joint strategic needs assessment foundation profile - JSNA

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10.4 Chronic Kidney Disease
10.4.1 Diagnosed and Modelled Prevalence
As part of the Quality and Outcomes Framework (QOF), general practices compile
disease and medical condition registers. From these registers, the prevalence of these
various conditions can be estimated. However, there may be a high proportion of
patients who have the disease or medical condition, but it is undiagnosed and the
patient is not included on the register(s). Furthermore, the figures are unadjusted for
influencing factors, such as the age of the patients and deprivation. Practices with a
high proportion of elderly patients and practices in the most deprived areas will tend to
have a higher prevalence of disease (and generally a higher prevalence of undiagnosed
disease) so practices have been grouped based on age and deprivation into similar
groups (see section 3.3.3.3 on page 47). See section 12.13 on page 782 for more
information on QOF and issues associated with presenting the prevalence at practice
level. Also see Table 28 and Table 49 for mean age of patients and mean deprivation
scores for each practice (which will influence the prevalence on the disease registers).
There is one such register for chronic kidney disease (CKD) for those aged 18+ years.
Table 284 presents the information for CKD for all the general practices in Hull for
2009/10 based on these disease registers. The latest list size refers to the registered
population as at 1 st January 2010, but the number and prevalence on the disease
register is as at 31 st March 2010 (the same definitions used in QOF), and this means
that the prevalence can be biased if large population changes have occurred over this
three month period (e.g. Y02747, Y02786, Y02896 and Y02748 all opened between 5 th
October 2009 and 11 th January 2010).
Table 284: Prevalence of diagnosed CKD for those aged 18+ years based on GP
disease registers 2009/10
Practice
code
Practice name Registered
population
(Jan 10)
Registered
population
18+
Prevalence on
CKD registers
2009/10
N %
B81035 Dr Sande & Partners 6,114 4,891 208 4.25
B81056 Springhead Med Centr 13,489 10,387 400 3.85
B81104 Dr J K Nayar 7,721 5,559 1 0.02
B81635 Dr G Dave 2,967 2,403 202 8.41
B81662 Mizzen Road Surgery 1,856 1,540 67 4.35
Y01200 The Calvert Practice 1,765 1,359 50 3.68
Y02747 Kingswood Surgery 902 667 3 0.45
B81020 Dr Mitchell & Partners 7,512 5,859 237 4.04
B81021 Faith House Surgery 7,257 5,660 311 5.49
B81075 Dr M K Mallik 2,263 1,924 5 0.26
B81085 Dr Richardson & Partrs 5,299 4,292 186 4.33
B81094 Dr A K Datta 1,925 1,540 3 0.19
B81095 Dr Cook 4,242 3,394 208 6.13
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 591