Dementia in The West Midlands Dr Khesh Sidhu Deputy Medical Director NHS West Midlands.

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Presentation transcript:

Dementia in The West Midlands Dr Khesh Sidhu Deputy Medical Director NHS West Midlands

Outline WMCBSA Dementia Prevalence Populations Projections Results

WMCBSA West Midlands Commissioning Business Support Agency Dudley 2y old PCT and SHA Funded NHS organisation

Who are they and what do they do? Data-warehouse SUS downloads Monitors activity against contracts Activates payments after data is reconciled Data Cleaning Monitoring Account management Other analyses

Who is there? IT Account managers Finance IS Analysts Public Health Consultant

What sort of analyses Data quality Comparative data – Eg Access rates Qualitimetrics Death Data PCT specific demography

Dementia The term ‘dementia’ is used to describe a collection of symptoms, including a decline in memory, reasoning and communication skills, and a gradual loss of skills needed to carry out daily activities. Dementia can affect people of any age, but is most common in older people. One in six people over 80 One in 14 people over 65

Dementia Age, genetic, background, medical history and lifestyle Types Alzheimer’s disease Vascular dementia Fronto-temporal dementia Other rare forms of dementia

Prevalence

Prevalence of Young Onset Dementia

Populations Projections vs Estimates PCT registrant vs population resident NSTS (NHS Strategic Tracing Service) – NB not totally accurate

Projections 2003 and 2004 based projections Normally available for LA, regions and SHAs NOT PCTs

Projections Some PCTs are coterminous with LA Sandwell Solihull Walsall Others are split Birmingham – South, HoBT and BEN

So.... Method: Apply Dementia rates to PCT registrant populations = putative prevalence by PCT Extrapolate population projections to PCT registrant populations = putative prevalence projections

So.... Method: Apply Dementia rates to PCT registrant populations = putative prevalence by PCT Extrapolate population projections to PCT registrant populations = putative prevalence projections

PCT Labels PCT 5y specific age bands 5y age band specific dementia prevalence

Estimated 5y age band specific dementia prevalence for each PCT

How Valid?

Results

Summary WMCBSA Dementia Prevalence Populations Projections Results Not easy – it’s big, out there and coming to a place close to you