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
Table 282: HbA1c of 7.0 or less, 2009/2010, Hull versus Comparators
PCT On
diabetes
disease
register
Numerator
DM23: HbA1c of 7.0 or less
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 589
Denominator
Exceptions N
Exceptions %
Overall
outcome %
Overall number
out of those on
register %
England 2,338,813 1,094,853 2,036,913 301,900 12.9 53.8 46.8
Hull 11,766 5,821 10,148 1,618 13.8 57.4 49.5
Middlesbrough 6,247 2,907 5,402 845 13.5 53.8 46.5
Sunderland 12,788 6,960 11,514 1,274 10.0 60.4 54.4
Salford 10,744 5,808 9,361 1,383 12.9 62.0 54.1
Derby City 14,310 6,041 12,000 2,310 16.1 50.3 42.2
Leicester City 18,998 7,658 15,994 3,004 15.8 47.9 40.3
Coventry 15,157 7,624 13,647 1,510 10.0 55.9 50.3
Sandwell 17,499 9,109 15,624 1,875 10.7 58.3 52.1
Stoke-on-Trent 14,531 7,521 12,887 1,644 11.3 58.4 51.8
Wolverhampton 13,886 6,374 12,622 1,264 9.1 50.5 45.9
Plymouth 10,891 5,346 9,732 1,159 10.6 54.9 49.1
Average of 10 146,817 71,169 128,931 17,886 12.2 55.2 48.5
NE Lincolnshire 7,884 3,685 7,179 705 8.9 51.3 46.7
10.3.12 Programme Budgeting and Outcomes
As illustrated in Figure 1, expenditure on Endocrine, Nutritional and Metabolic
programmes per head for 2008/2009 in Hull was £36.92 compared to £46.75 for the
Industrial Hinterlands average, £46.34 for North East Lincolnshire and £43.38 for
England. Therefore, expenditure in Hull was lower than most comparator areas (ranked
128 th out of 152 PCTs).
Information on five diabetes outcomes are also available within the information produced
by the Yorkshire and Humber Public Health Observatory (Y&H PHO) programme
budgeting tool for each PCT, Industrial Hinterlands and England. The outcomes
measures are given in Table 283 for Hull and comparator areas (see section 3.3.3 on
page 44 for more on comparators). The percentage of patients with diabetes with
HbA1c 7.5 or less is higher compared to England and lower compared to the Industrial
Hinterlands. Blood pressure 145/85mmHg or less is higher in Hull compared to the
Industrial Hinterlands and England. The percentage with cholesterol 5mmol/l or less was
higher in Hull compared to England, but lower than the Industrial Hinterlands. The
directly standardised rate (DSR) per 100,000 population for patients with diabetes with
lower limb amputations for 2007/2008 is considerably larger for Hull compared to the
Industrial Hinterlands and England (22.1 per 100,000 in Hull compared to 10.8 for