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
10.5 Respiratory Disease
10.5.1 All Respiratory Disease
10.5.1.1 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 are registers which covers asthma and chronic obstructive pulmonary disease
(COPD).
Table 288 presents the information for asthma and COPD for all the general practices in
Hull for 2009/10. 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 288: Prevalence of diagnosed asthma and COPD based on GP disease registers
2009/10
Practice
code
Practice name Registered
population
Prevalence on disease
registers 2009/10
Asthma COPD
N % N %
B81035 Dr W G T Sande & Partners 6,114 343 5.61 86 1.41
B81056 The Springhead Medical Centre 13,489 880 6.52 206 1.53
B81104 Dr J K Nayar 7,721 262 3.39 22 0.28
B81635 Dr G Dave 2,967 232 7.82 75 2.53
B81662 Mizzen Road Surgery 1,856 84 4.53 34 1.83
Y01200 The Calvert Practice 1,765 118 6.69 30 1.70
Y02747 Kingswood Surgery 902 55 6.10 4 0.44
B81020 Dr P C Mitchell & Partners 7,512 406 5.40 100 1.33
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 599