Narrowing the health gap

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Narrowing the health gap

• LSP Performance Management Framework Progress
  Report
• November 2003

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Topics covered
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Infant Mortality

• Rate of death of infants under one year per 1,000
  births
• Diverging trend
• 0.3 per 1,000 higher than London in 1990-92 (3)
• 0.9 per 1,000 higher than London in 1999-2001
  (13)

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Life Expectancy at birth - male
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Life Expectancy at birth - female
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Death rate (all causes)
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Death from Circulatory disease

• Mortality rate for all circulatory disease in
  persons aged lt75 (age standardised)

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Strokes

• Majority of strokes lead to hospital admission
• 1999/2000 admission rate (age-standardised)
• England 204 per 100,000
• Newham 229 per 100,000 (fifth highest in London)

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Death from Cancer

• Mortality rate from all malignant neoplasms
  (cancer) in people aged lt75 (age standardised)

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New cases of HIV

• In 2002
• 69 persons new to SOPHID (9)
• 755 in total
• 54 male
• Standardised prevalence rate for 2001
• 288 per 100,000
• (England 48)

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New cases of STIs

• In 2001 ( seen at Greenway Centre)
• 15 new cases of syphilis
• 346 new cases of gonorrhoea (37)
• 124 new cases of anogenital herpes (40)
• 260 new cases of anogenital warts (51)
• 558 new cases of genital chlamydia (36)
• ie 40 of cases are seen locally

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New cases of diabetes

• Incidence of diabetes not easily estimable
• 2002 diabetes audit in primary care
• Prevalence 3.7 (n9858 in 56/60 practices)
• Practice prevalence ranges from 1.9 to 6.5
• Population model suggests 4.25 ie 1,500
  undiagnosed

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Cases of Tuberculosis
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People with Self-assessed health problems
ALG residents survey NB Wording of question
changed in 2002
15
Dental health of children
British Association for the Study of Community
Dentistry Biennial survey
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Access to GP lists
Find-a-Doc service locally based No national or
London comparator available
17
GP waiting times
NHS plan targets Appointment with GP within 48
hours Appointment with primary care
professional within 24 hours No national or
London comparator
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AE waiting time
Percentage of AE patients discharged within four
hours of attending AE WiC AE
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Operation waiting time
Average time on waiting list No national or
London comparator
20
Operation waiting time
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Vacant posts in health sector

• PCT vacancy rate 10.4 including 9.3 for GP
  principals (3.3 nationally)

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Satisfaction with health services
ALG Residents Survey rating health services
excellent, very good or good
23
Teenage pregnancy
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Readmissions to hospital with mental illness

• 20.8 readmission within 90 days (at September
  2003)
• (18.4 in Tower Hamlets)
• (16.3 in City and Hackney)
• East London and the City Mental Health Trust was
  not significantly different to the national
  average on a related star rating indicator in
  March 03

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Suicide rate