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
Code Latest
pop
17+
Number and prevalence on diabetes QOF register over time (aged 17+)
2004/05 2005/06 2006/07 2007/08 2008/09 2009/10
N* % N* % N % N % N % N %
B81688 1,467 53 3.69 60 4.10 67 3.23 72 4.70 78 5.02 83 5.66
Y02344 1,234 N/A N/A N/A N/A N/A N/A N/A N/A 93 6.05 76 6.16
B81027 4,721 252 5.09 254 5.29 270 4.56 288 6.01 320 6.62 327 6.93
B81040 12,772 582 4.61 636 5.01 650 3.87 703 5.34 796 6.07 818 6.40
B81047 5,975 212 3.48 239 3.92 261 3.57 273 4.64 299 5.06 338 5.66
B81089 2,651 94 3.92 99 4.07 104 3.13 122 4.78 124 4.69 146 5.51
B81631 2,398 101 4.38 102 4.45 117 3.69 125 5.36 134 5.53 143 5.96
B81683 1,249 75 6.82 77 6.50 69 4.52 66 5.94 70 6.00 77 6.16
Y02896 271 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 8 2.38
B81017 5,508 262 4.19 285 4.93 282 3.90 298 5.03 313 5.56 315 5.72
B81018 4,819 199 4.07 211 4.27 205 3.02 212 4.19 272 5.44 287 5.96
B81032 2,057 91 3.71 98 4.01 93 3.36 100 4.44 112 5.11 101 4.91
B81046 6,801 231 3.60 260 4.05 282 3.13 314 4.71 334 4.92 385 5.66
B81692 1,578 25 1.51 29 1.65 20 1.08 24 1.56 22 1.38 30 1.90
Y00955 2,019 N/A N/A N/A N/A 47 2.83 57 3.21 71 3.50 96 4.75
Y02748 40 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 6 14.9
*Adjusted number on register (subtracted 0.19% of those aged under 17 years) from original total number
on register (of all ages). So the adjusted number is an estimate of those patients with diabetes who are
aged 17 years or older.
As part of Yorkshire and Humber (Y&H) Public Health Observatory (PHO) work to create
a Diabetes Commissioning Toolkit, the prevalence of diabetes was estimated for all
PCTs in England (Merrick 2006) in different phases. The work was undertaken in
conjunction with the (Y&H) PHO, Brent PCT and School of Health and Related
Research (ScHARR) and the model is referred to as the PBS model (taking the first
letter of each of these organisations).
In Phase 1, the PBS model calculated age-gender-ethnic group specific estimates of
diagnosed and undiagnosed diabetes prevalence derived from epidemiological
population studies and applied these estimates to local resident populations based on
the 2001 Census. In Phase 2, an adjustment was made for deprivation. The model is
based on research undertaken elsewhere in the UK examining the prevalence of
diagnosed and undiagnosed diabetes in the community, which has then been modelled
and applied to different populations such as those living in a particular PCT area.
Therefore, the accuracy of the estimates depends on the quality of the initial research
and the modelling itself. The model required the population estimates for each practice
based on age, gender and ethnicity. As ethnicity information was not available,
estimates were used. More detailed information on the development of the model and
the assumptions about local data used within the model are given in section 12.14 on
page 784. The Phase 2 model was used in the Diabetes Equity Audit (full report is
available at www.hullpublichealth.org). Phase 3 was released since modelled estimate
were derived in the Diabetes Equity Audit. However, it is not know what version is
currently available on the Yorkshire and Humber Public Health Observatory website as
no version number is quoted. However, the current model does not allow the user to
specify the distribution of the national deprivation quintiles for each geographical area or
population the user wishes to examine (this could be specified in the Phase 2 model). In
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 569