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
time period. Of those who did have their HbA1c measured within the last 15 months 61 ,
between 46% and 80% had a HbA1c level of 7.0. If the percentage with a HbA1c level
of 7.0 or less was counted out of the total number of people on the diabetes register
(rather than out of those included for the measure, i.e. denominator), then the
percentage fell to between 61% for Hull and ranged between 35% and 68%.
The WCC target was to reduce the overall percentage of people with diabetes with a
HbA1c level of 7.5 or less out of all the patients on the diabetes disease register. The
targets for HbA1c 7.5 or less were 60.3%, 61.2%, 62.1%, 63.0% and 63.9% for 2008/09,
2009/10, 2010/11, 2011/12 and 2012/13 respectively. However, as mentioned, the
information relating to HbA1c 7.5 or less will no longer be available, and it is likely that
the targets would have been reworked to give targets for HbA1c 7.0 or less. However,
following the change in the government in May 2010, new outcomes are now under
consultation (see section 3.3.6.2 on page 52). One of the outcomes proposed is the
prevalence of diabetes (see Table 271 for current prevalence estimate), but there is no
mention of a separate target relating to HbA1c. Therefore, it is possible that this
outcome measure will no longer be a key outcome measure unless it is retained locally.
Table 281: HbA1c of 7.0 or less for each practice in Hull, 2009/2010
Code Practice name
Numbers on register
DM23: HbA1c of 7.0 or less
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 586
Numerator
Denominator
Exceptions N
Exceptions %
Overall outcome %
Overall number out of
those on register %
B81035 Dr Sande & Ptrns 202 105 188 14 6.9 55.9 52.0
B81056 Springhead Med Cn 535 292 443 92 17.2 65.9 54.6
B81104 Dr Nayar 55 19 38 17 30.9 50.0 34.5
B81635 Dr Dave 137 90 128 9 6.6 70.3 65.7
B81662 Mizzen Rd Surgery 99 56 90 9 9.1 62.2 56.6
Y01200 The Calvert Practice 80 43 74 6 7.5 58.1 53.8
Y02747 Kingswood Surgery 14 6 6 8 57.1 100.0 42.9
B81020 Dr Mitchell & Ptrns 256 134 202 54 21.1 66.3 52.3
B81021 Faith Hse Surgery 309 153 297 12 3.9 51.5 49.5
B81075 Dr Mallik 81 42 80 1 1.2 52.5 51.9
B81085 Dr Richardson & Pts 209 97 177 32 15.3 54.8 46.4
B81094 Dr AK Datta 60 30 48 12 20.0 62.5 50.0
61 There is another indicator which examines the outcome of measuring HbA1c rather than the outcome of
the HbA1c value itself, but this information is not included in the table. It is assumed that the numerator
for this other measure is the same as the denominator for DM23, but it is known that there are slight
discrepancies between these two measures and the reason for this is unknown.