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