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
3.2.5.3 Quadrant Chart – Expenditure and Outcomes
A quadrant chart categorises each programme into four quadrants in terms of
expenditure for 2008/09 and outcome relative to England (Figure 2). Each dot within
the quadrant chart represents a programme budget category. The three largest
spending programmes nationally (mental health, circulatory diseases and cancer) are
represented by larger dots. A programme outside the solid ±2 z-scores box indicates
that the data is significantly different from the comparator average. Approximately 5% of
outcomes and expenditures will be outside this box (i.e. have z-scores larger than +1.96
or z-scores smaller than –1.96). If the programme lies to the left or right of the box, the
programme is statistically significantly different on spend and if it lies outside the top or
bottom of the box the programme is statistically significantly different on outcome.
Programmes outside the box at the corners are statistically significantly different from
the England average for both spend and outcome. Programmes outside the dotted ±1
z-score box, may warrant further exploration. Approximately 30% of outcomes and
expenditure will be outside this box. The underlying data are given in the APPENDIX on
page 816 (expenditure) and page 817 (outcomes).
Learning disabilities, disorders of the blood, hearing problems, problems of the gastro
intestinal system, problems of the skin, problems of the muscular skeletal system,
poisoning, healthy individuals and social care needs have no outcomes defined so
appear on the figure with zero outcomes (horizontal line).
In relation to England, with the exception of endocrine and vision, Hull‟s outcomes are
worse than England‟s average. Hull‟s outcome for neurological (directly age
standardised premature mortality rate from epilepsy) and cancer and tumours (directly
age standardised premature mortality rate from cancer) are statistically significantly
worse than England (z-scores –2.02 and –1.96 respectively).
In relation to England, expenditure is statistically significantly higher than England‟s
average for respiratory disease (z-score 3.11; 2 nd highest out of 152 PCTs), problems of
the gastro intestinal system (z-score 2.37; 2 nd highest), poisoning (z-score 2.20; 3 rd
highest) and neurological (z-score 2.01; 7 th highest).
Figure 3 illustrates similar quadrant chart information for Hull but in relation to the
Industrial Hinterlands average. However, instead of z-scores illustrating the outliers, the
outcomes and expenditures are ranked from one to sixteen. The underlying data are
given in the APPENDIX on page 816 (expenditure) and page 817 (outcomes).
Hull has the lowest spend (16 th ) of all PCTs within the Industrial Hinterlands group for
endocrine, nutritional and metabolic and disorders of the blood programmes. Hull has
the second highest spend out of the Industrial Hinterlands for adverse effects and
poisoning, gastro intestinal system and respiratory disease programmes. Hull also has
the second worst outcomes for mental health and neurological system. Hull is third for
maternity for outcomes and above the Industrial Hinterlands average for endocrine,
nutritional and metabolic, vision, neonates and trauma.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 31