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
Mortality File (PHMF) and the GP registration file. The number of deaths in the local
PHMF and the official mortality statistics will be the same, but the Compendium uses
ONS mid-year population estimates which differ from the estimates of the number of
residents from the GP registration file. Therefore, locally calculated figures differ slightly
from the official figures published in the Compendium, with mortality rates likely to be
slightly lower with locally estimated figures. In the absence of the official statistics, the
locally derived estimates can provide a guide.
Table 190: Under 75 year circulatory disease mortality targets
Year Under 75 year circulatory disease
mortality rate per 100,000 population
Target Actual
2005 114.1
2006 110.7
2007 103.3 97.5
2008 97.9 105.6
2009 92.7 *94.7
2010 87.7
2011 83.0
*Locally derived estimates of the mortality rate which are likely to be slightly lower than the
official estimates due to be published in March 2011.
10.1.1.6 Programme Budgeting and Outcomes
As illustrated in Figure 1, expenditure on problems of circulation per head for 2008/2009
in Hull was £131.65 compared to £135.72 for the Industrial Hinterlands average,
£145.82 for North East Lincolnshire and £129.94 for England. Therefore, whilst
expenditure was slightly higher in Hull compared to England (ranked 67 th highest out of
152 PCTs), it was lower than the Industrial Hinterlands average.
Expenditure per head for 2008/2009 in Hull on coronary heart disease (CHD) was
£41.65 (ranked 67 th ) compared to £45.79 for the Industrial Hinterlands average, £47.45
for North East Lincolnshire and £41.20 for England. For cerebrovascular disease
(stroke) the expenditures per head were £29.05, £20.40, £21.03 and £19.35 for Hull,
Industrial Hinterlands, North East Lincolnshire and England respectively with Hull ranked
7 th . For problems of rhythm, the expenditures per head were £9.41, £9.47, £7.69 and
£8.43 for Hull, Industrial Hinterlands, North East Lincolnshire and England respectively
with Hull ranked 40 th . The outcomes measures are given in Table 191 for Hull and
comparator areas (see section 3.3.3 on page 44 for more on comparators). Hull had a
higher under 75 directly standardised mortality rate (DSR per 100,000 European
Standard Population) from all circulatory disease (ranked 133 st lowest out of 152 PCTs),
from CHD (ranked 139 th ), from myocardial infarction (ranked 129 th ) and stroke (ranked
140 th ) compared to England. The percentage of CHD patients with blood pressure
measured within the last 15 months which was 150/90 or lower for 2008/2009 was the
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 445