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joint strategic needs assessment foundation profile - JSNA

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Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org<br />

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Number and prevalence on CKD QOF register over time<br />

2006/07 2007/08 2008/09 2009/10<br />

N % N % N % N %<br />

B81054 8,681 276 2.45 390 4.29 440 4.86 466 5.37<br />

B81058 7,065 106 1.13 167 2.26 192 2.65 227 3.21<br />

B81066 1,942 65 2.69 96 4.99 118 5.90 127 6.54<br />

B81080 1,795 47 1.82 89 4.65 96 5.22 107 5.96<br />

B81616 1,954 1 0.04 1 0.05 148 7.37 138 7.06<br />

B81002 2,691 56 1.84 65 3.02 74 3.38 127 4.72<br />

B81112 2,484 68 1.85 64 2.49 69 2.65 68 2.74<br />

B81119 3,307 34 0.76 32 0.95 34 0.98 35 1.06<br />

B81634 2,192 74 2.37 88 3.87 79 3.52 69 3.15<br />

B81674 1,591 46 2.55 53 3.71 53 3.45 83 5.22<br />

B81675 7,012 69 1.44 156 3.82 166 2.28 313 4.46<br />

B81685 1,735 38 1.47 48 2.63 48 2.65 49 2.82<br />

B81688 1,446 16 0.77 32 2.14 40 2.64 49 3.39<br />

Y02344 1,201 N/A N/A N/A N/A 67 4.45 39 3.25<br />

B81027 4,661 150 2.53 214 4.55 243 5.12 260 5.58<br />

B81040 12,436 48 0.29 66 0.51 308 2.40 301 2.42<br />

B81047 5,828 58 0.79 94 1.62 104 1.79 160 2.75<br />

B81089 2,580 59 1.77 85 3.39 124 4.78 112 4.34<br />

B81631 2,329 47 1.48 55 2.41 59 2.49 66 2.83<br />

B81683 1,217 55 3.61 58 5.34 67 5.88 69 5.67<br />

Y02896 267 N/A N/A N/A N/A N/A N/A 5 1.49<br />

B81017 5,440 96 1.33 170 2.92 176 3.18 173 3.18<br />

B81018 4,753 86 1.27 59 1.20 53 1.09 72 1.51<br />

B81032 2,007 11 0.40 29 1.31 35 1.62 40 1.99<br />

B81046 6,620 196 2.18 196 3.01 187 2.82 217 3.28<br />

B81692 1,560 2 0.11 2 0.13 4 0.26 12 0.77<br />

Y00955 1,968 29 1.75 34 1.97 42 2.12 47 2.39<br />

Y02748 39 N/A N/A N/A N/A N/A N/A 6 15.38<br />

Doncaster PCT has created a model which can be used to produce the estimated<br />

number of people with diagnosed CKD (Doncaster PCT 2008). In general when such<br />

models have been produced, the model is based on research undertaken elsewhere in<br />

the UK examining the prevalence of diagnosed disease in the community, which has<br />

then been modelled and applied to different populations such as those living in a<br />

particular PCT area. Therefore, the accuracy of the estimates depend on the quality of<br />

the initial research and the modelling itself. If the original research did not include very<br />

deprived areas, it is very difficult to generalise and apply the model to very deprived<br />

areas like Hull. Furthermore, there are many reasons why the prevalence could differ<br />

among practices (see section 12.13 on page 782 for more information). Further<br />

information about problems associated with models can be found in the Association of<br />

Public Health Observatories Technical Briefing (Association of Public Health<br />

Observatories 2011) and in section 12.1 on page 770. Therefore, just because<br />

practices have a particularly low prevalence or a relatively large difference between the<br />

registers and the model, it does not necessarily mean that they are performing badly in<br />

any way relative to other general practices. Nevertheless, a comparison of the<br />

differences between the modelled prevalence and the practice list registers can act as a<br />

starting point for investigation. Practices with a low prevalence or a relatively large<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 595

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