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
(see equity audit document for more information about „exclusions‟) and outcomes are
presented for all outcome measures for diabetes, and the four measures of HbA1c,
retinal screening, micro-albumin and cholesterol were examined in more detail within the
equity audit.
A national survey of people with diabetes was conducted in 2006 by the Healthcare
Commission, and some information relating to the findings was examined within the
Diabetes Equity Audit.
For more information about the QOF quality of care measures and the national survey of
people with diabetes, see the Diabetes Equity Audit report at www.hullpublichealth.org.
10.3.6 Health Equity Audit
A health equity audit was conducted during 2008/2009 for diabetes for Hull and East
Riding of Yorkshire. The full document is available at www.hullpublichealth.org. The
main findings were noted as follows:
It is estimated that there are relatively large rate of undiagnosed diabetes
particularly in Hull residents.
There were relatively large differences in prevalence as measured by the primary
care diabetes disease registers and the indicators measuring on-going care of
diabetes for Hull and East Riding general practices (Quality and Outcomes
Framework – QOF).
Men with diabetes may be more readily admitted as daycases or inpatients
compared to women with diabetes.
Around 10% of people with diabetes in Hull and 5% of people in East Riding had
attended an educational course, with more men attending than women, and a
strong relationship with age with fewer older people attending courses.
Prevalence was highest in the middle deprivation local quintiles followed by the
most deprived quintile with the least deprived quintiles having the lowest
prevalence. However, hospital admission rates and mortality rates were highest
in the most deprived quintile which suggests excess hospital admissions and
mortality in this group relative to their prevalence. The differences were relatively
large and it is unlikely that these differences could be explained by underdiagnosis
of diabetes alone. Furthermore, the most deprived quintile had the
highest prevalence of risk factors for diabetes in terms of obesity, lack of exercise
and diet.
Those living in the most deprived areas of Hull tended to have slightly poorer
outcomes in relation to the primary care on-going measures of care (QOF)
compared to the least deprived areas, but this pattern was less apparent in East
Riding.
It is difficult to examine potential inequity in other groups such as groups defined
by ethnicity, physical health, mental health, etc owing to lack of information.
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