Quality and Outcomes Framework
4 Domains:
• Clinical
• Organisational
• Patient Experience
• Additional Services
>1,200 Read codes
ROLES OF THE DIRECTOR OF PUBLIC HEALTH
To advise the PCT, the public and partner organisations on the health needs and relative priorities of the population, and how to meet those health needs and reduce inequalities.
IMD
1 - 3
4 - 7
8 - 10
11 - 14
15 - 17
St Albans and Harpenden PCTIndex of Multiple Deprivation
St. Albans District
Redbourn Ward
Wheathampstead Ward
Sandridge Ward
Park Street WardSt. Stephen Ward
Colney Heath WardVerulam Ward
London Colney Ward
Sopwell Ward
Harpenden South Ward
Harpenden North Ward
Harpenden West Ward
Cunningham Ward
Batchwood Ward
Harpenden East Ward
Clarence Ward
Marshalswick South Ward
Ashley WardSt. Peters Ward
Marshalswick North Ward
Current Health
Overall health is goodbut
Prevalence of CHD lower than general population but still high
Prevalence of diabetes lower than the general population but still high and rising
Breast and colorectal cancer rates high MMR immunisation falling and rates of measles
rising . Rates of TB are significantly high
Mortality from Breast Cancer, DSR per 100,000, 1999 - 2001, ages 50 - 69 years 2001
0
20
40
60
80
100
120
140
160
Bedford PCT BedfordshireHeartlands PCT
Luton PCT Dacorum PCT Watford andThree Rivers PCT
St Albans and
Harpenden PCT
Hertsmere PCT NorthHertfordshire andStevenage PCT
Welwyn HatfieldPCT
South EastHertfordshire PCT
Royston,Buntingford and
Bishop's StortfordPCT
DS
R p
er 1
00,0
00
Rate for SHA Rate for England & Wales
Bars show 95% confidence intervals
Rate for SHA
Rate for England & Wales
Source:National statistics compendium of clinical Indicators
COLORECTAL CANCER (Male & Female): PCT Mortality Rate, all ages, 1998 - 2000 pooled
0
5
10
15
20
25
30
35
40
DS
R p
er
100,0
00
Males Females
Source:National Statistics of Clinical Health Indicators 2001
Current Health
Current Health
Too many people smoke Too little physical activity Despite the large number of restaurants diet is not
high enough in fruit and vegetables Dental health of 5 year olds is better than national
average it is not the best in Beds and Herts and is only marginally better than the national average
HOW CAN WE USE THE NEW DATA TO INFORM OUR KNOWLEDGE OF THE
POPULATION’S HEALTH?
QUALITY AND OUTCOME DATA
Coronary Heart Disease
CHD Prevalence in 35-74 yr olds 2002- 3
012345
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Surgery
pe
rce
nta
ge
Source: Practice Audit
Diabetes
Diabetes Prevalence by Practice 2002
2.4 2.7
1.82.5
1.42.2 2.2
1.71.3
2.6 2.4
4.3
2.53.1
0
1
2
3
4
5
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Practice
%
Source:Practice Audit
COLORECTAL CANCER (Male & Female): PCT Mortality Rate, all ages, 1998 - 2000 pooled
0
5
10
15
20
25
30
35
40
DS
R p
er
100,0
00
Males Females
Source:National Statistics of Clinical Health Indicators 2001
Colorectal cancer
QUALITY AND OUTCOMES DATA
• CHD• Stroke and TIA• HBP• Hypothyroidism• Diabetes• Mental Health• COPD• Asthma• Epilepsy• Cancer