joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
Table 70: Use of health services rather than services at their GP for Hull residents, 2003
Service used instead of
Use of services by Locality (%)
those at GP surgery
North
East
West
(n=790) (n=1408) (n=1257)
A&E 8.7 6.7 7.4
Private doctor 1.5 2.1 2.1
Private physiotherapist 1.0 1.0 2.2
NHS Direct 7.8 5.0 6.4
Counsellor 1.8 1.1 1.5
Family planning clinic 2.7 2.1 1.8
Chiropractor 0.5 1.5 1.5
Osteopath 0.6 0.8 1.0
Other 1.8 2.3 2.2
No services 43.0 43.8 41.9
7.6 Inpatient Hospital Admissions
Inpatient admission rates provide useful information about the general level of illness
and the use of hospital services within geographical areas. Patients admitted to a bed
for elective surgery, but discharged the same day are classed as daycases, and these
are included within inpatients in this document, unless otherwise stated. However, it is
very important to note that admission rates depend on how willing people are to make
use of medical services, the location and accessibility of services, as well as differences
in referral patterns and practices within primary and secondary care. These factors may
differ between geographical areas, and may explain different levels of hospital activity
rather than differences in the prevalence of disease. For example, in general, people
who live in more deprived areas are less likely to visit their GP than people with similar
levels of symptoms who live in more affluent areas. Referral rates can vary dramatically
among different GPs which can influence admission rates. Therefore, these findings
should be interpreted cautiously with regard to assessing the general level of illness.
Nevertheless, analysis of inpatient admission rates will give an indication of the usage of
hospital services by patients or residents of different geographical areas. From Hospital
Episode Statistics, the annual age-gender-standardised (age bands: 0, 1-4, 5-9, 10-14,
etc to 85+ years standardised to Hull‟s 2009 population) rate of hospital in-patient
admission (first clinician episode) for the three financial years 2007/08 to 2009/10 for
residents of Hull is given in Table 71.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 179