1. Dr Kate Mackay Director of Public Health

2. QUALITY AND OUTCOMES DATA

3. Quality and Outcomes Framework
4 Domains:
Clinical
Organisational
Patient Experience
Additional Services
>1,200 Read codes

4. 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.

5. ROLES OF THE DIRECTOR OF PUBLIC HEALTH
DPH Annual Report
Needs Assessment
Equity Audit

6. Description of the population
DPH Annual Report
Description of the population
Health Profile
Inequalities

8. Current Health Overall health is good but
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

9. Current Health
Higher than average
rates of
breast cancer

10. Source:National statistics compendium of clinical Indicators
Mortality from Breast Cancer, DSR per 100,000, , ages years 2001
160
Bars show 95% confidence intervals
140
120
100
Rate for SHA 80
Rate for England & Wales
DSR per 100,000 60 40 20
Bedford PCT
Bedfordshire
Luton PCT
Dacorum PCT
Watford and
St Albans and
Hertsmere PCT
North
Welwyn Hatfield
South East
Royston,
Heartlands PCT
Three Rivers PCT
Harpenden PCT
Hertfordshire and
PCT
Hertfordshire PCT
Buntingford and
Stevenage PCT
Bishop's Stortford
PCT
Source:National statistics compendium of clinical Indicators
Rate for SHA
Rate for England & Wales

11. Colorectal cancer in men
Current Health
Higher than average
rates of
Colorectal cancer in men

12. Current Health
Source:National Statistics of Clinical Health Indicators 2001

13. 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

14. HOW CAN WE USE THE NEW DATA TO INFORM OUR KNOWLEDGE OF THE
QUALITY AND OUTCOME
DATA
HOW CAN WE USE THE NEW DATA TO
INFORM OUR KNOWLEDGE OF THE
POPULATION’S HEALTH?

15. Coronary Heart Disease
Source: Practice Audit

16. Diabetes
Source:Practice Audit

17. Diabetes
Source: Practice Audit

18. Diabetes
Source: Practice Audit

19. Colorectal cancer
Source:National Statistics of Clinical Health Indicators 2001

20. Healthy Lifestyles
Smoking
Exercise
BMI BP
Lipids

21. QUALITY AND OUTCOMES DATA
CHD
Stroke and TIA
HBP
Hypothyroidism
Diabetes
Mental Health
COPD
Asthma
Epilepsy
Cancer