Network Profile · 2019-11-27 · Reference Documents JSNA The Joint Strategic Needs Assessment (JSNA) identifies the key issues affecting the health and wellbeing of local people,

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Network Profile

SWAGGA – WAGGA

November 2019

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READER INFORMATION

Title Network Profile – SWAGGA WAGGA

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

Epidemiology Team

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

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

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

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

Mersey Care Community Health Intelligence and Public Health Teams

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

employees including Primary Care Team and Programme Managers; Adult Social

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

Version 1.0

Status Final

Date of release November 2019

Review date Annual update

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

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

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

to configure services around patients.

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

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

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

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

network demograpthics, wider determinants, population segments and care setting

utilisation.

Reference Documents

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

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

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

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

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

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

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

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

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

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

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

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

2. Network Maps ......................................................................................................................................................... 13

3. Network population pyramid .................................................................................................................................. 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 Disability ................................................................................................................................................................ 17

5.5 Frailty, Dementia and End of Life (Segment 5&6) ................................................................................................ 17

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

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

See separate Metadata document for indicator definitions, sources and timeframes

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1. Introduction

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

If SWAGGA WAGGA Network moved in line with the Liverpool average rate potentially there could be;

1. 517 more patients with alcohol consumption recorded

2. 863 less adults drinking alcohol above recommended levels

3. 297 more patients completing a health check

4. 121 more health trainer referrals

5. 518 fewer people on 5 or more prescriptions

6. 376 fewer people prescribed antibiotics

7. 710 more undiagnosed diabetes cases diagnosed

8. 122 more undiagnosed heart failure cases diagnosed

9. 114 more AF patients with a stroke risk assessment

10. 81 more asthma patients receiving a review

11. 37 more LD patients with a health check and action plan

12. 138 fewer emergency admission from care homes

13. 100 more undiagnosed dementia cases diagnosed

14. 18 fewer emergency admissions for dementia

15. 122 more undiagnosed heart failure cases diagnosed

16. 423 fewer outpatient referrals across the following specialities, Cardiology, Dermatology, ENT and Urology

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

1.7 Registered Population The registered population is 66,659

NetworkName Practice Code GP Lead Address and Postcode

SWAGGA ‐ WAGGA N82009 Dr Mark Baxter 23 Darby Road, Grassendale, L19 9BP

SWAGGA ‐ WAGGA N82034 Dr Mark BrookesSouth Liverpool NHS Treatment Centre, Church Road,

Garston, L19 2LW

SWAGGA ‐ WAGGA N82035 Dr Maurice Smith 584 Mather Avenue, Allerton, L19 4UG

SWAGGA ‐ WAGGA N82039 Dr Murugesh Velayudham 1 Storrsdale Road, Allerton, L18 7JY

SWAGGA ‐ WAGGA N82062 Dr Jamie Hampson Jericho Lane, Aigburth, L17 5AR

SWAGGA ‐ WAGGA N82066 Dr Ram Kristhanasan 4/6 Woolton Street, Woolton, L25 5JA

SWAGGA ‐ WAGGA N82073 Dr Rachel Disley 1 Ashfield Road, Aigburth, L17 0BY

SWAGGA ‐ WAGGA N82084 Dr Udit Gupta 1 Gateacre Brow, Gateacre, L25 3PA

SWAGGA ‐ WAGGA N82106 Dr Ruth Brown 20 Quarry Street, Woolton, L25 6HE

SWAGGA ‐ WAGGA N82116 Dr Deepak GuptaSpeke Neighbourhood Health Centre, 75 South Parade,

Speke, Liverpool, L24 2SF

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

1.9 Service Provision

SWAGGA ‐ WAGGA Wards %

Dominant Ward Cressington 19.4%

Second Ward Allerton and Hunts Cross 18.6%

Third Ward Mossley Hill 13.0%

Fourth Ward Woolton 12.9%

Fifth Ward Speke‐Garston 8.4%

Sixth Ward Church 6.9%

Seventh Ward St Michael's 5.9%

Eighth Ward Halewood North 5.8%

Ninth Ward Halewood South 2.8%

Tenth Ward Belle Vale 2.7%

Other Wards 3.7%

National Code N82062 N82084 N82009 N82116 N82035 N82039 N82073 N82106 N82034 N82066

QOF 1 1 1 1 1 1 1 1 1 1DES signup returned 1 1 1 1 1 1 1 1 1 1LES signup returned 1 1 1 1 1 1 1 1 1 1Extended Hours Access 1 1 1 1Learning Disabilities 1 1 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 1 1Learning Disabilities Health Check Scheme 1 1 1 1 1 1 1 1 1 1GMS/PMS Core Contract Data Collection 1 1 1 1 1 1 1 1 1 1Alcohol Risk Reduction 1 1 1 1 1 1 1 1 1 1Liverpool Quality Improvement Scheme 1 1 1 1 1 1 1 1 1 1Minor surgery FOR OTHER PRACTICES excisions and incisionsMinor surgery FOR OTHER PRACTICES injections 1Drug Misusers 1 1 1Near Patient 1 1 1 1 1 1 1 1 1 1Sexual Health 1 1 1 1 1 1 1 1HomelessAsylum Seekers 1Travellers 1ABPI 1 1 1 1 1ABPI - For other practices 1 1H Pylori 1 1 1 1 1 1 1 1 1H Pylori for other practices 1 1 1Health checks 1 1 1 1 1 1 1 1 1 1IGR 1 1 1 1 1 1 1 1 1 1Gonadorelin Therapy LES 1 1 1 1 1 1 1 1 1Latent TB 1 1 1 1 1

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

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

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2. Network Maps1

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

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3. Network population pyramid

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4.Demographics and Wider Determinants of Health

4.1 Demographics 66,659 people are registered in WAGGA network (12.3% of registered population)

Life expectancy and healthy life expectancy is significantly better than average

A significantly lower proportion of the population are aged between 0‐25 years compared to the Liverpool average rate

This network has a significantly higher proportion of older people aged over 65, 13,595, making up 20.4% of the population compared to 14.4% reported for Liverpool.

WAGGA network is among the least deprived networks in the city, having the second lowest level of deprivation out of 14 networks

4.2 Wider Detainments of Health Under a third (29%) of households have no access to a car/van, significantly better the Liverpool average

and the lowest rate in the city.

The median household income is £31,909 compared to £23,249 reported for Liverpool

Levels of unemployment including long‐term unemployment are significantly lower than the Liverpool average

Over two thirds (68.8%) of the population are economically active

The lowest rates of rented and social housing tenure are reported in this network with 32.7% living in rented or social housing compared to 52.9% reported for Liverpool.

A significantly higher proportion of older people aged over 65 live alone

The lowest rates of domestic violence and violent crimes are reported in this network

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). WAGGA network reports a significantly higher prevalence of impaired glucose regulation compared to the Liverpool average with 2,278 people with IGR equating to 4.1% of network population. Recording of alcohol consumption is significantly lower in this network, and of those who have consumption recorded a significantly higher proportion drink above indicated levels. A high take up of NHS Health Checks is important to identify early signs of poor health leading to opportunities for early interventions. Uptake of NHS Health Checks in WAGGA is significantly below the Liverpool average, with only a third (32.2%) of the population taking up the offer of a health check.

5.2 Long Term Conditions (Segment 2) Long Term Conditions 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. People with 1 or more long term conditions is significantly lower in this network, however the portion of people on 5 or more prescriptions is significantly higher. Prevalence of asthma is significantly higher in 18‐25‐year olds compared to other networks. Generally, disease management measures are comparable to the Liverpool average, however a significantly lower proportion of hypertension patients meet the recommended physical activity levels (52%) and just over a third (35.6%) of AF patients receive a stroke risk assessment (significantly lower than the Liverpool average).

Cancer Prevalence of Cancer is significantly higher in this network with 6,413 cases reported per 100,000 population (second highest rate in Liverpool). Early detection of cancers is essential to ensure prompt appropriate treatment and reduce premature deaths. Whilst this network has the second highest rates of cancer prevalence, this network has significantly better cancer screening rates, lower death rates and lower rates of emergency admissions compared to other networks, suggesting early diagnosis and successful treatment.

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Diabetes WAGGA network reports the lowest diabetes prevalence rates across all networks, however observed to expected diabetes prevalence is significantly lower suggesting a number of undiagnosed diabetes cases in this network. Whilst overall this networks rate of diabetes patients achieving all 8 care processes is comparable to the city average, a significantly lower proportion of patients have BP, Cholesterol, foot checks and smoking status recorded. Two in five (38%) diabetes patients also have CHD and/or CKD, significantly higher than the Liverpool average. Demand for diabetes community nurses is significantly lower for patients in this network.

5.3 Disability Learning disability prevalence is comparable to the city average with 355.2 cases reported per 100,000

population equating to 217 cases for WAGGA network. Compared to the Liverpool average, a similar proportion of LD patients receive a health check (64.8% compared to 58.2%), however a significantly lower proportion have an action plan completed following their check (16% compared to 28.9%). Hearing impairment is significantly higher in this network with 5,330 people registered as having hearing impairment. A significantly lower proportion of people aged over 65 access social services for physical and sensory support.

5.5 Frailty, Dementia and End of Life (Segment 5&6) The proportion of older people (65+) in this network is significantly higher with 20.4% aged over 65 compared

to 14.4% reported for Liverpool. Of the people with a frailty score recorded the majority are categorised as having ‘Moderate’ frailty (56.4% n=2,857) followed by ‘Severe’ frailty (33.1% compared to 31.3%). Hospital admissions from care homes are significantly higher in this network with 48.7 admissions reported per 1,000 population compared to a rate of 22.6 reported for Liverpool. Demand for social services is significantly lower in this network to older persons services and physical and sensory support services. Dementia prevalence is significantly lower in WAGGA, however observed to expected dementia prevalence is also significantly lower with 55% of the expected cases diagnosed suggesting there is potentially many undiagnosed dementia cases in this network. This network reports significantly higher emergency admission rates for dementia with 27 admissions reported during 2018/19 (5.1 admissions per 1,000 population compared to 1.7 for Liverpool).

5.6 Care Settings Compared to other networks, WAGGA reports significantly higher rates of Walk in Attendances (266.7 per

1,000 population compared to 213.6) and significantly higher rates of outpatient attendances (85.5 attendances reported per 1,000 population compared to 80.3). At speciality level rates are significantly higher for Cardiology, Dermatology, ENT and Urology.

Community Services Demand for community services from this network are significantly lower for the following services; Diabetes, District Nursing, Therapies and Telehealth referrals. A significantly lower number of community face to face contacts are carried out across Community Matrons, Community Respiratory Team, Diabetes Team and District Nursing.

Social Services Usage of social services is significantly lower in this network for older persons services, physical/sensory support services and residential/nursing placements.

6. Network Profile Spine Chart

Key:

Liverpool Key

Low

IndicatorNetwork

Number

Network

Rate

Liverpool

Average

Liverpool

LowestLiverpool Range

Liverpool

Highest

National

Average

1 DEMOGRAPHICS AND WIDER DETERMINANTS OF HEALTH

2 DEMOGRAPHICS n/a

3 Deprivation Score (IMD) 2015 - 23.3 41.1 21.7 60.8 21.8

4 Income Deprivation Affecting Children Index (IDACI) 2015 - 17.4% 32.0% 16.3% 47.6% 17.6%

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

6 Not White British or Irish ethnic group (%) 5,879 8.8% 15.0% 4.6% 35.1% 19.2%

7 White Other ethnic group (%) 1,470 2.2% 2.7% 0.9% 5.6% 4.6%

8 Mixed/Multiple ethnic group (%) 1,422 2.1% 2.6% 0.9% 6.4% 2.3%

9 Asian/Asian British ethnic group (%) 1,878 2.8% 4.7% 1.2% 16.7% 7.8%

10 Black/African/Caribbean/Black British ethnic group (%) 666 1.0% 2.9% 0.6% 9.1% 3.5%

11 Other ethnic group (including Arab) (%) 443 0.7% 2.0% 0.3% 7.6% 1.0%

12 Main language not English (%) 2,098 3.1% 7.1% 2.1% 20.9% 8.0%

13 People registered as asylum seekers or refugees (%) 26 0.0% 1.0% 0.0% 6.4% n/a

14 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 674 64.2 53.4 21.1 71.1 62.5

15 Children aged 0-4 years (%) 3,762 5.6% 5.5% 1.3% 6.8% 5.5%



18 Young People aged 19-25 years (%) 4,578 6.9% 13.2% 6.9% 56.0% 8.8%

19 Children and Young People aged 0-25 years (%) 17,607 26.4% 33.2% 26.4% 61.5% 30.3%

20 Population 65+ (%) 13,595 20.4% 14.4% 1.8% 20.4% 17.9%

21 Population 75+ (%) 6,277 9.4% 6.3% 0.5% 9.4% 8.1%

22 Population 85+ (%) 1,901 2.9% 1.7% 0.1% 2.9% 2.4%

23 Population 95+ (%) 152 0.2% 0.1% 0.0% 0.2% 0.2%

24 WIDER DETERMINANTS -

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

26 Economically active (%) 33,808 68.8% 62.4% 50.4% 68.8% 69.9%

27 Economically active: Unemployed (%) 2,393 4.9% 6.6% 3.6% 9.0% 4.4%

28 Economically active: Long-term unemployed (%) 930 1.9% 2.7% 1.4% 3.8% 1.7%

29 Economically inactive (%) 15,360 31.2% 37.6% 31.2% 49.6% 30.1%

30 Economically inactive: Long-term sick or disabled (%) 2,777 5.6% 7.9% 4.2% 11.7% 4.0%

31 Housing Tenure: Social or Private Rented (%) - 32.7% 52.9% 32.2% 77.9% 36.7%

32 One person household: Aged 65 and over (%) - 13.9% 11.8% 6.4% 14.0% 12.4%

33 Median Household Income £ - £31,909 £23,249 £17,754 £33,290 £32,650

34 Domestic violence rate per 1,000 517 9.0 16.7 8.9 26.5 -

35 Violent crime rate per 1,000 325 5.7 13.1 5.7 24.2 -

36 SEGMENT 1. HEALTHY ADULTS AND CHILDREN -

37 HEALTHY LIFE EXPECTANCY at birth - males (3 Year Pooled) - 63.2 61.5 59.5 63.6 63.4

38 HEALTHY LIFE EXPECTANCY at birth - females (3 Year Pooled) - 63.9 63.1 61.2 65.1 63.8

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

40 LIFE EXPECTANCY at birth - males (3 Year Pooled) - 81.3 78.2 74.5 82.4 79.6

41 LIFE EXPECTANCY at birth - females (3 Year Pooled) - 83.2 81.4 77.9 85.4 83.1

42 LIFE EXPECTANCY at birth - all persons (3 Year Pooled) - 82.4 79.8 76.6 84.0 81.4

43 ALL CAUSE Mortality - DSR per 100,000 population 1,890 895.1 1,101.2 794.2 1,420.3 959.0

44 ALL CAUSE Mortality Under 75 Years - DSR per 100,000 population 587 315.8 425.5 257.9 595.2 332.0

45 Population 40+ with no LTCs (%) 15,090 43.3% 40.4% 35.6% 53.2% n/a

46 Population 40+ with 1 LTC (%) 9,450 27.1% 27.7% 25.4% 29.6% n/a


48 Population 40+ with 3 or more LTC (%) 5,086 14.6% 15.9% 10.2% 19.4% n/a

49 Percentage of the population 40+ with risk score >=50% 551 1.6% 2.1% 1.0% 2.9% n/a

50 Percentage of the population 40+ with risk score >=70% 132 0.4% 0.7% 0.3% 1.6% n/a

51 Percentage of the population 40+ with risk score >=50% <=90% 522 1.5% 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) (%) 29,208 90.6% 90.9% 86.2% 93.1% 89.2%

54 HYPERTENSION Prevalence DSR per 100,000 population 11,306 16,225.8 17,355.1 15,143.5 19,591.8 n/a

55 People aged 65 years and over excluding People with AF who have received a pulse check (%) 9,031 75.1% 75.8% 64.8% 82.0% n/a

56 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 1,829 2,525.8 2,518.6 2,194.0 3,012.8 n/a

57 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 2,278 4.1% 3.4% 0.8% 4.8% n/a

58 CURRENT SMOKERS aged 15+ (QOF) (%) 7,119 12.7% 20.1% 12.1% 27.8% 17.2%

59 CURRENT SMOKERS aged 15+ offered support and treatment in last 24 months (QOF) (%) 6,428 90.3% 90.0% 75.9% 98.6% 89.2%

60 Child Excess Weight Reception (age 4-5 years) (%) 364 21.7% 26.1% 21.7% 29.6% 22.4%

61 Child Excess Weight Year 6 (age 10-11 years) (%) 472 33.1% 38.8% 33.1% 44.2% 34.3%

62 Persons aged 18 or over with a BMI ≥30 in the last 12 months (QOF) (%) 6,079 11.2% 12.0% 3.9% 16.1% 9.8%

63 People with BMI >=40 recorded in the last 12m (%) 1,483 2.3% 2.7% 0.9% 4.0% n/a

64 People with BMI>= 40 offered weight mgmt advice in the last 12m (%) 590 39.8% 46.6% 25.1% 61.2% n/a

65 Undertake vigorous PHYSICAL ACTIVITY prevalence (%) 152 31.1% 22.8% 14.9% 31.1% n/a

66 People aged 18+ who have their level of ALCOHOL consumption recorded (%) 35,122 64.7% 65.7% 63.5% 70.0% n/a

67 People aged 18+ who have ALCOHOL above indicated levels (%) 4,273 12.2% 9.7% 6.1% 12.2% n/a

68 People aged 18+ with ALCOHOL above indicated levels offered brief interventions (%) 3,437 80.4% 88.5% 80.4% 99.9% n/a

69 Eligible persons 40-74 years offered a HEALTH CHECK (letters sent) (%) 5 years cumulative 14,326 78.8% 70.5% 47.6% 94.1% 90.0%

70 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 5,860 40.9% 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 5,860 32.2% 34.0% 19.9% 51.5% 43.3%

72 Health Trainer Referral rate per 1,000 persons 18+ 249 4.6 6.8 3.8 15.2 n/a

73 BOWEL Screening Coverage (Population Aged 60-69 Screened Over 2.5 Years) (%) 5,116 61.2% 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 (%) 13,116 75.2% 68.1% 52.2% 75.2% 72.1%

76 36 month coverage for BREAST screening aged 50-70 7,128 73.5% 65.5% 54.5% 74.4% 72.5%

77 VACS AND IMMS -

78 Children's DtaPipVHib at 1 Yr (%) 716 95.0% 92.0% 87.6% 96.5% 93.4%

79 Children's PCV at 2 Yrs (%) 712 91.8% 89.2% 80.6% 94.2% 91.5%

80 Children's MMR1 at 2 Yrs (%) 715 92.1% 90.2% 81.3% 94.2% 91.6%

81 Children's Hib Men C at 2 Yrs (%) 719 92.7% 90.9% 83.8% 95.3% 91.5%

82 Children's Pre School Booster at 5 Yrs (%) 650 93.3% 88.2% 77.9% 95.5% n/a

83 Children's MMR2 at 5 Yrs (%) 644 92.4% 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 (%) 2,862 92.9% 90.6% 83.5% 95.0% n/a

85 Seasonal Flu Vaccine Uptake - Children aged 2 years (%) 265 39.7% 29.5% 16.2% 46.9% 43.8%

86 Seasonal Flu Vaccine Uptake - Children aged 3 years (%) 303 45.7% 33.2% 20.9% 47.1% 45.9%

87 Seasonal Flu Vaccine Uptake - Persons aged 65 and over (%) 9,086 73.8% 71.4% 64.8% 74.6% 72.0%

88 Seasonal Flu Vaccine Uptake - Under 65 at risk (%) 4,797 51.1% 49.7% 42.5% 54.2% 48.0%

89 Seasonal Flu Vaccine Uptake - Carers (%) 483 49.7% 48.8% 35.3% 58.6% n/a

SWAGGA - WAGGA 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 1,699 145.5 125.5 84.8 152.0 n/a

92 GP prescribed long acting reversible contraception (LARC) per 1,000 females aged 15-44 316 27.1 28.0 18.8 48.3 n/a

93 GP prescribed condoms rate per 1,000 11 0.2 0.7 0.0 3.9 n/a

94 Uptake of HIV testing in specialist sexual health services rate per 1,000 237 3.6 4.5 1.2 13.5 n/a

95 MATERNITY -

96 Live births per 1,000 female population aged 15-44 (General Fertility Rate) 674 64.2 53.4 21.1 71.1 62.5

97 Low birthweight of all babies <2500g (3 year pooled) (%) 124 6.4% 8.5% 6.4% 10.3% 7.3%

98 Breastfeeding Initiation Rates (%) 372 59.0% 48.1% 34.0% 68.1% 74.5%

99 Breastfeeding at 6-8 weeks (%) 304 48.9% 38.4% 23.6% 59.7% 42.7%

100 Smoking Status at Time of Delivery (SATOD) % 38 6.0% 12.9% 5.8% 19.9% 10.8%

101 Seasonal Flu Vaccine Uptake - Pregnant Women (%) 351 45.3% 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 (%) 357 64.1% 56.4% 45.5% 64.1% 61.6%

104 Pupils gaining 5+ GCSEs A*-C grades including English and Maths (%) 208 47.4% 34.9% 23.0% 48.4% 56.6%

105 Children who are receiving Special Educational Needs (SEN) Support (%) 1,166 13.7% 16.4% 13.2% 20.1% 14.4%

106 Children with an Education Health and Care Plan - Rate per 10,000 under 18 years 168 0.02 0.02 0.02 0.03 n/a

107 Children's Speech and language Therapy referrals - Rate per 1,000 234 32.8 20.3 3.5 51.5 n/a

108 SEGMENT 2. LONG TERM CONDITIONS -



111 Population 40+ with 3 or more LTC (%) 5,086 14.6% 15.9% 10.2% 19.4% n/a

112 People on proactive care (%) 108 0.2% 0.1% 0.0% 0.3% n/a

113 People on 1 to 5 or more prescriptions (%) 37,947 59.7% 56.2% 38.4% 64.4% n/a

114 People on 5 or more prescriptions (%) 14,442 22.7% 21.9% 4.0% 28.4% n/a

115 People on 10 or more prescriptions (%) 4,233 6.7% 7.2% 1.0% 10.0% n/a

116 Antibiotic Prescribing rate per 1,000 population 3,728 48.0 43.2 33.1 52.2 n/a

117 Broad Spectrum antbiotic prescribing rate per 1,000 population 323 4.2 3.5 2.8 4.4 n/a

118 Proportion of people who use services who have control over their daily life (ASCOF 1B) 74 78.7% 79.4% 50.0% 90.0% n/a

119 The proportion of users and carers receiving self directed support (ASCOF 1C1A) 659 88.2% 86.1% 64.3% 92.5% n/a

120 The proportion of carers who receive self directed support (ASCOF 1C1B) 146 52.7% 49.2% 37.6% 55.4% n/a

121 The proportion of people who use services who receive direct payments (ASCOF 1C2A) 140 18.7% 19.9% 14.3% 31.9% n/a

122 The proportion of carers who receive direct payments (ASCOF 1C2B) 115 41.5% 36.8% 28.1% 44.0% n/a

123 The outcome of short term service: sequel to service (ASCOF 2D) 176 57.3% 60.7% 47.3% 67.3% n/a

124 Permanent admission to residential and nursing CARE HOMES ages 65+ rate per 100,000 residents 56 493.0 724.3 306.0 1,220.8 n/a

125 CANCER -

126 New CANCER cases (Crude incidence rate: new cases per 100,000 population) 389 591.0 505.9 88.9 640.4 520.8

127 People with a review within 6 mths of CANCER diagnosis 293 92.7% 93.0% 83.0% 96.6% 69.3%

128 Percentage reporting CANCER in the last 5 years 28 3.5% 3.6% 1.6% 4.9% 3.2%

129 CANCER Prevalence DSR per 100,000 population 4,465 6,413.8 5,601.0 4,302.0 6,470.9 n/a

130 CANCER Mortality - DSR per 100,000 population 518 246.8 303.7 246.8 391.1 268.0

131 LUNG CANCER - DSR per 100,000 population 134 63.2 85.7 49.2 148.3 56.3

132 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 133 63.7 87.5 63.7 119.4 n/a

133 CANCER Mortality Under 75 Years - DSR per 100,000 population 234 124.8 157.3 119.8 201.8 134.6

134 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 61 32.4 45.4 22.9 84.0 n/a

135 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 64 34.2 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 (%) 13,116 75.2% 68.1% 52.2% 75.2% 72.1%

139 36 month coverage for BREAST screening aged 50-70 7,128 73.5% 65.5% 54.5% 74.4% 72.5%

140 Emergency admissions for CANCER 387 4.8 5.6 2.9 6.8 n/a

141 DIABETES -

142 Children with DIABETES 0-17 years (%) 34 0.3% 0.2% 0.1% 0.4% n/a

143 DIABETES Prevalence DSR per 100,000 population 3,503 5,101.5 6,483.7 5,101.5 7,872.4 n/a

144 Ratio of Observed (QOF) to Expected DIABETES Prevalence 3,371 63.3% 76.6% 29.1% 97.1% 81.6%

145 Prevalence of IMPAIRED GLUCOSE REGULATION (IGR) (%) 2,278 4.1% 3.4% 0.8% 4.8% n/a

146 Prevalence of MI last 12m, Stroke, CKD stage 5 in people with DIABETES aged 17+ (%) 43 1.2% 1.5% 0.4% 2.2% n/a

147 People with DIABETES in whom the latest HbA1c is 7.5 or less previous 12m (%) 2,093 59.1% 58.7% 50.2% 63.4% 79.4%

148 People with DIABETES who have had all 8 care processes in the previous 12m (%) 2,215 62.4% 63.8% 53.1% 73.9% n/a

149 People with DIABETES and HbA1c (%) 3,286 92.5% 92.8% 88.4% 95.9% n/a

150 People with DIABETES and BP recorded (%) 3,284 92.5% 94.0% 90.7% 96.7% n/a

151 People with DIABETES and Cholesterol recorded (%) 3,091 87.0% 88.8% 84.2% 92.4% n/a

152 People with DIABETES and Microalb recorded (%) 2,545 71.6% 72.3% 62.5% 79.5% n/a

153 People with DIABETES and Creatinine recorded (%) 3,235 91.1% 91.7% 86.8% 94.8% n/a

154 People with DIABETES and Foot Check (%) 2,954 83.2% 85.4% 79.3% 90.1% 81.2%

155 People with DIABETES and BMI recorded (%) 3,049 85.8% 86.9% 79.9% 92.8% n/a

156 People with DIABETES and Smoking Status recorded (%) 3,140 88.4% 89.8% 83.1% 95.1% n/a

157 People with DIABETES achieving all 3 treatment targets (Chol, BP, HbA1c) (%) 938 43.8% 43.1% 37.5% 46.2% n/a

158 People with DIABETES who have CHD and/or CKD (%) 817 38.1% 33.6% 28.5% 38.1% n/a

159 People with CKD and DIABETES or ACR>=70 with BP managed to 130/80 236 38.8% 40.9% 33.1% 52.0% n/a

160 Preventable sight loss - DIABETIC eye disease rate per 1,000 514 24.0% 29.0% 23.1% 36.4% n/a

161 Newly diagnosed DIABETICS aged 17+ in previous 12m offered structured education (%) 192 73.0% 75.5% 38.1% 93.2% n/a

162 Emergency admissions for DIABETIC COMPLICATIONS 29.00 0.36 0.45 0.19 0.92 n/a

163 DIABETES Specialist Nurses Face to Face Contacts 898 24.9 33.6 20.2 54.9 n/a

164 DIABETES Case Load 269 7.45 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 14,326 78.8% 70.5% 47.6% 94.1% 90.0%

167 Eligible persons 40-74 years with a HEALTH CHECK completed (uptake) (%) 5 years cumulative 5,860 40.9% 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 5,860 32.2% 34.0% 19.9% 51.5% 43.3%

169 People 40-74 with HYPERTENSION, CKD, BMI>30 who have had a risk score ever (%) 7,573 79.4% 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 (%) 1,361 33.6% 33.0% 19.6% 50.3% n/a

171 Over 40 prevalence of PERIPHERAL VASCULAR DISEASE (%) 514 1.4% 1.8% 1.2% 2.7% n/a

172 Ratio of Observed (QOF) to Expected PAD Prevalence 547 89.2% 76.9% 39.8% 305.6% 57.9%

173 PERIPHERAL ARTERIAL DISEASE (PAD) Prevalence DSR per 100,000 population 554 770.9 1,047.4 734.5 1,514.8 n/a

174 GP ref, 1st outpatient attendances VASCULAR 142 1.76 1.90 0.82 2.37 n/a

175 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 92 64.8% 70.5% 59.6% 87.7% n/a

176 HYPERTENSION -

177 CKD Prevalence DSR per 100,000 population 4,773 6,641.2 6,549.4 4,653.5 8,229.4 n/a

178 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 4,187 105.6% 99.8% 52.7% 117.6% 62.3%

179 HYPERTENSION Prevalence DSR per 100,000 population 11,306 16,225.8 17,355.1 15,143.5 19,591.8 n/a

180 Ratio of Observed (QOF) to Expected HYPERTENSION Prevalence 11,188 56.9% 52.9% 18.4% 61.3% 50.6%

181 People aged 45+ with a record of blood pressure in the preceding 5 years (QOF) (%) 29,208 90.6% 90.9% 86.2% 93.1% 89.2%

182 People with HYPERTENSION whose latest BP reading is <150/90 (QOF) (%) 8,949 82.8% 82.7% 78.5% 86.9% 86.8%

183 People aged <80 with HYPERTENSION whose latest blood pressure reading is < 140/90 (%) 6,350 72.5% 71.1% 67.3% 76.1% n/a

184 People aged >=80 with HYPERTENSION whose latest blood pressure reading is < 150/90 (%) 2,317 90.4% 89.6% 86.7% 93.7% 86.8%

185 People with HYPERTENSION with physical activity recorded (%) 5,776 66.0% 57.4% 36.7% 82.0% n/a

186 People with HYPERTENSION who do not meet recommended activity levels who have received brief advice (%) 3,022 52.3% 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 419 197.4 239.8 168.1 320.8 n/a

189 CVD Mortality Under 75 Years - DSR per 100,000 population 116 62.5 90.2 56.0 150.9 72.5

190 CHD Prevalence DSR per 100,000 population 2,720 3,807.0 4,434.2 3,593.1 5,614.3 n/a

191 Ratio of Observed (QOF) to Expected CHD Prevalence 2,554 59.0% 44.0% 20.5% 110.5% 41.5%

192 People with CHD whose latest blood pressure reading (previous 12m) is 150/90 or less (%) 2,206 90.7% 91.6% 88.9% 95.4% 92.4%

193 People with CHD taking aspirin/anti-platelet therapy/anti-coagulant in last 12 months (QOF) (%) 2,323 97.3% 96.9% 94.2% 99.4% n/a

194 People with CHD whose latest total cholesterol (previous 12m) is 5mmol or less (%) 1,659 65.3% 66.6% 58.0% 74.3% n/a

195 People with CHD prescribed statins (%) 1,981 78.0% 79.3% 75.6% 83.0% n/a

196 Emergency admissions for ANGINA 64 0.8 0.9 0.6 1.7 n/a

197 GP ref, 1st outpatient attendances CARDIOLOGY 1,396 17.3 14.1 9.8 17.7 n/a

198 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 840 0.6 0.6 0.5 0.7 n/a

199 HEART FAILURE -

200 HEART FAILURE Prevalence DSR per 100,000 population 834 1,137.8 1,343.3 1,096.6 1,760.9 n/a

201 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 699 78.5% 92.1% 59.8% 122.1% 72.8%

202 People with HEART FAILURE eligible who are prescribed a beta blocker (%) 201 90.5% 92.1% 86.3% 100.0% n/a

203 Emergency admissions for CONGESTIVE HEART FAILURE 126 1.6 1.3 0.6 1.9 n/a

204 HEART FAILURE Team Face to Face Contacts 292 8.1 13.3 6.6 33.3 n/a

205 HEART FAILURE Team Case Load 7 0.2 0.4 - 1.1 n/a

206 ATRIAL FIBRILLATION and STROKE -

207 ATRIAL FIBRILLATION Prevalence DSR per 100,000 population 1,829 2,525.8 2,518.6 2,194.0 3,012.8 n/a

208 People on the AF case finding search who have had their notes reviewed 134 10.9% 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 (%) 1,344 79.5% 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) % 602 35.6% 42.4% 34.6% 71.2% 93.6%

211 People on Warfarin who have INR recorded in last 12 months (%) 729 97.2% 96.9% 92.8% 100.0% n/a

212 STROKE/TIA Prevalence DSR per 100,000 population 1,532 2,132.2 2,317.6 1,909.9 2,907.9 n/a

213 Ratio of Observed (QOF) to Expected STROKE Prevalence 1,474 71.8% 56.2% 10.8% 73.4% 56.8%

214 People with STROKE/TIA prescribed antiplatelet or anticoag (%) 1,335 89.4% 89.7% 86.0% 93.3% 91.7%

215 People with STROKE/TIA referred for further investigation after last stroke or first TIA (QOF) % 535 91.1% 88.3% 78.1% 94.3% 83.4%

216 People with STROKE/TIA whose latest total cholesterol (prev 12m) is 5mmol or less (%) 900 60.3% 60.0% 54.4% 66.9% n/a

217 Emergency admissions for STROKE 140 1.74 1.39 0.56 1.74 n/a

218 EPILEPSY -

219 Children with EPILEPSY 0-17 years (%) 26 0.2% 0.3% 0.2% 0.4% n/a

220 EPILEPSY Prevalence DSR per 100,000 population 559 850.9 969.5 693.0 1,137.6 n/a

221 Emergency admissions for EPILEPSY 41 0.5 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 (%) 430 2.5% 3.3% 2.3% 4.7% n/a

225 CMHP (Depression, Anxiety and Stress) Prevalence (GP Recorded) DSR per 100,000 population 8,374 13,023.0 15,284.2 12,409.6 19,842.4 n/a

226 People with CMHP with no other LTCs (%) 4,730 56.5% 57.2% 50.7% 76.0% n/a

227 People with CMHP with 1 other LTC (%) 1,842 22.0% 22.1% 15.0% 23.8% n/a

228 People with CMHP with 2 other LTCs (%) 936 11.2% 10.9% 5.6% 12.8% n/a

229 People with CMHP and CHD (%) 506 6.0% 6.3% 2.2% 8.2% n/a

230 People with CMHP and COPD (%) 499 6.0% 7.4% 4.0% 9.5% n/a

231 People with CMHP and Cancer (%) 790 9.4% 7.1% 2.0% 10.0% n/a

232 People with CMHP and Diabetes (%) 712 8.5% 9.1% 3.5% 11.1% n/a

233 People with CMHP and Hypertension (%) 2,026 24.2% 21.8% 7.7% 28.0% n/a

234 People with CMHP and SMI (%) 342 4.1% 4.7% 3.4% 6.7% n/a

235 People with CMHP and Current Smoker 15+ (%) 1,746 20.9% 31.5% 19.9% 39.1% n/a

236 Children and Adolescent Mental Health Services (CAMHS) Referrals per 1,000 408 23.2 22.5 2.1 40.3 n/a

237 Children and Adolescent Mental Health Services (CAMHS) Assessments per 1,000 312 17.7 15.7 1.5 27.7 n/a

238 Children and Adolescent Mental Health Services (CAMHS) 1st Interventions per 1,000 280 15.9 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) (%) 611 86.9% 79.3% 55.9% 86.9% 64.2%

240 Access to early intervention teams rate per 1,000 23 0.35 0.60 0.35 0.99 n/a

241 IAPT referral rate per 1,000 1,493 27.0 33.1 27.0 39.3 n/a

242 SERIOUS MENTAL ILLNESS -

243 Children and Young People with SERIOUS MENTAL ILLNESS (SMI) 0-25 years (%) 29 0.2% 0.2% 0.1% 0.2% n/a

244 SMI Prevalence (Schizophrenia, Bipolar or Other Psychosis) DSR per 100,000 population 668 1,034.5 1,443.2 1,034.5 2,704.9 n/a

245 People with SMI with no other LTCs (%) 163 24.4% 27.8% 21.4% 35.5% n/a

246 People with SMI with 1 other LTC (%) 277 41.5% 39.0% 33.3% 43.0% n/a

247 People with SMI with 2 other LTCs (%) 122 18.3% 18.3% 12.1% 23.3% n/a

248 People with SMI and CHD (%) 32 4.8% 5.0% 2.6% 8.1% n/a

249 People with SMI and COPD (%) 47 7.0% 8.1% 5.1% 11.3% n/a

250 People with SMI and CANCER (%) 52 7.8% 5.1% 1.8% 8.3% n/a

251 People with SMI and Diabetes (%) 74 11.1% 12.9% 7.0% 16.2% n/a

252 People with SMI and CMHP (%) 342 51.2% 50.5% 43.8% 59.2% n/a

253 People with SMI and Hypertension (%) 144 21.6% 18.7% 10.6% 23.1% n/a

254 People with SMI and Current Smoker 15+ (%) 249 37.3% 49.8% 34.2% 63.6% n/a

255 People with SMI receiving list of physical checks previous 12 months (%) 257 34.9% 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) (%) 96 94.1% 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) (%) 571 93.0% 88.5% 70.4% 94.2% 78.2%

258 People with SMI who have a record of blood pressure in last 12 mths (QOF) (%) 543 88.1% 86.8% 77.9% 93.6% 81.5%

259 People with SMI who have a record of alcohol consumption in last 12 mths (QOF) (%) 550 89.3% 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) (%) 136 85.5% 84.4% 76.4% 95.5% 69.6%

261 Referrals to Community MENTAL HEALTH rate per 1,000 1,158 17.4 17.7 10.1 23.1 n/a

262 Community MENTAL HEALTH contacts rate per 1,000 1,158 17.4 17.7 10.1 23.1 n/a

263 Referrals to PSYCHIATRIC LIAISON rate per 1,000 382 5.74 10.29 5.74 16.27 n/a

264 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 252 39.5% 34.1% 5.7% 53.9% n/a

265 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 130 3.49 3.45 1.96 6.69 n/a

266 Emergency admissions for MENTAL HEALTH 125 1.55 2.30 1.55 3.63 n/a

267 MUSCULOSKELETAL -

268 RHEUMATOID ARTHRITIS prevalence 432 0.8% 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) 407 94.0% 93.5% 86.2% 97.5% 84.1%

271 People with OSTEOPOROSIS aged 50-74 with a fragility fracture (QOF) 85 78.0% 80.9% 42.9% 97.7% n/a

272 People with OSTEOPOROSIS aged 75 and over with a fragility fracture (QOF) 218 61.4% 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) 67 81.7% 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) 145 68.7% 70.7% 50.0% 100.0% 59.7%

275 Admission rate FACET JOINT INJECTIONS (3+ Admissions) 13 0.16 0.23 0.00 0.66 n/a

276 Admission rate EPIDURAL/SPINAL NERVE ROOT INJECTIONS FOR NON ESPECIFIC BACK/ PAIN (3+ admissions) <5 0.05 0.04 0.00 0.13 n/a

277 GP ref, 1st outpatient attendances RHEUMATOLOGY 270 3.35 3.38 2.09 4.72 n/a

278 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 138 51.1% 51.6% 39.5% 66.9% n/a

279 RESPIRATORY -

280 RESPIRATORY Mortality - DSR per 100,000 population 284 134.9 180.0 122.3 276.4 n/a

281 RESPIRATORY Mortality Under 75 Years - DSR per 100,000 population 65 34.8 58.2 23.7 119.3 34.3

282 Community RESPIRATORY team Face to Face contacts 416 11.5 26.1 9.8 44.5 n/a

283 Community RESPIRATORY Team Case Load 7 0.19 0.31 - 0.79 n/a

284 Child AED attendances - LRTI 726 58.7 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 64 4.9 5.3 3.8 7.9 n/a

286 Emergency admissions for FLU & PNEUMO 335 4.16 4.21 3.21 5.37 n/a

287 GP ref, 1st outpatient attendances RESPIRATORY 338 4.20 4.42 2.76 5.35 n/a

288 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 65 19.2% 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 1,862 2,644.2 4,118.6 2,499.2 5,885.0 n/a

291 Ratio of Observed (QOF) to Expected COPD Prevalence 1,695 101.0% 102.4% 58.0% 1923.8% 61.9%

292 People with COPD and diagnosis confirmed by post bronchodilator spirometry (QOF) (%) 813 89.4% 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) (%) 618 94.5% 96.1% 92.8% 98.9% 95.6%

294 People with COPD and an influenza vaccination in the preceeding Aug-March (QOF) (%) 1,146 94.2% 93.5% 86.3% 98.7% 80.0%

295 People with COPD with record of FEV1 in previous 12 mths (QOF) (%) 966 79.1% 77.3% 61.6% 83.1% 71.1%

296 People with COPD reviewed, including assessment of MRC dyspnoea in last 12 mths (QOF) (%) 1,383 89.9% 88.7% 80.8% 93.3% 79.4%

297 People with COPD & MRC dyspnoea scale >=3 offered pulmonary rehab EVER (%) 618 94.5% 96.1% 92.8% 98.9% n/a

298 Emergency admissions for COPD 134 1.66 3.43 1.66 5.53 n/a

299 ASTHMA -

300 Children with ASTHMA 0-17 years (%) 494 4.1% 4.1% 3.4% 4.8% n/a

301 Young People with ASTHMA aged 18-25 years (%) 253 5.2% 3.9% 2.4% 5.9% n/a

302 ASTHMA Prevalence DSR per 100,000 population 3,994 6,232.8 6,692.0 5,986.4 7,696.2 n/a

303 Ratio of Observed (PCQF) to Expected ASTHMA Prevalence 3,954 64.8% 60.0% 30.9% 74.8% 117.4%

304 People with ASTHMA Day and Night Symptoms Recorded (%) 2,712 67.7% 68.4% 59.7% 75.0% n/a

305 People with ASTHMA aged 8+ with measures of variability or reversibility recorded (QOF) (%) 1,366 93.7% 93.0% 90.1% 94.9% 84.9%

306 People with ASTHMA with asthma review, including assessment using 3 RCP questions (QOF) (%) 2,676 74.1% 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) (%) 188 91.7% 90.8% 85.6% 95.7% 83.5%

308 Emergency admissions for ASTHMA 71 0.88 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 135 127.3 123.2 75.8 175.8 n/a

311 LEARNING -

312 LEARNING DISABILITIES Prevalence DSR per 100,000 population 217 355.2 412.7 106.3 606.4 n/a

313 Persons 18+ with a LEARNING DISABILITY and HEALTH CHECK completed (%) 186 64.8% 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 (%) 46 16.0% 28.9% 6.4% 48.6% n/a

315 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 187 100.1% 84.8% 49.3% 110.5% n/a

316 PHYSICAL -

317 VISUAL IMPAIRMENT Prevalence DSR per 100,000 population 1,152 1,581.7 1,538.9 1,092.5 2,223.6 n/a

318 HEARING IMPAIRMENT Prevalence DSR per 100,000 population 5,330 7,880.5 6,941.5 5,045.5 7,917.7 n/a

319 Social Services Users PHYSICAL & SENSORY SUPPORT per 1,000 65+ resident population 745 65.6 76.4 43.4 112.3 n/a

320 Social Services Users DOMICILIARY CARE per 1,000 65+ resident population 449 39.5 43.8 24.8 60.0 n/a

321 Social Services Users EQUIPMENT AND ADAPTATIONS per 1,000 65+ resident population 300 26.4 26.1 15.9 35.1 n/a

322 SEGMENT 4. COMPLEX LIVES -

323 Children in Need - Rate per 10,000 under 18 years 204 192.3 375.9 192.3 571.4 330.4

324 Looked After Children - Rate per 10,000 under 18 years 59 55.6 128.2 55.6 233.1 62.0

325 Child Protection Plan - Rate per 10,000 under 18 years 44 41.5 58.9 38.9 87.6 43.3

326 Early Help Assessment Tool (EHAT) Family Assessments (%) 230 2.2% 3.0% 2.0% 0.0 n/a

327 Troubled Families - Rate per 1,000 population 759 13.2 25.9 12.8 49.8 n/a

328 Child AED attendances - ACCIDENTS 1,174 94.9 116.0 74.7 155.6 n/a

329 Emergency admissions due to UNINTENTIONAL and DELIBERATE INJURIES (0-24 years) DSR per 100,000 210 1,244.6 1,298.1 685.9 1,869.6 n/a

330 Emergency admissions for SELF HARM under 18s 15 1.2 1.5 - 2.4 n/a

331 Hospital admissions as a result of SELF-HARM (10-24 years) DSR per 100,000 35 372.4 403.1 113.5 723.9 421.2

332 Persons under 18 admitted to hospital for ALCOHOL-SPECIFIC conditions crude rate per 100,000 (3 Year Pooled) 8 21.8 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) 13 68.7 84.0 21.6 190.5 87.9

334 MH emergency admissions MENTAL & BEHAVIOURAL - ALCOHOL 51 0.8 1.6 0.7 2.6 n/a

335 MH emergency admissions Mental and Behavioural - OTHER PSYCHOACTIVE SUBSTANCES 54 0.8 1.8 0.8 2.9 n/a

336 Emergency admissions for VIOLENCE 96 1.2 2.6 1.1 6.6 n/a

337 Emergency admissions for SELF HARM over 18s 100 1.9 2.9 1.4 5.5 n/a

338 ALCOHOL RELATED (F10 or K70) inpatient admission in last 2 years DSR per 100,000 330 510.2 868.9 459.3 2,269.5 n/a

339 ALCOHOL SPECIFIC admissions DSR per 100,000 108 158.1 315.1 118.6 875.9 118.3

340 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,472 2,108.2 2,914.7 1,963.6 6,096.5 2,224.0

341 People registered as homeless by their GP rate per 1,000 9 0.1 1.9 0.1 14.8 -

342 People with 10 or more Accident and Emergency attendances in last 12 months rate per 1,000 145 2.2 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 - 21.4% 34.2% 21.4% 47.0% 15.3%

346 Population 65+ (%) 13,595 20.4% 14.4% 1.8% 20.4% 17.9%

347 Population 75+ (%) 6,277 9.4% 6.3% 0.5% 9.4% 8.1%

348 Population 85+ (%) 1,901 2.9% 1.7% 0.1% 2.9% 2.4%

349 Population 95+ (%) 152 0.2% 0.1% 0.0% 0.2% 0.2%

350 People with a MILD frailty score (%) 528 10.4% 17.3% 0.8% 35.7% n/a

351 People with a MODERATE frailty score (%) 2,857 56.4% 51.3% 40.1% 65.5% n/a

352 People with a SEVERE frailty score (%) 1,678 33.1% 31.3% 24.2% 47.6% n/a

353 Injuries due to FALLS 65+ 391 28.8 33.0 25.5 51.0 n/a

354 Emergency admissions for HIP FRACTURES aged over 65 90 6.6 7.2 5.2 9.4 n/a


356 Emergency admissions for CELLULITIS 113 1.4 1.7 1.4 2.3 n/a


358 Emergency admissions for DEMENTIA aged over 65 27 5.1 1.7 0.2 7.3 n/a


360 Emergency admissons for GASTRO/DEHYDRATION 16 0.2 0.2 - 0.5 n/a

361 Emergency admissions for PYLO NEFRITIS 35 0.4 0.6 0.4 1.0 n/a


363 RESIDENTIAL & NURSING placements TOTAL per 1,000 65+ resident population 229 20.2 28.8 9.4 56.7 n/a

364 Emergency admissions from CARE HOMES 257 48.7 22.6 2.3 81.6 n/a


366 OLDER PEOPLE still at home 91 days after discharge from hospital into reablement/rehabilitation service (residents) % 44 86% 84% 74% 96% n/a

367 Social Services Users OLDER PERSONS per 1,000 65+ resident population 1,135 100.9 115.9 85.7 147.2 n/a

368 Social Services Users SUPPORT WITH MEMORY AND COGNITION per 1,000 65+ resident population 89 7.8 9.2 4.3 14.5 n/a




372 Social Services Users OTHER COMMUNITY per 1,000 65+ resident population 398 35.0 40.3 15.3 71.2 n/a

373 CARERS Prevalence (GP Recorded) DSR per 100,000 population 1,704 2,516.9 2,854.9 1,781.5 3,873.6 n/a

374 DEMENTIA -

375 DEMENTIA Prevalence DSR per 100,000 population 516 678.2 792.0 565.2 1,142.9 n/a

376 Ratio of Observed (QOF) to Expected DEMENTIA (Dementia UK 2014) Prevalence 542 54.6% 64.7% 43.1% 92.0% 60.0%

377 Ratio of Observed (QOF) to Expected DEMENTIA (CFAS II) Prevalence 542 61.3% 73.0% 48.7% 104.2% 67.4%

378 People with DEMENTIA with no other LTCs (%) 46 8.9% 9.3% 4.8% 14.3% n/a

379 People with DEMENTIA with 1 other LTC (%) 105 20.3% 19.3% 14.3% 26.9% n/a

380 People with DEMENTIA with 2 other LTCs (%) 144 27.9% 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) (%) 431 87.1% 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) (%) 86 82.7% 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 324 447.5 642.8 430.0 1,071.9 n/a

388 Emergency admissions END OF LIFE 228 16.8 19.4 13.3 23.9 n/a

389 CANCER Mortality - DSR per 100,000 population 518 246.8 303.7 246.8 391.1 268.0

390 LUNG CANCER - DSR per 100,000 population 134 63.2 85.7 49.2 148.3 56.3

391 ALL DIGESTIVE DISEASES CANCER Mortality - DSR per 100,000 population 133 63.7 87.5 63.7 119.4 n/a

392 CANCER Mortality Under 75 Years - DSR per 100,000 population 234 124.8 157.3 119.8 201.8 134.6

393 LUNG CANCER Mortality Under 75 Years - DSR per 100,000 population 61 32.4 45.4 22.9 84.0 n/a

394 ALL DIGESTIVE DISEASES CANCER Mortality Under 75 Years - DSR per 100,000 population 64 34.2 46.4 32.2 59.8 n/a

395 CANCER Prevalence DSR per 100,000 population 4,465 6,413.8 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 834 1,137.8 1,343.3 1,096.6 1,760.9 n/a

399 Ratio of Observed (QOF) to Expected HEART FAILURE Prevalence 699 78.5% 92.1% 59.8% 122.1% 72.8%

400 CKD Prevalence DSR per 100,000 population 4,773 6,641.2 6,549.4 4,653.5 8,229.4 n/a

401 Ratio of Observed (QOF) to Expected CKD STAGE 3-5 Prevalence 4,187 105.6% 99.8% 52.7% 117.6% 62.3%

402 ACUTELY ILL -

403 EMERGENCY CARE/GP Enhanced Access -

404 111 call rate per 1,000 weighted population 8,146 122.4 149.7 99.1 179.0 n/a

405 Walk in Centre attendances 21,469 266.7 213.6 107.4 324.2 n/a

406 A&E not admitted (using discharge method, discharge with no treatment, no follow up) 17,139 212.9 246.6 187.7 329.1 n/a

407 Total NEL admissions <=1 day LOS rate per 1,000 4,438 55.1 72.0 55.1 97.1 n/a

408 Total NEL admissions >2 day LOS rate per 1,000 3,619 45.0 53.0 39.6 61.9 n/a

409 Child AED attendance rate per 1,000 population aged 0-4 years 2,411 649.6 740.7 567.4 878.2 n/a

410 Child AED attendances - ACCIDENTS 1,174 94.9 116.0 74.7 155.6 n/a

411 Child AED attendances - LRTI 726 58.7 63.2 47.8 80.1 n/a

412 Child AED attendances - MENTAL HEALTH (3 Year Pooled) 130 3.5 3.4 2.0 6.7 n/a

413 Child Emergency Admission Average Length of Stay <1 day 648 52.4 56.7 47.3 77.5 n/a

414 Rate per 1,000 HCHS weighted pop for GP Spec AE attendances 322 4.0 7.4 4.0 12.0 n/a

415 Rate per 1,000 HCHS weighted pop for GP Spec ACS admissions 773 9.6 12.2 7.9 14.5 n/a

416 ALCOHOL RELATED admissions [BROAD] DSR per 100,000 1,472 2,108.2 2,914.7 1,963.6 6,096.5 2,224.0

417 ALCOHOL SPECIFIC admissions DSR per 100,000 108 158.1 315.1 118.6 875.9 118.3


419 Emergency admissions for ASTHMA 71 0.9 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 0.8 0.8 0.3 1.3 n/a

421 Emergency admissions for CANCER 387 4.8 5.6 2.9 6.8 n/a

422 Emergency admissions for CELLULITIS 113 1.4 1.7 1.4 2.3 n/a


424 Emergency admissions for COPD 134 1.7 3.4 1.7 5.5 n/a


426 Emergency admissions for DIABETIC COMPLICATIONS 29 0.4 0.5 0.2 0.9 n/a

427 Emergency admissions for ENT 133 1.7 2.0 0.9 3.6 n/a

428 Emergency admissions for EPILEPSY 41 0.5 1.4 0.5 3.6 n/a


430 Emergency admissons for GASTRO/DEHYDRATION 16 0.2 0.2 - 0.5 n/a

431 Emergency admissions for HIP FRACTURES aged over 65 90 6.6 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 64 4.9 5.3 3.8 7.9 n/a

433 Emergency admissions for MENTAL HEALTH 125 1.6 2.3 1.6 3.6 n/a

434 Emergency admissions for PYLO NEFRITIS 35 0.4 0.6 0.4 1.0 n/a

435 Emergency admissions for SELF HARM over 18s 100 1.9 2.9 1.4 5.5 n/a


437 Emergency admissions for VIOLENCE 96 1.2 2.6 1.1 6.6 n/a

438 Injuries due to FALLS 65+ 391 28.78 32.96 25.54 51.05 n/a

439 Emergency re-admissions within 30 days to hospital (%) 1,328 0.1 0.1 0.1 0.2 0.1

440 Emergency admissions END OF LIFE 228 16.8 19.4 13.3 23.9 n/a

441 Emergency admissions from CARE HOMES 257 48.7 22.6 2.3 81.6 n/a

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

443 GP ref, 1st outpatient attendances 6,883 85.5 80.3 69.5 91.7 n/a

444 GP ref, 1st outpatient attendances CARDIOLOGY 1,396 17.3 14.1 9.8 17.7 n/a

445 GP ref, 1st outpatient attendances CARDIOLOGY - % discharged after 1st appt 840 60.2% 62.6% 53.1% 72.9% n/a

446 GP ref, 1st outpatient attendances DERMATOLOGY 1,140 14.2 12.6 8.8 17.4 n/a

447 GP ref, 1st outpatient attendances DERMATOLOGY - % referred on 2WW 691 60.6% 54.1% 41.7% 63.8% n/a

448 GP ref, 1st outpatient attendances DERMATOLOGY - % discharged after 1st appt 345 30.3% 33.1% 27.3% 41.5% n/a

449 GP ref, 1st outpatient attendances ENT 1,432 17.8 16.1 11.8 18.1 n/a

450 GP ref, 1st outpatient attendances ENT - % referred on 2WW 200 14.0% 15.6% 10.2% 21.8% n/a

451 GP ref, 1st outpatient attendances ENT - % discharged after 1st appt 631 44.1% 42.7% 37.6% 48.2% n/a

452 GP ref, 1st outpatient attendances GASTRO 678 8.4 9.4 7.6 11.0 n/a

453 GP ref, 1st outpatient attendances GASTRO - % referred on 2WW 175 25.8% 31.7% 14.2% 52.6% n/a

454 GP ref, 1st outpatient attendances GASTRO - % discharged after 1st appt 249 36.7% 41.5% 29.6% 56.4% n/a

455 GP ref, 1st outpatient attendances GYNAECOLOGY 667 8.3 8.9 5.8 10.3 n/a

456 GP ref, 1st outpatient attendances GYNAECOLOGY - % discharged after 1st appt 124 18.6% 20.6% 16.3% 28.0% n/a

457 GP ref, 1st outpatient attendances RESPIRATORY 338 4.2 4.4 2.8 5.3 n/a

458 GP ref, 1st outpatient attendances RESPIRATORY - % discharged after 1st appt 65 19.2% 22.3% 14.8% 32.8% n/a

459 GP ref, 1st outpatient attendances RHEUMATOLOGY 270 3.4 3.4 2.1 4.7 n/a

460 GP ref, 1st outpatient attendances RHEUMATOLOGY - % discharged after 1st appt 138 51.1% 51.6% 39.5% 66.9% n/a

461 GP ref, 1st outpatient attendances UROLOGY 820 10.2 9.0 6.3 10.5 n/a

462 GP ref, 1st outpatient attendances UROLOGY - % discharged after 1st appt 304 37.1% 41.6% 30.8% 53.5% n/a

463 GP ref, 1st outpatient attendances UROLOGY - % referred on 2WW 263 32.1% 34.5% 25.2% 46.8% n/a

464 GP ref, 1st outpatient attendances VASCULAR 142 1.8 1.9 0.8 2.4 n/a

465 GP ref, 1st outpatient attendances VASCULAR - % discharged after 1st appt 92 64.8% 70.5% 59.6% 87.7% n/a

466 COMMUNITY AND GENERAL PRACTICE SERVICES NEED AND EXPERIENCE -

467 Patient Experience: Overall good experience of making an appointment (%) 530 65.6% 70.4% 60.4% 80.3% n/a

468 Patient experience: Overall Experience of General Practice (%) 763 86.0% 85.7% 77.8% 92.0% n/a

469 Community Matrons Face to Face Contacts 1,501 41.6 59.4 22.9 106.4 n/a

470 Community Matrons Case Load 35 1.0 0.9 0.4 2.9 n/a

471 Community RESPIRATORY team Face to Face contacts 416 11.5 26.1 9.8 44.5 n/a

472 Community RESPIRATORY Team Case Load 7 0.2 0.3 - 0.8 n/a

473 DIABETES Specialist Nurses Face to Face Contacts 898 24.9 33.6 20.2 54.9 n/a

474 DIABETES Case Load 269 7.5 8.8 6.5 12.2 n/a

475 District Nursing Face to Face Contacts 39,757 1,101.5 1,102.6 719.9 1,402.3 n/a

476 District Nursing Case Load 404 11.2 12.8 10.3 16.7 n/a

477 HEART FAILURE Team Face to Face Contacts 292 8.1 13.3 6.6 33.3 n/a

478 HEART FAILURE Team Case Load 7 0.2 0.4 - 1.1 n/a

479 IV Therapy Face to Face Contacts 1,574 43.6 17.4 3.7 43.6 n/a

480 IV Therapy Case Load 9 0.2 0.2 - 0.3 n/a

481 Therapy Face to Face Contacts 13,272 367.7 388.1 195.2 483.1 n/a

482 Therapy Case Load 2,122 58.8 67.4 30.5 84.5 n/a

483 Treatment Rooms Face to Face Contacts 8,234 228.1 216.3 73.3 332.5 n/a

484 Treatment Rooms Case Load 181 5.0 5.8 1.0 13.3 n/a

485 Telehealth referrals rate per 1,000 adult registered pop 287 8.0 23.8 1.0 125.8 n/a

486 Referrals to Community MENTAL HEALTH rate per 1,000 1,158 17.4 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 2,892 275.7 185.9 71.7 348.5 n/a

489 Social Services Users OLDER PERSONS per 1,000 65+ resident population 1,135 100.9 115.9 85.7 147.2 n/a

490 Social Services Users MENTAL HEALTH as a % of persons with a serious mental illness 252 39.5% 34.1% 5.7% 53.9% n/a

491 Social Services Users LEARNING DISABILITIES as a % of persons with a learning disability 187 100.1% 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) % 44 86.3% 84.2% 74.0% 96.0% n/a