% 13.2% 6.9% 56.0% 8.8%

19 Children and Young People aged 0-25 years (%) 8,124 31.8% 33.2% 26.4% 61.5% 30.3%

20 Population 65+ (%) 3,778 14.8% 14.4% 1.8% 20.4% 17.9%

21 Population 75+ (%) 1,593 6.2% 6.3% 0.5% 9.4% 8.1%

22 Population 85+ (%) 386 1.5% 1.7% 0.1% 2.9% 2.4%

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

24 WIDER DETERMINANTS -

25 No car or van in household (%) - 46.6% 47.3% 29.2% 62.6% 25.8%

26 Economically active (%) 11,725 62.4% 62.4% 50.4% 68.8% 69.9%

27 Economically active: Unemployed (%) 1,596 8.5% 6.6% 3.6% 9.0% 4.4%

28 Economically active: Long-term unemployed (%) 650 3.5% 2.7% 1.4% 3.8% 1.7%

29 Economically inactive (%) 7,058 37.6% 37.6% 31.2% 49.6% 30.1%

30 Economically inactive: Long-term sick or disabled (%) 1,932 10.3% 7.9% 4.2% 11.7% 4.0%

31 Housing Tenure: Social or Private Rented (%) - 54.4% 52.9% 32.2% 77.9% 36.7%

32 One person household: Aged 65 and over (%) - 12.5% 11.8% 6.4% 14.0% 12.4%

33 Median Household Income £ - £19,150 £23,249 £17,754 £33,290 £32,650

34 Domestic violence rate per 1,000 384 17.3 16.7 8.9 26.5 -

35 Violent crime rate per 1,000 224 10.1 13.1 5.7 24.2 -

36 SEGMENT 1. HEALTHY ADULTS AND CHILDREN -

37 HEALTHY LIFE EXPECTANCY at birth - males (3 Year Pooled) - 60.6 61.5 59.5 63.6 63.4

38 HEALTHY LIFE EXPECTANCY at birth - females (3 Year Pooled) - 62.6 63.1 61.2 65.1 63.8

39 HEALTHY LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 61.6 62.3 60.6 64.4 63.6

40 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 76.8 78.2 74.5 82.4 79.6

41 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 80.4 81.4 77.9 85.4 83.1

42 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 78.6 79.8 76.6 84.0 81.4

43 ALL CAUSE Mortality - DSR per 100,000 population 668 1,186.3 1,101.2 794.2 1,420.3 959.0

44 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 284 466.8 425.5 257.9 595.2 332.0

45 Population 40+ with no LTCs (%) 4,193 36.1% 40.4% 35.6% 53.2% n/a

46 Population 40+ with 1 LTC (%) 3,248 27.9% 27.7% 25.4% 29.6% n/a


48 Population 40+ with 3 or more LTC (%) 2,247 19.3% 15.9% 10.2% 19.4% n/a

49 Percentage of the population 40+ with risk score >=50% 282 2.4% 2.1% 1.0% 2.9% n/a

50 Percentage of the population 40+ with risk score >=70% 85 0.7% 0.7% 0.3% 1.6% n/a

51 Percentage of the population 40+ with risk score >=50% <=90% 263 2.3% 2.0% 1.0% 2.7% n/a

52 RISK FACTORS AND INTERVENTIONS -

53 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 9,502 93.0% 90.9% 86.2% 93.1% 89.2%

54 HYPERTENSION Prevalence DSR per 100,000 population 4,218 19,591.8 17,355.1 15,143.5 19,591.8 n/a

55 People aged 65 years and over excluding People with AF who have received a pulse check (%) 2,595 77.2% 75.8% 64.8% 82.0% n/a

56 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 508 2,490.8 2,518.6 2,194.0 3,012.8 n/a

57 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 748 3.7% 3.4% 0.8% 4.8% n/a

58 CURRENT SMOKERS aged 15+ (QOF) (%) 5,741 27.8% 20.1% 12.1% 27.8% 17.2%

59 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 5,078 88.5% 90.0% 75.9% 98.6% 89.2%

60 Child Excess Weight Reception (age 4-5 years) (%) 239 27.7% 26.1% 21.7% 29.6% 22.4%

61 Child Excess Weight Year 6 (age 10-11 years) (%) 286 39.1% 38.8% 33.1% 44.2% 34.3%

62 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 3,192 16.1% 12.0% 3.9% 16.1% 9.8%

63 People with BMI >=40 recorded in the last 12m (%) 1,025 4.0% 2.7% 0.9% 4.0% n/a

64 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 462 45.1% 46.6% 25.1% 61.2% n/a

65 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 52 24.8% 22.8% 14.9% 31.1% n/a

66 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 13,618 68.5% 65.7% 63.5% 70.0% n/a

67 People aged 18+ who have ALCOHOL above indicated levels (%) 1,315 9.7% 9.7% 6.1% 12.2% n/a

68 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,175 89.4% 88.5% 80.4% 99.9% n/a

69 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,335 94.1% 70.5% 47.6% 94.1% 90.0%

70 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 2,433 45.6% 48.3% 29.8% 81.0% 48.1%

71 Eligible persons 40-74 years with a Health Check completed as % of eligible population 5 years cumulative 2,433 42.9% 34.0% 19.9% 51.5% 43.3%

72 Health Trainer Referral rate per 1,000 persons 18+ 302 15.2 6.8 3.8 15.2 n/a

73 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,176 45.3% 52.2% 42.8% 61.2% 57.4%


75 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 4,353 67.5% 68.1% 52.2% 75.2% 72.1%

76 36 month coverage for BREAST screening aged 50-70 1,894 60.0% 65.5% 54.5% 74.4% 72.5%

77 VACS AND IMMS -

78 Children's DtaPipVHib at 1 Yr (%) 296 90.0% 92.0% 87.6% 96.5% 93.4%

79 Children's PCV at 2 Yrs (%) 300 92.3% 89.2% 80.6% 94.2% 91.5%

80 Children's MMR1 at 2 Yrs (%) 298 91.7% 90.2% 81.3% 94.2% 91.6%

81 Children's Hib Men C at 2 Yrs (%) 302 92.9% 90.9% 83.8% 95.3% 91.5%

82 Children's Pre School Booster at 5 Yrs (%) 249 90.2% 88.2% 77.9% 95.5% n/a

83 Children's MMR2 at 5 Yrs (%) 251 90.9% 87.6% 78.2% 94.6% 87.6%

84 DTaP/IPV/Hib at 1 yr, MMR1 / PCV booster / Hib/MenC booster at 2 yrs - combined achievement (%) 1,196 91.7% 90.6% 83.5% 95.0% n/a

85 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 91 27.5% 29.5% 16.2% 46.9% 43.8%

86 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 101 30.7% 33.2% 20.9% 47.1% 45.9%

87 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 2,644 70.2% 71.4% 64.8% 74.6% 72.0%

88 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 2,447 50.2% 49.7% 42.5% 54.2% 48.0%

89 Seasonal Flu Vaccine Uptake - Carers (%) 234 47.7% 48.8% 35.3% 58.6% n/a

SWAGGA - Speke Belle Vale Primary Care Network

Significantly better than Liverpool average

Not significantly different from Liverpool average

Significantly worse than Liverpool average

No significance can be calculated

25th percentile

England

Liverpool

75th percentile

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

90 SEXUAL HEALTH -

91 GP prescribed user dependent contraception per 1,000 females aged 15-44 550 107.1 125.5 84.8 152.0 n/a

92 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 152 29.6 28.0 18.8 48.3 n/a

93 GP prescribed condoms rate per 1,000 19 0.7 0.7 0.0 3.9 n/a

94 Uptake of HIV testing in specialist sexual health services rate per 1,000 39 1.5 4.5 1.2 13.5 n/a

95 MATERNITY -

96 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 317 71.1 53.4 21.1 71.1 62.5

97 Low birthweight of all babies <2500g (3 year pooled) (%) 71 7.8% 8.5% 6.4% 10.3% 7.3%

98 Breastfeeding Initiation Rates (%) 106 37.4% 48.1% 34.0% 68.1% 74.5%

99 Breastfeeding at 6-8 weeks (%) 76 27.8% 38.4% 23.6% 59.7% 42.7%

100 Smoking Status at Time of Delivery (SATOD) % 40 14.2% 12.9% 5.8% 19.9% 10.8%

101 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 169 43.8% 41.0% 33.0% 46.7% 45.2%

102 EDUCATIONAL ATTAINMENT -

103 Pupils achieving the expected standard in reading, writing and mathematics at Key Stage 2 (%) 142 50.3% 56.4% 45.5% 64.1% 61.6%

104 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 46 23.0% 34.9% 23.0% 48.4% 56.6%

105 Children who are receiving Special Educational Needs (SEN) Support (%) 740 17.6% 16.4% 13.2% 20.1% 14.4%

106 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 109 0.03 0.02 0.02 0.03 n/a

107 Children's Speech and language Therapy referrals - Rate per 1,000 145 24.8 20.3 3.5 51.5 n/a

108 SEGMENT 2. LONG TERM CONDITIONS -



111 Population 40+ with 3 or more LTC (%) 2,247 19.3% 15.9% 10.2% 19.4% n/a

112 People on proactive care (%) 22 0.1% 0.1% 0.0% 0.3% n/a

113 People on 1 to 5 or more prescriptions (%) 14,737 58.6% 56.2% 38.4% 64.4% n/a

114 People on 5 or more prescriptions (%) 6,201 24.7% 21.9% 4.0% 28.4% n/a

115 People on 10 or more prescriptions (%) 2,104 8.4% 7.2% 1.0% 10.0% n/a

116 Antibiotic Prescribing rate per 1,000 population 1,405 41.8 43.2 33.1 52.2 n/a

117 Broad Spectrum antbiotic prescribing rate per 1,000 population 104 3.1 3.5 2.8 4.4 n/a

118 Proportion of people who use services who have control over their daily life (ASCOF 1B) 16 61.5% 79.4% 50.0% 90.0% n/a

119 The proportion of users and carers receiving self directed support (ASCOF 1C1A) 235 92.5% 86.1% 64.3% 92.5% n/a

120 The proportion of carers who receive self directed support (ASCOF 1C1B) 62 52.5% 49.2% 37.6% 55.4% n/a

121 The proportion of people who use services who receive direct payments (ASCOF 1C2A) 66 26.0% 19.9% 14.3% 31.9% n/a

122 The proportion of carers who receive direct payments (ASCOF 1C2B) 44 37.3% 36.8% 28.1% 44.0% n/a

123 The outcome of short term service: sequel to service (ASCOF 2D) 35 47.3% 60.7% 47.3% 67.3% n/a

124 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 18 539.6 724.3 306.0 1,220.8 n/a

125 CANCER -

126 New CANCER cases (Crude incidence rate: new cases per 100,000 population) 133 519.0 505.9 88.9 640.4 520.8

127 People with a review within 6 mths of CANCER diagnosis 117 95.9% 93.0% 83.0% 96.6% 69.3%

128 Percentage reporting CANCER in the last 5 years 13 4.6% 3.6% 1.6% 4.9% 3.2%

129 CANCER Prevalence DSR per 100,000 population 1,214 5,663.7 5,601.0 4,302.0 6,470.9 n/a

130 CANCER Mortality - DSR per 100,000 population 208 356.6 303.7 246.8 391.1 268.0

131 LUNG CANCER - DSR per 100,000 population 62 105.2 85.7 49.2 148.3 56.3

132 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 67 113.2 87.5 63.7 119.4 n/a

133 CANCER Mortality Under 75 Years - DSR per 100,000 population 96 158.4 157.3 119.8 201.8 134.6

134 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 29 48.9 45.4 22.9 84.0 n/a

135 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 30 47.8 46.4 32.2 59.8 n/a



138 Females aged 25-64 who have had CERVICAL SMEAR Coverage Over 3.5/5.5 years (%) 4,353 67.5% 68.1% 52.2% 75.2% 72.1%

139 36 month coverage for BREAST screening aged 50-70 1,894 60.0% 65.5% 54.5% 74.4% 72.5%

140 Emergency admissions for CANCER 180 5.6 5.6 2.9 6.8 n/a

141 DIABETES -

142 Children with DIABETES 0-17 years (%) 12 0.2% 0.2% 0.1% 0.4% n/a

143 DIABETES Prevalence DSR per 100,000 population 1,626 7,459.0 6,483.7 5,101.5 7,872.4 n/a

144 Ratio of Observed (QOF) to Expected DIABETES Prevalence 1,604 97.1% 76.6% 29.1% 97.1% 81.6%

145 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 748 3.7% 3.4% 0.8% 4.8% n/a

146 Prevalence of MI last 12m, Stroke, CKD stage 5 in people with DIABETES aged 17+ (%) 21 1.3% 1.5% 0.4% 2.2% n/a

147 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 951 57.4% 58.7% 50.2% 63.4% 79.4%

148 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,029 62.0% 63.8% 53.1% 73.9% n/a

149 People with DIABETES and HbA1c (%) 1,510 90.9% 92.8% 88.4% 95.9% n/a

150 People with DIABETES and BP recorded (%) 1,548 93.2% 94.0% 90.7% 96.7% n/a

151 People with DIABETES and Cholesterol recorded (%) 1,451 87.4% 88.8% 84.2% 92.4% n/a

152 People with DIABETES and Microalb recorded (%) 1,137 68.5% 72.3% 62.5% 79.5% n/a

153 People with DIABETES and Creatinine recorded (%) 1,512 91.0% 91.7% 86.8% 94.8% n/a

154 People with DIABETES and Foot Check (%) 1,357 81.7% 85.4% 79.3% 90.1% 81.2%

155 People with DIABETES and BMI recorded (%) 1,387 83.5% 86.9% 79.9% 92.8% n/a

156 People with DIABETES and Smoking Status recorded (%) 1,450 87.3% 89.8% 83.1% 95.1% n/a

157 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 728 46.2% 43.1% 37.5% 46.2% n/a

158 People with DIABETES who have CHD and/or CKD (%) 563 35.8% 33.6% 28.5% 38.1% n/a

159 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 223 52.0% 40.9% 33.1% 52.0% n/a

160 Preventable sight loss - DIABETIC eye disease rate per 1,000 437 27.7% 29.0% 23.1% 36.4% n/a

161 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 92 68.1% 75.5% 38.1% 93.2% n/a

162 Emergency admissions for DIABETIC COMPLICATIONS 13.00 0.40 0.45 0.19 0.92 n/a

163 DIABETES Specialist Nurses Face to Face Contacts 486 41.3 33.6 20.2 54.9 n/a

164 DIABETES Case Load 134 11.40 8.84 6.48 12.16 n/a

165 CARDIOVASCULAR DISEASE -

166 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 5,335 94.1% 70.5% 47.6% 94.1% 90.0%

167 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 2,433 45.6% 48.3% 29.8% 81.0% 48.1%

168 Eligible persons 40-74 years with a Health Check completed as % of eligible population 5 years cumulative 2,433 42.9% 34.0% 19.9% 51.5% 43.3%

169 People 40-74 with HYPERTENSION, CKD, BMI>30 who have had a risk score ever (%) 2,871 79.9% 78.1% 72.8% 85.4% n/a

170 People with Stage 3 CKD who have received a CVD risk score & ACR in the last 12m (%) 379 28.8% 33.0% 19.6% 50.3% n/a

171 Over 40 prevalence of PERIPHERAL VASCULAR DISEASE (%) 317 2.7% 1.8% 1.2% 2.7% n/a

172 Ratio of Observed (QOF) to Expected PAD Prevalence 322 90.9% 76.9% 39.8% 305.6% 57.9%

173 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 319 1,503.5 1,047.4 734.5 1,514.8 n/a

174 GP ref, 1st outpatient attendances VASCULAR 76 2.35 1.90 0.82 2.37 n/a

175 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 47 61.8% 70.5% 59.6% 87.7% n/a

176 HYPERTENSION -

177 CKD Prevalence DSR per 100,000 population 1,676 8,122.4 6,549.4 4,653.5 8,229.4 n/a

178 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,337 117.6% 99.8% 52.7% 117.6% 62.3%

179 HYPERTENSION Prevalence DSR per 100,000 population 4,218 19,591.8 17,355.1 15,143.5 19,591.8 n/a

180 Ratio of Observed (QOF) to Expected HYPERTENSION Prevalence 4,116 61.3% 52.9% 18.4% 61.3% 50.6%

181 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 9,502 93.0% 90.9% 86.2% 93.1% 89.2%

182 People with HYPERTENSION whose latest BP reading is <150/90 (QOF) (%) 3,121 80.1% 82.7% 78.5% 86.9% 86.8%

183 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 2,460 70.4% 71.1% 67.3% 76.1% n/a

184 People aged >=80 with HYPERTENSION whose latest blood pressure reading is < 150/90 (%) 581 88.8% 89.6% 86.7% 93.7% 86.8%

185 People with HYPERTENSION with physical activity recorded (%) 2,519 72.1% 57.4% 36.7% 82.0% n/a

186 People with HYPERTENSION who do not meet recommended activity levels who have received brief advice (%) 1,535 60.9% 57.4% 32.0% 70.1% n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

187 CHD -

188 CVD Mortality - DSR per 100,000 population 151 267.9 239.8 168.1 320.8 n/a

189 CVD Mortality Under 75 Years - DSR per 100,000 population 65 108.0 90.2 56.0 150.9 72.5

190 CHD Prevalence DSR per 100,000 population 1,177 5,614.3 4,434.2 3,593.1 5,614.3 n/a

191 Ratio of Observed (QOF) to Expected CHD Prevalence 1,068 44.4% 44.0% 20.5% 110.5% 41.5%

192 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 897 90.6% 91.6% 88.9% 95.4% 92.4%

193 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,006 97.7% 96.9% 94.2% 99.4% n/a

194 People with CHD whose latest total cholesterol (previous 12m) is 5mmol or less (%) 691 65.5% 66.6% 58.0% 74.3% n/a

195 People with CHD prescribed statins (%) 869 82.3% 79.3% 75.6% 83.0% n/a

196 Emergency admissions for ANGINA 26 0.8 0.9 0.6 1.7 n/a

197 GP ref, 1st outpatient attendances CARDIOLOGY 407 12.6 14.1 9.8 17.7 n/a

198 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 216 0.5 0.6 0.5 0.7 n/a

199 HEART FAILURE -

200 HEART FAILURE Prevalence DSR per 100,000 population 300 1,441.8 1,343.3 1,096.6 1,760.9 n/a

201 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 261 100.1% 92.1% 59.8% 122.1% 72.8%

202 People with HEART FAILURE eligible who are prescribed a beta blocker (%) 80 93.0% 92.1% 86.3% 100.0% n/a

203 Emergency admissions for CONGESTIVE HEART FAILURE 44 1.4 1.3 0.6 1.9 n/a

204 HEART FAILURE Team Face to Face Contacts 148 12.6 13.3 6.6 33.3 n/a

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

206 ATRIAL FIBRILLATION and STROKE -

207 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 508 2,490.8 2,518.6 2,194.0 3,012.8 n/a

208 People on the AF case finding search who have had their notes reviewed 8 5.7% 11.9% 3.5% 32.1% n/a

209 People with AF with CHADS2-VASc score 2 or more treated with anti-coagulation or anti-platelets therapy (%) 381 81.1% 77.7% 60.2% 81.1% 84.0%

210 People with AF with stroke risk assessed using CHA2DS2-VASc system in last 12 mths (excl. prev score of 2+) (QOF) % 198 42.1% 42.4% 34.6% 71.2% 93.6%

211 People on Warfarin who have INR recorded in last 12 months (%) 192 97.5% 96.9% 92.8% 100.0% n/a

212 STROKE/TIA Prevalence DSR per 100,000 population 525 2,514.1 2,317.6 1,909.9 2,907.9 n/a

213 Ratio of Observed (QOF) to Expected STROKE Prevalence 493 61.3% 56.2% 10.8% 73.4% 56.8%

214 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 461 91.7% 89.7% 86.0% 93.3% 91.7%

215 People with STROKE/TIA referred for further investigation after last stroke or first TIA (QOF) % 169 88.0% 88.3% 78.1% 94.3% 83.4%

216 People with STROKE/TIA whose latest total cholesterol (prev 12m) is 5mmol or less (%) 310 61.6% 60.0% 54.4% 66.9% n/a

217 Emergency admissions for STROKE 44 1.36 1.39 0.56 1.74 n/a

218 EPILEPSY -

219 Children with EPILEPSY 0-17 years (%) 19 0.3% 0.3% 0.2% 0.4% n/a

220 EPILEPSY Prevalence DSR per 100,000 population 266 1,121.7 969.5 693.0 1,137.6 n/a

221 Emergency admissions for EPILEPSY 34 1.1 1.4 0.5 3.6 n/a

222 MENTAL HEALTH -

223 COMMON MENTAL HEALTH PROBLEMS -

224 Children and Young People with COMMON MENTAL HEALTH PROBLEMS (CMHP) 0-25 years (%) 305 3.8% 3.3% 2.3% 4.7% n/a

225 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 4,216 17,582.4 15,284.2 12,409.6 19,842.4 n/a

226 People with CMHP with no other LTCs (%) 2,385 56.6% 57.2% 50.7% 76.0% n/a

227 People with CMHP with 1 other LTC (%) 895 21.2% 22.1% 15.0% 23.8% n/a

228 People with CMHP with 2 other LTCs (%) 487 11.6% 10.9% 5.6% 12.8% n/a

229 People with CMHP and CHD (%) 300 7.1% 6.3% 2.2% 8.2% n/a

230 People with CMHP and COPD (%) 362 8.6% 7.4% 4.0% 9.5% n/a

231 People with CMHP and Cancer (%) 294 7.0% 7.1% 2.0% 10.0% n/a

232 People with CMHP and Diabetes (%) 432 10.2% 9.1% 3.5% 11.1% n/a

233 People with CMHP and Hypertension (%) 988 23.4% 21.8% 7.7% 28.0% n/a

234 People with CMHP and SMI (%) 149 3.5% 4.7% 3.4% 6.7% n/a

235 People with CMHP and Current Smoker 15+ (%) 1,648 39.1% 31.5% 19.9% 39.1% n/a

236 Children and Adolescent Mental Health Services (CAMHS) Referrals per 1,000 295 36.3 22.5 2.1 40.3 n/a

237 Children and Adolescent Mental Health Services (CAMHS) Assessments per 1,000 186 22.9 15.7 1.5 27.7 n/a

238 Children and Adolescent Mental Health Services (CAMHS) 1st Interventions per 1,000 159 19.6 13.4 1.4 23.5 n/a

239 People 18+ with a new diagnosis of DEPRESSION who have been reviewed 10-56 days after diagnosis (QOF) (%) 297 55.9% 79.3% 55.9% 86.9% 64.2%

240 Access to early intervention teams rate per 1,000 13 0.51 0.60 0.35 0.99 n/a

241 IAPT referral rate per 1,000 756 37.0 33.1 27.0 39.3 n/a

242 SERIOUS MENTAL ILLNESS -

243 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 12 0.1% 0.2% 0.1% 0.2% n/a

244 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 309 1,309.9 1,443.2 1,034.5 2,704.9 n/a

245 People with SMI with no other LTCs (%) 81 26.2% 27.8% 21.4% 35.5% n/a

246 People with SMI with 1 other LTC (%) 110 35.6% 39.0% 33.3% 43.0% n/a

247 People with SMI with 2 other LTCs (%) 72 23.3% 18.3% 12.1% 23.3% n/a

248 People with SMI and CHD (%) 19 6.1% 5.0% 2.6% 8.1% n/a

249 People with SMI and COPD (%) 17 5.5% 8.1% 5.1% 11.3% n/a

250 People with SMI and CANCER (%) 19 6.1% 5.1% 1.8% 8.3% n/a

251 People with SMI and Diabetes (%) 48 15.5% 12.9% 7.0% 16.2% n/a

252 People with SMI and CMHP (%) 149 48.2% 50.5% 43.8% 59.2% n/a

253 People with SMI and Hypertension (%) 69 22.3% 18.7% 10.6% 23.1% n/a

254 People with SMI and Current Smoker 15+ (%) 161 52.1% 49.8% 34.2% 63.6% n/a

255 People with SMI receiving list of physical checks previous 12 months (%) 119 37.7% 34.5% 21.6% 40.2% n/a

256 People on lithium therapy with a record of serum creatinine and TSH in last 9 mths (QOF) (%) 25 96.2% 97.3% 94.1% 100.0% 94.2%

257 People with SMI who have a comprehensive care plan documented in the record, in last 12 mths (QOF) (%) 220 84.0% 88.5% 70.4% 94.2% 78.2%

258 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 245 89.1% 86.8% 77.9% 93.6% 81.5%

259 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 247 89.2% 87.7% 75.7% 96.5% 80.6%

260 Women aged 25-64 with SMI with a cervical screening test performed in last 5 years (QOF) (%) 64 83.1% 84.4% 76.4% 95.5% 69.6%

261 Referrals to Community MENTAL HEALTH rate per 1,000 470 18.3 17.7 10.1 23.1 n/a

262 Community MENTAL HEALTH contacts rate per 1,000 470 18.3 17.7 10.1 23.1 n/a

263 Referrals to PSYCHIATRIC LIAISON rate per 1,000 204 7.96 10.29 5.74 16.27 n/a

264 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 57 19.7% 34.1% 5.7% 53.9% n/a

265 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 61 3.62 3.45 1.96 6.69 n/a

266 Emergency admissions for MENTAL HEALTH 98 3.03 2.30 1.55 3.63 n/a

267 MUSCULOSKELETAL -

268 RHEUMATOID ARTHRITIS prevalence 154 0.7% 0.7% 0.1% 1.0% 0.7%

269 RHEUMATOID ARTHRITIS estimated prevalence <5 100.0% 100.0% 100.0% 100.0% n/a

270 People with RHEUMATOID ARTHRITIS having a face by face review in last 12 months (QOF - RA002) 149 96.1% 93.5% 86.2% 97.5% 84.1%

271 People with OSTEOPOROSIS aged 50-74 with a fragility fracture (QOF) 40 95.2% 80.9% 42.9% 97.7% n/a

272 People with OSTEOPOROSIS aged 75 and over with a fragility fracture (QOF) 52 83.9% 67.0% 33.3% 87.5% n/a

273 People with OSTEOPOROSIS aged 50-74 with a fragility fracture treated with bone-sparing agent (QOF) 36 92.3% 82.1% 66.7% 100.0% 71.3%

274 People with OSTEOPOROSIS aged 75 and over with a fragility fracture treated with bone-sparing agent (QOF) 36 75.0% 70.7% 50.0% 100.0% 59.7%

275 Admission rate FACET JOINT INJECTIONS (3+ Admissions) 7 0.22 0.23 0.00 0.66 n/a

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

277 GP ref, 1st outpatient attendances RHEUMATOLOGY 114 3.53 3.38 2.09 4.72 n/a

278 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 62 54.4% 51.6% 39.5% 66.9% n/a

279 RESPIRATORY -

280 RESPIRATORY Mortality - DSR per 100,000 population 112 202.4 180.0 122.3 276.4 n/a

281 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 44 76.9 58.2 23.7 119.3 34.3

282 Community RESPIRATORY team Face to Face contacts 356 30.3 26.1 9.8 44.5 n/a

283 Community RESPIRATORY Team Case Load <5 0.34 0.31 - 0.79 n/a

284 Child AED attendances - LRTI 332 58.2 63.2 47.8 80.1 n/a

285 Emergency admissions for LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1,000 aged 0-18 years 41 6.9 5.3 3.8 7.9 n/a

286 Emergency admissions for FLU & PNEUMO 150 4.64 4.21 3.21 5.37 n/a

287 GP ref, 1st outpatient attendances RESPIRATORY 163 5.04 4.42 2.76 5.35 n/a

288 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 37 22.7% 22.3% 14.8% 32.8% n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

289 COPD -

290 COPD Prevalence DSR per 100,000 population 1,179 5,530.6 4,118.6 2,499.2 5,885.0 n/a

291 Ratio of Observed (QOF) to Expected COPD Prevalence 1,144 112.3% 102.4% 58.0% 1923.8% 61.9%

292 People with COPD and diagnosis confirmed by post bronchodilator spirometry (QOF) (%) 521 91.1% 88.0% 84.8% 91.1% 80.8%

293 People with COPD and MRC dyspnoea grade ≥3 and oxygen saturation value in last 12 months (QOF) (%) 526 95.3% 96.1% 92.8% 98.9% 95.6%

294 People with COPD and an influenza vaccination in the preceeding Aug-March (QOF) (%) 729 91.2% 93.5% 86.3% 98.7% 80.0%

295 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 535 61.6% 77.3% 61.6% 83.1% 71.1%

296 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 843 82.4% 88.7% 80.8% 93.3% 79.4%

297 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 526 95.3% 96.1% 92.8% 98.9% n/a

298 Emergency admissions for COPD 128 3.96 3.43 1.66 5.53 n/a

299 ASTHMA -

300 Children with ASTHMA 0-17 years (%) 246 4.4% 4.1% 3.4% 4.8% n/a

301 Young People with ASTHMA aged 18-25 years (%) 119 4.9% 3.9% 2.4% 5.9% n/a

302 ASTHMA Prevalence DSR per 100,000 population 1,633 6,903.6 6,692.0 5,986.4 7,696.2 n/a

303 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 1,548 66.5% 60.0% 30.9% 74.8% 117.4%

304 People with ASTHMA Day and Night Symptoms Recorded (%) 955 60.1% 68.4% 59.7% 75.0% n/a

305 People with ASTHMA aged 8+ with measures of variability or reversibility recorded (QOF) (%) 600 93.8% 93.0% 90.1% 94.9% 84.9%

306 People with ASTHMA with asthma review, including assessment using 3 RCP questions (QOF) (%) 933 71.1% 76.4% 71.1% 82.2% 70.2%

307 People with ASTHMA aged 14-19 years with record of smoking status in last 12 months (QOF) (%) 77 85.6% 90.8% 85.6% 95.7% 83.5%

308 Emergency admissions for ASTHMA 32 0.99 1.26 0.55 2.01 n/a

309 SEGMENT 3. DISABILITY -

310 Children on the Voluntary Disability Register - Rate per 10,000 under 18 years 69 132.8 123.2 75.8 175.8 n/a

311 LEARNING -

312 LEARNING DISABILITIES Prevalence DSR per 100,000 population 111 446.4 412.7 106.3 606.4 n/a

313 Persons 18+ with a LEARNING DISABILITY and HEALTH CHECK completed (%) 114 65.9% 58.2% 35.1% 76.4% 48.1%

314 Persons 18+ with a LEARNING DISABILITY eligible for a Health Check and health action plan completed (%) 63 36.4% 28.9% 6.4% 48.6% n/a

315 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 71 77.2% 84.8% 49.3% 110.5% n/a

316 PHYSICAL -

317 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 315 1,519.9 1,538.9 1,092.5 2,223.6 n/a

318 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 1,440 6,458.1 6,941.5 5,045.5 7,917.7 n/a

319 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 246 72.2 76.4 43.4 112.3 n/a

320 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 188 55.1 43.8 24.8 60.0 n/a

321 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 120 35.1 26.1 15.9 35.1 n/a

322 SEGMENT 4. COMPLEX LIVES -

323 Children in Need - Rate per 10,000 under 18 years 189 363.9 375.9 192.3 571.4 330.4

324 Looked After Children - Rate per 10,000 under 18 years 54 104.0 128.2 55.6 233.1 62.0

325 Child Protection Plan - Rate per 10,000 under 18 years 41 78.9 58.9 38.9 87.6 43.3

326 Early Help Assessment Tool (EHAT) Family Assessments (%) 180 3.5% 3.0% 2.0% 0.0 n/a

327 Troubled Families - Rate per 1,000 population 815 49.8 25.9 12.8 49.8 n/a

328 Child AED attendances - ACCIDENTS 651 114.2 116.0 74.7 155.6 n/a

329 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 105 1,375.8 1,298.1 685.9 1,869.6 n/a

330 Emergency admissions for SELF HARM under 18s 5 0.9 1.5 - 2.4 n/a

331 Hospital admissions as a result of SELF-HARM (10-24 years) DSR per 100,000 20 453.6 403.1 113.5 723.9 421.2

332 Persons under 18 admitted to hospital for ALCOHOL-SPECIFIC conditions crude rate per 100,000 (3 Year Pooled) 18 106.7 49.1 21.8 106.7 32.9

333 Hospital admissions due to SUBSTANCE MISUSE (15-24 years) DSR per 100,000 (3 Year Pooled) 12 131.4 84.0 21.6 190.5 87.9

334 MH emergency admissions MENTAL & BEHAVIOURAL - ALCOHOL 25 1.0 1.6 0.7 2.6 n/a

335 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 28 1.1 1.8 0.8 2.9 n/a

336 Emergency admissions for VIOLENCE 63 1.9 2.6 1.1 6.6 n/a

337 Emergency admissions for SELF HARM over 18s 65 3.3 2.9 1.4 5.5 n/a

338 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 193 823.5 868.9 459.3 2,269.5 n/a

339 ALCOHOL SPECIFIC admissions DSR per 100,000 64 255.1 315.1 118.6 875.9 118.3

340 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 728 3,187.8 2,914.7 1,963.6 6,096.5 2,224.0

341 People registered as homeless by their GP rate per 1,000 13 0.5 1.9 0.1 14.8 -

342 People with 10 or more Accident and Emergency attendances in last 12 months rate per 1,000 65 2.5 2.4 1.6 3.1 n/a

343 SEGMENT 5. FRAILTY AND DEMENTIA -

344 FRAILTY -

345 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 39.6% 34.2% 21.4% 47.0% 15.3%

346 Population 65+ (%) 3,778 14.8% 14.4% 1.8% 20.4% 17.9%

347 Population 75+ (%) 1,593 6.2% 6.3% 0.5% 9.4% 8.1%

348 Population 85+ (%) 386 1.5% 1.7% 0.1% 2.9% 2.4%

349 Population 95+ (%) 23 0.1% 0.1% 0.0% 0.2% 0.2%

350 People with a MILD frailty score (%) 11 0.8% 17.3% 0.8% 35.7% n/a

351 People with a MODERATE frailty score (%) 892 61.3% 51.3% 40.1% 65.5% n/a

352 People with a SEVERE frailty score (%) 552 37.9% 31.3% 24.2% 47.6% n/a

353 Injuries due to FALLS 65+ 121 32.0 33.0 25.5 51.0 n/a

354 Emergency admissions for HIP FRACTURES aged over 65 33 8.7 7.2 5.2 9.4 n/a


356 Emergency admissions for CELLULITIS 51 1.6 1.7 1.4 2.3 n/a


358 Emergency admissions for DEMENTIA aged over 65 8 2.0 1.7 0.2 7.3 n/a


360 Emergency admissons for GASTRO/DEHYDRATION 6 0.2 0.2 - 0.5 n/a

361 Emergency admissions for PYLO NEFRITIS 14 0.4 0.6 0.4 1.0 n/a


363 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 58 17.1 28.8 9.4 56.7 n/a

364 Emergency admissions from CARE HOMES 58 14.7 22.6 2.3 81.6 n/a


366 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 15 86% 84% 74% 96% n/a

367 Social Services Users OLDER PERSONS per 1,000 65+ resident population 375 100.1 115.9 85.7 147.2 n/a

368 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 35 10.3 9.2 4.3 14.5 n/a




372 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 141 41.4 40.3 15.3 71.2 n/a

373 CARERS Prevalence (GP Recorded) DSR per 100,000 population 657 2,867.0 2,854.9 1,781.5 3,873.6 n/a

374 DEMENTIA -

375 DEMENTIA Prevalence DSR per 100,000 population 177 895.3 792.0 565.2 1,142.9 n/a

376 Ratio of Observed (QOF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 179 73.8% 64.7% 43.1% 92.0% 60.0%

377 Ratio of Observed (QOF) to Expected DEMENTIA (CFAS II) Prevalence 179 83.2% 73.0% 48.7% 104.2% 67.4%

378 People with DEMENTIA with no other LTCs (%) 13 7.3% 9.3% 4.8% 14.3% n/a

379 People with DEMENTIA with 1 other LTC (%) 30 16.9% 19.3% 14.3% 26.9% n/a

380 People with DEMENTIA with 2 other LTCs (%) 47 26.6% 25.5% 17.7% 31.9% n/a

381 People with DEMENTIA whose care has been reviewed in a face-to-face review in last 12 mths (QOF) (%) 126 79.2% 83.2% 70.8% 89.9% 77.5%

382 People with a new diagnosis of DEMENTIA and a record of tests in primary care (QOF) (%) 26 68.4% 84.3% 50.0% 92.0% 68.0%



IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

385 SEGMENT 6. END OF LIFE -

386 SHORT PERIOD OF DECLINE AND DYING (CANCER) -

387 END OF LIFE / Palliative Care Prevalence DSR per 100,000 population 90 430.0 642.8 430.0 1,071.9 n/a

388 Emergency admissions END OF LIFE 78 20.6 19.4 13.3 23.9 n/a

389 CANCER Mortality - DSR per 100,000 population 208 356.6 303.7 246.8 391.1 268.0

390 LUNG CANCER - DSR per 100,000 population 62 105.2 85.7 49.2 148.3 56.3

391 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 67 113.2 87.5 63.7 119.4 n/a

392 CANCER Mortality Under 75 Years - DSR per 100,000 population 96 158.4 157.3 119.8 201.8 134.6

393 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 29 48.9 45.4 22.9 84.0 n/a

394 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 30 47.8 46.4 32.2 59.8 n/a

395 CANCER Prevalence DSR per 100,000 population 1,214 5,663.7 5,601.0 4,302.0 6,470.9 n/a

396 NEUROLOGICAL (PARKINSONS, MND) -

397 ORGAN FAILURE (HEART, LUNG, LIVER) -

398 HEART FAILURE Prevalence DSR per 100,000 population 300 1,441.8 1,343.3 1,096.6 1,760.9 n/a

399 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 261 100.1% 92.1% 59.8% 122.1% 72.8%

400 CKD Prevalence DSR per 100,000 population 1,676 8,122.4 6,549.4 4,653.5 8,229.4 n/a

401 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,337 117.6% 99.8% 52.7% 117.6% 62.3%

402 ACUTELY ILL -

403 EMERGENCY CARE/GP Enhanced Access -

404 111 call rate per 1,000 weighted population 4,214 164.5 149.7 99.1 179.0 n/a

405 Walk in Centre attendances 7,926 245.2 213.6 107.4 324.2 n/a

406 A&E not admitted (using discharge method, discharge with no treatment, no follow up) 6,416 198.5 246.6 187.7 329.1 n/a

407 Total NEL admissions <=1 day LOS rate per 1,000 2,135 66.0 72.0 55.1 97.1 n/a

408 Total NEL admissions >2 day LOS rate per 1,000 1,755 54.3 53.0 39.6 61.9 n/a

409 Child AED attendance rate per 1,000 population aged 0-4 years 1,157 731.5 740.7 567.4 878.2 n/a

410 Child AED attendances - ACCIDENTS 651 114.2 116.0 74.7 155.6 n/a

411 Child AED attendances - LRTI 332 58.2 63.2 47.8 80.1 n/a

412 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 61 3.6 3.4 2.0 6.7 n/a

413 Child Emergency Admission Average Length of Stay <1 day 307 53.9 56.7 47.3 77.5 n/a

414 Rate per 1,000 HCHS weighted pop for GP Spec AE attendances 199 6.2 7.4 4.0 12.0 n/a

415 Rate per 1,000 HCHS weighted pop for GP Spec ACS admissions 377 11.7 12.2 7.9 14.5 n/a

416 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 728 3,187.8 2,914.7 1,963.6 6,096.5 2,224.0

417 ALCOHOL SPECIFIC admissions DSR per 100,000 64 255.1 315.1 118.6 875.9 118.3


419 Emergency admissions for ASTHMA 32 1.0 1.3 0.5 2.0 n/a

420 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1,000 aged 0-18 years 6 1.0 0.8 0.3 1.3 n/a

421 Emergency admissions for CANCER 180 5.6 5.6 2.9 6.8 n/a

422 Emergency admissions for CELLULITIS 51 1.6 1.7 1.4 2.3 n/a


424 Emergency admissions for COPD 128 4.0 3.4 1.7 5.5 n/a


426 Emergency admissions for DIABETIC COMPLICATIONS 13 0.4 0.5 0.2 0.9 n/a

427 Emergency admissions for ENT 69 2.1 2.0 0.9 3.6 n/a

428 Emergency admissions for EPILEPSY 34 1.1 1.4 0.5 3.6 n/a


430 Emergency admissons for GASTRO/DEHYDRATION 6 0.2 0.2 - 0.5 n/a

431 Emergency admissions for HIP FRACTURES aged over 65 33 8.7 7.2 5.2 9.4 n/a

432 Emergency admissions for LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1,000 aged 0-18 years 41 6.9 5.3 3.8 7.9 n/a

433 Emergency admissions for MENTAL HEALTH 98 3.0 2.3 1.6 3.6 n/a

434 Emergency admissions for PYLO NEFRITIS 14 0.4 0.6 0.4 1.0 n/a

435 Emergency admissions for SELF HARM over 18s 65 3.3 2.9 1.4 5.5 n/a


437 Emergency admissions for VIOLENCE 63 1.9 2.6 1.1 6.6 n/a

438 Injuries due to FALLS 65+ 121 32.00 32.96 25.54 51.05 n/a

439 Emergency re-admissions within 30 days to hospital (%) 690 0.1 0.1 0.1 0.2 0.1

440 Emergency admissions END OF LIFE 78 20.6 19.4 13.3 23.9 n/a

441 Emergency admissions from CARE HOMES 58 14.7 22.6 2.3 81.6 n/a

442 GP REFERRED 1st OUTPATIENT ATTENDANCES (rate per 1,000 HCHS population) -

443 GP ref, 1st outpatient attendances 2,529 78.2 80.3 69.5 91.7 n/a

444 GP ref, 1st outpatient attendances CARDIOLOGY 407 12.6 14.1 9.8 17.7 n/a

445 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 216 53.1% 62.6% 53.1% 72.9% n/a

446 GP ref, 1st outpatient attendances DERMATOLOGY 378 11.7 12.6 8.8 17.4 n/a

447 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 181 47.9% 54.1% 41.7% 63.8% n/a

448 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 125 33.1% 33.1% 27.3% 41.5% n/a

449 GP ref, 1st outpatient attendances ENT 492 15.2 16.1 11.8 18.1 n/a

450 GP ref, 1st outpatient attendances ENT - % referred on 2WW 86 17.5% 15.6% 10.2% 21.8% n/a

451 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 185 37.6% 42.7% 37.6% 48.2% n/a

452 GP ref, 1st outpatient attendances GASTRO 323 10.0 9.4 7.6 11.0 n/a

453 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 98 30.3% 31.7% 14.2% 52.6% n/a

454 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 120 37.2% 41.5% 29.6% 56.4% n/a

455 GP ref, 1st outpatient attendances GYNAECOLOGY 264 8.2 8.9 5.8 10.3 n/a

456 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 43 16.3% 20.6% 16.3% 28.0% n/a

457 GP ref, 1st outpatient attendances RESPIRATORY 163 5.0 4.4 2.8 5.3 n/a

458 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 37 22.7% 22.3% 14.8% 32.8% n/a

459 GP ref, 1st outpatient attendances RHEUMATOLOGY 114 3.5 3.4 2.1 4.7 n/a

460 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 62 54.4% 51.6% 39.5% 66.9% n/a

461 GP ref, 1st outpatient attendances UROLOGY 312 9.7 9.0 6.3 10.5 n/a

462 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 96 30.8% 41.6% 30.8% 53.5% n/a

463 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 95 30.4% 34.5% 25.2% 46.8% n/a

464 GP ref, 1st outpatient attendances VASCULAR 76 2.4 1.9 0.8 2.4 n/a

465 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 47 61.8% 70.5% 59.6% 87.7% n/a

466 COMMUNITY AND GENERAL PRACTICE SERVICES NEED AND EXPERIENCE -

467 Patient Experience: Overall good experience of making an appointment (%) 225 75.8% 70.4% 60.4% 80.3% n/a

468 Patient experience: Overall Experience of General Practice (%) 274 83.3% 85.7% 77.8% 92.0% n/a

469 Community Matrons Face to Face Contacts 904 76.9 59.4 22.9 106.4 n/a

470 Community Matrons Case Load 34 2.9 0.9 0.4 2.9 n/a

471 Community RESPIRATORY team Face to Face contacts 356 30.3 26.1 9.8 44.5 n/a

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

473 DIABETES Specialist Nurses Face to Face Contacts 486 41.3 33.6 20.2 54.9 n/a

474 DIABETES Case Load 134 11.4 8.8 6.5 12.2 n/a

475 District Nursing Face to Face Contacts 16,120 1,371.0 1,102.6 719.9 1,402.3 n/a

476 District Nursing Case Load 179 15.2 12.8 10.3 16.7 n/a

477 HEART FAILURE Team Face to Face Contacts 148 12.6 13.3 6.6 33.3 n/a

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

479 IV Therapy Face to Face Contacts 147 12.5 17.4 3.7 43.6 n/a

480 IV Therapy Case Load <5 0.1 0.2 - 0.3 n/a

481 Therapy Face to Face Contacts 4,798 408.1 388.1 195.2 483.1 n/a

482 Therapy Case Load 952 81.0 67.4 30.5 84.5 n/a

483 Treatment Rooms Face to Face Contacts 2,444 207.9 216.3 73.3 332.5 n/a

484 Treatment Rooms Case Load 49 4.2 5.8 1.0 13.3 n/a

485 Telehealth referrals rate per 1,000 adult registered pop 1,479 125.8 23.8 1.0 125.8 n/a

486 Referrals to Community MENTAL HEALTH rate per 1,000 470 18.3 17.7 10.1 23.1 n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

487 SOCIAL CARE NEED (LIVERPOOL CITY COUNCIL) -

488 Social Services Users TOTAL per 1,000 40+ resident population 1,031 231.3 185.9 71.7 348.5 n/a

489 Social Services Users OLDER PERSONS per 1,000 65+ resident population 375 100.1 115.9 85.7 147.2 n/a

490 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 57 19.7% 34.1% 5.7% 53.9% n/a

491 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 71 77.2% 84.8% 49.3% 110.5% n/a













504 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 15 86.4% 84.2% 74.0% 96.0% n/a

Network Profile · N82036 Dr Jude Middlemass Hey, Netherley, L27 7AF ... Speke and Belle Vale...

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Transcript of Network Profile · N82036 Dr Jude Middlemass Hey, Netherley, L27 7AF ... Speke and Belle Vale...