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04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

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DRAFT<br />

• Trauma: falls – The mortality rate (directly standardised rate) from<br />

accidental falls is almost twice that of the London average when measured<br />

on a three rolling average. The rate in males is more than 2.5 times that of<br />

the female rate.<br />

• Musculo-skeletal: arthritis<br />

• Musculo-skeletal: osteoporosis<br />

• Pharmaceutical<br />

NATIONAL PRIORITIES<br />

Reference Indicator<br />

NI 137 Healthy life expectancy at age 65<br />

NI 120 All-age all-cause mortality rate<br />

NI 119 Self-reported measure of people’s overall health and wellbeing<br />

Are they physically healthy?<br />

STATUS<br />

Limiting long-term illness<br />

• The POPPI (Projecting Older People Population Information) system<br />

estimates approximately 11,044 people aged 65 and over with a limiting<br />

long-term illness in <strong>Lambeth</strong>. Projections show a reduction in 2010 through<br />

2015 followed by a rise of approximately 5-7% in 2020 through 202<strong>5.</strong><br />

Diabetes<br />

• The case-detected prevalence of diabetes in <strong>Lambeth</strong> (2.95%) is lower than<br />

the national average (3.6%) and detection in primary care is good with up to<br />

90% cases detected and registered. However the prevalence models<br />

provided by the APHO (Association of Public Health Observatories) show a<br />

prevalence of 3.8% meaning around 1% of diabetics are still undetected in<br />

the population.<br />

Circulatory: Coronary Heart Disease (CHD)<br />

• The case detected prevalence of CHD in <strong>Lambeth</strong> is approximately 1.4%.<br />

However the modelled prevalence is around 3% meaning there are over<br />

5,000 cases in <strong>Lambeth</strong> with CHD who need to be on the CHD register in<br />

primary care and who need to be on preventative medication.<br />

• 31 <strong>Lambeth</strong> residents were admitted to hospital with an acute myocardial<br />

infarction (heart attack) between April and December 07; this would equate<br />

to 41 people over 12 months.<br />

• 73 people were admitted to hospital with heart failure during the same<br />

period (equating to 97 people over 12 months).<br />

Circulatory: Stroke<br />

• Stroke is the third most common cause of death in England and Wales,<br />

after heart disease and cancer (The Stroke Association).<br />

• Although the prevalence of stroke is lower in <strong>Lambeth</strong> and although the<br />

directly standardised mortality rate from stroke is declining, it is still higher<br />

than the England average.<br />

• From April to December 07, 120 <strong>Lambeth</strong> residents suffered a stroke and<br />

were admitted to hospital, this equates to 160 people annually.<br />

Cancer: General<br />

<strong>Lambeth</strong> <strong>JSNA</strong> – Preliminary Assessment<br />

Version 4<br />

October 2008<br />

35

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