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
10.5.1.5 Programme Budgeting and Outcomes
As illustrated in Figure 1, expenditure on problems of the respiratory system per head
for 2008/2009 in Hull was £114.50 compared to £92.71 for the Industrial Hinterlands
average, £95.47 for North East Lincolnshire and £77.97 for England. Hull‟s expenditure
on respiratory disease was the 2 nd highest of all 152 PCTs.
Expenditure per head for 2008/2009 in Hull on obstructive airways disease was £36.98
(ranked 1 st ) compared to £18.76 for the Industrial Hinterlands average, £17.44 for North
East Lincolnshire and £12.70 for England. For asthma, the expenditures per head were
£19.12, £20.18, £18.14 and £16.99 for Hull, Industrial Hinterlands, North East
Lincolnshire and England respectively with Hull ranked 36 th .
Information on three respiratory disease 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 and England (but not for Industrial
Hinterlands). The outcomes measures are given in Table 292 for Hull and comparator
areas (see section 3.3.3 on page 44 for more on comparators). The under 75 directly
standardised mortality rate (DSR per 100,000 European Standard Population) for
bronchitis, emphysema and COPD combined, for bronchitis and emphysema, and for
asthma are all higher in Hull compared to the Industrial Hinterlands and England.
So overall, respiratory disease outcomes were worse for Hull compared to England,
although not substantially different from other comparators. However, spend was
considerably higher in Hull with the total expenditure on respiratory disease being the
2 nd highest of all 152 PCTs. Given the high prevalence of smoking, the higher mortality
rates in relation to England are not surprising.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 605