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
10.9.3.11 Programme Budgeting and Outcomes
As illustrated in Figure 1, expenditure on problems of mental health disorders per head
for 2008/2009 in Hull was £176.64 compared to £192.74 for the Industrial Hinterlands
average, £192.14 for North East Lincolnshire and £191.21 for England. Therefore,
expenditure in Hull was considerably lower than England (ranked 94 th out of 152 PCTs)
and other comparators.
Expenditure per head for 2008/2009 in Hull on substance misuse was £19.58 (ranked
57 th ) compared to £23.25 for the Industrial Hinterlands average, £38.78 for North East
Lincolnshire and £17.81 for England. For organic mental disorders, the expenditures
per head were £2.14, £15.02, £4.40 and £17.39 for Hull, Industrial Hinterlands, North
East Lincolnshire and England respectively with Hull ranked 142 nd . For psychotic
disorders, the expenditures per head were £9.29, £28.90, £71.57 and £33.69 for Hull,
Industrial Hinterlands, North East Lincolnshire and England respectively with Hull ranked
100 th . For child and adolescent mental health disorders, the expenditures per head
were £13.20, £11.86, £9.37 and £13.33 for Hull, Industrial Hinterlands, North East
Lincolnshire and England respectively with Hull ranked 72 nd .
Information on two mental health disorder 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 332 for Hull and comparator
areas (see section 3.3.3 on page 44 for more on comparators). The percentage of
patients on the enhanced Care Programme Approach (CPA) receiving face-to-face or
telephone follow-up within seven days of discharge during 2007/2008 was lower than
the Industrial Hinterlands and England. Hull has a higher directly standardised mortality
rate (DSR per 100,000 European Standard Population) from suicide and undetermined
injury compared to the Industrial Hinterlands and England (ranked 135 th out of 152
PCTs).
So overall, mental health outcomes were worse for Hull compared to England and
comparators, and spend for 2008/2009 was considerably lower in Hull compared to
England and comparator areas.
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