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Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
1
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILE
Version 16
Beeston Neighbourhood
Prepared by Nottinghamshire County Council and Nottingham City Council Public Health Intelligence
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Purpose of this profile
These profiles are a detailed view covering the various aspects of the health wellbeing and social care of the different Primary Care Networks (PCNs)
They are intended to help inform the needs of the local population to assist and support the planning of local services
They will allow organisations and teams working in PCNs to develop tailored approaches to engagement and communications and understand issues unique to each population
The intention is that they are conversation starters for local government health and social services and the community
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What does this profile reveal about this Neighbourhood
This Neighbourhood is responsible for 13 of the registered patients in South Notts ICP and 45 of the registered population of Nottingham West PCN
The population structure is relatively young with a high proportion of young adults it is ethnically diverse and relatively affluent
Life Expectancy and Healthy Life Expectancy compare well with national figures On average health may begin to decline around age 66 2 years later than England
Prevalence of circulatory disease asthma and cancer is higher than nationally but primary care (as measured by QOF) is at least as good as England and better in some disease areas
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There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary
76 of the population resident within the NHD boundary are registered with its GP practices
Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar
2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)
The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP
Asian and mixed ethnic groups form the predominant BME groups in the area
46 of people rate their health as lsquobadrsquo
or lsquovery badrsquo slightly lower than the ICP and England values
The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England
Over 65 of school children achieve five A - C grade GCSEs better than the than England average
A higher proportion of the population experience fuel poverty
Incidence of selected cancers is similar or better than compared to the England
All-age death rates for all causes and cancer are better or similar to England
However deaths from stroke are higher than expected
The death rate among people aged under 75 is better than expected than England
This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote
There are 5 GP practices in this NHD(shown in green) one having closed
Quick statistics for this Neighbourhood (NHD)
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The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District
There are 5 GP practices in this NHD
93 of patients registered with the practices live within the boundary
76 of people living within the boundary area are registered with NHD practices
Patient population pyramidPatient population density
This chart shows the April 2019 GP registered population for the NHD ICP and England
There are a total of 48039 patients registered with the GP practices
Overall the population profile shows a much higher proportion of young adults than the ICP
The proportion of older adults is slightly lower than the ICP population
Source NHS Digital Patients registered at GP practices (April 2019 extract)
5 4 3 2 1 0 1 2 3 4 5
00-04
05-09
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90-94
95+
Population in (Gender Age) band as a percent of Total NHD population
This NHD Male This NHD Female This ICP England
Males 23962
Females 24077
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104 of the resident population is from a BME background
This is higher than across the ICP (67)
42 of children in this NHD are living in areas defined as the most deprived 20 in England
This is lower than for the ICP and England
Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability
89
6 r
esid
ents
37
7 r
esid
ents
48
3 r
esid
ents
29
42
36
53
87
45
20
4
23
7
13
9
0
5
10
15
20
25
Income deprivation Income deprivation
affecting children
Income deprivation
affecting older people
Res
iden
ts li
vin
g in
the
mo
st d
epri
ved
qu
inti
le
(per
cen
t o
f to
tal)
This NHD This ICP England
Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
23
79
res
iden
ts
92
09
res
iden
ts
10
54
res
iden
ts
46
17
7
20
50
18
2
23
55
17
6
24
0
2
4
6
8
10
12
14
16
18
20
Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a
week
Cen
sus2
01
1 r
esp
on
ses
by
resi
den
ts
(per
cen
t o
f to
tal)
This NHD This ICP England
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
0
2
4
6
8
10
12
14
16
This NHDThis ICPEnglandC
ensu
s20
11
eth
nic
ity
of
resi
den
ts
(per
cen
t o
f to
tal)
White (remainder to 100)
Other Ethnic Group
MixedMultiple Ethnic Groups
GypsyTravellerIrish Traveller
BlackAfricanCaribbeanBlack British
AsianAsian British
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
Ethnicity
1 (most deprived)
2
2
3
3
3
4
4
4
5 (least deprived)
5 (least deprived)
5 (least deprived)
0
10
20
30
40
50
60
70
80
90
100
This NHDThis ICPEngland
Res
iden
ts li
vin
g in
ea
ch d
epri
vati
on
q
uin
tile
(per
cen
t o
f to
tal)
1 (most deprived) 2 3 4 5 (least deprived)
Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
Deprivation (Index of Multiple Deprivation)
Deprivation (Income Domain) Self reported health and care
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Public Health England Local Health Indicators
Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas
Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains
Our Community
Behavioural risk factor and child health
Disease and poor health
Life expectancy and causes of death
Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England
These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution
Life expectancy at birth for Females is higher than for Males
o Life expectancy for Males in 2013-17 was 807 years
o hellip and for Females was 839 years
Females live in poor health for longer than Males
o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males
o hellip and 174 years for Females
Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages
Areas where this NHD fares worse than England include
o Fuel poverty
o Back pain and severe back pain prevalence
o Deaths from stroke (all ages)
England average
Central 50 of values
This NHD value
Lower or Worse than England
Higher or Better than England
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Shading and border show comparison to
England
Features to note for this NHD
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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Purpose of this profile
These profiles are a detailed view covering the various aspects of the health wellbeing and social care of the different Primary Care Networks (PCNs)
They are intended to help inform the needs of the local population to assist and support the planning of local services
They will allow organisations and teams working in PCNs to develop tailored approaches to engagement and communications and understand issues unique to each population
The intention is that they are conversation starters for local government health and social services and the community
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What does this profile reveal about this Neighbourhood
This Neighbourhood is responsible for 13 of the registered patients in South Notts ICP and 45 of the registered population of Nottingham West PCN
The population structure is relatively young with a high proportion of young adults it is ethnically diverse and relatively affluent
Life Expectancy and Healthy Life Expectancy compare well with national figures On average health may begin to decline around age 66 2 years later than England
Prevalence of circulatory disease asthma and cancer is higher than nationally but primary care (as measured by QOF) is at least as good as England and better in some disease areas
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There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary
76 of the population resident within the NHD boundary are registered with its GP practices
Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar
2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)
The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP
Asian and mixed ethnic groups form the predominant BME groups in the area
46 of people rate their health as lsquobadrsquo
or lsquovery badrsquo slightly lower than the ICP and England values
The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England
Over 65 of school children achieve five A - C grade GCSEs better than the than England average
A higher proportion of the population experience fuel poverty
Incidence of selected cancers is similar or better than compared to the England
All-age death rates for all causes and cancer are better or similar to England
However deaths from stroke are higher than expected
The death rate among people aged under 75 is better than expected than England
This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote
There are 5 GP practices in this NHD(shown in green) one having closed
Quick statistics for this Neighbourhood (NHD)
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The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District
There are 5 GP practices in this NHD
93 of patients registered with the practices live within the boundary
76 of people living within the boundary area are registered with NHD practices
Patient population pyramidPatient population density
This chart shows the April 2019 GP registered population for the NHD ICP and England
There are a total of 48039 patients registered with the GP practices
Overall the population profile shows a much higher proportion of young adults than the ICP
The proportion of older adults is slightly lower than the ICP population
Source NHS Digital Patients registered at GP practices (April 2019 extract)
5 4 3 2 1 0 1 2 3 4 5
00-04
05-09
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90-94
95+
Population in (Gender Age) band as a percent of Total NHD population
This NHD Male This NHD Female This ICP England
Males 23962
Females 24077
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104 of the resident population is from a BME background
This is higher than across the ICP (67)
42 of children in this NHD are living in areas defined as the most deprived 20 in England
This is lower than for the ICP and England
Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability
89
6 r
esid
ents
37
7 r
esid
ents
48
3 r
esid
ents
29
42
36
53
87
45
20
4
23
7
13
9
0
5
10
15
20
25
Income deprivation Income deprivation
affecting children
Income deprivation
affecting older people
Res
iden
ts li
vin
g in
the
mo
st d
epri
ved
qu
inti
le
(per
cen
t o
f to
tal)
This NHD This ICP England
Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
23
79
res
iden
ts
92
09
res
iden
ts
10
54
res
iden
ts
46
17
7
20
50
18
2
23
55
17
6
24
0
2
4
6
8
10
12
14
16
18
20
Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a
week
Cen
sus2
01
1 r
esp
on
ses
by
resi
den
ts
(per
cen
t o
f to
tal)
This NHD This ICP England
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
0
2
4
6
8
10
12
14
16
This NHDThis ICPEnglandC
ensu
s20
11
eth
nic
ity
of
resi
den
ts
(per
cen
t o
f to
tal)
White (remainder to 100)
Other Ethnic Group
MixedMultiple Ethnic Groups
GypsyTravellerIrish Traveller
BlackAfricanCaribbeanBlack British
AsianAsian British
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
Ethnicity
1 (most deprived)
2
2
3
3
3
4
4
4
5 (least deprived)
5 (least deprived)
5 (least deprived)
0
10
20
30
40
50
60
70
80
90
100
This NHDThis ICPEngland
Res
iden
ts li
vin
g in
ea
ch d
epri
vati
on
q
uin
tile
(per
cen
t o
f to
tal)
1 (most deprived) 2 3 4 5 (least deprived)
Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
Deprivation (Index of Multiple Deprivation)
Deprivation (Income Domain) Self reported health and care
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Public Health England Local Health Indicators
Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas
Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains
Our Community
Behavioural risk factor and child health
Disease and poor health
Life expectancy and causes of death
Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England
These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution
Life expectancy at birth for Females is higher than for Males
o Life expectancy for Males in 2013-17 was 807 years
o hellip and for Females was 839 years
Females live in poor health for longer than Males
o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males
o hellip and 174 years for Females
Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages
Areas where this NHD fares worse than England include
o Fuel poverty
o Back pain and severe back pain prevalence
o Deaths from stroke (all ages)
England average
Central 50 of values
This NHD value
Lower or Worse than England
Higher or Better than England
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Shading and border show comparison to
England
Features to note for this NHD
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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What does this profile reveal about this Neighbourhood
This Neighbourhood is responsible for 13 of the registered patients in South Notts ICP and 45 of the registered population of Nottingham West PCN
The population structure is relatively young with a high proportion of young adults it is ethnically diverse and relatively affluent
Life Expectancy and Healthy Life Expectancy compare well with national figures On average health may begin to decline around age 66 2 years later than England
Prevalence of circulatory disease asthma and cancer is higher than nationally but primary care (as measured by QOF) is at least as good as England and better in some disease areas
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There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary
76 of the population resident within the NHD boundary are registered with its GP practices
Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar
2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)
The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP
Asian and mixed ethnic groups form the predominant BME groups in the area
46 of people rate their health as lsquobadrsquo
or lsquovery badrsquo slightly lower than the ICP and England values
The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England
Over 65 of school children achieve five A - C grade GCSEs better than the than England average
A higher proportion of the population experience fuel poverty
Incidence of selected cancers is similar or better than compared to the England
All-age death rates for all causes and cancer are better or similar to England
However deaths from stroke are higher than expected
The death rate among people aged under 75 is better than expected than England
This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote
There are 5 GP practices in this NHD(shown in green) one having closed
Quick statistics for this Neighbourhood (NHD)
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The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District
There are 5 GP practices in this NHD
93 of patients registered with the practices live within the boundary
76 of people living within the boundary area are registered with NHD practices
Patient population pyramidPatient population density
This chart shows the April 2019 GP registered population for the NHD ICP and England
There are a total of 48039 patients registered with the GP practices
Overall the population profile shows a much higher proportion of young adults than the ICP
The proportion of older adults is slightly lower than the ICP population
Source NHS Digital Patients registered at GP practices (April 2019 extract)
5 4 3 2 1 0 1 2 3 4 5
00-04
05-09
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90-94
95+
Population in (Gender Age) band as a percent of Total NHD population
This NHD Male This NHD Female This ICP England
Males 23962
Females 24077
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104 of the resident population is from a BME background
This is higher than across the ICP (67)
42 of children in this NHD are living in areas defined as the most deprived 20 in England
This is lower than for the ICP and England
Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability
89
6 r
esid
ents
37
7 r
esid
ents
48
3 r
esid
ents
29
42
36
53
87
45
20
4
23
7
13
9
0
5
10
15
20
25
Income deprivation Income deprivation
affecting children
Income deprivation
affecting older people
Res
iden
ts li
vin
g in
the
mo
st d
epri
ved
qu
inti
le
(per
cen
t o
f to
tal)
This NHD This ICP England
Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
23
79
res
iden
ts
92
09
res
iden
ts
10
54
res
iden
ts
46
17
7
20
50
18
2
23
55
17
6
24
0
2
4
6
8
10
12
14
16
18
20
Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a
week
Cen
sus2
01
1 r
esp
on
ses
by
resi
den
ts
(per
cen
t o
f to
tal)
This NHD This ICP England
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
0
2
4
6
8
10
12
14
16
This NHDThis ICPEnglandC
ensu
s20
11
eth
nic
ity
of
resi
den
ts
(per
cen
t o
f to
tal)
White (remainder to 100)
Other Ethnic Group
MixedMultiple Ethnic Groups
GypsyTravellerIrish Traveller
BlackAfricanCaribbeanBlack British
AsianAsian British
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
Ethnicity
1 (most deprived)
2
2
3
3
3
4
4
4
5 (least deprived)
5 (least deprived)
5 (least deprived)
0
10
20
30
40
50
60
70
80
90
100
This NHDThis ICPEngland
Res
iden
ts li
vin
g in
ea
ch d
epri
vati
on
q
uin
tile
(per
cen
t o
f to
tal)
1 (most deprived) 2 3 4 5 (least deprived)
Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
Deprivation (Index of Multiple Deprivation)
Deprivation (Income Domain) Self reported health and care
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Public Health England Local Health Indicators
Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas
Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains
Our Community
Behavioural risk factor and child health
Disease and poor health
Life expectancy and causes of death
Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England
These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution
Life expectancy at birth for Females is higher than for Males
o Life expectancy for Males in 2013-17 was 807 years
o hellip and for Females was 839 years
Females live in poor health for longer than Males
o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males
o hellip and 174 years for Females
Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages
Areas where this NHD fares worse than England include
o Fuel poverty
o Back pain and severe back pain prevalence
o Deaths from stroke (all ages)
England average
Central 50 of values
This NHD value
Lower or Worse than England
Higher or Better than England
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Shading and border show comparison to
England
Features to note for this NHD
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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There are a total of 48039 patients registered with practices in this NHD 45 of the ICP population Of these 93 live within the nominal NHD boundary
76 of the population resident within the NHD boundary are registered with its GP practices
Compared to the ICP as a whole the NHD has a higher proportion of young adults (24-44 years) and fewer older adults The proportion of elderly people is similar
2 of the population provide 50 hours or more of unpaid care each week This is slightly lower than the England average (24)
The NHD is more ethnically diverse than the ICP generally BME groups form 104 of the resident population compared to 67 in the ICP
Asian and mixed ethnic groups form the predominant BME groups in the area
46 of people rate their health as lsquobadrsquo
or lsquovery badrsquo slightly lower than the ICP and England values
The area is less deprived than the ICP with under 3 of the population living in the most deprived fifth of areas in England
Over 65 of school children achieve five A - C grade GCSEs better than the than England average
A higher proportion of the population experience fuel poverty
Incidence of selected cancers is similar or better than compared to the England
All-age death rates for all causes and cancer are better or similar to England
However deaths from stroke are higher than expected
The death rate among people aged under 75 is better than expected than England
This NHD boundary covers the south of Broxtowe District including Beeston Chilwell and Bramcote
There are 5 GP practices in this NHD(shown in green) one having closed
Quick statistics for this Neighbourhood (NHD)
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The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District
There are 5 GP practices in this NHD
93 of patients registered with the practices live within the boundary
76 of people living within the boundary area are registered with NHD practices
Patient population pyramidPatient population density
This chart shows the April 2019 GP registered population for the NHD ICP and England
There are a total of 48039 patients registered with the GP practices
Overall the population profile shows a much higher proportion of young adults than the ICP
The proportion of older adults is slightly lower than the ICP population
Source NHS Digital Patients registered at GP practices (April 2019 extract)
5 4 3 2 1 0 1 2 3 4 5
00-04
05-09
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90-94
95+
Population in (Gender Age) band as a percent of Total NHD population
This NHD Male This NHD Female This ICP England
Males 23962
Females 24077
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104 of the resident population is from a BME background
This is higher than across the ICP (67)
42 of children in this NHD are living in areas defined as the most deprived 20 in England
This is lower than for the ICP and England
Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability
89
6 r
esid
ents
37
7 r
esid
ents
48
3 r
esid
ents
29
42
36
53
87
45
20
4
23
7
13
9
0
5
10
15
20
25
Income deprivation Income deprivation
affecting children
Income deprivation
affecting older people
Res
iden
ts li
vin
g in
the
mo
st d
epri
ved
qu
inti
le
(per
cen
t o
f to
tal)
This NHD This ICP England
Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
23
79
res
iden
ts
92
09
res
iden
ts
10
54
res
iden
ts
46
17
7
20
50
18
2
23
55
17
6
24
0
2
4
6
8
10
12
14
16
18
20
Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a
week
Cen
sus2
01
1 r
esp
on
ses
by
resi
den
ts
(per
cen
t o
f to
tal)
This NHD This ICP England
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
0
2
4
6
8
10
12
14
16
This NHDThis ICPEnglandC
ensu
s20
11
eth
nic
ity
of
resi
den
ts
(per
cen
t o
f to
tal)
White (remainder to 100)
Other Ethnic Group
MixedMultiple Ethnic Groups
GypsyTravellerIrish Traveller
BlackAfricanCaribbeanBlack British
AsianAsian British
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
Ethnicity
1 (most deprived)
2
2
3
3
3
4
4
4
5 (least deprived)
5 (least deprived)
5 (least deprived)
0
10
20
30
40
50
60
70
80
90
100
This NHDThis ICPEngland
Res
iden
ts li
vin
g in
ea
ch d
epri
vati
on
q
uin
tile
(per
cen
t o
f to
tal)
1 (most deprived) 2 3 4 5 (least deprived)
Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
Deprivation (Index of Multiple Deprivation)
Deprivation (Income Domain) Self reported health and care
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Public Health England Local Health Indicators
Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas
Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains
Our Community
Behavioural risk factor and child health
Disease and poor health
Life expectancy and causes of death
Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England
These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution
Life expectancy at birth for Females is higher than for Males
o Life expectancy for Males in 2013-17 was 807 years
o hellip and for Females was 839 years
Females live in poor health for longer than Males
o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males
o hellip and 174 years for Females
Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages
Areas where this NHD fares worse than England include
o Fuel poverty
o Back pain and severe back pain prevalence
o Deaths from stroke (all ages)
England average
Central 50 of values
This NHD value
Lower or Worse than England
Higher or Better than England
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Shading and border show comparison to
England
Features to note for this NHD
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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The nominal area for this NHD covers Beeston Chilwell and Bramcote in Broxtowe District
There are 5 GP practices in this NHD
93 of patients registered with the practices live within the boundary
76 of people living within the boundary area are registered with NHD practices
Patient population pyramidPatient population density
This chart shows the April 2019 GP registered population for the NHD ICP and England
There are a total of 48039 patients registered with the GP practices
Overall the population profile shows a much higher proportion of young adults than the ICP
The proportion of older adults is slightly lower than the ICP population
Source NHS Digital Patients registered at GP practices (April 2019 extract)
5 4 3 2 1 0 1 2 3 4 5
00-04
05-09
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90-94
95+
Population in (Gender Age) band as a percent of Total NHD population
This NHD Male This NHD Female This ICP England
Males 23962
Females 24077
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104 of the resident population is from a BME background
This is higher than across the ICP (67)
42 of children in this NHD are living in areas defined as the most deprived 20 in England
This is lower than for the ICP and England
Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability
89
6 r
esid
ents
37
7 r
esid
ents
48
3 r
esid
ents
29
42
36
53
87
45
20
4
23
7
13
9
0
5
10
15
20
25
Income deprivation Income deprivation
affecting children
Income deprivation
affecting older people
Res
iden
ts li
vin
g in
the
mo
st d
epri
ved
qu
inti
le
(per
cen
t o
f to
tal)
This NHD This ICP England
Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
23
79
res
iden
ts
92
09
res
iden
ts
10
54
res
iden
ts
46
17
7
20
50
18
2
23
55
17
6
24
0
2
4
6
8
10
12
14
16
18
20
Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a
week
Cen
sus2
01
1 r
esp
on
ses
by
resi
den
ts
(per
cen
t o
f to
tal)
This NHD This ICP England
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
0
2
4
6
8
10
12
14
16
This NHDThis ICPEnglandC
ensu
s20
11
eth
nic
ity
of
resi
den
ts
(per
cen
t o
f to
tal)
White (remainder to 100)
Other Ethnic Group
MixedMultiple Ethnic Groups
GypsyTravellerIrish Traveller
BlackAfricanCaribbeanBlack British
AsianAsian British
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
Ethnicity
1 (most deprived)
2
2
3
3
3
4
4
4
5 (least deprived)
5 (least deprived)
5 (least deprived)
0
10
20
30
40
50
60
70
80
90
100
This NHDThis ICPEngland
Res
iden
ts li
vin
g in
ea
ch d
epri
vati
on
q
uin
tile
(per
cen
t o
f to
tal)
1 (most deprived) 2 3 4 5 (least deprived)
Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
Deprivation (Index of Multiple Deprivation)
Deprivation (Income Domain) Self reported health and care
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Public Health England Local Health Indicators
Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas
Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains
Our Community
Behavioural risk factor and child health
Disease and poor health
Life expectancy and causes of death
Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England
These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution
Life expectancy at birth for Females is higher than for Males
o Life expectancy for Males in 2013-17 was 807 years
o hellip and for Females was 839 years
Females live in poor health for longer than Males
o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males
o hellip and 174 years for Females
Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages
Areas where this NHD fares worse than England include
o Fuel poverty
o Back pain and severe back pain prevalence
o Deaths from stroke (all ages)
England average
Central 50 of values
This NHD value
Lower or Worse than England
Higher or Better than England
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Shading and border show comparison to
England
Features to note for this NHD
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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104 of the resident population is from a BME background
This is higher than across the ICP (67)
42 of children in this NHD are living in areas defined as the most deprived 20 in England
This is lower than for the ICP and England
Compared to the ICP and England similar proportions of this NHD population report that their health is bad or very bad or that their daily activities are limited by health or disability
89
6 r
esid
ents
37
7 r
esid
ents
48
3 r
esid
ents
29
42
36
53
87
45
20
4
23
7
13
9
0
5
10
15
20
25
Income deprivation Income deprivation
affecting children
Income deprivation
affecting older people
Res
iden
ts li
vin
g in
the
mo
st d
epri
ved
qu
inti
le
(per
cen
t o
f to
tal)
This NHD This ICP England
Source MHCLG Indices of Income Deprivation (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
23
79
res
iden
ts
92
09
res
iden
ts
10
54
res
iden
ts
46
17
7
20
50
18
2
23
55
17
6
24
0
2
4
6
8
10
12
14
16
18
20
Bad or very bad Limited a little or a lot Provides 50 or morehours unpaid care a
week
Cen
sus2
01
1 r
esp
on
ses
by
resi
den
ts
(per
cen
t o
f to
tal)
This NHD This ICP England
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
0
2
4
6
8
10
12
14
16
This NHDThis ICPEnglandC
ensu
s20
11
eth
nic
ity
of
resi
den
ts
(per
cen
t o
f to
tal)
White (remainder to 100)
Other Ethnic Group
MixedMultiple Ethnic Groups
GypsyTravellerIrish Traveller
BlackAfricanCaribbeanBlack British
AsianAsian British
Source Census2011 tables ICP spatial boundary locally agreed NHD spatial boundaries
Ethnicity
1 (most deprived)
2
2
3
3
3
4
4
4
5 (least deprived)
5 (least deprived)
5 (least deprived)
0
10
20
30
40
50
60
70
80
90
100
This NHDThis ICPEngland
Res
iden
ts li
vin
g in
ea
ch d
epri
vati
on
q
uin
tile
(per
cen
t o
f to
tal)
1 (most deprived) 2 3 4 5 (least deprived)
Source MHCLG Index of Multiple Deprivation (IMD) (2019) (including ONS Population Estimates 2015) ICP spatial boundary locally agreed NHD spatial boundaries
Deprivation (Index of Multiple Deprivation)
Deprivation (Income Domain) Self reported health and care
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Public Health England Local Health Indicators
Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas
Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains
Our Community
Behavioural risk factor and child health
Disease and poor health
Life expectancy and causes of death
Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England
These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution
Life expectancy at birth for Females is higher than for Males
o Life expectancy for Males in 2013-17 was 807 years
o hellip and for Females was 839 years
Females live in poor health for longer than Males
o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males
o hellip and 174 years for Females
Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages
Areas where this NHD fares worse than England include
o Fuel poverty
o Back pain and severe back pain prevalence
o Deaths from stroke (all ages)
England average
Central 50 of values
This NHD value
Lower or Worse than England
Higher or Better than England
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Shading and border show comparison to
England
Features to note for this NHD
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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Public Health England Local Health Indicators
Local Health is a collection of health information to help understand the health and wider determinants of health of populations in small geographical areas
Local Health contains indicators relate to Population and demographic factors Wider determinants of health and Health outcomes and are split across four domains
Our Community
Behavioural risk factor and child health
Disease and poor health
Life expectancy and causes of death
Values for NHDs are estimated using the small area data and are compared to the overall England value The spine chart shows how these values vary in relation to other small areas in England
These indicators are based on resident populations which should not differ greatly from the registered population unless the registered population has a wide spatial distribution
Life expectancy at birth for Females is higher than for Males
o Life expectancy for Males in 2013-17 was 807 years
o hellip and for Females was 839 years
Females live in poor health for longer than Males
o The gap between Life expectancy and Healthy life expectancy in 2009-13 was 147 years for Males
o hellip and 174 years for Females
Generally the population is moderately affluent with some pockets of deprivation and in reasonably good health local health indicators are generally comparable to or better than England averages
Areas where this NHD fares worse than England include
o Fuel poverty
o Back pain and severe back pain prevalence
o Deaths from stroke (all ages)
England average
Central 50 of values
This NHD value
Lower or Worse than England
Higher or Better than England
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Shading and border show comparison to
England
Features to note for this NHD
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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Public Health England Local Health IndicatorsOur Community
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Percentage of the total resident population who are 0-15 years of age Persons 167 191 119 275 Proportion - 2017
Percentage of the total resident population who are 16-24 years of age Persons 111 109 68 240 Proportion - 2017
Percentage of the total resident population who are 25-64 years of age Persons 524 519 433 627 Proportion - 2017
Percentage of the total resident population who are 65 and over Persons 198 180 67 322 Proportion - 2017
Percentage of the total resident population aged 85 and over Persons 29 24 07 52 Proportion - 2017
Black and Minority Ethnic (BME) Population Persons 104 146 10 679 Proportion - 2011
Percentage of population whose ethnicity is not White UK Persons 154 202 23 797 Proportion - 2011
Proficiency in English of people who cannot speak English well or at all Persons 11 17 01 96 Proportion - 2011
Index of Multiple Deprivation Score 2015 IMD Persons 117 218 543 49 Score Score Lower is better 2015
Income deprivation English Indices of Deprivation 2015 Persons 97 146 356 39 Proportion Lower is better 2015
Child Poverty English Indices of Deprivation 2015 IDACI Persons 129 199 447 40 Proportion Lower is better 2015
Child Development at age 5 () Persons 648 604 400 805 Proportion Higher is better 201314
GCSE Achievement (5A-C including English amp Maths) Persons 667 566 317 823 Proportion Higher is better 201314
Unemployment ( of the working age population claiming out of work benefit) Persons 14 19 58 04 Proportion Lower is better 201718
Long-Term Unemployment- rate per 1000 working age population Persons 25 36 149 00Crude rate per
1000Lower is better 201718
Fuel povertyNot
applicable121 111 206 62 Proportion Lower is better 2016
Percentage of households in PovertyNot
applicable181 211 426 106 Proportion Lower is better 201314
Older people living alone of people aged 65 and over who are living alone Persons 314 315 479 216 Proportion Lower is better 2011
Older People in Deprivation English Indices of Deprivation 2015 IDAOPI Persons 124 162 463 54 Proportion Lower is better 2015
Ou
r co
mm
un
ity
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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Public Health England Local Health IndicatorsBehavioural risk factors and child health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Deliveries to teenage mothers five year aggregate Female 14 11 38 00 Proportion Lower is better201112 -
1516
Crude fertil ity rate l ive births per 1000 women aged 15-44 years five year
aggregateFemale 580 632 373 913
Crude rate per
1000- 2011 - 15
Low birth weight of term babies five year aggregate Persons 28 28 53 11 Proportion Lower is better 2011 - 15
Emergency admissions aged under 5 years old three year average Persons 789 1492 2689 637Crude rate per
1000Lower is better
201314 -
1516
AampE attendances in under 5 years old three year average Persons 4605 5516 10932 2498Crude rate per
1000Lower is better
201314 -
1516
Admissions for injuries in under 5 years old five year aggregate Persons 863 1388 2646 631Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in under 15 years old five year aggregate Persons 661 1101 1888 598Crude rate per
10000Lower is better
201112 -
1516
Admissions for injuries in 15-24 years old five year aggregate Persons 946 1370 2629 624Crude rate per
10000Lower is better
201112 -
1516
Obese children Reception Year three year average Persons 71 95 153 41 Proportion Lower is better201516 -
1718
Children with excess weight Reception Year three year average Persons 180 224 310 134 Proportion Lower is better201516 -
1718
Obese children Year 6 three year average Persons 136 200 302 88 Proportion Lower is better201516 -
1718
Children with excess weight Year 6 three year average Persons 263 342 458 200 Proportion Lower is better201516 -
1718
Smoking prevalence at age 15 - regular smokers (modelled estimates) Persons 56 54 113 18 Proportion Lower is better 2014
Smoking prevalence at age 15 - regular or occasional smokers (modelled
estimates)Persons 76 82 142 37 Proportion Lower is better 2014
Be
hav
iou
ral r
isk
fact
ors
an
d c
hil
d h
eal
th
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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Public Health England Local Health IndicatorsDisease and poor health
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Emergency hospital admissions for all causes all ages standardised admission
ratioPersons 770 1000 1590 649 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for coronary heart disease standardised
admission ratioPersons 818 1000 1963 516 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for stroke standardised admission ratio Persons 1001 1000 1637 616 ISR per 100 Lower is better201314 -
1718
Emergency hospital admissions for Myocardial Infarction (heart attack)
standardised admission ratioPersons 868 1000 1929 497 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for Chronic Obstructive Pulmonary Disease
(COPD) standardised admission ratioPersons 509 1000 2955 270 ISR per 100 Lower is better
201314 -
1718
Incidences of all cancers standardised incidence ratio Persons 958 1000 1248 801 ISR per 100 Lower is better 2012 - 16
Incidence of breast cancer standardised incidence ratio Female 1033 1000 1406 604 ISR per 100 Lower is better 2012 - 16
Incidence of colorectal cancer standardised incidence ratio Persons 963 1000 1466 591 ISR per 100 Lower is better 2012 - 16
Incidence of lung cancer standardised incidence ratio Persons 834 1000 2248 438 ISR per 100 Lower is better 2012 - 16
Incidence of prostate cancer standardised incidence ratio Male 848 1000 1532 545 ISR per 100 Lower is better 2012 - 16
Hospital stays for self harm standardised admission ratio Persons 736 1000 2454 264 ISR per 100 Lower is better201314 -
1718
Hospital stays for alcohol-related harm (Narrow definition) standardised
admission ratioPersons 958 1000 1805 556 ISR per 100 Lower is better
201314 -
1718
Hospital stays for alcohol-related harm (Broad definition) standardised
admission ratioPersons 819 1000 1754 582 ISR per 100 Lower is better
201314 -
1718
Emergency hospital admissions for hip fracture in persons 65 years and over
standardised admission ratioPersons 975 1000 1626 563 ISR per 100 Lower is better
201314 -
1718
Percentage of people who reported having a l imiting long-term il lness or
disabilityPersons 177 176 268 100 Proportion Lower is better 2011
Back pain prevalence in people of all ages Persons 175 169 207 124 Crude rate Lower is better 2012
Severe back pain prevalence in people of all ages Persons 107 102 135 68 Crude rate Lower is better 2012
Dis
eas
e a
nd
po
or
he
alth
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
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Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
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NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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Public Health England Local Health IndicatorsLife expectancy and cause of death
England average
Central 50 of values
Not tested
Significantly HIGHER than England
Significantly LOWER than England
SIMILAR to England
Significantly BETTER than England
Significantly WORSE than England
Life expectancy at birth (upper age band 90+) Male 807 795 732 843Life expectancy
YearsHigher is better 2013 - 17
Life expectancy at birth (upper age band 90+) Female 839 831 778 885Life expectancy
YearsHigher is better 2013 - 17
Deaths from all causes all ages standardised mortality ratio Persons 1012 1000 1637 657 ISR per 100 Lower is better 2013 - 17
Deaths from all causes under 75 years standardised mortality ratio Persons 845 1000 1880 558 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer all ages standardised mortality ratio Persons 976 1000 1502 695 ISR per 100 Lower is better 2013 - 17
Deaths from all cancer under 75 years standardised mortality ratio Persons 887 1000 1666 595 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease all ages standardised mortality ratio Persons 1016 1000 1636 616 ISR per 100 Lower is better 2013 - 17
Deaths from circulatory disease under 75 years standardised mortality ratio Persons 844 1000 2163 406 ISR per 100 Lower is better 2013 - 17
Deaths from coronary heart disease all ages standardised mortality ratio Persons 937 1000 1858 537 ISR per 100 Lower is better 2013 - 17
Deaths from stroke all ages standardised mortality ratio Persons 1176 1000 1900 440 ISR per 100 Lower is better 2013 - 17
Deaths from respiratory diseases all ages standardised mortality ratio Persons 863 1000 1947 507 ISR per 100 Lower is better 2013 - 17
Deaths from causes considered preventable all ages standardised mortality
ratioPersons 848 1000 2001 523 ISR per 100 Lower is better 2013 - 17
Life expectancy at birth (upper age band 85+) Male 803 791 729 844Life expectancy
YearsHigher is better 2009 - 13
Life expectancy at birth (upper age band 85+) Female 844 830 777 889Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Male 656 635 527 719Life expectancy
YearsHigher is better 2009 - 13
Healthy life expectancy (upper age band 85+) Female 669 648 534 731Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Male 658 641 543 714Life expectancy
YearsHigher is better 2009 - 13
Disability free life expectancy (Upper age band 85+) Female 664 650 555 720Life expectancy
YearsHigher is better 2009 - 13
Life
exp
ect
ancy
an
d c
ause
s o
f d
eat
h
Indicator Sex PCN valueEngland
value
England
Lowest or
Worst
England rangeEngland
Highest or
Best
Units
To be Better
value should
be hellip
Period
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
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Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
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QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
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QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
12
Social care measuresThese are local breakdowns of datasets relating to the Short and Long Term Support (SALT) submissions for the national collection Two years of data are combined (201718 and 201819) and include cross-border City and County residents
Measure 1 Adults (aged 18+) supported in long-term residential and nursing care at the year-end 31 March
1A Younger adults (aged 18-64)
904 per 100000 residents
(60 clients)
This rate is lower than England
England 1229per 100000 residents
1B Older adults (aged 65 and over)
21229 per 100000 residents
(455 clients)
This rate is higher than England
England 14787 per 100000 residents
Measure 2 Adults (aged 18+) accessing long-term community support at the year-end 31 March
2A Younger adults (aged 18-64)
5727 per 100000 residents
(380 clients)
This rate is similar to England
England 6303per 100000 residents
2B Older adults (aged 65 and over)
21929 per 100000 residents
(470 clients)
This rate is similar to England
England 23277 per 100000 residents
Measure 3 Long-term support needs of adults (aged 18+) met by admission to residential and nursing care homes
Lower rates are considered better
3A Younger adults (aged 18-64)
151 per 100000 residents
(10 clients)
This rate is similar to England
England 139per 100000 residents
3B Older adults (aged 65 and over)
8865 per 100000 residents
(190 clients)
This rate is worse than England
England 5828 per 100000 residents
Measure 4 Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement
rehabilitation services
Higher percentages are considered better
4 Older adults (aged 65 and over)
545 percent
(30 clients)
This percentage is worse than England
England Value 827 percent
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
13
COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
14
CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
15
Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
16
Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
17
Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
18
Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
13
COPD prevalenceQuality outcomes framework (QOF)
COPD is the name for a collection of chronic chest diseases People with COPD have difficulties breathing due to a narrowing of their airways Smoking is the main cause of COPD ndash more than 4 out of 5 people who develop the disease are or have been smokers
The NHD population had a similar prevalence of COPD to England
966 of patients had their diagnosis confirmed by post bronchodilator spirometry similar to the England average of 963
829 of patients had received an influenza vaccination similar to the England average of 784
The QOF is a performance management and payment system for General Practices
GPs keep a record of people with specific diseases such as
bull chronic chest disease (COPD)
bull diabetes
bull heart disease (CHD)
bull mental health
bull dementia
bull atrial fibrillation
bull asthma
bull learning disability
bull osteoporosis
bull palliative care and
bull smoking
These registers are used to calculate recorded disease prevalence which is compared to England in these profiles
The data in this profile is for the year 201819 The figures may be under estimates due to people not presenting to their GP not being diagnosed or not being recorded
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
14
CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
15
Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
16
Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
17
Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
18
Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
14
CHD prevalence
Coronary heart disease is caused by a build up of fatty deposits on the walls of the arteries around the heart (coronary arteries) Smoking high blood pressure lack of exercise diabetes or being overweight or obese all increase the risk of CHD
The NHD population had a similar prevalence to the England population 32 compared with 31
777 of CHD patients had well controlled blood pressure similar to the England average (806)
852 of CHD patients had taken aspirin or anti-clotting medication This is better than the England average (796)
Diabetes prevalence
Type 2 diabetes is linked to many health complications such as heart disease eye problems kidney disease and problems with circulation It is important that diabetes is diagnosed early and well managed
The NHD population had a lower prevalence of diabetes than the England population
739 of patients had well controlled (HbA1c of 64mg or less) blood sugar better than the England average
The uptake of influenza immunisation (82) was better than England
However referral to structured education was lower than England
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
15
Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
16
Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
17
Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
18
Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
15
Dementia prevalence
Dementia affects the brain and its abilities This includes problems with memory loss thinking speed mental agility language understanding and judgement
The NHD population had a higher prevalence than England 13 compared to 08 for England
779 of patients had a face-to-face review in the previous 12 months This is higher than the England average of 703
875 of patients newly diagnosed with dementia had records of key test results soon after diagnosis similar to the England average (837)
Mental health prevalence
This includes all patients with a diagnosis of schizophrenia bipolar affective disorder or other psychoses Mental illness can result in high levels of disability and a reduced quality of life for patients families and carers
The NHD population had a lower prevalence than England 09 compared to 1 for England
699 of patients had a comprehensive care plan This is similar to England (705)
963 of eligible women in this group had a cervical smear in the previous 5 years better than the England average (94)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
16
Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
17
Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
18
Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
16
Asthma prevalence
Asthma is a common respiratory condition which responds well to appropriate management and which is principally managed in primary care
The NHD population had a higher prevalence (63) than England (60)
Recording of smoking status (age 14-19 years) was better than the England average 861 compared to 78
Asthma review had been carried out in 897 of patients worse than the England average (916)
Recorded variabilityreversibility (924) was better than the England average (885)
Atrial fibrillation prevalence
AF is the most common sustained cardiac arrhythmia Men are more commonly affected than women and the prevalence increases with age In people who have had a stroke concurrent AF is linked with a higher rate of mortality disability longer hospital stay and lower rate of discharge home
The NHD population had a significantly higher prevalence than England 24 compared with 20
The proportion having their risk of stroke assessed (88) was higher than the England average (821)
Anticoagulant treatment of at risk patients (86) was higher than the England average (811)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
17
Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
18
Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
17
Osteoporosis (secondary prevention) prevalence
Osteoporotic fragility fractures can cause substantial pain and severe disability and are associated with decreased life expectancy They occur most commonly in the spine hip and wrist They also occur in the arm pelvis ribs and other bones
The NHD population had a significantly higher prevalence (13) than England (08)
The proportion of people age 50-74 treated with bone sparing agent (752) was better than the England average (681)
The proportion of those treated that were age 75 or over was lower than England 875 compared with 906
Learning disabilities prevalence
People with learning disabilities are among the most vulnerable and socially excluded in our society Virtually all people with learning disabilities are now living in the community and depend on general practice for their primary care needs
The NHD population had a prevalence 05 the same as the England average (05)
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
18
Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
18
Smoking prevalence
The percentage of patients age 15 and over with current status of smoker recorded in last 2 years High risk smokers are those with any combination of the following conditions CHD PAD stroke or TIA hypertension diabetes COPD CKD asthma schizophrenia bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months
The NHD population had a significantly lower smoking prevalence than England 137 compared with 166
A significantly higher proportion of high risk smokers were offered support and treatment in the last 12 months (824) compared to the England average (797)
Palliative care prevalence
Palliative or end of life care is the active total care of patients with life-limiting disease and their families by a multi-professional team
The prevalence of patients receiving palliative care is significantly higher than the England average 06 compared to 04
Prevalence
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
19
QOF Prevalence - NHD overview - all QOF disease registers
England
DOMAIN
DESCRIPTIONINDICATOR GROUP DESCRIPTION Age band
Number on
disease
register
Percent of age
specific
practice
population
Compared to
ENGLAND
this NHD
prevalence is
significantly hellip
ENGLAND
Clinical Hypertension All ages 6767 142 Similar 140
Clinical Depression 18 and over 3794 99 Lower 107
Clinical Diabetes mellitus 17 and over 2539 65 Lower 69
Clinical Asthma All ages 3009 63 Higher 60
Clinical Chronic kidney disease 18 and over 1704 44 Higher 41
Clinical Secondary prevention of coronary heart disease All ages 1546 32 Similar 31
Clinical Cancer All ages 1712 36 Higher 30
Clinical Chronic obstructive pulmonary disease All ages 881 19 Similar 19
Clinical Atrial fibril lation All ages 1120 24 Higher 20
Clinical Stroke and transient ischaemic attack All ages 997 21 Higher 18
Clinical Mental health All ages 409 09 Lower 10
Clinical Epilepsy 18 and over 388 10 Higher 08
Clinical Heart failure All ages 572 12 Higher 09
Clinical Dementia All ages 620 13 Higher 08
Clinical Rheumatoid arthritis 16 and over 257 07 Lower 08
Clinical Peripheral arterial disease All ages 298 06 Similar 06
Clinical Learning Disability All ages 256 05 Similar 05
Clinical Osteoporosis secondary prevention of fragility fractures 50 and over 237 13 Higher 08
Clinical Palliative care All ages 265 06 Higher 04
Public Health Obesity 18 and over 3660 95 Lower 101
Public Health Cardiovascular disease ndash primary prevention 30 to 74 273 10 Lower 11
Public Health Smoking 15 and over 5412 137 Lower 166
QOF disease registers Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
20
QOF Treatment - by practice ndash selected QOF disease domains - relative to EnglandSignificance
compared to
England
indicator
group
code
indicator
code
indicator description
England This NHD
NHD Value
compared to
England
Oaks Abbey Manor BramcoteChilwell
Meadows
DM DM002 BP lt 15090 mmHg L12m 865 904 Better Better Better Better Similar Better
DM003 BP lt 14080 mmHg L12m 707 779 Better Similar Better Better Similar Better
DM004 Cholesterol lt5mmoll L12m 710 767 Better Better Better Better Better Better
DM006 Treated with an ACE-I or ARB (diagnos is of nephropathy or micro-a lbuminuria) 787 799 Similar Worse Similar Similar Similar Similar
DM007 HbA1c lt= 59mmolmol L12m 611 657 Better Similar Better Better Similar Similar
DM008 HbA1c lt= 64mmolmol L12m 692 739 Better Similar Better Better Better Similar
DM009 HbA1c lt= 75mmolmol L12m 801 857 Better Similar Better Better Better Better
DM012 Record of foot examination and risk class i fication in L12m 817 907 Better Better Better Better Better Better
DM014 Referra l to s tructured education programme (within 9m of entry to regis ter) in L12m 705 617 Worse Similar Similar Similar Worse Similar
DM018 Influenza immmunisation received during last winter 734 820 Better Similar Better Better Better Better
AST AST002 Recorded variabi l i tyrevers ibi l i ty (3m beforeanytime after diagnos is ) (age 8 or over) 885 924 Better Better Better Better Worse Better
AST003 Asthma review including the 3 RCP questions in L12m 916 897 Worse Worse Similar Worse Similar Similar
AST004 Record of smoking s tatus in L12m (age 14-19) 780 861 Better Similar Better Better Better Better
CHD CHD002 BP lt 15090 mmHg L12m 806 777 Similar Similar Similar Similar Similar Similar
CHD005 Record of treatment aspirin anti -platelet or anti -coagulant being taken in L12m 796 852 Better Similar Similar Similar Better Better
CHD007 Influenza immmunisation received during last winter 710 669 Worse Better Similar Worse Similar Worse
COPD COPD002 Record of diagnos is confi rmation (spirometry) (3m before or 12m after) entry to regis ter 963 966 Similar Similar Similar Better Similar Similar
COPD003 Received a review (including MRC dyspnoea sca le) in L12m 781 844 Better Similar Better Better Similar Better
COPD004 Record of FEV_1 in L12m 780 840 Better Similar Similar Similar Similar Better
COPD005 Record of oxygen saturation in L12m (for those with MRC grade 3 or greater) 700 690 Similar Similar Similar Similar Similar Similar
COPD007 Influenza immmunisation received during last winter 784 829 Similar Similar Similar Better Similar Similar
AF AF006 Stroke risk assessed us ing CHA2DS2-VASc in L12m 821 880 Better Similar Similar Better Similar Better
AF007 Anti -coagulant treatment for patients with CHA2DS2-VASc gt 2 811 860 Better Similar Similar Better Similar Better
MH MH002 Comprehens ive care plan agreed in L12m 705 699 Similar Similar Worse Similar Similar Similar
MH003 Record of BP in L12m 945 923 Similar Similar Worse Similar Worse Similar
MH007 Record of a lcohol consumption in L12m 828 788 Similar Similar Similar Similar Similar Similar
MH008 Record of cervica l screening in L5y (women aged 25 to 64) 940 963 Better Worse Similar Better Similar Better
MH009 Record of serum creatinine and TSH in L9m (patients on l i thium therapy) 857 893 Better Similar Similar Similar Better Similar
MH010 Record of l i thium levels in therapeutic range in L4m (patients on l i thium therapy) 922 963 Better Better Similar Better Similar Better
DEM DEM004 Review (face-to-face) in L12m 703 779 Better Similar Better Better Better Better
DEM005 Record of various testsvi tamin levels (12m before or 6m after regis ter entry) in L12m 837 875 Similar Better Similar Similar Similar Similar
OST OST002 Treated with appropriate bone-sparing agent (aged 50-74 with confi rmed diagnos is ) 681 752 Better Similar Similar Better Similar Better
OST005 Treated with appropriate bone-sparing agent (aged 75 or over with confi rmed diagnos is ) 906 875 Worse Worse Worse Similar Similar Better
SMOK SMOK002 Record of smoking s tatus in L12m (with any one of a l i s t of conditions) 822 767 Worse Similar Similar Similar Similar Worse
SMOK004 Current smokers offered support and treatment in L24m (aged 15 or over) 808 710 Worse Worse Similar Worse Similar Similar
SMOK005 Current smokers offered support and treatment in L12m (with any one of a l i s t of conditions) 797 824 Better Worse Better Better Similar Better
Percent of age
specific practice
population receiving
intervention
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
21
MMR uptake
MMR is a combined vaccine that protects against three separate illnesses measles mumps and rubella (German measles) These are highly infectious conditions that can have serious potentially fatal complications
The practices achieved 88 immunisation uptake at age 5 during 201819
Three practices did not reach 90 coverage
DTAP 5yrs immunisation uptake
Diphtheria is a highly contagious bacterial infection that mainly affects the nose and throat
The practices achieved immunisation uptake at age 5 of 878 during 201819
Three practices did not reach 90 coverage
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
22
Childhood Vaccinations and Immunisations ndash NHD overview
England
Coverage at
ageIntervention
Number
eligible
Percent
receiving
intervention
Coverage Band England Value
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 511 935 90-95 917
Hepatitis B (included in 6-in-1 from August 2017) No data
Meningococcal B 511 932 90-95 918
Pneumococcal disease (primary course) 511 941 90-95 923
Rotavirus (primary course) 511 916 90-95 900
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 522 958 95+ 942
Hepatitis B (included in 6-in-1 from August 2017) No data
Haemophilus Influenzae type b and meningococcal group C (booster) 522 967 95+ 903
Measlesmumpsrubella 522 954 95+ 900
Pneumococcal disease (booster) 522 960 95+ 899
5 years Diphtheria tetanus pertussis and polio (booster) 516 878 lt90 841
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 516 967 95+ 945
Haemophilus Influenzae type b and meningococcal group C (booster) 516 915 90-95 922
Measlesmumpsrubella (first dose) 516 953 95+ 943
Measlesmumpsrubella (second dose) 516 880 lt90 865
Child Vaccinations and Immunisations Beeston Neighbourhood
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
23
Childhood Vaccinations and Immunisations - by practice
Coverage
Band
Coverage at
ageIntervention This NHD
West End
(closed)Oaks Abbey Manor Bramcote
Chilwell
Meadows
12 months 6-in-1 (Diphtheria tetanus pertussis polio Haemophilus influenzae type b and Hepatitis B) 90-95 No data 90-95 lt90 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data 95+ No data No data No data No data
Meningococcal B 90-95 No data lt90 lt90 90-95 95+ 95+
Pneumococcal disease (primary course) 90-95 No data 90-95 lt90 90-95 95+ 95+
Rotavirus (primary course) 90-95 No data lt90 90-95 90-95 95+ 90-95
24 months 5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ No data 95+ 95+ 90-95 95+ 95+
Hepatitis B (included in 6-in-1 from August 2017) No data No data No data No data No data No data No data
Haemophilus Influenzae type b and meningococcal group C (booster) 95+ No data 90-95 95+ 95+ 95+ 95+
Measlesmumpsrubella 95+ No data lt90 95+ 95+ 90-95 95+
Pneumococcal disease (booster) 95+ No data 90-95 95+ 95+ 90-95 95+
5 years Diphtheria tetanus pertussis and polio (booster) lt90 lt90 lt90 lt90 90-95 95+ lt90
5-in-1 (Diphtheria tetanus pertussis polio and Haemophilus influenzae type b) 95+ 95+ 90-95 90-95 95+ 95+ 95+
Haemophilus Influenzae type b and meningococcal group C (booster) 90-95 lt90 lt90 lt90 90-95 95+ 90-95
Measlesmumpsrubella (first dose) 95+ lt90 90-95 90-95 95+ 95+ 95+
Measlesmumpsrubella (second dose) lt90 lt90 lt90 lt90 90-95 95+ lt90
Child Vaccinations and Immunisations
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
24
Where to look for more information about this profile
Links to downloadable versions of this and other ICS PCN profiles along with a glossary and list of data sources can be found on the Nottinghamshire County Insight page
PCN Health and Care Profiles
httpsnottinghamshireinsightorguk
Prepared by Nottinghamshire County Public Health Intelligence Team
phinfonottsccgovuk
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
Nottingham and Nottinghamshire Integrated Care System (httpshealthandcarenottscouk)
PRIMARY CARE NETWORKSHEALTH AND CARE PROFILEBeeston Neighbourhood
25
NHD Profiles
South Notts ICPNottingham West CCG
Beeston Neighbourhood
Version v16
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