Network Profile The Picton Network November 2019 · 2019. 11. 25. · 2 | Page READER INFORMATION...

1 | P a g e

Network Profile

The Picton Network

November 2019

2 | P a g e

READER INFORMATION

Title Network Profile – The Picton Network

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

Analytics Team

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

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

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

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

Mersey Care Community Health Intelligence and Public Health Teams

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

employees including Primary Care Team and Programme Managers; Adult Social

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

Version 1.0

Status Final

Date of release November 2019

Review date Annual update

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

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

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

to configure services around patients.

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

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

network against its peers so they can understand the the relative need, management

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

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

Reference Documents

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

3 | P a g e

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 ....................................................................................................................................... 9

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

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

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

3. Network Maps ......................................................................................................................................................... 13

4. Population Map ....................................................................................................................................................... 14

4. Demographics and Wider Determinants of Health ................................................................................................ 16

4.1 Demographics ................................................................................................................................................. 16

4.2 Wider Detainments of Health ............................................................................................................................... 16

5. Potential Areas of Focus ......................................................................................................................................... 16

5.1 Healthy Adults and Children (Segment 1) ....................................................................................................... 16

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

5.3 Complex Lives (Segment 4) ................................................................................................................................... 17

5.4 Dementia (Segment 5) .......................................................................................................................................... 17

5.6 Care Settings ......................................................................................................................................................... 17

6. Network Profile ....................................................................................................................................................... 18

See separate Metadata document for indicator definitions, sources and timeframes

4 | P a g e

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.

5 | P a g e

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

Rate of Use Of Different Care Settings By Population Segment

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

Secondary Care Contacts Face -to-Face Community Contacts

EOL

Frailty & Dementia

Complex Lives

Cancer

LTC

Pre-Conditions

Learning Disability

Physical Disability

Healthy People

6 | P a g e

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.

7 | P a g e

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

1. 1,023 more people economically active

2. 81 less crimes

3. 305 more 45+ year olds with BP recorded

4. 169 more 65+ year olds with a pulse check

5. 2,097 fewer smokers

6. 684 smokers offered support/advice to stop smoking

7. 870 more with alcohol consumption recorded

8. 126 less drinking alcohol above recommended levels

9. 1,644 more patients screened for cancer

10. 405 more eligible patients screened for breast cancer

11. Between 30 – 42 more 2‐year olds receiving childhood vaccinations

12. Between 50 – 55 more 5 years olds receiving childhood vaccinations

13. 321 more 65+ year olds, 203 under 65 ‘at risk’ and 69 more carers receiving flu jab

14. 56 more pupils achieving expected standard in Key stage 2

15. 29 more patients on proactive care

16. 356 fewer patients on 5 or more prescription

17. 284 fewer patients prescribed antibiotics

18. 266 undiagnosed hypertension cases diagnosed

19. 697 more hypertension patients with physical activity recorded

20. 34 more CHD patients managing Blood Pressure to recommended level

21. 98 undiagnosed stroke cases diagnosed

22. Approx. 55 more referrals to CAMHS services, resulting in 55 more assessments and 1st interventions

23. 35 more patients with a diagnosis of depression reviewed within 56 days of diagnosis

24. 195 undiagnosed asthma cases diagnosed

25. 23 fewer asthma admissions

26. 63 fewer emergency admission for Violence

27. 38 more people with dementia having a face to face review

28. 63 fewer Gynaecology outpatient referrals

8 | P a g e

1.6 GP Practice

The network is made up of the following GP practices:

Practice Code CCG Lead Address and Postcode

N82065 Dr Noorpuri 131 Earle Road, Liverpool, L7 6HD

N82022 Martin Binder Kensington Neighbourhood Health Centre,

157 Edge Lane, L7 2PF

N82046 Dr Michael O'Brien Smithdown Road, Liverpool, L15 2LQ

N82089 Dr DhulipalaThe Picton Medical and Childrens Centre, 137 Earle Rd, L7

6HD

N82091 Dr Jude Park Street, Toxteth, L8 6QP

N82641 Dr Jude 1A Aigburth Road, Aigburth, L17 4JP

N82646 Jude Mahadanaarachchi Park Street, Toxteth, L8 6QP

N82662 Dr Majeed 131 Earle Road, Liverpool, L7 6HD

9 | P a g e

1.7 Registered Population

The registered population is 51,731, 9.5% of overall registered population.

1.8 Registered Patient Ward Alignment

The wards that this network is most aligned to are:

1.9 Service Provision

Picton Network Wards %

Dominant Ward Picton 29.4%

Second Ward Princes Park 11.4%

Third Ward Riverside 11.3%

Fourth Ward Kensington and Fairfield 9.7%

Fifth Ward St Michael's 9.4%

Sixth Ward Greenbank 7.4%

Seventh Ward Wavertree 6.2%

Eighth Ward Mossley Hill 2.0%

Ninth Ward Central 1.7%

Tenth Ward Cressington 1.5%

Other Wards 10.1%

National Code N82662 N82065 N82022 N82646 N82089 N82091 N82641 N82046

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 1 1Learning 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 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 1 1 1 1 1 1Near Patient 1 1 1 1 1 1 1Sexual Health 1 1 1 1 1HomelessAsylum Seekers 1 1 1 1 1 1 1TravellersABPI 1 1ABPI - For other practicesH Pylori 1 1 1 1 1 1H Pylori for other practices 1 1Health checks 1 1 1 1 1 1 1 1IGR 1 1 1 1 1 1 1 1Gonadorelin Therapy LES 1 1 1 1 1 1 1Latent TB 1 1 1 1 1 1 1

10 | P a g e

1.10 Service Assets for Health and Wellbeing Asset‐based working is an approach that aims to strengthen individuals and communities so they can stay well or

better deal with illness. Asset mapping is a process for pulling together the people, places and services that are

available locally that can improve health and wellbeing and reduce preventable health inequities. The LiveWell

Directory, maintained by Healthwatch can be used to support patients and residents to access local services

https://www.thelivewelldirectory.com/ For people without internet access or who need to talk through their

situation the Healthwatch enquiry service (0300 7777007) can help.

The infographics below show some of the physical assets that lie within the network boundary (lower super output

areas with population density => 1,000 registered patients per sq km) which may include GP practices from outside

the network:

11 | P a g e

12 | P a g e

13 | P a g e

3. Network Maps1

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

14 | P a g e

4. Population Map

15 | P a g e

16 | P a g e

4. Demographics and Wider Determinants of Health

4.1 Demographics 51,731 people are registered in the Picton network (9.5% of overall CCG registered population).

It is estimated that 30.7 % of the population are Not White British/Irish, this is more than double the city average and 14.2% of the population’s main language is not English, compared to 7.1% reported for Liverpool.

There are significantly more children aged 0‐18 years in the Picton network when compared to Liverpool. A significantly lower proportion of older people reside in this network with 11.3% of the population aged 65+ compared to 14.4% for Liverpool.

Healthy life expectancy in this network is comparable to the Liverpool average, however overall life expectancy is significantly lower with people in this network estimated to live until 78.4 years compared to the Liverpool average of 79.8 years.

All‐cause mortality rate in this network is significantly higher (1257.7 per 100,000 population compared to 1,101.2).

Picton’s deprivation score is the significantly higher at 49.2 than the Liverpool average at 41.1. Notably, income deprivation affecting children and older people is significantly higher than the Liverpool average.

4.2 Wider Detainments of Health Over half (56.4%) of households have no access to a car/van, significantly higher than the Liverpool

average at 47.3%.

The population economically active is significantly lower in this network

Employment rates and long‐term sick/disabled are also significantly higher in this network

The median household income is around £20,360, which is significantly lower than the Liverpool average (£23,249).

This network reports a significantly higher proportion of housing tenure that is social or privately rented, 67.3% compared to 52.9% across the city.

The violent crime rate in this network is also higher than the city‐wide rate (14.7 cases per 1,000 population compared to the city rate of 13.1 cases per 1,000 population.)

5. Potential Areas of Focus

5.1 Healthy Adults and Children (Segment 1) Prevention One to three out of 4 people with impaired glucose tolerance will develop diabetes within a

decade (diabetes.co.uk). Picton network reports a significantly higher prevalence of impaired glucose regulation compared to the Liverpool average with 1,535 people with IGR equating to 3.7% of network population. Compared to other networks, Picton reports significantly higher smoking prevalence rate (25% compared to 20.1%) and a significantly lower rate of smokers offered brief interventions. Recording of alcohol consumption is the lowest in this network. Around 44.4% of the population eligible to receive a health check had one completed, this is significantly lower than the Liverpool average uptake of 48.3%. Early detection of cancer is essential to ensure prompt appropriate treatment thus reducing premature deaths, uptake rates for all cancer screening programmes are significantly lower in this network, however cancer mortality and admission rates are comparable to the Liverpool average rates.

Vaccinations and Immunisations Compared to other networks, Picton reports significantly lower uptake rates for childhood vaccinations and flu vaccinations.

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. In Picton network a significantly higher proportion of people aged 40+ have 2 or more long

17 | P a g e

term conditions and a significantly higher proportion of people are on 10 or more prescriptions (7.9% compared to 7.2%) compared to the Liverpool average.

Cardiovascular Disease Primary prevention of CVD requires that patients at risk are identified before disease has become established. Risk assessments in those likely to be at high risk of CVD, such as people with hypertension and other modifiable risk factors, should be performed periodically. Around 44.4% (n=3,267) of patients aged between 40‐74 years have had a health check completed in Picton network (significantly below the Liverpool average). Compared to other networks, Picton has significantly higher prevalence of CKD and Hypertension and observed to expected rates are significantly lower for hypertension and stroke suggesting there are a number of undiagnosed cases. In relation to disease management measures, a significantly lower proportion of people aged 45+ have had their blood pressure measured (89%). Also, of the people who have hypertension recorded, a significantly lower proportion have had their levels of physical activity recorded (44% compared to 57.4%) A significantly lower proportion of CHD patients manage their BP to recommended levels (89.2% compared to 91.6% across Liverpool). Picton network reports the lowest rates for people on AF case finding search who have had their notes reviewed (3.5% compared to 11%) and those with AF/Stroke who have been risk assessed is also significantly lower with 37.5% of patients being risk assessed.

Mental Health Serious mental illness prevalence in Picton network is significantly higher with a rate of 2,069.5 per 100,000 population compared to 1,443.2 per 100,000 population for Liverpool, despite a higher number of cases in this area primary care management measures and referral rates to community and social services are all in line with the Liverpool average rates.

Respiratory Recorded COPD prevalence is significantly higher in Picton with a rate of 4908.4 per 100,000 compared to Liverpool average rate of 4118.6 per 100,000 population. Asthma observed to expected prevalence is significantly lower (55%) compared to Liverpool average rate (at 60%), suggesting there are a large number of undiagnosed asthma cases, potentially linked to this network reporting a significantly higher rate of asthma emergency admissions (1.60 per 1,000 compared to 1.26).

5.3 Complex Lives (Segment 4) Picton network rates are generally in line with or significantly better than other networks across almost all

complex lives measures, however Picton has significantly higher rates of emergency admissions for violence (3.8 compared to 2.6 per 1,000 population) and significantly higher rates of people with 10 or more attendances in last 12 months.

5.4 Dementia (Segment 5) Whilst Picton network has a relatively younger population dementia prevalence rates are significantly higher

(921.1 n=332 cases compared to 792.0 per 100,000 population) compared to other networks. The rates of dementia patients whose care has been reviewed face to face is the lowest in this network (70.8% compared to 83.2%).

5.6 Care Settings Emergency Care Compared to the Liverpool average, NHS 111 call rate is significantly higher with 156 calls

per 1,000 population compared to 149.7. Both walk in centre attendances and A&E attendances (without admission) are significantly higher at 321.1 and 329.2 per 1,000 population compared to 213.6 and 246.6 per 1,000 population. Emergency admissions relating to child mental health (0‐17), asthma and Violence are all significantly higher than the Liverpool average.

Outpatient Referrals Referral rates are either comparable to or significantly lower than the Liverpool average across most specialties excluding Gynaecology which is higher than average at 10.1 compared to 8.9 per 1,000 population.

General Practice and Community Services Reported good patient experience of making a GP appointment (60.4%) and of general practice (77.8%) is significantly lower than average in Picton network. There are a significantly higher proportion of community matron face to face contacts in Picton. However, there are significantly lower rates of face to face contacts with the respiratory team, the district nursing team, the heart failure team, the IV therapy team and the treatment room. The Picton network also reports a significantly lower referral rate to telehealth with 7.2 referrals reported per 1,000 adult population compared to 24 referrals reported per 1,000 adult population across Liverpool.

18 | P a g e

Social Care Demand for social services is significantly lower in this network with a rate of 155.2 users per 1,000 40+ population. A significantly lower rate of users are reported to physical and sensory services and domiciliary care. The proportion of LD patients in this network using learning disability services is also significantly lower in this network.

6. Network Profile

Key:

Liverpool Key

Low

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool

LowestLiverpool Range

Liverpool

Highest

National

Average

1 DEMOGRAPHICS AND WIDER DETERMINANTS OF HEALTH

2 DEMOGRAPHICS n/a

3 Deprivation Score (IMD) 2015 - 49.2 41.1 21.7 60.8 21.8

4 Income Deprivation Affecting Children Index (IDACI) 2015 - 39.4% 32.0% 16.3% 47.6% 17.6%

5 Income Deprivation Affecting Older People Index (IDAOPI) 2015 - 42.5% 34.2% 21.4% 47.0% 15.3%

6 Not White British or Irish ethnic group (%) 15,896 30.7% 15.0% 4.6% 35.1% 19.2%

7 White Other ethnic group (%) 2,340 4.5% 2.7% 0.9% 5.6% 4.6%

8 Mixed/Multiple ethnic group (%) 2,815 5.4% 2.6% 0.9% 6.4% 2.3%

9 Asian/Asian British ethnic group (%) 3,743 7.2% 4.7% 1.2% 16.7% 7.8%

10 Black/African/Caribbean/Black British ethnic group (%) 4,063 7.9% 2.9% 0.6% 9.1% 3.5%

11 Other ethnic group (including Arab) (%) 2,936 5.7% 2.0% 0.3% 7.6% 1.0%

12 Main language not English (%) 7,360 14.2% 7.1% 2.1% 20.9% 8.0%

13 People registered as asylum seekers or refugees (%) 1,334 2.6% 1.0% 0.0% 6.4% n/a

14 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 638 48.2 53.4 21.1 71.1 62.5

15 Children aged 0-4 years (%) 3,383 6.5% 5.5% 1.3% 6.8% 5.5%



18 Young People aged 19-25 years (%) 5,358 10.4% 13.2% 6.9% 56.0% 8.8%

19 Children and Young People aged 0-25 years (%) 17,216 33.3% 33.2% 26.4% 61.5% 30.3%

20 Population 65+ (%) 5,842 11.3% 14.4% 1.8% 20.4% 17.9%

21 Population 75+ (%) 2,515 4.9% 6.3% 0.5% 9.4% 8.1%

22 Population 85+ (%) 687 1.3% 1.7% 0.1% 2.9% 2.4%

23 Population 95+ (%) 43 0.1% 0.1% 0.0% 0.2% 0.2%

24 WIDER DETERMINANTS -

25 No car or van in household (%) - 56.4% 47.3% 29.2% 62.6% 25.8%

26 Economically active (%) 23,280 59.8% 62.4% 50.4% 68.8% 69.9%

27 Economically active: Unemployed (%) 3,129 8.0% 6.6% 3.6% 9.0% 4.4%

28 Economically active: Long-term unemployed (%) 1,258 3.2% 2.7% 1.4% 3.8% 1.7%

29 Economically inactive (%) 15,650 40.2% 37.6% 31.2% 49.6% 30.1%

30 Economically inactive: Long-term sick or disabled (%) 3,318 8.5% 7.9% 4.2% 11.7% 4.0%

31 Housing Tenure: Social or Private Rented (%) - 67.3% 52.9% 32.2% 77.9% 36.7%

32 One person household: Aged 65 and over (%) - 10.6% 11.8% 6.4% 14.0% 12.4%

33 Median Household Income £ - £20,360 £23,249 £17,754 £33,290 £32,650

34 Domestic violence rate per 1,000 835 16.0 16.7 8.9 26.5 -

35 Violent crime rate per 1,000 767 14.7 13.1 5.7 24.2 -

36 SEGMENT 1. HEALTHY ADULTS AND CHILDREN -

37 HEALTHY LIFE EXPECTANCY at birth - males (3 Year Pooled) - 60.9 61.5 59.5 63.6 63.4

38 HEALTHY LIFE EXPECTANCY at birth - females (3 Year Pooled) - 62.4 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) - 77.1 78.2 74.5 82.4 79.6

41 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 79.9 81.4 77.9 85.4 83.1

42 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 78.4 79.8 76.6 84.0 81.4

43 ALL CAUSE Mortality - DSR per 100,000 population 1,165 1,257.7 1,101.2 794.2 1,420.3 959.0

44 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 485 475.2 425.5 257.9 595.2 332.0

45 Population 40+ with no LTCs (%) 8,209 38.2% 40.4% 35.6% 53.2% n/a

46 Population 40+ with 1 LTC (%) 5,767 26.8% 27.7% 25.4% 29.6% n/a


48 Population 40+ with 3 or more LTC (%) 3,868 18.0% 15.9% 10.2% 19.4% n/a

49 Percentage of the population 40+ with risk score >=50% 416 1.9% 2.1% 1.0% 2.9% n/a

50 Percentage of the population 40+ with risk score >=70% 139 0.6% 0.7% 0.3% 1.6% n/a

51 Percentage of the population 40+ with risk score >=50% <=90% 385 1.8% 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) (%) 15,265 89.1% 90.9% 86.2% 93.1% 89.2%

54 HYPERTENSION Prevalence DSR per 100,000 population 7,017 18,260.6 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 (%) 3,801 72.6% 75.8% 64.8% 82.0% n/a

56 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 871 2,344.0 2,518.6 2,194.0 3,012.8 n/a

57 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 1,535 3.7% 3.4% 0.8% 4.8% n/a

58 CURRENT SMOKERS aged 15+ (QOF) (%) 10,523 25.0% 20.1% 12.1% 27.8% 17.2%

59 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 8,784 83.5% 90.0% 75.9% 98.6% 89.2%

60 Child Excess Weight Reception (age 4-5 years) (%) 371 25.7% 26.1% 21.7% 29.6% 22.4%

61 Child Excess Weight Year 6 (age 10-11 years) (%) 447 38.6% 38.8% 33.1% 44.2% 34.3%

62 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 4,563 11.3% 12.0% 3.9% 16.1% 9.8%

63 People with BMI >=40 recorded in the last 12m (%) 1,264 2.4% 2.7% 0.9% 4.0% n/a

64 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 569 45.0% 46.6% 25.1% 61.2% n/a

65 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 112 24.2% 22.8% 14.9% 31.1% n/a

66 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 25,795 63.5% 65.7% 63.5% 70.0% n/a

67 People aged 18+ who have ALCOHOL above indicated levels (%) 1,789 6.9% 9.7% 6.1% 12.2% n/a

68 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 1,458 81.5% 88.5% 80.4% 99.9% n/a

69 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 7,360 68.9% 70.5% 47.6% 94.1% 90.0%

70 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,267 44.4% 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 3,267 30.6% 34.0% 19.9% 51.5% 43.3%

72 Health Trainer Referral rate per 1,000 persons 18+ 263 6.5 6.8 3.8 15.2 n/a

73 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 1,844 44.9% 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 (%) 7,670 60.7% 68.1% 52.2% 75.2% 72.1%

76 36 month coverage for BREAST screening aged 50-70 2,761 57.1% 65.5% 54.5% 74.4% 72.5%

77 VACS AND IMMS -

78 Children's DtaPipVHib at 1 Yr (%) 563 89.2% 92.0% 87.6% 96.5% 93.4%

79 Children's PCV at 2 Yrs (%) 572 83.1% 89.2% 80.6% 94.2% 91.5%

80 Children's MMR1 at 2 Yrs (%) 587 85.3% 90.2% 81.3% 94.2% 91.6%

81 Children's Hib Men C at 2 Yrs (%) 596 86.6% 90.9% 83.8% 95.3% 91.5%

82 Children's Pre School Booster at 5 Yrs (%) 529 79.8% 88.2% 77.9% 95.5% n/a

83 Children's MMR2 at 5 Yrs (%) 530 79.9% 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 (%) 2,318 86.0% 90.6% 83.5% 95.0% n/a

85 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 164 23.1% 29.5% 16.2% 46.9% 43.8%

86 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 198 29.1% 33.2% 20.9% 47.1% 45.9%

87 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 3,843 65.9% 71.4% 64.8% 74.6% 72.0%

88 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 3,857 47.2% 49.7% 42.5% 54.2% 48.0%

89 Seasonal Flu Vaccine Uptake - Carers (%) 353 40.8% 48.8% 35.3% 58.6% n/a

The Picton Network 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 15-44 960 84.8 125.5 84.8 152.0 n/a

92 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 213 18.8 28.0 18.8 48.3 n/a

93 GP prescribed condoms rate per 1,000 44 0.9 0.7 0.0 3.9 n/a

94 Uptake of HIV testing in specialist sexual health services rate per 1,000 167 3.2 4.5 1.2 13.5 n/a

95 MATERNITY -

96 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 638 48.2 53.4 21.1 71.1 62.5

97 Low birthweight of all babies <2500g (3 year pooled) (%) 161 8.4% 8.5% 6.4% 10.3% 7.3%

98 Breastfeeding Initiation Rates (%) 375 65.1% 48.1% 34.0% 68.1% 74.5%

99 Breastfeeding at 6-8 weeks (%) 316 55.4% 38.4% 23.6% 59.7% 42.7%

100 Smoking Status at Time of Delivery (SATOD) % 70 12.1% 12.9% 5.8% 19.9% 10.8%

101 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 299 35.8% 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 (%) 234 45.5% 56.4% 45.5% 64.1% 61.6%

104 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 107 35.1% 34.9% 23.0% 48.4% 56.6%

105 Children who are receiving Special Educational Needs (SEN) Support (%) 1,192 15.8% 16.4% 13.2% 20.1% 14.4%

106 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 151 0.02 0.02 0.02 0.03 n/a

107 Children's Speech and language Therapy referrals - Rate per 1,000 243 32.8 20.3 3.5 51.5 n/a

108 SEGMENT 2. LONG TERM CONDITIONS -



111 Population 40+ with 3 or more LTC (%) 3,868 18.0% 15.9% 10.2% 19.4% n/a

112 People on proactive care (%) 32 0.1% 0.1% 0.0% 0.3% n/a

113 People on 1 to 5 or more prescriptions (%) 26,935 51.9% 56.2% 38.4% 64.4% n/a

114 People on 5 or more prescriptions (%) 11,708 22.6% 21.9% 4.0% 28.4% n/a

115 People on 10 or more prescriptions (%) 4,088 7.9% 7.2% 1.0% 10.0% n/a

116 Antibiotic Prescribing rate per 1,000 population 2,792 48.1 43.2 33.1 52.2 n/a

117 Broad Spectrum antbiotic prescribing rate per 1,000 population 205 3.5 3.5 2.8 4.4 n/a

118 Proportion of people who use services who have control over their daily life (ASCOF 1B) 32 84.2% 79.4% 50.0% 90.0% n/a

119 The proportion of users and carers receiving self directed support (ASCOF 1C1A) 292 82.5% 86.1% 64.3% 92.5% n/a

120 The proportion of carers who receive self directed support (ASCOF 1C1B) 32 37.6% 49.2% 37.6% 55.4% n/a

121 The proportion of people who use services who receive direct payments (ASCOF 1C2A) 57 16.1% 19.9% 14.3% 31.9% n/a

122 The proportion of carers who receive direct payments (ASCOF 1C2B) 24 28.2% 36.8% 28.1% 44.0% n/a

123 The outcome of short term service: sequel to service (ASCOF 2D) 63 56.8% 60.7% 47.3% 67.3% n/a

124 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 47 778.9 724.3 306.0 1,220.8 n/a

125 CANCER -

126 New CANCER cases (Crude incidence rate: new cases per 100,000 population) 230 444.2 505.9 88.9 640.4 520.8

127 People with a review within 6 mths of CANCER diagnosis 150 96.2% 93.0% 83.0% 96.6% 69.3%

128 Percentage reporting CANCER in the last 5 years 12 2.1% 3.6% 1.6% 4.9% 3.2%

129 CANCER Prevalence DSR per 100,000 population 1,801 4,678.7 5,601.0 4,302.0 6,470.9 n/a

130 CANCER Mortality - DSR per 100,000 population 300 309.1 303.7 246.8 391.1 268.0

131 LUNG CANCER - DSR per 100,000 population 85 92.1 85.7 49.2 148.3 56.3

132 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 86 85.3 87.5 63.7 119.4 n/a

133 CANCER Mortality Under 75 Years - DSR per 100,000 population 157 157.4 157.3 119.8 201.8 134.6

134 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 41 43.5 45.4 22.9 84.0 n/a

135 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 50 48.4 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 (%) 7,670 60.7% 68.1% 52.2% 75.2% 72.1%

139 36 month coverage for BREAST screening aged 50-70 2,761 57.1% 65.5% 54.5% 74.4% 72.5%

140 Emergency admissions for CANCER 279 5.3 5.6 2.9 6.8 n/a

141 DIABETES -

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

143 DIABETES Prevalence DSR per 100,000 population 3,056 7,699.4 6,483.7 5,101.5 7,872.4 n/a

144 Ratio of Observed (QOF) to Expected DIABETES Prevalence 2,731 82.9% 76.6% 29.1% 97.1% 81.6%

145 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 1,535 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+ (%) 42 1.5% 1.5% 0.4% 2.2% n/a

147 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 1,595 57.0% 58.7% 50.2% 63.4% 79.4%

148 People with DIABETES who have had all 8 care processes in the previous 12m (%) 1,741 61.9% 63.8% 53.1% 73.9% n/a

149 People with DIABETES and HbA1c (%) 2,628 93.4% 92.8% 88.4% 95.9% n/a

150 People with DIABETES and BP recorded (%) 2,661 94.6% 94.0% 90.7% 96.7% n/a

151 People with DIABETES and Cholesterol recorded (%) 2,540 90.3% 88.8% 84.2% 92.4% n/a

152 People with DIABETES and Microalb recorded (%) 1,960 69.7% 72.3% 62.5% 79.5% n/a

153 People with DIABETES and Creatinine recorded (%) 2,595 92.2% 91.7% 86.8% 94.8% n/a

154 People with DIABETES and Foot Check (%) 2,471 87.8% 85.4% 79.3% 90.1% 81.2%

155 People with DIABETES and BMI recorded (%) 2,458 87.3% 86.9% 79.9% 92.8% n/a

156 People with DIABETES and Smoking Status recorded (%) 2,559 90.9% 89.8% 83.1% 95.1% n/a

157 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 1,072 45.2% 43.1% 37.5% 46.2% n/a

158 People with DIABETES who have CHD and/or CKD (%) 851 35.9% 33.6% 28.5% 38.1% n/a

159 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 293 46.0% 40.9% 33.1% 52.0% n/a

160 Preventable sight loss - DIABETIC eye disease rate per 1,000 831 35.0% 29.0% 23.1% 36.4% n/a

161 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 177 72.8% 75.5% 38.1% 93.2% n/a

162 Emergency admissions for DIABETIC COMPLICATIONS 34.00 0.64 0.45 0.19 0.92 n/a

163 DIABETES Specialist Nurses Face to Face Contacts 742 35.8 33.6 20.2 54.9 n/a

164 DIABETES Case Load 201 9.69 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 7,360 68.9% 70.5% 47.6% 94.1% 90.0%

167 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 3,267 44.4% 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 3,267 30.6% 34.0% 19.9% 51.5% 43.3%

169 People 40-74 with HYPERTENSION, CKD, BMI>30 who have had a risk score ever (%) 4,372 80.0% 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 (%) 584 31.3% 33.0% 19.6% 50.3% n/a

171 Over 40 prevalence of PERIPHERAL VASCULAR DISEASE (%) 362 1.7% 1.8% 1.2% 2.7% n/a

172 Ratio of Observed (QOF) to Expected PAD Prevalence 374 99.6% 76.9% 39.8% 305.6% 57.9%

173 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 411 1,095.1 1,047.4 734.5 1,514.8 n/a

174 GP ref, 1st outpatient attendances VASCULAR 113 2.14 1.90 0.82 2.37 n/a

175 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 76 67.3% 70.5% 59.6% 87.7% n/a

176 HYPERTENSION -

177 CKD Prevalence DSR per 100,000 population 3,102 8,229.4 6,549.4 4,653.5 8,229.4 n/a

178 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,850 99.7% 99.8% 52.7% 117.6% 62.3%

179 HYPERTENSION Prevalence DSR per 100,000 population 7,017 18,260.6 17,355.1 15,143.5 19,591.8 n/a

180 Ratio of Observed (QOF) to Expected HYPERTENSION Prevalence 6,242 50.7% 52.9% 18.4% 61.3% 50.6%

181 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 15,265 89.1% 90.9% 86.2% 93.1% 89.2%

182 People with HYPERTENSION whose latest BP reading is <150/90 (QOF) (%) 4,809 82.0% 82.7% 78.5% 86.9% 86.8%

183 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 3,621 69.5% 71.1% 67.3% 76.1% n/a

184 People aged >=80 with HYPERTENSION whose latest blood pressure reading is < 150/90 (%) 904 89.1% 89.6% 86.7% 93.7% 86.8%

185 People with HYPERTENSION with physical activity recorded (%) 2,295 44.1% 57.4% 36.7% 82.0% n/a

186 People with HYPERTENSION who do not meet recommended activity levels who have received brief advice (%) 1,234 53.8% 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 233 253.7 239.8 168.1 320.8 n/a

189 CVD Mortality Under 75 Years - DSR per 100,000 population 98 100.1 90.2 56.0 150.9 72.5

190 CHD Prevalence DSR per 100,000 population 1,744 4,666.5 4,434.2 3,593.1 5,614.3 n/a

191 Ratio of Observed (QOF) to Expected CHD Prevalence 1,499 53.0% 44.0% 20.5% 110.5% 41.5%

192 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 1,230 89.2% 91.6% 88.9% 95.4% 92.4%

193 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 1,363 97.4% 96.9% 94.2% 99.4% n/a

194 People with CHD whose latest total cholesterol (previous 12m) is 5mmol or less (%) 942 64.9% 66.6% 58.0% 74.3% n/a

195 People with CHD prescribed statins (%) 1,150 79.2% 79.3% 75.6% 83.0% n/a

196 Emergency admissions for ANGINA 31 0.6 0.9 0.6 1.7 n/a

197 GP ref, 1st outpatient attendances CARDIOLOGY 692 13.1 14.1 9.8 17.7 n/a

198 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 443 0.6 0.6 0.5 0.7 n/a

199 HEART FAILURE -

200 HEART FAILURE Prevalence DSR per 100,000 population 472 1,230.1 1,343.3 1,096.6 1,760.9 n/a

201 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 386 90.8% 92.1% 59.8% 122.1% 72.8%

202 People with HEART FAILURE eligible who are prescribed a beta blocker (%) 92 90.2% 92.1% 86.3% 100.0% n/a

203 Emergency admissions for CONGESTIVE HEART FAILURE 54 1.0 1.3 0.6 1.9 n/a

204 HEART FAILURE Team Face to Face Contacts 154 7.4 13.3 6.6 33.3 n/a

205 HEART FAILURE Team Case Load 5 0.2 0.4 - 1.1 n/a

206 ATRIAL FIBRILLATION and STROKE -

207 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 871 2,344.0 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 10 3.5% 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 (%) 578 79.4% 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) % 273 37.5% 42.4% 34.6% 71.2% 93.6%

211 People on Warfarin who have INR recorded in last 12 months (%) 380 97.9% 96.9% 92.8% 100.0% n/a

212 STROKE/TIA Prevalence DSR per 100,000 population 897 2,366.6 2,317.6 1,909.9 2,907.9 n/a

213 Ratio of Observed (QOF) to Expected STROKE Prevalence 790 50.0% 56.2% 10.8% 73.4% 56.8%

214 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 688 89.5% 89.7% 86.0% 93.3% 91.7%

215 People with STROKE/TIA referred for further investigation after last stroke or first TIA (QOF) % 262 87.6% 88.3% 78.1% 94.3% 83.4%

216 People with STROKE/TIA whose latest total cholesterol (prev 12m) is 5mmol or less (%) 458 59.6% 60.0% 54.4% 66.9% n/a

217 Emergency admissions for STROKE 67 1.27 1.39 0.56 1.74 n/a

218 EPILEPSY -

219 Children with EPILEPSY 0-17 years (%) 18 0.2% 0.3% 0.2% 0.4% n/a

220 EPILEPSY Prevalence DSR per 100,000 population 457 1,030.4 969.5 693.0 1,137.6 n/a

221 Emergency admissions for EPILEPSY 63 1.2 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 (%) 460 2.7% 3.3% 2.3% 4.7% n/a

225 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 7,830 16,798.6 15,284.2 12,409.6 19,842.4 n/a

226 People with CMHP with no other LTCs (%) 4,372 55.8% 57.2% 50.7% 76.0% n/a

227 People with CMHP with 1 other LTC (%) 1,690 21.6% 22.1% 15.0% 23.8% n/a

228 People with CMHP with 2 other LTCs (%) 899 11.5% 10.9% 5.6% 12.8% n/a

229 People with CMHP and CHD (%) 493 6.3% 6.3% 2.2% 8.2% n/a

230 People with CMHP and COPD (%) 658 8.4% 7.4% 4.0% 9.5% n/a

231 People with CMHP and Cancer (%) 497 6.3% 7.1% 2.0% 10.0% n/a

232 People with CMHP and Diabetes (%) 802 10.2% 9.1% 3.5% 11.1% n/a

233 People with CMHP and Hypertension (%) 1,731 22.1% 21.8% 7.7% 28.0% n/a

234 People with CMHP and SMI (%) 450 5.7% 4.7% 3.4% 6.7% n/a

235 People with CMHP and Current Smoker 15+ (%) 2,707 34.6% 31.5% 19.9% 39.1% n/a

236 Children and Adolescent Mental Health Services (CAMHS) Referrals per 1,000 328 19.1 22.5 2.1 40.3 n/a

237 Children and Adolescent Mental Health Services (CAMHS) Assessments per 1,000 212 12.3 15.7 1.5 27.7 n/a

238 Children and Adolescent Mental Health Services (CAMHS) 1st Interventions per 1,000 175 10.2 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) (%) 480 73.8% 79.3% 55.9% 86.9% 64.2%

240 Access to early intervention teams rate per 1,000 51 0.99 0.60 0.35 0.99 n/a

241 IAPT referral rate per 1,000 1,314 31.7 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 (%) 36 0.2% 0.2% 0.1% 0.2% n/a

244 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 947 2,069.5 1,443.2 1,034.5 2,704.9 n/a

245 People with SMI with no other LTCs (%) 275 29.0% 27.8% 21.4% 35.5% n/a

246 People with SMI with 1 other LTC (%) 358 37.8% 39.0% 33.3% 43.0% n/a

247 People with SMI with 2 other LTCs (%) 164 17.3% 18.3% 12.1% 23.3% n/a

248 People with SMI and CHD (%) 47 5.0% 5.0% 2.6% 8.1% n/a

249 People with SMI and COPD (%) 93 9.8% 8.1% 5.1% 11.3% n/a

250 People with SMI and CANCER (%) 35 3.7% 5.1% 1.8% 8.3% n/a

251 People with SMI and Diabetes (%) 148 15.6% 12.9% 7.0% 16.2% n/a

252 People with SMI and CMHP (%) 450 47.5% 50.5% 43.8% 59.2% n/a

253 People with SMI and Hypertension (%) 187 19.7% 18.7% 10.6% 23.1% n/a

254 People with SMI and Current Smoker 15+ (%) 479 50.6% 49.8% 34.2% 63.6% n/a

255 People with SMI receiving list of physical checks previous 12 months (%) 353 35.9% 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) (%) 66 95.7% 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) (%) 799 92.6% 88.5% 70.4% 94.2% 78.2%

258 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 725 87.9% 86.8% 77.9% 93.6% 81.5%

259 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 815 94.7% 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) (%) 147 82.1% 84.4% 76.4% 95.5% 69.6%

261 Referrals to Community MENTAL HEALTH rate per 1,000 929 18.0 17.7 10.1 23.1 n/a

262 Community MENTAL HEALTH contacts rate per 1,000 929 18.0 17.7 10.1 23.1 n/a

263 Referrals to PSYCHIATRIC LIAISON rate per 1,000 563 10.89 10.29 5.74 16.27 n/a

264 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 413 46.7% 34.1% 5.7% 53.9% n/a

265 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 106 3.30 3.45 1.96 6.69 n/a

266 Emergency admissions for MENTAL HEALTH 149 2.82 2.30 1.55 3.63 n/a

267 MUSCULOSKELETAL -

268 RHEUMATOID ARTHRITIS prevalence 234 0.6% 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) 221 94.4% 93.5% 86.2% 97.5% 84.1%

271 People with OSTEOPOROSIS aged 50-74 with a fragility fracture (QOF) 31 86.1% 80.9% 42.9% 97.7% n/a

272 People with OSTEOPOROSIS aged 75 and over with a fragility fracture (QOF) 75 68.8% 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) 25 86.2% 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) 49 63.6% 70.7% 50.0% 100.0% 59.7%

275 Admission rate FACET JOINT INJECTIONS (3+ Admissions) 5 0.09 0.23 0.00 0.66 n/a

276 Admission rate EPIDURAL/SPINAL NERVE ROOT INJECTIONS FOR NON ESPECIFIC BACK/ PAIN (3+ admissions) <5 0.02 0.04 0.00 0.13 n/a

277 GP ref, 1st outpatient attendances RHEUMATOLOGY 168 3.18 3.38 2.09 4.72 n/a

278 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 80 47.6% 51.6% 39.5% 66.9% n/a

279 RESPIRATORY -

280 RESPIRATORY Mortality - DSR per 100,000 population 191 212.4 180.0 122.3 276.4 n/a

281 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 70 73.0 58.2 23.7 119.3 34.3

282 Community RESPIRATORY team Face to Face contacts 439 21.2 26.1 9.8 44.5 n/a

283 Community RESPIRATORY Team Case Load 5 0.24 0.31 - 0.79 n/a

284 Child AED attendances - LRTI 712 63.1 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 57 4.8 5.3 3.8 7.9 n/a

286 Emergency admissions for FLU & PNEUMO 239 4.53 4.21 3.21 5.37 n/a

287 GP ref, 1st outpatient attendances RESPIRATORY 207 3.92 4.42 2.76 5.35 n/a

288 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 43 20.8% 22.3% 14.8% 32.8% n/a

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool


Liverpool

Highest

National

Average

289 COPD -

290 COPD Prevalence DSR per 100,000 population 1,839 4,908.4 4,118.6 2,499.2 5,885.0 n/a

291 Ratio of Observed (QOF) to Expected COPD Prevalence 1,545 161.9% 102.4% 58.0% 1923.8% 61.9%

292 People with COPD and diagnosis confirmed by post bronchodilator spirometry (QOF) (%) 690 86.6% 88.0% 84.8% 91.1% 80.8%

293 People with COPD and MRC dyspnoea grade ≥3 and oxygen saturation value in last 12 months (QOF) (%) 716 95.2% 96.1% 92.8% 98.9% 95.6%

294 People with COPD and an influenza vaccination in the preceeding Aug-March (QOF) (%) 970 95.3% 93.5% 86.3% 98.7% 80.0%

295 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 804 77.2% 77.3% 61.6% 83.1% 71.1%

296 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,273 91.8% 88.7% 80.8% 93.3% 79.4%

297 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 716 95.2% 96.1% 92.8% 98.9% n/a

298 Emergency admissions for COPD 177 3.35 3.43 1.66 5.53 n/a

299 ASTHMA -

300 Children with ASTHMA 0-17 years (%) 482 4.3% 4.1% 3.4% 4.8% n/a

301 Young People with ASTHMA aged 18-25 years (%) 198 3.4% 3.9% 2.4% 5.9% n/a

302 ASTHMA Prevalence DSR per 100,000 population 3,086 6,784.1 6,692.0 5,986.4 7,696.2 n/a

303 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 2,618 55.8% 60.0% 30.9% 74.8% 117.4%

304 People with ASTHMA Day and Night Symptoms Recorded (%) 1,895 68.8% 68.4% 59.7% 75.0% n/a

305 People with ASTHMA aged 8+ with measures of variability or reversibility recorded (QOF) (%) 1,041 91.7% 93.0% 90.1% 94.9% 84.9%

306 People with ASTHMA with asthma review, including assessment using 3 RCP questions (QOF) (%) 1,842 82.1% 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) (%) 140 95.2% 90.8% 85.6% 95.7% 83.5%

308 Emergency admissions for ASTHMA 89 1.69 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 71 75.8 123.2 75.8 175.8 n/a

311 LEARNING -

312 LEARNING DISABILITIES Prevalence DSR per 100,000 population 224 442.8 412.7 106.3 606.4 n/a

313 Persons 18+ with a LEARNING DISABILITY and HEALTH CHECK completed (%) 113 50.7% 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 (%) 61 27.4% 28.9% 6.4% 48.6% n/a

315 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 137 74.5% 84.8% 49.3% 110.5% n/a

316 PHYSICAL -

317 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 481 1,235.6 1,538.9 1,092.5 2,223.6 n/a

318 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 2,285 5,465.1 6,941.5 5,045.5 7,917.7 n/a

319 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 458 76.4 76.4 43.4 112.3 n/a

320 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 231 38.6 43.8 24.8 60.0 n/a

321 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 138 23.0 26.1 15.9 35.1 n/a

322 SEGMENT 4. COMPLEX LIVES -

323 Children in Need - Rate per 10,000 under 18 years 361 385.2 375.9 192.3 571.4 330.4

324 Looked After Children - Rate per 10,000 under 18 years 122 130.2 128.2 55.6 233.1 62.0

325 Child Protection Plan - Rate per 10,000 under 18 years 49 52.3 58.9 38.9 87.6 43.3

326 Early Help Assessment Tool (EHAT) Family Assessments (%) 214 2.3% 3.0% 2.0% 0.0 n/a

327 Troubled Families - Rate per 1,000 population 1,192 23.6 25.9 12.8 49.8 n/a

328 Child AED attendances - ACCIDENTS 843 74.7 116.0 74.7 155.6 n/a

329 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 204 1,252.0 1,298.1 685.9 1,869.6 n/a

330 Emergency admissions for SELF HARM under 18s 23 2.0 1.5 - 2.4 n/a

331 Hospital admissions as a result of SELF-HARM (10-24 years) DSR per 100,000 47 492.8 403.1 113.5 723.9 421.2

332 Persons under 18 admitted to hospital for ALCOHOL-SPECIFIC conditions crude rate per 100,000 (3 Year Pooled) 14 42.3 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) 26 123.4 84.0 21.6 190.5 87.9

334 MH emergency admissions MENTAL & BEHAVIOURAL - ALCOHOL 66 1.3 1.6 0.7 2.6 n/a

335 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 75 1.5 1.8 0.8 2.9 n/a

336 Emergency admissions for VIOLENCE 199 3.8 2.6 1.1 6.6 n/a

337 Emergency admissions for SELF HARM over 18s 112 2.8 2.9 1.4 5.5 n/a

338 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 401 928.8 868.9 459.3 2,269.5 n/a

339 ALCOHOL SPECIFIC admissions DSR per 100,000 122 259.9 315.1 118.6 875.9 118.3

340 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,180 2,971.3 2,914.7 1,963.6 6,096.5 2,224.0

341 People registered as homeless by their GP rate per 1,000 41 0.8 1.9 0.1 14.8 -

342 People with 10 or more Accident and Emergency attendances in last 12 months rate per 1,000 154 3.0 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 - 42.5% 34.2% 21.4% 47.0% 15.3%

346 Population 65+ (%) 5,842 11.3% 14.4% 1.8% 20.4% 17.9%

347 Population 75+ (%) 2,515 4.9% 6.3% 0.5% 9.4% 8.1%

348 Population 85+ (%) 687 1.3% 1.7% 0.1% 2.9% 2.4%

349 Population 95+ (%) 43 0.1% 0.1% 0.0% 0.2% 0.2%

350 People with a MILD frailty score (%) 1,203 35.7% 17.3% 0.8% 35.7% n/a

351 People with a MODERATE frailty score (%) 1,349 40.1% 51.3% 40.1% 65.5% n/a

352 People with a SEVERE frailty score (%) 814 24.2% 31.3% 24.2% 47.6% n/a

353 Injuries due to FALLS 65+ 183 31.3 33.0 25.5 51.0 n/a

354 Emergency admissions for HIP FRACTURES aged over 65 47 8.0 7.2 5.2 9.4 n/a


356 Emergency admissions for CELLULITIS 79 1.5 1.7 1.4 2.3 n/a


358 Emergency admissions for DEMENTIA aged over 65 13 2.0 1.7 0.2 7.3 n/a


360 Emergency admissons for GASTRO/DEHYDRATION 19 0.4 0.2 - 0.5 n/a

361 Emergency admissions for PYLO NEFRITIS 24 0.5 0.6 0.4 1.0 n/a


363 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 249 41.6 28.8 9.4 56.7 n/a

364 Emergency admissions from CARE HOMES 173 27.1 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) % 18 75% 84% 74% 96% n/a

367 Social Services Users OLDER PERSONS per 1,000 65+ resident population 714 135.2 115.9 85.7 147.2 n/a

368 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 66 11.0 9.2 4.3 14.5 n/a




372 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 292 48.6 40.3 15.3 71.2 n/a

373 CARERS Prevalence (GP Recorded) DSR per 100,000 population 1,414 3,396.3 2,854.9 1,781.5 3,873.6 n/a

374 DEMENTIA -

375 DEMENTIA Prevalence DSR per 100,000 population 332 921.1 792.0 565.2 1,142.9 n/a

376 Ratio of Observed (QOF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 355 90.5% 64.7% 43.1% 92.0% 60.0%

377 Ratio of Observed (QOF) to Expected DEMENTIA (CFAS II) Prevalence 355 102.4% 73.0% 48.7% 104.2% 67.4%

378 People with DEMENTIA with no other LTCs (%) 27 8.1% 9.3% 4.8% 14.3% n/a

379 People with DEMENTIA with 1 other LTC (%) 55 16.6% 19.3% 14.3% 26.9% n/a

380 People with DEMENTIA with 2 other LTCs (%) 91 27.4% 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) (%) 218 70.8% 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) (%) 31 70.5% 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 210 541.1 642.8 430.0 1,071.9 n/a

388 Emergency admissions END OF LIFE 140 23.9 19.4 13.3 23.9 n/a

389 CANCER Mortality - DSR per 100,000 population 300 309.1 303.7 246.8 391.1 268.0

390 LUNG CANCER - DSR per 100,000 population 85 92.1 85.7 49.2 148.3 56.3

391 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 86 85.3 87.5 63.7 119.4 n/a

392 CANCER Mortality Under 75 Years - DSR per 100,000 population 157 157.4 157.3 119.8 201.8 134.6

393 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 41 43.5 45.4 22.9 84.0 n/a

394 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 50 48.4 46.4 32.2 59.8 n/a

395 CANCER Prevalence DSR per 100,000 population 1,801 4,678.7 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 472 1,230.1 1,343.3 1,096.6 1,760.9 n/a

399 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 386 90.8% 92.1% 59.8% 122.1% 72.8%

400 CKD Prevalence DSR per 100,000 population 3,102 8,229.4 6,549.4 4,653.5 8,229.4 n/a

401 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 1,850 99.7% 99.8% 52.7% 117.6% 62.3%

402 ACUTELY ILL -

403 EMERGENCY CARE/GP Enhanced Access -

404 111 call rate per 1,000 weighted population 8,067 156.0 149.7 99.1 179.0 n/a

405 Walk in Centre attendances 16,960 321.1 213.6 107.4 324.2 n/a

406 A&E not admitted (using discharge method, discharge with no treatment, no follow up) 17,382 329.1 246.6 187.7 329.1 n/a

407 Total NEL admissions <=1 day LOS rate per 1,000 3,686 69.8 72.0 55.1 97.1 n/a

408 Total NEL admissions >2 day LOS rate per 1,000 2,835 53.7 53.0 39.6 61.9 n/a

409 Child AED attendance rate per 1,000 population aged 0-4 years 2,270 661.0 740.7 567.4 878.2 n/a

410 Child AED attendances - ACCIDENTS 843 74.7 116.0 74.7 155.6 n/a

411 Child AED attendances - LRTI 712 63.1 63.2 47.8 80.1 n/a

412 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 106 3.3 3.4 2.0 6.7 n/a

413 Child Emergency Admission Average Length of Stay <1 day 546 48.4 56.7 47.3 77.5 n/a

414 Rate per 1,000 HCHS weighted pop for GP Spec AE attendances 565 10.7 7.4 4.0 12.0 n/a

415 Rate per 1,000 HCHS weighted pop for GP Spec ACS admissions 640 12.1 12.2 7.9 14.5 n/a

416 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,180 2,971.3 2,914.7 1,963.6 6,096.5 2,224.0

417 ALCOHOL SPECIFIC admissions DSR per 100,000 122 259.9 315.1 118.6 875.9 118.3


419 Emergency admissions for ASTHMA 89 1.7 1.3 0.5 2.0 n/a

420 Emergency admissions for ASTHMA, DIABETES and EPILEPSY Rate per 1,000 aged 0-18 years 11 0.9 0.8 0.3 1.3 n/a

421 Emergency admissions for CANCER 279 5.3 5.6 2.9 6.8 n/a

422 Emergency admissions for CELLULITIS 79 1.5 1.7 1.4 2.3 n/a


424 Emergency admissions for COPD 177 3.4 3.4 1.7 5.5 n/a


426 Emergency admissions for DIABETIC COMPLICATIONS 34 0.6 0.5 0.2 0.9 n/a

427 Emergency admissions for ENT 101 1.9 2.0 0.9 3.6 n/a

428 Emergency admissions for EPILEPSY 63 1.2 1.4 0.5 3.6 n/a


430 Emergency admissons for GASTRO/DEHYDRATION 19 0.4 0.2 - 0.5 n/a

431 Emergency admissions for HIP FRACTURES aged over 65 47 8.0 7.2 5.2 9.4 n/a

432 Emergency admissions for LOWER RESPIRATORY TRACT INFECTION (LRTI) rate per 1,000 aged 0-18 years 57 4.8 5.3 3.8 7.9 n/a

433 Emergency admissions for MENTAL HEALTH 149 2.8 2.3 1.6 3.6 n/a

434 Emergency admissions for PYLO NEFRITIS 24 0.5 0.6 0.4 1.0 n/a

435 Emergency admissions for SELF HARM over 18s 112 2.8 2.9 1.4 5.5 n/a


437 Emergency admissions for VIOLENCE 199 3.8 2.6 1.1 6.6 n/a

438 Injuries due to FALLS 65+ 183 31.30 32.96 25.54 51.05 n/a

439 Emergency re-admissions within 30 days to hospital (%) 1,099 0.1 0.1 0.1 0.2 0.1

440 Emergency admissions END OF LIFE 140 23.9 19.4 13.3 23.9 n/a

441 Emergency admissions from CARE HOMES 173 27.1 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 4,074 77.1 80.3 69.5 91.7 n/a

444 GP ref, 1st outpatient attendances CARDIOLOGY 692 13.1 14.1 9.8 17.7 n/a

445 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 443 64.0% 62.6% 53.1% 72.9% n/a

446 GP ref, 1st outpatient attendances DERMATOLOGY 635 12.0 12.6 8.8 17.4 n/a

447 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 298 46.9% 54.1% 41.7% 63.8% n/a

448 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 230 36.2% 33.1% 27.3% 41.5% n/a

449 GP ref, 1st outpatient attendances ENT 890 16.9 16.1 11.8 18.1 n/a

450 GP ref, 1st outpatient attendances ENT - % referred on 2WW 91 10.2% 15.6% 10.2% 21.8% n/a

451 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 380 42.7% 42.7% 37.6% 48.2% n/a

452 GP ref, 1st outpatient attendances GASTRO 399 7.6 9.4 7.6 11.0 n/a

453 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 70 17.5% 31.7% 14.2% 52.6% n/a

454 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 152 38.1% 41.5% 29.6% 56.4% n/a

455 GP ref, 1st outpatient attendances GYNAECOLOGY 533 10.1 8.9 5.8 10.3 n/a

456 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 129 24.2% 20.6% 16.3% 28.0% n/a

457 GP ref, 1st outpatient attendances RESPIRATORY 207 3.9 4.4 2.8 5.3 n/a

458 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 43 20.8% 22.3% 14.8% 32.8% n/a

459 GP ref, 1st outpatient attendances RHEUMATOLOGY 168 3.2 3.4 2.1 4.7 n/a

460 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 80 47.6% 51.6% 39.5% 66.9% n/a

461 GP ref, 1st outpatient attendances UROLOGY 437 8.3 9.0 6.3 10.5 n/a

462 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 180 41.2% 41.6% 30.8% 53.5% n/a

463 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 110 25.2% 34.5% 25.2% 46.8% n/a

464 GP ref, 1st outpatient attendances VASCULAR 113 2.1 1.9 0.8 2.4 n/a

465 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 76 67.3% 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 (%) 362 60.4% 70.4% 60.4% 80.3% n/a

468 Patient experience: Overall Experience of General Practice (%) 507 77.8% 85.7% 77.8% 92.0% n/a

469 Community Matrons Face to Face Contacts 2,208 106.4 59.4 22.9 106.4 n/a

470 Community Matrons Case Load 10 0.5 0.9 0.4 2.9 n/a

471 Community RESPIRATORY team Face to Face contacts 439 21.2 26.1 9.8 44.5 n/a

472 Community RESPIRATORY Team Case Load 5 0.2 0.3 - 0.8 n/a

473 DIABETES Specialist Nurses Face to Face Contacts 742 35.8 33.6 20.2 54.9 n/a

474 DIABETES Case Load 201 9.7 8.8 6.5 12.2 n/a

475 District Nursing Face to Face Contacts 21,221 1,022.6 1,102.6 719.9 1,402.3 n/a

476 District Nursing Case Load 263 12.7 12.8 10.3 16.7 n/a

477 HEART FAILURE Team Face to Face Contacts 154 7.4 13.3 6.6 33.3 n/a

478 HEART FAILURE Team Case Load 5 0.2 0.4 - 1.1 n/a

479 IV Therapy Face to Face Contacts 264 12.7 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 7,629 367.6 388.1 195.2 483.1 n/a

482 Therapy Case Load 1,399 67.4 67.4 30.5 84.5 n/a

483 Treatment Rooms Face to Face Contacts 4,260 205.3 216.3 73.3 332.5 n/a

484 Treatment Rooms Case Load 93 4.5 5.8 1.0 13.3 n/a

485 Telehealth referrals rate per 1,000 adult registered pop 150 7.2 23.8 1.0 125.8 n/a

486 Referrals to Community MENTAL HEALTH rate per 1,000 929 18.0 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 2,054 155.2 185.9 71.7 348.5 n/a

489 Social Services Users OLDER PERSONS per 1,000 65+ resident population 714 135.2 115.9 85.7 147.2 n/a

490 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 413 46.7% 34.1% 5.7% 53.9% n/a

491 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 137 74.5% 84.8% 49.3% 110.5% n/a













504 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 18 74.7% 84.2% 74.0% 96.0% n/a

Date post:	19-Aug-2020
Category:	Documents
Upload:	others
View:	0 times
Download:	0 times