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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 />

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

difference between the model and the register estimates can be examined further and<br />

considered in relation to patient characteristics using local knowledge. Differences<br />

might just reflect that the model is not a very good fit for Hull. For reference, the mean<br />

age of practice patients (Table 28) and mean deprivation scores (Table 49) for each<br />

practice may be examined.<br />

The results of the modelling and the actual diagnosed numbers of patients aged 18+<br />

years with epilepsy are given in Table 309. The model does not necessarily represent<br />

the actual number of people who should be diagnosed with epilepsy for each practice; it<br />

is only a guide. The characteristics of each practice differ and need to be considered.<br />

The model uses age-gender-specific prevalence estimates derived from work<br />

undertaken which examined the prevalence of epilepsy and prescribing patterns in<br />

primary care (Purcell, Gaitatzis et al. 2002), and the total model estimate and the total<br />

number on the disease register is very similar.<br />

The prevalence on the disease registers used to form the official QOF information is<br />

extracted from the Quality Management and Analysis System (QMAS) at the end of<br />

March. However, this information can be extracted at any time point from the local<br />

QMAS system. Table 309 gives this information as at September 2010.<br />

Table 309: Actual diagnosed and modelled epilepsy numbers of those aged 18+ years,<br />

September 2010<br />

Code Practice name List size Numbers with epilepsy<br />

(Sept QMAS Sept Modelled Difference<br />

2010) 2010 estimate<br />

(actual (guide<br />

diagnosed) only)<br />

B81035 Dr WGT Sande & Partners 6,160 45 48 -3<br />

B81056 Springhead Medical Centre* 13,813 99 107 -8<br />

B81104 Dr JK Nayar 6,553 13 46 -33<br />

B81635 Dr G Dave 2,979 18 24 -6<br />

B81662 Mizzen Road Surgery 1,720 8 14 -6<br />

Y01200 The Calvert Practice 1,815 10 14 -4<br />

Y02747 Kingswood Surgery 1,380 6 10 -4<br />

B81020 Dr PC Mitchell & Partners* 7,436 54 58 -4<br />

B81021 Faith House Surgery 7,372 49 57 -8<br />

B81075 Dr MK Mallik 2,197 10 19 -9<br />

B81085 Dr JW Richardson & Ptnrs 5,302 35 43 -8<br />

B81094 Dr AK Datta 1,790 6 14 -8<br />

B81095 Dr Cook 4,145 19 33 -14<br />

B81097 Dr RD Yagnik 1,689 17 14 3<br />

B81690 Dr SK Ray 1,650 10 13 -3<br />

B81001 Dr Ali & Partners 3,333 30 25 5<br />

B81008 Dr JS Parker & Partners 14,936 141 113 28<br />

B81048 Dr SM Hussain & Partners 8,915 54 67 -13<br />

B81049 Dr VA Rawcliffe & Partners 9,221 79 70 9<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 638

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