Quarter 3 Results – Interim2010/2011 Q1 Outcomes

September 2010

Prepared by Tina Williams, Performance & Delivery Manager, SFNW

Julija Romancenko, Project & Research Administrator, SFNW

Q1 (2010) North West Outcomes9 PCTs successfully met their target

Q1 2009/2010 compared to Q1 2010/11

Q1 2009/10 Q1 2010/11

Greater Manchester 2 of 10 2 of 10

Cheshire & Merseyside 5 of 8 5 of 8

Lancashire & Cumbria 2 of 6 2 of 6

North West 9 of 24 PCTs 9 of 24 PCTs

Q1 (2010)North West OutcomesGreater Manchester2 PCTs met their target

Q1 (2010) North West Outcomes Cheshire & Merseyside5 PCTs met their target

Q1 (2010)North West OutcomesCumbria & Lancashire2 PCTs met their target

% of Not known/Lost to follow up against all service users

3% 3%9% 11% 13% 14% 14% 14% 14% 15% 16% 17% 19% 19% 20%

25% 27% 29% 31% 32% 33%38% 40% 41%

0%

10%

20%

30%

40%

50%

60%

70%

Bolto

n

Hal

ton

& S

tH

elen

sSe

fton

Man

ches

ter

East

Lan

cs

Cum

bria

Nor

th L

ancs

Stoc

kpor

tCe

ntra

lLa

ncs

Know

sley

Asht

on,

Leig

h,Tr

affor

d

Live

rpoo

lCe

ntra

l &Ea

ster

nBu

ry

Hey

woo

d,M

iddl

eton

Tam

esid

e&

Glo

ssop

Wirr

al

Blac

kpoo

l

Old

ham

Wes

tCh

eshi

reBl

ackb

urn

w D

arw

enSa

lford

War

ringt

on

Q4 2009/2010 Q1 2010/2011

Average North West % of Lost to follow up in Q1 was 19,2% (Improved by 1,9 % against 2009/10 Q4 Outcomes) In England average Lost to follow up % in 2009/10 was 24% (in NW 21%)

Q1 (2010) Outcomes – Lost to follow up

Q1 (2010) Outcomes - Employment Classification Smoking prevalence is higher in routine & manual households in England (29%) than in intermediate (21%) and professional and managerial households (14%) (2009/10 Outcomes) 29.5% of NW population are in the R&M group; R&M represented 24% of all those who set a quit date in Q1

Routine & Manual Workers 44% of the national smoking population 17% of those live in the NW Are we targeting this group effectively Difficult to know...

Q1 (2010) Outcomes - Unable to code

Q1 Regional % of Unable to code was 14% which has improved by 6% compared to Q4 2009/10

Q1 Outcomes 2010/11 - Pharmacotherapy use

In North West NRT was most commonly used therapy in Q1 – 63 % of all setting a quit date used this pharmacotherapy; Champix was used by 25 % of those setting a quit date, compared to 24% for the Q1 2009/10 Nationally in 2009/10 Champix demonstrated highest Quit rate – 60% and was used by 23% of those setting a quit date

Q1 (2010) Outcomes - Intervention Type

One to one appointments remain the most common intervention (61%) within North West demonstrating 42% success rate. Nationally ,for 2009/10, 77% interventions were one to ones with a 47% success rate. Nationally the most successful intervention was telephone support, with 63%, quit rate, however only 2% interventions across England were conducted by telephone.

Q1 (2010) Outcomes – Intervention Setting

The majority (54%) of those setting a quit date during Q1 (NW) were seen by SSS – achieving a 48% quit rate. By comparison for England (2009/10 outcomes) the most common intervention setting was Primary Care (45%) demonstrating 47% quit rate The quit rate for Primary Care in the NW is significantly lower at 38%

Smoking in Pregnancy

Q4 (2010) Outcomes - Smoking at Time of Delivery

National Target 15% or less by 2010 Regional SATOD for Q1 (2010/11) was 18% 5 PCT achieved national target (2 – very close) – no significant change since Q4 (2009/10)

SATOD National and Regional PictureQ1 2010

• National SATOD 13,6%

• North East 21.4%• North West 18%• Yorkshire and Humber 17.4%

Source: Department of Health September 2010

Q1 (2010/11) Regional Outcomes Compared to Q1 (2009/10

As a Region we are seeing lower numbers of pregnant smokers and their quit rate has also fallen compared to Q1 last year In Q1 2010/11 Pregnancy Quit Rate was 37 %, in Q1 2009/10 – 42% CO validation rate in Q1 2010/11 was 47%, (in Q1 2009/10 – 40%) – a long way from the Nice Guidance 2010 recommendations...

Year 2009/10 Outcomes by Ethnic groupNorth West proportion of those setting a quit date in 2009/10 Year by ethnic groups was:

White 91% Black or Black British 1%Mixed 1% Other ethnic groups 0%Asian/ Asian British 2% Not Stated 6%

Year 2009/10 Outcomes by Ethnic group

Greater Manchester proportion of those setting a quit date in 2009/10 Year by ethnic groups was:

White 85% Black or Black British 1%Mixed 1% Other ethnic groups 1%Asian/ Asian British 3% Not Stated 10%

Year 2009/10 Outcomes by Ethnic group

Cheshire & Merseyside proportion of those setting a quit date in 2009/10 Year by ethnic groups was:

White 94% Black or Black British 0%Mixed 1% Other ethnic groups 1%Asian/ Asian British 0% Not Stated 4%

Year 2009/10 Outcomes by Ethnic group

Cumbria & Lancashire proportion of those setting a quit date in 2009/10 by ethnic groups was:

White 97% Black or Black British 0%Mixed 0% Other ethnic groups 0%Asian/ Asian British 2% Not Stated 1%

PCT Q1 2009/10 Q1 2010/11Ashton, Leigh and Wigan -176 -198Blackburn With Darwen -191 -198

Blackpool 109 140Bolton -64 -17

Bury -155 -137Central & Eastern Cheshire 79 172

Central Lancashire -322 -319Cumbria 8 25

East Lancashire -277 -140Halton and St Helens 66 -19

Heywood, Middleton & Rochdale 27 -56Knowsley -5 128Liverpool 231 35

Manchester -467 -731North Lancashire -134 -133

Oldham -240 -84Salford -47 1Sefton 7 -33

Stockport -44 -21Tameside and Glossop 116 116

Trafford -82 -110Warrington -19 34

West Cheshire 58 38Wirral -236 -299

North West -1758 -1806

Q1 2009/2010 compared to Q1 2010/11Performance against target:

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

Ashton, Leigh and Wigan 24% 23% 23% 30% 19% 22% 20% 38%

Blackburn With Darwen 24% 22% 26% 27% 25% 22% 20% 33%

Blackpool 24% 23% 24% 29% 20% 23% 20% 37%

Bolton 24% 23% 24% 30% 20% 22% 20% 37%

Bury 24% 24% 24% 28% 19% 22% 20% 38%

Central & Eastern Cheshire 24% 23% 24% 30% 20% 22% 23% 36%

Central Lancashire 26% 23% 22% 29% 23% 21% 21% 34%

Cumbria 25% 24% 24% 27% 23% 23% 20% 34%

East Lancashire 25% 25% 25% 26% 23% 23% 21% 33%

Halton and St Helens 25% 24% 24% 27% 19% 19% 23% 39%

Heywood, Middleton & Rochdale 23% 23% 24% 30% 20% 24% 21% 35%

Knowsley 24% 23% 23% 30% 22% 23% 18% 37%

Liverpool 24% 23% 23% 30% 24% 23% 18% 35%

Manchester 24% 24% 24% 28% 25% 24% 22% 29%

North Lancashire 26% 23% 23% 28% 25% 24% 21% 30%

Oldham 25% 24% 24% 28% 22% 22% 26% 31%

Salford 24% 22% 24% 30% 22% 22% 22% 34%

Sefton 25% 23% 24% 28% 22% 22% 21% 35%

Stockport 23% 22% 24% 31% 22% 19% 20% 38%

Tameside and Glossop 22% 24% 25% 30% 14% 23% 26% 38%

Trafford 25% 23% 23% 30% 24% 21% 20% 35%

Warrington 23% 24% 26% 28% 17% 22% 19% 42%

West Cheshire 24% 24% 24% 29% 21% 23% 21% 35%

Wirral 26% 24% 21% 29% 21% 19% 21% 39%

North West 24% 23% 24% 29% 22% 22% 21% 35%

Proportion of targets set by quarters based on 5 Years

Distribution of Successful Quits based on 5 Years Performance

Q1 Q2 Q3 Q4 2010/11 Q1

Ashton, Leigh and Wigan 19% 22% 20% 38% 23%

Blackburn With Darwen 25% 22% 20% 33% 25%

Blackpool 20% 23% 20% 37% 20%

Bolton 20% 22% 20% 37% 21%

Bury 19% 22% 20% 38% 25%

Central & Eastern Cheshire 20% 22% 23% 36% 20%

Central Lancashire 23% 21% 21% 34% 32%

Cumbria 23% 23% 20% 34% 25%

East Lancashire 23% 23% 21% 33% 25%

Halton and St Helens 19% 19% 23% 39% 25%

Heywood, Middleton & Rochdale 20% 24% 21% 35% 20%

Knowsley 22% 23% 18% 37% 22%

Liverpool 24% 23% 18% 35% 20%

Manchester 25% 24% 22% 29% 25%

North Lancashire 25% 24% 21% 30% 27%

Oldham 22% 22% 26% 31% 26%

Salford 22% 22% 22% 34% 20%

Sefton 22% 22% 21% 35% 25%

Stockport 22% 19% 20% 38% 19%

Tameside and Glossop 14% 23% 26% 38% 12%

Trafford 24% 21% 20% 35% 25%

Warrington 17% 22% 19% 42% 15%

West Cheshire 21% 23% 21% 35% 21%

Wirral 21% 19% 21% 39% 30%

North West 22% 22% 21% 35% 23%

Distribution of Successful Quits based on 5 Years Performance

Q1 2010/11 Target proportion of Annual Year target