Octagon PCN Data pack August 2019 - PowerPoint Presentation

1. Octagon PCNData packAugust 2019

2. Octagon PCN – summaryThere are approximately 94,000 people registered with Octagon PCN, with a smaller older population compared to the North Alliance, CCG and England. The population of Octagon PCN is expected to grow at a rate relatively similar to that of the CCG over the period 2019-2026, with lower growth predicted within the PCN compared to the CCG between 2026 and 2036The PCN has a lower proportion of White British ethnic group persons when compared to the North Alliance, CCG and England and conversely, high proportions of individuals from other ethnic groupsRelative deprivation is higher in the PCN compared to the North Alliance, CCG and England, although deprivation varies substantially between practices. Approximately 25% of children and 21% of older people live in povertyIt is estimated that on average there are around 1,250 births a year in the PCN. Birth rates and the proportion of babies born with a low birth weight are statistically similar to the North Alliance, which in itself has a noticeably high birth rate compared to the CCGBoth male and female life expectancy values for Octagon PCN are statistically significantly worse than North Alliance averagesRecorded obesity in adults is statistically significantly lower than the North AllianceIt is estimated that 20.9% of adults smoke, which is statistically significantly higher than the North AllianceEstimates of people reporting long-term activity-limiting illness and being in Good or Very Good health are statistically similar than North Alliance averagesOn average there are 757 deaths a year in the PCN, with around a third of these in people aged under 75 years The PCN has statistically significantly low recorded prevalence of CHD, hypertension, asthma, COPD and cancer compared to the North Alliance and statistically significantly high prevalence of diabetes, mental health disorders, depression and dementiaAll-cause mortality rates are statistically significantly higher than the North Alliance for Octagon PCN for both all ages and under 75s only. The all age respiratory disease mortality rate is also statistically significantly higher than the North Alliance

3. Demography

4. GP registered population Octagon PCN has a higher proportion of people aged 18 and under and lower proportion aged 65 and over compared with North Alliance, CCG and England. The population of Octagon PCN is expected to grow at a rate relatively similar to that of the CCG over the period 2019-2026, with lower growth predicted within the PCN compared to the CCG between 2026 and 2036.Source: GP registered population, April 2019, NHS Digital. Population forecasts based on population distribution at ward level (Apr 19), Mid 2015 based population forecasts Cambridgeshire County CouncilAge bandOctagon PCNNorthAllianceCambridgeshire and Peterborough CCGEnglandNumber%Total94,011100.0%567,598983,59759,759,6380-4 years5,7966.2%5.9%5.4%5.5%5-14 years12,60213.4%12.6%11.7%11.8%Under 18 years21,54222.9%21.8%20.3%20.4%16-64 years60,57264.4%63.4%65.6%64.3%65+ years13,97214.9%16.9%16.3%17.4%75+ years6,3146.7%7.5%7.3%8.0%85+ years1,9672.1%2.2%2.2%2.3%PCN201920212026203120362019 to 20212021 to 20262026 to 20312031 to 2036Number%Number%Number%Number%Octagon PCN94,01196,848102,361103,839102,8872,8373.0%5,5145.7%1,4781.4%-952-0.9%C&P CCG982,9871,011,3681,072,8911,097,5281,110,29528,3812.9%61,5226.1%24,6372.3%12,7671.2%Population forecasts

5. Population distribution Source: GP registered population data by Lower Super Output Area, April 19, NHS DigitalPopulation distributionPCN dominant population

6. Ethnicity Octagon PCN has a lower proportion of population from the White British ethnic group and higher proportions from all other ethnic groups in comparison to North Alliance and the CCG.Source: Census 2011 data applied to GP registered population using Census 2011 ethnic group proportions; England data from NOMIS (patients registered at a GP Practice by LSOA, July 2018, NHS Digital)PCNWhite BritishWhite OtherMixedBlack Asian: Indian/Bangladeshi/PakistaniAsian: Chinese/OtherOtherOctagon PCN72.9%10.8%2.8%2.3%8.0%2.3%0.8%North Alliance80.7%8.7%1.9%1.4%5.0%1.7%0.5%Cambridgeshire and Peterborough CCG80.0%9.5%2.1%1.3%4.1%2.4%0.7%England 79.8%5.7%2.3%3.5%5.6%2.3%1.0%

7. Deprivation Relative deprivation is higher in Octagon PCN than the North Alliance, C&P CCG and England averages, although there is substantial observed variance at practice level. Approximately 25% of children and 21% of older people live in income deprived households in Octagon PCN; higher than the averages for North Alliance, CCG and England.Source: C&P PHI derived from Indices of Multiple Deprivation 2015, DCLG and GP registered population data for July 2018. Practice data from PHE Fingertips.Index of Multiple DeprivationIncome Affecting Children Index Income Affecting Older People Index BRETTON MEDICAL PRACTICE36.131.7%21.2%HAMPTON HEALTH15.517.2%20.7%THOMAS WALKER29.824.5%22.9%OCTAGON MEDICAL CENTRE27.724.2%21.0%Octagon PCN27.824.5%21.0%North Alliance21.618.9%16.5%C&P CCG17.215.4%14.3%England 21.819.9%16.2%Index of Multiple Deprivation, 2015, by ward

8. Births and Fertility Birth rates and low birth weight births in Octagon PCN are statistically similar to the averages for the North Alliance. Note: Relates to Cambridgeshire and Peterborough residents onlySource: C&P PHI based on NHS Digital Civil Registration Data, 2014-2016 and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = North Alliance)Birth rates by wardEstimatedNumber of live births(2014-2016)Birth rate per 1,000 female population aged 15 to 44 yearsLow birth weight births (under 2,500g)Octagon PCN3,70268.87.3%North Alliance19,75665.86.8%Cambridgeshire and Peterborough CCG31,34858.26.5%England 1,989,05262.47.4%

9. Life expectancy Both male and female life expectancy values are statistically significantly lower in Octagon PCN compared to the North Alliance.Source: C&P PHI based, derived from NHS Digital Civil Registration data and GP registered population data (benchmark = North Alliance), 2013 – 2017Males(years)Females(years)Octagon PCN78.982.4North Alliance80.583.7Cambridgeshire and Peterborough CCG81.284.3

10. Risk factors

11. Risk factorsRecorded prevalence of obesity is statistically significantly lower in Octagon PCN compared to the average for North Alliance.Estimated smoking prevalence is statistically significantly higher in Octagon PCN compared to the average for North Alliance.Source: Obesity - C&P PHI derived from NHS Digital QOF data for 2017/18 (benchmark = North Alliance) Estimated smoking - C&P PHI derived from the QOF based smoking prevalence estimate from the Public Health England (PHE) National General Practice Profiles at https://fingertips.phe.org.uk/profile/general-practice (benchmark = North Alliance)ObesityEstimated SmokingNumber%Number %Octagon PCN6,6409.4%15,46120.9%North Alliance44,12110.1%90,36719.8%Cambridgeshire and Peterborough CCG65,4968.5%136,10517.0%England 4,530,4479.8%8,301,42917.2%

12. Self-reported limiting long-term illness and general health statusIt is estimated that Octagon PCN has a statistically similar proportion of residents with long-term activity-limiting illness and good or very good health when compared to the North Alliance.Source: C&P PHI from Census 2011, NOMIS and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = North Alliance)Long-term activity-limiting illnessGood or very good healthOctagon PCN16.5%81.7%North Alliance16.7%81.9%Cambridgeshire and Peterborough CCG15.5%83.6%England 17.6%81.4 %

13. Diseases

14. Mortality – all causesThere are on average 757 deaths a year in Octagon PCN, approximately a third are in people aged under 75 years. All-cause mortality for all ages and under 75s only is statistically significantly higher than the North Alliance.DASR = directly age standardised rate per 100,000 population Source: C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance) All agesUnder 75 year oldsNumberDASR per 100,000Number DASR per 100,000Bretton Medical Practice351928.3158349.6Hampton Health2801,728.561419.5Octagon Medical Centre2,6871,078.7809354.4Thomas Walker4681,249.4101355.2Octagon PCN3,7861,114.91,129354.6North Alliance21,171949.86,793311.9Cambridgeshire and Peterborough CCG34,464901.510,385286.4

15. Circulatory diseaseOctagon PCN prevalence rates of CHD and hypertension are statistically significantly low compared to the North Alliance average and stroke prevalence is statistically similar.Circulatory disease all-age and premature mortality rates are statistically similar to North Alliance.Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)PrevalenceMortality (circulatory)Coronary heart diseaseHypertensionStroke All agesUnder 75 year oldsNumber%Number %Number %Number DASR per 100,000Number DASR per 100,000Bretton Medical Practice3302.8%1,64813.8%1651.4%85219.54292.6Hampton Health1041.1%5976.4%760.8%54333.7964.2Octagon Medical Centre1,7962.9%8,53713.6%1,0561.7%616247.217376.5Thomas Walker2653.4%1,17315.2%1091.4%126336.32588.5Octagon PCN2,4952.7%11,95513.0%1,4061.5%881260.424979.2North Alliance16,9993.0%77,17113.8%8,9081.6%5,344241.01,52070.4C&P CCG26,6022.8%122,34812.6%14,1321.5%9,004236.72,28863.9England 1,827,3523.1%8,141,48813.9%1,030,8691.8%Not available

16. Respiratory diseaseAsthma and COPD prevalence are both statistically significantly low in Octagon PCN compared to North Alliance, although prevalence is statistically significantly high in Bretton Medical Practice.Mortality rates for respiratory disease (all age) are statistically significantly worse for Octagon PCN than the North Alliance and statistically similar for under 75s only. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)PrevalenceMortalityAsthmaChronic Obstructive Pulmonary DiseaseAll agesUnder 75 yearsNumber%Number%NumberDASR per 100,000Number DASR per 100,000Bretton Medical Practice6785.7%2792.3%57156.52149.341237.4<530.1Hampton Health4755.1%520.6%420169.68740.0Octagon Medical Centre3,6705.8%1,1391.8%Thomas Walker3474.5%1522.0%76198.0828.3Octagon PCN5,1705.6%1,6221.8%594177.012039.7North Alliance33,0505.9%10,9522.0%3,065139.767831.9C&P CCG57,8306.0%16,5131.7%4,533119.994226.8England 3,463,8935.9%1,113,4171.9%Not available

17. Long term conditionsDiabetes prevalence is statistically significantly high in Octagon PCN compared to North Alliance, whereas cancer prevalence is statistically significantly low.All practices have statistically similar all-age and premature cancer mortality rates to the North Alliance.Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)PrevalenceMortality - CancerDiabetes (17+ years)CancerAll agesUnder 75 year oldsNumber %Number%NumberDASR per 100,000NumberDASR per 100,000Bretton Medical Practice6817.4%2702.3%112287.155125.1Hampton Health2724.2%1261.4%41282.425184.0Octagon Medical Centre3,8027.6%1,6612.6%721292.4324143.5Thomas Walker5278.6%1642.1%113312.137129.5Octagon PCN5,2827.3%2.2212.4%987292.0441140.9North Alliance30,9537.0%14,8542.7%6,093269.72,807130.1C&P CCG46,5736.0%25,7002.7%9,902259.54,411123.2England 3,196,1246.8%1,593,3022.7% Not available

18. Mental healthOctagon PCN prevalence rates of severe mental illness, depression and dementia are statistically significantly worse than North Alliance; learning disability prevalence is statistically similar. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)Schizophrenia, bipolar affective disorder and other psychosesDepression (18+ years)DementiaLearning disabilitiesNumber%Number %Number %Number %Bretton Medical Practice1171.0%98210.8%570.5%710.6%Hampton Health660.7%91214.5%870.9%330.4%Octagon Medical Centre4970.8%4,5799.3%5940.9%3050.5%Thomas Walker700.9%5839.7%891.2%310.4%Octagon PCN7500.8%7,05610.0%8270.9%4400.5%North Alliance4,0960.7%41,7309.5%4,0940.7%2,6750.5%C&P CCG7,7500.8%68,1128.8%6,5510.7%4,0570.4%England 550,9180.9%4,589,2139.9%446,5480.8%284,4220.5%