joint strategic needs assessment foundation profile - JSNA

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10.8 Palliative Care
10.8.1 Actual and Modelled 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. One such register is for those requiring palliative
care. However, there may be a high proportion of patients who might benefit from
palliative care but do not formally receive it (and might have been excluded from the
register). 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 need for palliative
care, and possibly more likely not to be included on the register. 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).
Table 314 presents the prevalence of palliative care for all the general practices in Hull
for 2009/10 based on these disease registers. 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 314: Prevalence of palliative care based on GP disease registers 2009/10
Practice
code
Practice name Registered
population
Prevalence of palliative care on
disease registers 2009/10
N %
B81035 Dr W G T Sande & Partners 6,114 6 0.10
B81056 The Springhead Medical Centre 13,489 6 0.04
B81104 Dr J K Nayar 7,721 0 0.00
B81635 Dr G Dave 2,967 9 0.30
B81662 Mizzen Road Surgery 1,856 2 0.11
Y01200 The Calvert Practice 1,765 3 0.17
Y02747 Kingswood Surgery 902 0 0.00
B81020 Dr P C Mitchell & Partners 7,512 12 0.16
B81021 Faith House Surgery 7,257 6 0.08
B81075 Dr M K Mallik 2,263 1 0.04
B81085 Dr J W Richardson & Partners 5,299 10 0.19
B81094 Dr A K Datta 1,925 2 0.10
B81095 Dr Cook 4,242 12 0.28
B81097 Dr R D Yagnik 1,688 2 0.12
B81690 Dr S K Ray 1,734 11 0.63
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 648