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
Code Latest
list
size
Number and prevalence on hypothyroidism QOF register over time
2004/05 2005/06 2006/07 2007/08 2008/09 2009/10
N % N % N % N % N % N %
B81675 9,476 78 1.77 83 1.93 83 1.73 171 3.18 178 1.86 181 1.91
B81685 2,444 47 1.84 52 1.98 52 2.01 69 2.69 71 2.80 72 2.95
B81688 2,009 52 2.58 49 2.40 57 2.75 56 2.67 62 2.94 62 3.09
Y02344 1,645 N/A N/A N/A N/A N/A N/A N/A N/A 48 2.44 36 2.19
B81027 5,976 189 3.00 180 3.00 176 2.97 189 3.16 190 3.16 195 3.26
B81040 16,805 173 1.05 202 1.23 260 1.55 303 1.78 359 2.12 386 2.30
B81047 7,377 164 2.18 184 2.49 181 2.48 175 2.42 166 2.29 174 2.36
B81089 3,583 60 1.87 68 2.09 78 2.34 80 2.36 82 2.31 93 2.60
B81631 3,425 73 2.26 70 2.23 81 2.55 87 2.68 91 2.66 95 2.77
B81683 1,644 34 2.21 28 1.76 27 1.77 29 2.00 31 2.04 32 1.95
Y02896 343 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 9 2.62
B81017 6,800 109 1.48 130 1.85 137 1.90 151 2.08 204 2.99 184 2.71
B81018 6,602 83 1.27 109 1.66 124 1.83 140 2.08 136 2.04 177 2.68
B81032 2,478 49 1.61 46 1.54 39 1.41 53 1.95 47 1.79 50 2.02
B81046 9,068 206 2.42 213 2.52 228 2.53 247 2.81 257 2.88 269 2.97
B81692 1,814 4 0.21 8 0.40 9 0.49 12 0.67 18 1.00 21 1.16
Y00955 2,556 N/A N/A 20 2.98 29 1.75 51 2.29 52 2.05 55 2.15
Y02748 60 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 9 15.0
Doncaster PCT has created a model which can be used to produce the estimated
number of people with diagnosed hypothyroidism (Doncaster PCT 2008). In general
when such models have been produced, the model is based on research undertaken
elsewhere in the UK examining the prevalence of diagnosed disease in the community,
which has then been modelled and applied to different populations such as those living
in a particular PCT area. Therefore, the accuracy of the estimates depend on the quality
of the initial research and the modelling itself. If the original research did not include
very deprived areas, it is very difficult to generalise and apply the model to very deprived
areas like Hull. Furthermore, there are many reasons why the prevalence could differ
among practices (see section 12.13 on page 782 for more information). Further
information about problems associated with models can be found in the Association of
Public Health Observatories Technical Briefing (Association of Public Health
Observatories 2011) and in section 12.1 on page 770. Therefore, just because
practices have a particularly low prevalence or a relatively large difference between the
registers and the model, it does not necessarily mean that they are performing badly in
any way relative to other general practices. Nevertheless, a comparison of the
differences between the modelled prevalence and the practice list registers can act as a
starting point for investigation. Practices with a low prevalence or a relatively large
difference between the model and the register estimates can be examined further and
considered in relation to patient characteristics using local knowledge. Differences
might just reflect that the model is not a very good fit for Hull. For reference, the mean
age of practice patients (Table 28) and mean deprivation scores (Table 49) for each
practice may be examined.
The model uses age-gender-specific prevalence estimates to calculate the number of
people with hypothyroidism. No adjustments were made for other factors such as
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 644