Queen Square Integrated Care Community Profile · Queen Square ICC, June 2017 2 This profile...
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Queen Square Integrated Care Community Prof ile Business Intelligence June 2017
Transcript of Queen Square Integrated Care Community Profile · Queen Square ICC, June 2017 2 This profile...
Queen Square Integrated Care Community Profile
Business Intelligence
June 2017
Queen Square ICC, June 2017
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This profile provides an insight into the health of the patients served by Queen Square Integrated Care Community team (ICC). The profile is designed to assist the Health and Care economy understand the health needs of the community it serves and enable collaborative working, to improve people’s health and reduce health inequalities.
Figure 1: ICC practices and deprivation of area of practice location
This ICC is made up of 1 GP practice with 14,040 registered patients (May, 2017)
99.7% of registered patients reside in the district of Lancaster (May 2017)
90% of patients reside in the following wards: Lower Lune Valley Ward, Scotforth West Ward, Marsh Ward,
Bulk Ward, John O'Gaunt Ward, Skerton East Ward, Scotforth East Ward, Bolton & Slyne Ward, Halton-with-Aughton Ward
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Key issues
Older population projected to increase
Life expectancy lower than the national average
Hospital stays for alcohol related harm worse than national average
Emergency hospital admissions for all causes (in ages <18 years) worse than national average
Deaths from all causes worse than national average
GP recorded prevalence of 18+ depression asthma, COPD and dementia higher than national average
1. Demographics
Table 1: Queen Square ICC practice (as at May 2017): Practice code Practice name
Number of registered patients (May 2017)
P81013 QUEEN SQUARE MEDICAL PRACTICE 14,040
QUEEN SQUARE ICC 14,040
Table 2: Demographics, Queen Square ICC Queen
Square ICC
Lancashire North ICCs combined
Morecambe Bay CCG
Registered Population (May 2017, total combined practices in ICC)
14,040
161,099
360,773
% 0-19 years (Registered population, May 2017) 20.0 22.0 21.0
% 15-64 years (Registered population, May 2017) 66.0 65.0 63.0
% 65+ years (Registered population, May 2017) 18.0 19.0 22.0
% 85+ years (Registered population, May 2017) 2.0 2.0 3.0
Registered patients residing in most deprived (IMD 2015) quintile (%) 14.0 21.0 18.0
Registered patients residing in least deprived (IMD 2015) quintile (%) 21 13.0 16.0
Black and Minority Ethnic (BME) Population (%) 5.9 4.0
Population whose ethnicity is not 'White UK' (%) 10.4 7.8
Proficiency in English (% of people who cannot speak English well or at all) 0.5 0.6
Provision of 1 hour or more unpaid care per week (%) 9.7 10.8
Provision of 50 hours or more unpaid care per week (%) 2.1 2.6 Source: GP Population NHS Digital, May 2017 Source: PHE, local health (wards of patients' residence combined)
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Figure 2: Age and gender profile of ICC's registered population and NHS Morecambe Bay CCG's registered population (May 2017)
2. Deprivation
14% of Queen Square ICC's registered patients reside in the 20% most deprived area, nationally, this is below the proportion (18%) of Morecambe
Bay registered patients residing in 20% most deprived areas.
21% of the five Lancaster ICC's registered patients reside in the 20% least deprived areas, nationally, this is significantly higher than the proportion
(16%) of Morecambe Bay registered patients residing in 20% most deprived areas.
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Figure 3: Percentage of registered patients by deprivation decile of area of residence
3. Population projections
ICC population projections presented in table 2 are based on the percentage change in the district where majority of the patients reside.
Based on the population projection for Lancaster district, Queen Square ICC's registered patients are projected to increase from 14,040 in 2017 to 14,975 in 2039.
Table 3: Queen Square ICC registered patient projections to 2039
Age band % change between 2017 and 2039 based on Lancaster district population 2039 projection
0-15 3.7% 2,365
16-64 -0.9% 9,121
65+ 36.9% 3,489
all ages 7.4% 14,975 Population projection based on May 2017 registered patients
Table 4: Population Projections by age group, 2014-2039, Lancaster District
Age band
Population Numerical Change Proportional Change
2014 2019 2039 2014-2019 2014-2039 2014- 2019
2014- 2039
0-15 23,519 24,816 24,990 1,297 1,471 6% 6%
16-64 90,380 90,966 90,490 586 110 1% 0%
65+ 27,378 29162 3,8975 1,784 11,597 7% 42%
all ages 141,277 144,945 154,455 3,668 13,178 3% 9% Source: 2014-Based Sub-National Population Projections, Office for National Statistics https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationprojections
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Figure 4: Population Projections by age group, 2014-2039, Lancaster District
Source: 2014-Based Sub-National Population Projections, Office for National Statistics
4. Burden of disease
Comparison with England:
Table 5: Socio-Economic
Queen Square
ICC Lancashire
North England
Unemployment (%) 2015-16 1.2 1.7 1.8
Long Term Unemployment (Rate/1,000, 16-64 years) 2015-16
2.3
3.6
4.3
Source: Local Health, Public Health England http://www.localhealth.org.uk/
Table 6: Lifestyle
Queen Square
ICC Lancashire
North England
Hospital stays for alcohol related harm (SAR) 2010/11-2014/15
107.8
116.2
100
Estimated smoking prevalence in 15+ (%) (QOF 2015-16 - combined) 12.7 17.8 18.1
Prevalence of 18+ obesity (%) (QOF 2015-16 - combined) 7.5 8.2 9.5
Obese adults (%) 2006-2008 17.3 20.9 24.1
Binge drinking adults (%) 2006-2008 30.9 24.8 20.0
Healthy eating adults (%)2006-2008 29.5 28.9 28.7 Source: Local Health, Public Health England http://www.localhealth.org.uk/ and QOF 1516
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Table 7: Child health
Queen Square
ICC
Lancashire North
England
Infant Mortality (rate per 1,000 live births) 2013-15 (District)
2.9 2.9 3.9
Low Birth Weight Births (%) 2010-14 6.3 6.5 7.4
Child Development at age 5 (%) 2013-14 74.5 68.4 60.4
GCSE Achievement (5A*-C inc. Eng & Maths) (%) 2013-14
71.6
61.8 56.6
Obese Children (Reception Year) (%) 2012/13-2014/15
8.3
10.1 9.3
Children with excess weight (Reception Year) (%) 2012/13-2014/15
21.3
24.2 22.2
Obese Children (Year 6) (%) 2012/13-2014/15 16.0 17.9 19.0
Children with excess weight (Year 6) (%) 2012/13-2014/15
28.1
31 33.4
Deliveries to teenage mothers (%) 2010/11-2014/15
N/A 1.3 1.2
Emergency hospital admissions for all causes (<18) (Rate per 1000) 2012/13-14/15
105 101.3 69.5
Source: Local Health, Public Health England http://www.localhealth.org.uk/. For trend data go here: http://fingertips.phe.org.uk/
Table 8: Emergency and Elective hospital admissions for hip fractures, Standardised Admission Ratios (SARs), 2010/11 to 2014/15
Queen
Square ICC Lancashire
North England
Emergency hospital admissions for hip fracture (65+yrs) 90.2 96.8 100
Elective hospital admissions for hip replacement 109.3 119.7 100 Source: Local Health, Public Health England http://www.localhealth.org.uk/
Table 9: Cancer incidence, Standardised Incidence Ratios (SIRs), 2010-2014
Queen
Square ICC Lancashire
North England
Incidence of all cancer 101 103.4 100
Incidence of breast cancer 94.1 98.3 100
Incidence of colorectal cancer 101.4 104.4 100
Incidence of lung cancer 119.5 108.7 100
Incidence of prostate cancer 85.9 93.1 100 Source: Local Health, Public Health England http://www.localhealth.org.uk/
Table 10: Life Expectancy (Years); mortality and cause of death, Standardised Mortality Ratios (SMRs), 2010-2014
Queen
Square ICC Lancashire
North England
Life Expectancy at birth - MALE (2013-15) (District) 78.6 78.1 79.5
Life Expectancy at birth – FEMALE (2013-15) (District) 81.9 82.2 83.1
Deaths from all causes, under 75 years 102.4 112.6 100
Deaths from all cancer, under 75 years 101.2 110.3 100
Deaths from circulatory disease, under 75 years 101.1 116.3 100
Deaths from coronary heart disease, under 75 years 97.1 118.1 100
Deaths from stroke, all ages 117.5 115.2 100
Deaths from respiratory diseases, all ages 102.7 101.5 100 Source: Local Health, Public Health England http://www.localhealth.org.uk/
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Table 11: Travel & Transport Lancaster England
Average travel times to key services - public transport/walking (mins) 2014 (District) 17.1 17.0
Average travel times to key services - car (mins) 2014 (District) 10.3 10.3 Source: Census 2011 https://www.ons.gov.uk/census/2011census ; Department for Transport, 2014. https://www.gov.uk/government/collections/journey-time-statistics
Table 12: Recorded disease prevalence – 2015/16 GP Practice QOF Register(s)
Condition/disease
Queen Square ICC Morecambe Bay CCG
England
Number % Number % Number %
Hypertension 1,709 12.5 53,479 15.0 7,949,274 13.8
Diabetes (17+ 760 6.7 20,261 6.8 3,033,529 6.5
Asthma 966 7.1 24,189 6.8 3,400,679 5.9
COPD 345 2.5 3,718 2.2 436,805 1.9
Dementia 145 1.1 7,818 1.0 1,066,471 0.8 Source: Quality Outcomes Framework, NHS Digital, 2015-16. http://content.digital.nhs.uk/qof
Adult Social care Table 13: Number and rate (per 10,000, 18+ population) of services commissioned, by ICC and Lancashire County Council, during Oct 2015 – Sept 2016 (Where client's GP practice is recorded)
Service Queen Square ICC Lancashire North
Number Rate Number Rate
Residential Care 26 22.6 454 34.5
Nursing Care 14 12.2 247 18.8
Homecare 115 100.2 1229 93.5
Day Services 17 14.8 171 13.0
Reablement 66 57.5 876 66.6
Assistive Technology (Telecare) 30 26.1 409 31.1
Carers Budget/ ISF payments/ Direct payments 41 35.7 423 32.2
Total service users 309 269.2 3809 289.8 Source: Adult Social Care, Lancashire County Council
Mental Health
Table 14: Mental health related indicators
Queen Square
ICC
Lancashire North
Morecambe Bay CCG
England
Hospital stays for self harm (SAR) 2010/11 to 2014/15 113.9 134.4
100
18+ Depression prevalence (QOF 2015-16 - combined) 11.3% 10.8% 9.8% 8.3
Severe Mental Health prevalence (QOF 2015-16 - combined) 1.2% 0.9% 0.9% 0.9
Source: Local Health, Public Health England http://www.localhealth.org.uk/ and QOF 1516
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Health Projections Figure 5: Health projections: number of residents with a health condition, Lancaster district, 2017 – 2030
Source: Projecting Older Peoples Population Information (POPPI) http://www.poppi.org.uk/; and Projecting Adult Needs and Service Information System (PANSI) http://www.pansi.org.uk/ [N.B health projections are determined by projected
population figures only]
Table 15: Health projections: number of residents with a health condition, Lancaster District, 2017 - 2030
2017 2018 2020 2025 2030
Dementia (65+) 2,038 2,076 2,201 2,548 2,923
Limiting long-term illness (65+) 6812 6968 7,207 8,024 8,894
Mobility limited (65+) 5,334 5,427 5,669 6,324 7,089
Living in a care home (65+) 1175 1217 1272 1,492 1,698
Providing unpaid care (65+) 4,230 4,292 4,398 4,716 5,169
Learning disability (18-64) 2,101 2,101 2,075 2,056 2,050
Common mental disorder (18-64) 13,814 13,814 13,684 13,521 13,402
Predicted to have a fall (65+) 7,667 7,774 8,066 8,878 9,879
Predicted to be admitted to hospital as a result of falls (65+) 598 615 642 734 804 Source: Projecting Older Peoples Population Information (POPPI) http://www.poppi.org.uk/ ; and Projecting Adult Needs and Service Information System (PANSI) http://www.pansi.org.uk/
Falls Table 16: Number and rate (per 1,000) of NWAS call-outs for falls, April 2016 to March 2017 Number Rate per 1,000
Lancaster district Lancashire County Council
Lancaster district
Lancashire County Council
Number of NWAS call outs for falls 2182 20146 15.2 16.8 Source: Trauma and Injury Intelligence Group (TIIG)/North West Ambulance Service [based on the call out location, not the patient address]
Significantly below Lancashire rate
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Local Health
Selection: E07000121 - Lancaster, Lancashire
Source: Local Health, PHE
Indicators Selection value England value England worst Summary chart England best
Income Deprivation (%) 13.6 14.6 27.6 2.8
Low Birth Weight Births (%) 6.8 7.4 10.7 4.9
Child Poverty (%) 19.1 19.9 39.3 1.2
Child Development at age 5 (%) 67.4 60.4 38.4 80
GCSE Achievement (5A*-C inc. Eng & Maths) (%) 61.1 56.6 35.9 78.6
Unemployment (%) 1.8 1.8 4.4 0.2
Long Term Unemployment (Rate/1,000 working age population) 3.9 4.3 15.1 0
General Health - bad or very bad (%) 5.8 5.5 9.5 2.6
General Health - very bad (%) 1.3 1.2 2.2 0.6
Limiting long term illness or disability (%) 19.5 17.6 26 11.2
Households with central heating (%) 95.5 97.3 73.7 99.2
Overcrowding (%) 5.3 8.7 34.9 2
Provision of 1 hour or more unpaid care per week (%) 10.6 10.2 13.3 6.5
Provision of 50 hours or more unpaid care per week (%) 2.6 2.4 4.1 0.9
Pensioners living alone (%) 32.4 31.5 50.8 24.7
Older People in Deprivation (%) 16.3 16.2 49.7 6.2
Obese Children (Reception Year) (%) 10.3 9.3 13.6 5.1
Children with excess weight (Reception Year) (%) 24.3 22.2 28.9 15.5
Obese Children (Year 6) (%) 18.4 19 26.9 10.1
Children with excess weight (Year 6) (%) 31.1 33.4 43.4 22.4
Occasional smoker (modelled prevalence, age 11-15) (%) 1.6 1.5 2.4 0.5
Regular smoker (modelled prevalence, age 11-15) (%) 3.6 3.1 5.5 1.1
Occasional smoker (modelled prevalence, age 15) (%) 4.2 4 6.5 1.4
Regular smoker (modelled prevalence, age 15) (%) 9.8 8.7 14.9 3.2
Occasional smoker (modelled prevalence, age 16-17) (%) 6.3 5.9 9.5 2.2
Regular smoker (modelled prevalence, age 16-17) (%) 16.5 14.8 23.9 5.7
Deliveries to teenage mothers (%) 1.3 1.2 2.8 0
Emergency admissions in under 5s (Crude rate per 1000) 239.2 147.3 308.9 64.5
A&E attendances in under 5s (Crude rate per 1000) 414 533.6 1791.2 215.7
Admissions for injuries in under 5s (Crude rate per 10,000) 213.9 140.8 301.1 76.3
Admissions for injuries in under 15s (Crude rate per 10,000) 160.7 111.7 188.3 62
Admissions for injuries in 15 - 24 year olds (Crude rate per 10,000) 137.9 139.5 271.2 72.7
Obese adults (%) 20.9 24.1 30.7 13.7
Binge drinking adults (%) 25 20 33.7 7.5
Healthy eating adults (%) 28.6 28.7 19.3 48
Emergency hospital admissions for all causes (SAR) 113.8 100 155.5 64
Emergency hospital admissions for CHD (SAR) 124.2 100 179.9 53.6
Emergency hospital admissions for stroke (SAR) 105.3 100 167.1 69.8
Emergency hospital admissions for Myocardial Infarction (heart attack) (SAR) 141.3 100 175.9 46.2
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease (COPD) (SAR) 114.3 100 241.3 27.9
Incidence of all cancer (SIR) 103.8 100 119 79.7
Incidence of breast cancer (SIR) 95.5 100 123.8 81.5
Incidence of colorectal cancer (SIR) 103.6 100 152.8 59.9
Incidence of lung cancer (SIR) 113.6 100 189.9 47.4
Incidence of prostate cancer (SIR) 92.8 100 151.5 58.6
Hospital stays for self harm (SAR) 142.9 100 284.5 23.3
Hospital stays for alcohol related harm (SAR) 119.7 100 179.4 55.4
Emergency hospital admissions for hip fracture in 65+ (SAR) 97.8 100 123.7 46.5
Elective hospital admissions for hip replacement (SAR) 117.5 100 146.8 37.8
Elective hospital admissions for knee replacement (SAR) 120.5 100 153.5 34.2
Life expectancy at birth for males, 2010-2014 (years) 77.7 79.3 74.3 86.1
Life expectancy at birth for females, 2010-2014 (years) 82 83 79.7 89
Life expectancy at birth for males, 2009-2013 (years) 77.7 79.1 74 84.6
Life expectancy at birth for females, 2009-2013 (years) 81.9 83 79.6 88.4
Healthy life expectancy for males (years) 62.4 63.5 55.8 71.4
Healthy life expectancy for females (years) 64.4 64.8 56 72.6
Disability free life expectancy for males (years) 62.5 64.1 56.5 71.7
Disability free life expectancy for females (years) 64 65 58.3 72
Deaths from all causes, all ages (SMR) 110 100 133 58.6
Deaths from all causes, under 65 years (SMR) 118.7 100 174.5 51.6
Deaths from all causes, under 75 years (SMR) 115.5 100 158.1 63
Deaths from all cancer, all ages (SMR) 110 100 130.5 57.3
Deaths from all cancer, under 75 years (SMR) 112.9 100 138.8 62.8
Deaths from circulatory disease, all ages (SMR) 113.4 100 138.5 64
Deaths from circulatory disease, under 75 years (SMR) 120.2 100 177.2 32.9
Deaths from coronary heart disease, all ages (SMR) 116.2 100 182.5 60.8
Deaths from coronary heart disease, under 75 years (SMR) 125 100 186.3 39.4
Deaths from stroke, all ages (SMR) 116.3 100 160.4 52.8
Deaths from respiratory diseases, all ages (SMR) 102.6 100 159.9 48
District health profile The following profile provides an overview of the health of the population (compared to England) in the district (Lancaster) where majority of this ICC's patients reside. Further information For further information relating to each indicator for all ICCs and calculations please contact: [email protected]
