Dr Kate Mackay Director of Public Health

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Dr Kate MackayDirector of Public Health
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QUALITY AND OUTCOMES DATA
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Quality and Outcomes Framework

• 4 Domains
• Clinical
• Organisational
• Patient Experience
• Additional Services

gt1,200 Read codes
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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.
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ROLES OF THE DIRECTOR OF PUBLIC HEALTH

• DPH Annual Report
• Needs Assessment
• Equity Audit

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DPH Annual Report
Description of the population Health
Profile Inequalities
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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

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Current Health

• Higher than average
• rates
• of
• breast cancer

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Mortality from Breast Cancer, DSR per 100,000,
1999 - 2001, ages 50 - 69 years 2001
160
Bars show 95 confidence intervals
140
120
100
Rate for SHA
Rate for England Wales
80
DSR per 100,000
60
40
20
0
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
Hertfordshire and
PCT
Hertfordshire PCT

• Buntingford and

Harpenden PCT
Stevenage PCT
Bishop's Stortford
PCT
SourceNational statistics compendium of clinical
Indicators
Rate for SHA
Rate for England Wales
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Current Health

• Higher than average
• rates
• of
• Colorectal cancer in men

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Current Health
SourceNational Statistics of Clinical Health
Indicators 2001
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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

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QUALITY AND OUTCOME DATA
HOW CAN WE USE THE NEW DATA TO INFORM OUR
KNOWLEDGE OF THE POPULATIONS HEALTH?
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Coronary Heart Disease
Source Practice Audit
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Diabetes
SourcePractice Audit
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Diabetes
Source Practice Audit
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Diabetes
Source Practice Audit
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Colorectal cancer
SourceNational Statistics of Clinical Health
Indicators 2001
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Healthy Lifestyles

• Smoking
• Exercise
• BMI
• BP
• Lipids

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QUALITY AND OUTCOMES DATA

• CHD
• Stroke and TIA
• HBP
• Hypothyroidism
• Diabetes
• Mental Health
• COPD
• Asthma
• Epilepsy
• Cancer

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