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Hampshire and the Isle of Wight NHS RightCare Frailty Preview April 2018 Hampshire and the Isle of Wight
Hampshire and the Isle of Wight
NHS RightCare Frailty Preview
April 2018
Hampshire and the Isle of Wight
Introduction
NHS RightCare is developing a focus pack for frailty and is currently going through an
engagement process to agree the structure and indicator list to be used. The indicator list is
expected to include both existing indicators (used in other NHS RightCare packs) and new
indicators.
This Frailty Preview presents charts for a selection of relevant indicators .
Interpreting the charts National Range
Indicator Name STP / Region Opportunity
National Average
% Difference to lowest/best similar 5 CCGs
CCG Opportunity in £s or patients to best/lowest 5 similar CCGs
Confidence Interval
CCG National Position
As this confidence interval crosses the horizontal axes, the amber opportunity does not count towards the STP opportunity
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: NHS Digital Hampshire and the Isle of Wight
Percentage of GP registered population aged 75+ - April 2017
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
X
10
R
10
J
10
K
11
A
10
V
10
L
-
2
4
6
8
10
12
14
16
CCGs Hampshire and the Isle of Wight England
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Southampton10X
Portsmouth10R
North Hampshire10J
Fareham and Gosport10K
West Hampshire11A
South Eastern Hampshire10V
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: NHS Digital Hampshire and the Isle of Wight
Percentage of GP registered population aged 65+ - April 2017
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
X
10
R
10
J
10
K
10
V
11
A
10
L
-
5
10
15
20
25
30
35
CCGs Hampshire and the Isle of Wight England
-4.0%
-2.0%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
Southampton10X
Portsmouth10R
North Hampshire10J
Fareham and Gosport10K
South Eastern Hampshire10V
West Hampshire11A
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: English indices of deprivation 2015 Hampshire and the Isle of Wight
Proportion of older people (aged 60+) living in income deprived households - 2015
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
J
11
A
10
K
10
V
10
L
10
R
10
X
-
10
20
30
40
50
60
CCGs Hampshire and the Isle of Wight England
-25.0%
-20.0%
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
North Hampshire10J
West Hampshire11A
Fareham and Gosport10K
South Eastern Hampshire10V
Isle of Wight10L
Portsmouth10R
Southampton10X
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: Public Health England (PHE), Fingertips, Sport England, Active Lives Survey Hampshire and the Isle of Wight
Proportion of the adult population (aged 16+) meeting the recommended '5-a-day’ on a 'usual day' - 2015/16
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
R
10
X
10
J
10
K
10
V
11
A
10
L
-
10
20
30
40
50
60
70
80
CCGs Hampshire and the Isle of Wight England
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Portsmouth10R
Southampton10X
Fareham and Gosport10K
North Hampshire10J
South Eastern Hampshire10V
West Hampshire11A
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: Public Health England (PHE), Fingertips, Sport England, Active Lives Survey Hampshire and the Isle of Wight
Percentage of adults (aged 19+) that are physically inactive (<30 moderate intensity equivalent minutes per week) -
2015/16
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
J
10
V
10
K
11
A
10
X
10
R
10
L
-
5
10
15
20
25
30
35
40
CCGs Hampshire and the Isle of Wight England
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
North Hampshire10J
South Eastern Hampshire10V
Fareham and Gosport10K
West Hampshire11A
Southampton10X
Portsmouth10R
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: Public Health England (PHE), Fingertips, Sport England, Active Lives Survey Hampshire and the Isle of Wight
Percentage of adults (aged 18+) classified as overweight or obese - 2015/16
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
X
10
K
10
V
11
A
10
J
10
R
10
L
-
10
20
30
40
50
60
70
80
90
CCGs Hampshire and the Isle of Wight England
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Southampton10X
Fareham and Gosport10K
South Eastern Hampshire10V
West Hampshire11A
North Hampshire10J
Portsmouth10R
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: NHS Digital, Quality and Outcomes Framework (QOF) Hampshire and the Isle of Wight
Percentage of people registered in a GP practice aged 18+ on clinical register for obesity - 2016/17
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
11
A
10
R
10
X
10
J
10
L
10
K
10
V
-
2
4
6
8
10
12
14
16
18
CCGs Hampshire and the Isle of Wight England
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
West Hampshire11A
Portsmouth10R
Southampton10X
North Hampshire10J
Isle of Wight10L
Fareham and Gosport10K
South Eastern Hampshire10V
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: General Practice Patient Survey (GPPS) Hampshire and the Isle of Wight
Percentage of people aged 18+ who are self-reported occasional or regular smokers - Jan-March 2017
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
11
A
10
V
10
J
10
K
10
L
10
X
10
R
-
5
10
15
20
25
30
CCGs Hampshire and the Isle of Wight England
-20.0%
-10.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
West Hampshire11A
South Eastern Hampshire10V
North Hampshire10J
Fareham and Gosport10K
Isle of Wight10L
Southampton10X
Portsmouth10R
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: Risk Factors Intelligence Team, Public Health England (PHE), NHS Digital, Annual Population Survey, Office for National Statistics (ONS) Hampshire and the Isle of Wight
Rate of successful quitters at 4-weeks per 100,000 smokers aged 16+ - 2016/17 1,474 Ppl.
% difference compared to highest 5 similar CCGs and quantified potential improvement opportunity
10
L
10
R
10
J
10
K
10
V
11
A
10
X
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
CCGs Hampshire and the Isle of Wight England
389
145 163
73
328
375
-50.0%
-45.0%
-40.0%
-35.0%
-30.0%
-25.0%
-20.0%
-15.0%
-10.0%
-5.0%
0.0%
Isle of Wight10L
Portsmouth10R
Fareham and Gosport10K
North Hampshire10J
South Eastern Hampshire10V
West Hampshire11A
Southampton10X
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: NHS Digital, Recorded Dementia Diagnoses Hampshire and the Isle of Wight
Dementia: Estimated prevalence (%) for 65+ - February 2018
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
J
10
L
10
K
10
R
10
X
11
A
10
V
-
2
4
6
8
10
12
CCGs Hampshire and the Isle of Wight England
-20.0%
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
North Hampshire10J
Isle of Wight10L
Fareham and Gosport10K
Portsmouth10R
Southampton10X
West Hampshire11A
South Eastern Hampshire10V
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: NHS Digital, Recorded Dementia Diagnoses Hampshire and the Isle of Wight
Dementia: Diagnosis rate (%) for 65+ - February 2018 727 Ppl.
% difference compared to highest 5 similar CCGs and quantified potential improvement opportunity
10
K
11
A
10
J
10
X
10
V
10
R
10
L
-
20
40
60
80
100
120
CCGs Hampshire and the Isle of Wight England
381 109
15
137
450 277
-35.0%
-30.0%
-25.0%
-20.0%
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
Fareham and Gosport10K
West Hampshire11A
North Hampshire10J
Southampton10X
South Eastern Hampshire10V
Portsmouth10R
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: Public Health England (PHE), Influenza Immunisation Vaccine Uptake Monitoring Programme Hampshire and the Isle of Wight
Percentage of seasonal influenza vaccine uptake amongst GP patients aged 65+ - 1 Sep 2016 - 31 Jan 2017 4,193 Pats.
% difference compared to highest 5 similar CCGs and quantified potential improvement opportunity
10
L
10
J
10
X
10
R
10
K
11
A
10
V
-
10
20
30
40
50
60
70
80
90
CCGs Hampshire and the Isle of Wight England
2,391
529 260 150
863
-10.0%
-8.0%
-6.0%
-4.0%
-2.0%
0.0%
2.0%
Isle of Wight10L
North Hampshire10J
Southampton10X
Portsmouth10R
Fareham and Gosport10K
West Hampshire11A
South Eastern Hampshire10V
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: National Commissioning Data Repository - Secondary Uses Service (SUS Plus) Hampshire and the Isle of Wight
Rate of injuries due to falls in people aged 65+ per 100,000 age-sex weighted population - 2016/17 1,160 Adms.
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
L
10
K
10
J
10
V
11
A
10
R
10
X
-
500
1,000
1,500
2,000
2,500
3,000
3,500
CCGs Hampshire and the Isle of Wight England
10 99
594 119
348
-40.0%
-30.0%
-20.0%
-10.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Isle of Wight10L
Fareham and Gosport10K
North Hampshire10J
South Eastern Hampshire10V
West Hampshire11A
Portsmouth10R
Southampton10X
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: National Commissioning Data Repository - Secondary Uses Service (SUS Plus) Hampshire and the Isle of Wight
Tendency to fall, not elsewhere classified (R296): Spend on non-elective admissions per 1,000 age-sex weighted
population - 2016/17£3,491k
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
L
11
A
10
J
10
V
10
K
10
X
10
R
-
2,000
4,000
6,000
8,000
10,000
12,000
CCGs Hampshire and the Isle of Wight England
£658k £252k
£651k
£547k £558k
£824k
-100.0%
-50.0%
0.0%
50.0%
100.0%
150.0%
200.0%
250.0%
Isle of Wight10L
West Hampshire11A
North Hampshire10J
South Eastern Hampshire10V
Fareham and Gosport10K
Southampton10X
Portsmouth10R
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: National Commissioning Data Repository - Secondary Uses Service (SUS Plus) Hampshire and the Isle of Wight
Disorientation, unspecified (R410): Spend on non-elective admissions per 1,000 age-sex weighted population -
2016/17£390k
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
11
A
10
L
10
X
10
K
10
V
10
R
10
J
-
500
1,000
1,500
2,000
2,500
3,000
CCGs Hampshire and the Isle of Wight England
£10k £43k
£99k £88k
£159k
-100.0%
-50.0%
0.0%
50.0%
100.0%
150.0%
200.0%
250.0%
West Hampshire11A
Isle of Wight10L
Southampton10X
Fareham and Gosport10K
South Eastern Hampshire10V
Portsmouth10R
North Hampshire10J
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: National Commissioning Data Repository - Secondary Uses Service (SUS Plus) Hampshire and the Isle of Wight
Syncope and collapse (R55X): Spend on non-elective admissions for people aged 75+ per 1,000 age-sex weighted
population - 2016/17£358k
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
L
10
J
10
K
10
V
11
A
10
R
10
X
-
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
20,000
CCGs Hampshire and the Isle of Wight England
£17k £24k
£53k £97k
£77k £108k
-60.0%
-40.0%
-20.0%
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
140.0%
Isle of Wight10L
North Hampshire10J
Fareham and Gosport10K
South Eastern Hampshire10V
West Hampshire11A
Portsmouth10R
Southampton10X
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: National Commissioning Data Repository - Secondary Uses Service (SUS Plus) Hampshire and the Isle of Wight
Influenza: Spend on non-elective admissions per 1,000 age-sex weighted population - 2016/17 £547k
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
L
10
V
10
K
10
R
10
X
11
A
10
J
-
200
400
600
800
1,000
1,200
1,400
1,600
1,800
CCGs Hampshire and the Isle of Wight England
£14k £15k £29k £63k
£300k
£155k
-200.0%
0.0%
200.0%
400.0%
600.0%
800.0%
1000.0%
1200.0%
Isle of Wight10L
South Eastern Hampshire10V
Fareham and Gosport10K
Portsmouth10R
Southampton10X
West Hampshire11A
North Hampshire10J
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: National Commissioning Data Repository - Secondary Uses Service (SUS Plus) Hampshire and the Isle of Wight
Aspiration pneumonia: Spend on non-elective admissions per 1,000 age-sex weighted population - 2016/17 £724k
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
J
10
V
10
K
10
R
11
A
10
X
10
L
-
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
CCGs Hampshire and the Isle of Wight England
£1k
£324k £93k
£308k
-100.0%
-50.0%
0.0%
50.0%
100.0%
150.0%
200.0%
250.0%
North Hampshire10J
South Eastern Hampshire10V
Fareham and Gosport10K
Portsmouth10R
West Hampshire11A
Southampton10X
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: NHS Digital Hampshire and the Isle of Wight
Proportion of older people (aged 65+) offered rehabilitation following discharge from acute or community hospital -
2016/17384 Pats.
% difference compared to highest 5 similar CCGs and quantified potential improvement opportunity
10
J
10
K
10
V
11
A
10
L
10
X
10
R
-
2
4
6
8
10
12
CCGs Hampshire and the Isle of Wight England
10 5
56 68
116
95
48
-50.0%
-40.0%
-30.0%
-20.0%
-10.0%
0.0%
10.0%
20.0%
North Hampshire10J
Fareham and Gosport10K
South Eastern Hampshire10V
West Hampshire11A
Isle of Wight10L
Southampton10X
Portsmouth10R
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: NHS Digital Hampshire and the Isle of Wight
Proportion of older people (aged 65+) who were still at home 91 days after discharge from hospital into reablement
/ rehabilitation services - 2016/1733 Pats.
% difference compared to highest 5 similar CCGs and quantified potential improvement opportunity
10
R
10
J
10
K
10
V
11
A
10
X
10
L
-
20
40
60
80
100
120
CCGs Hampshire and the Isle of Wight England
7 7 6 8
12 21
-20.0%
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
Portsmouth10R
Fareham and Gosport10K
North Hampshire10J
South Eastern Hampshire10V
West Hampshire11A
Southampton10X
Isle of Wight10L
STP Opportunity calculated by summing the CCGs with statistically significant opportunities
Source: Public Health England (PHE), Fingertips, Adult Social Care Profile Hampshire and the Isle of Wight
Permanent admissions to residential and nursing care homes, per 100,000 population aged 65+ - 2013/14
% difference compared to lowest 5 similar CCGs and quantified potential improvement opportunity
10
V
10
J
10
K
11
A
10
R
10
L
10
X
-
200
400
600
800
1,000
1,200
1,400
CCGs Hampshire and the Isle of Wight England
-20.0%
-10.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
South Eastern Hampshire10V
Fareham and Gosport10K
North Hampshire10J
West Hampshire11A
Portsmouth10R
Isle of Wight10L
Southampton10X
