Atrial Fibrillation Local data and data tools: February 2016 Nicola Dennis- Local Knowledge and Intelligence Service West Midlands (LKIS WM)

Fields to examine Atrial Fibrillation (limited) Stroke Hypertension Atrial Fibrillation- Feb 2016

Atrial Fibrillation Key findings: Resources produced by the National Cardiovascular Intelligence Network Key findings: 1.36 million people in England (2.4%) estimated to have AF. Male AF prevalence: 2.8%, female AF prevalence 2.0%. AF prevalence by age: 2.9% of estimated AF occurs in under 45s, 16.6% in people aged 45-65 and 80.5% in people aged over 65. Atrial Fibrillation- Feb 2016

Atrial Fibrillation Prevalence Atrial Fibrillation- Feb 2016

Atrial Fibrillation: How can we do better? Atrial Fibrillation- Feb 2016

Atrial Fibrillation- Feb 2016 Fingertips – platform for interrogating data Available at various geographical levels Several meaningful metrics - PHE adopting ‘3 step’ approach of Prevention Detection Management The majority of the data presented in Healthier Lives: High Blood Pressure has been drawn from the Quality Outcomes Framework (QOF), which is based upon general practice records. The QOF data is for the financial year 2013/14. They have not used the more usually published achievement scores, but the intervention rates which look at practices’ performance on all relevant patients without any exception. These data are not new, available in the public domain but this is the first time it’s been published in this form making information easy to access, view and compare. These data can tell us about variation in blood pressure across several metrics: •What the local prevalence of key risk factors for high blood pressure is – to help us improve prevention •How many undiagnosed people with high blood pressure have been found in each area – to help us improve detection •How well GPs look after people with high blood pressure, including people who also have another condition – to help us improve care These data covers the whole of England and is broken down by: •Clinical Commissioning Group •Local Authority •Individual General Practices Can compare across areas, such as those which are similar to you in terms of how they look socioeconomically This is supplemented from other data sources for individual indicators and metrics including: •Hypertension prevalence modelled estimates (2011, modelling by the former Eastern Region Public Health Observatory, now part of PHE, based on earlier data) •Hospital Episode Statistics (2012/13) •Health Survey for England modelled estimates (2011 modelling by National Centre for Social Research, based on earlier data) •Active People Survey (2013) The tool will be updated as new data become available, and at least annually. Whilst there has been notable improvement in the prevention, detection and management of high blood pressure in the past decade there is still significant room for improvement – both to reduce variation within this country, and to achieve higher standards across the board Atrial Fibrillation- Feb 2016

Atrial Fibrillation- Feb 2016 Fingertips – platform for interrogating data Available at various geographical levels Several meaningful metrics - PHE adopting ‘3 step’ approach of Prevention Detection Management The majority of the data presented in Healthier Lives: High Blood Pressure has been drawn from the Quality Outcomes Framework (QOF), which is based upon general practice records. The QOF data is for the financial year 2013/14. They have not used the more usually published achievement scores, but the intervention rates which look at practices’ performance on all relevant patients without any exception. These data are not new, available in the public domain but this is the first time it’s been published in this form making information easy to access, view and compare. These data can tell us about variation in blood pressure across several metrics: •What the local prevalence of key risk factors for high blood pressure is – to help us improve prevention •How many undiagnosed people with high blood pressure have been found in each area – to help us improve detection •How well GPs look after people with high blood pressure, including people who also have another condition – to help us improve care These data covers the whole of England and is broken down by: •Clinical Commissioning Group •Local Authority •Individual General Practices Can compare across areas, such as those which are similar to you in terms of how they look socioeconomically This is supplemented from other data sources for individual indicators and metrics including: •Hypertension prevalence modelled estimates (2011, modelling by the former Eastern Region Public Health Observatory, now part of PHE, based on earlier data) •Hospital Episode Statistics (2012/13) •Health Survey for England modelled estimates (2011 modelling by National Centre for Social Research, based on earlier data) •Active People Survey (2013) The tool will be updated as new data become available, and at least annually. Whilst there has been notable improvement in the prevention, detection and management of high blood pressure in the past decade there is still significant room for improvement – both to reduce variation within this country, and to achieve higher standards across the board Atrial Fibrillation- Feb 2016

Atrial Fibrillation- Feb 2016 Fingertips – platform for interrogating data Available at various geographical levels Several meaningful metrics - PHE adopting ‘3 step’ approach of Prevention Detection Management The majority of the data presented in Healthier Lives: High Blood Pressure has been drawn from the Quality Outcomes Framework (QOF), which is based upon general practice records. The QOF data is for the financial year 2013/14. They have not used the more usually published achievement scores, but the intervention rates which look at practices’ performance on all relevant patients without any exception. These data are not new, available in the public domain but this is the first time it’s been published in this form making information easy to access, view and compare. These data can tell us about variation in blood pressure across several metrics: •What the local prevalence of key risk factors for high blood pressure is – to help us improve prevention •How many undiagnosed people with high blood pressure have been found in each area – to help us improve detection •How well GPs look after people with high blood pressure, including people who also have another condition – to help us improve care These data covers the whole of England and is broken down by: •Clinical Commissioning Group •Local Authority •Individual General Practices Can compare across areas, such as those which are similar to you in terms of how they look socioeconomically This is supplemented from other data sources for individual indicators and metrics including: •Hypertension prevalence modelled estimates (2011, modelling by the former Eastern Region Public Health Observatory, now part of PHE, based on earlier data) •Hospital Episode Statistics (2012/13) •Health Survey for England modelled estimates (2011 modelling by National Centre for Social Research, based on earlier data) •Active People Survey (2013) The tool will be updated as new data become available, and at least annually. Whilst there has been notable improvement in the prevention, detection and management of high blood pressure in the past decade there is still significant room for improvement – both to reduce variation within this country, and to achieve higher standards across the board Atrial Fibrillation- Feb 2016

Atrial Fibrillation- Feb 2016 Fingertips – platform for interrogating data Available at various geographical levels Several meaningful metrics - PHE adopting ‘3 step’ approach of Prevention Detection Management The majority of the data presented in Healthier Lives: High Blood Pressure has been drawn from the Quality Outcomes Framework (QOF), which is based upon general practice records. The QOF data is for the financial year 2013/14. They have not used the more usually published achievement scores, but the intervention rates which look at practices’ performance on all relevant patients without any exception. These data are not new, available in the public domain but this is the first time it’s been published in this form making information easy to access, view and compare. These data can tell us about variation in blood pressure across several metrics: •What the local prevalence of key risk factors for high blood pressure is – to help us improve prevention •How many undiagnosed people with high blood pressure have been found in each area – to help us improve detection •How well GPs look after people with high blood pressure, including people who also have another condition – to help us improve care These data covers the whole of England and is broken down by: •Clinical Commissioning Group •Local Authority •Individual General Practices Can compare across areas, such as those which are similar to you in terms of how they look socioeconomically This is supplemented from other data sources for individual indicators and metrics including: •Hypertension prevalence modelled estimates (2011, modelling by the former Eastern Region Public Health Observatory, now part of PHE, based on earlier data) •Hospital Episode Statistics (2012/13) •Health Survey for England modelled estimates (2011 modelling by National Centre for Social Research, based on earlier data) •Active People Survey (2013) The tool will be updated as new data become available, and at least annually. Whilst there has been notable improvement in the prevention, detection and management of high blood pressure in the past decade there is still significant room for improvement – both to reduce variation within this country, and to achieve higher standards across the board Atrial Fibrillation- Feb 2016

Atrial Fibrillation- Feb 2016 Fingertips – platform for interrogating data Available at various geographical levels Several meaningful metrics - PHE adopting ‘3 step’ approach of Prevention Detection Management The majority of the data presented in Healthier Lives: High Blood Pressure has been drawn from the Quality Outcomes Framework (QOF), which is based upon general practice records. The QOF data is for the financial year 2013/14. They have not used the more usually published achievement scores, but the intervention rates which look at practices’ performance on all relevant patients without any exception. These data are not new, available in the public domain but this is the first time it’s been published in this form making information easy to access, view and compare. These data can tell us about variation in blood pressure across several metrics: •What the local prevalence of key risk factors for high blood pressure is – to help us improve prevention •How many undiagnosed people with high blood pressure have been found in each area – to help us improve detection •How well GPs look after people with high blood pressure, including people who also have another condition – to help us improve care These data covers the whole of England and is broken down by: •Clinical Commissioning Group •Local Authority •Individual General Practices Can compare across areas, such as those which are similar to you in terms of how they look socioeconomically This is supplemented from other data sources for individual indicators and metrics including: •Hypertension prevalence modelled estimates (2011, modelling by the former Eastern Region Public Health Observatory, now part of PHE, based on earlier data) •Hospital Episode Statistics (2012/13) •Health Survey for England modelled estimates (2011 modelling by National Centre for Social Research, based on earlier data) •Active People Survey (2013) The tool will be updated as new data become available, and at least annually. Whilst there has been notable improvement in the prevention, detection and management of high blood pressure in the past decade there is still significant room for improvement – both to reduce variation within this country, and to achieve higher standards across the board Atrial Fibrillation- Feb 2016

Atrial Fibrillation- Feb 2016 Fingertips – platform for interrogating data Available at various geographical levels Several meaningful metrics - PHE adopting ‘3 step’ approach of Prevention Detection Management The majority of the data presented in Healthier Lives: High Blood Pressure has been drawn from the Quality Outcomes Framework (QOF), which is based upon general practice records. The QOF data is for the financial year 2013/14. They have not used the more usually published achievement scores, but the intervention rates which look at practices’ performance on all relevant patients without any exception. These data are not new, available in the public domain but this is the first time it’s been published in this form making information easy to access, view and compare. These data can tell us about variation in blood pressure across several metrics: •What the local prevalence of key risk factors for high blood pressure is – to help us improve prevention •How many undiagnosed people with high blood pressure have been found in each area – to help us improve detection •How well GPs look after people with high blood pressure, including people who also have another condition – to help us improve care These data covers the whole of England and is broken down by: •Clinical Commissioning Group •Local Authority •Individual General Practices Can compare across areas, such as those which are similar to you in terms of how they look socioeconomically This is supplemented from other data sources for individual indicators and metrics including: •Hypertension prevalence modelled estimates (2011, modelling by the former Eastern Region Public Health Observatory, now part of PHE, based on earlier data) •Hospital Episode Statistics (2012/13) •Health Survey for England modelled estimates (2011 modelling by National Centre for Social Research, based on earlier data) •Active People Survey (2013) The tool will be updated as new data become available, and at least annually. Whilst there has been notable improvement in the prevention, detection and management of high blood pressure in the past decade there is still significant room for improvement – both to reduce variation within this country, and to achieve higher standards across the board Atrial Fibrillation- Feb 2016

QoF: GP Practice level data Atrial Fibrillation- Feb 2016

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Supplementary data sources Public Health Outcomes Framework The outcomes in this framework reflect a focus not only on how long people live, but on how well they live at all stages of life http://www.phoutcomes.info/ Cardiovascular disease profiles These profiles allow you to download a cardiovascular disease (CVD) health profile for each clinical commissioning group and strategic clinical network in England, with the interactive version allowing comparisons. http://www.yhpho.org.uk/ncvinc Longer Lives Longer Lives highlights premature mortality across every local authority in England, giving people important information to help them improve their community’s health. http://healthierlives.phe.org.uk/topic/mortality Atrial Fibrillation- Feb 2016

Acknowledgements Local Knowledge and Intelligence Service (West Midlands) Catherine Lagord, NHS Health Checks, PHE Contact and further support Nicola.Dennis@phe.gov.uk; Atrial Fibrillation- Feb 2016