Dr Kate Mackay Director of Public Health

QUALITY AND OUTCOMES DATA

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

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.

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

DPH Annual Report Description of the population Health Profile Inequalities

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

Current Health Higher than average rates of breast cancer

Mortality from Breast Cancer, DSR per 100,000, , ages years Bedford PCTBedfordshire Heartlands PCT Luton PCTDacorum PCTWatford and Three Rivers PCT St Albans and Harpenden PCT Hertsmere PCTNorth Hertfordshire and Stevenage PCT Welwyn Hatfield PCT South East Hertfordshire PCT Royston, Buntingford and Bishop's Stortford PCT DSR per 100,000 Rate for SHARate for England & Wales Bars show 95% confidence intervals Rate for SHA Rate for England & Wales Source:National statistics compendium of clinical Indicators

Current Health Higher than average rates of Colorectal cancer in men

Source:National Statistics of Clinical Health Indicators 2001 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

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

Coronary Heart Disease Source: Practice Audit

Diabetes Source:Practice Audit

Diabetes Source: Practice Audit

Diabetes Source: Practice Audit

Source:National Statistics of Clinical Health Indicators 2001 Colorectal cancer

Healthy Lifestyles Smoking Exercise BMI BP Lipids

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