Guide to CCG Data Profiles Version 0.32

Version information and PDF production date The main part of the profile uses information on CCGs’ proposed practices and geographic boundary as at 18 May Proposed CCG name CCG Code A temporary code for the CCG assigned by the Organisation Data Service Summary information for the CCG This section shows some high-level summary information for the CCG.

RAG Ratings These relate to the 4 areas that are described in detail in annex 2 of Developing CCG: Towards authorisation which can be viewed at the website address below. The RAG rating may not be shown for CCGs that changed their proposed configuration after 22 March Map of CCG location This maps shows the location of this CCG within England in blue. The black lines show the proposed geographical boundaries between CCGs. ations/PublicationsPolicyAndGuidance/DH_ (September 2011)

Map of CCG Area This section shows a map of the area in which the CCG’s population live. The building blocks for the maps are Lower Super Output Areas (LSOAs), of which there are 32,482 in England. Each LSOA is shaded according to the proportion of the population living* in the LSOA who are registered with one of the CCG’s practices. Those with less than 1% of their population registered with the CCG are not shaded. * The definition of the denominator for this proportion is all people living in the LSOA who are registered with any NHS GP (i.e. it excludes military personnel and other unregistered people). Individual practices are shown as a coloured symbol based on the CCG with whom they are affiliated. The colour/symbol for this CCG is given in the text and a full list of all CCG’s symbols/colours is given at the end of the profile. The location is based on the centre of the postcode of the practice. For practices with multiple sites, only the main site (as listed by the Organisation Data Service) is shown. Practices with no registered patients in the attribution dataset as at April 2011 are not shown. The thick red lines are proposed CCG boundaries and the yellow lines are upper tier Local Authority boundaries. The red/yellow lines indicate where these boundaries are shared.

Geography and Containment This section shows the relationship between the CCG’s registered population and the CCG’s proposed geographical boundary. The key point here is that there will be some people who are registered with the CCG’s practices but who live outside of the CCG’s geographical area. Conversely, there are some people who live within the CCG’s geographical area but whom are registered with other CCG’s practices. The text explains the concept of containment, which is calculated as follows: Local Authority Boundaries This section shows the relationship between the CCG’s registered population and Local Authority boundaries. The table shows: (1) how many of the CCG’s registered population live in each Local Authority. (2) How many different LSOAs these people live in, and of these, how many are included within the CCG’s proposed geographical boundary. (3) The population in (1) as a percentage of the total population of each LA. The table shows, for the CCG, the main PCT in this CCG’s area, and the average for all CCGs: (1) The registered-based containment percentage (2) The resident-based containment percentage (3) The minimum of these two figures

Secondary care patient flows This section shows the number of admissions that the CCG’s practices’ patients had in 2010/11 and to which providers. The table shows, for the CCG’s main providers: (1) the number of admissions (and as a percentage of the total for the CCG) (2) the number of these that were elective admissions (3) The CCG’s admissions with a provider as a percentage of the total admissions for the provider. The text under the table explains how many of the CCG’s individual practices have the first provider listed in the table as their main provider. Source: Hospital Episode Statistics, 2010/11

Map of main provider sites in CCG’s area This section shows the individual provider sites in and around the CCG’s area. (The map does not indicate the levels of activity of the CCG’s patients at these sites). Where multiple providers share a location or are very close, these may not be individually labelled. The thick red lines are proposed CCG boundaries and the yellow lines are upper tier Local Authority boundaries. The red/yellow lines indicate where these boundaries are shared. Source: Hospital Estates and Facilities statistics, 2010/11,

Demographic information This section gives information on the age and gender of the CCG’s registered population, and some projections about how it is likely to grow The chart shows the profile of the registered population of the CCG as at April 2011 by 5 year age bands; females are to the left and males to the right. The outline bars show what the profile would look like if the CCG had the same population profile as the England average. (In this example, the profiles are very similar). The table shows, for the CCG’s total population and those over age 75, how the population is expected to grow by 2015, 2020 and These are calculated by applying the projected sub- national population growth in each Local Authority where the CCG’s population live. Source: Office for National Statistics sub-national population projections for Local Authorities (2008-based).

Deprivation This section gives information on the deprivation in the areas where the CCG registered population live (based on the Index of Multiple Deprivation (IMD) 2010). The text gives an overall ranking of the CCG in terms of the average deprivation of the LSOAs in which the CCG’s registered patients live. It also states the proportion of the CCG’s registered population who live in an LSOA that is in the highest quintile of deprivation. If the CCG’s figure is greater than 20% then it suggests a higher than average proportion of its population live in the most deprived areas. The map uses the IMD grouped into quintiles and shaded from blue (lowest deprivation) through to red (highest deprivation). The map has a dot placed at the centre of every postcode and coloured according to the deprivation quintile of the LSOA where it sits. This presentation avoids shading large rural areas with geographically large LSOAs, which would present a distorted picture of the deprivation of the people. Because of this, the map can also be used to understand the population density of the CCG’s geographical area. In the CCG shown here, the map indicates a densely populated area in the west with a very deprived population and a more sparsely populated area to the east with a more heterogeneous pattern of deprivation.

QOF Disease prevalence This section gives information on the prevalence of conditions reported by the CCG’s practices in the Quality and Outcomes Framework (QOF). The first column gives the condition. The last six rows indicate the age range for which this applies. The second column gives the number of patients on the QOF registers for all of the CCG’s practices, and as a percentage of the registered population of the practices. The chart shows individual practice information in terms of the rank of prevalence rate. The scale includes all practices in England and this CCG’s practices are shown as small vertical bars in proportion to their population size. Those towards the left have the lowest prevalence rates in England and those towards the right have the highest rates in England. The dashed line down the centre represents the England average rank. The shaded blue box shows the range of the middle half of practices within the CCG (technically called the interquartile range). The blue diamond is the average rank of the practices in the CCG, weighted by population). Lowest ranked practice in England Highest ranked practice in England Average rank of this CCG’s practices England average rank Individual practices in this CCG Interquartile range of this CCG’s practices

Health Status This section gives information on the health status of the CCG’s practices, based on results from the GP Patient Survey. The GP patient survey has recently started including a section with questions from the EQ-5D. The text in the profile provides some background information. The exact questions used in the survey can be viewed on page 5 of the pdf available here: The table and chart are in two parts: the first gives information about the overall EQ-5D index, the second gives information on the five individual questions that make up the EQ-5D. The format of the chart is the same as the previous page, and shows the practice ranks, and interquartile range and average for this CCG. The EQ-5D values standardised for various factors (first part of the table/chart) show the impact on how the values change as age/sex, deprivation and long-term condition prevalence are adjusted for. In this example, the unadjusted average rank is slightly below the England average. This changes very little when adjusted for age-sex only (this reflects the fact that the age/sex profile of this CCG’s population is very close to the England average, as the population pyramid on page 7 showed). However, standardising for deprivation as well has a quite large effect, and now puts this CCG’s average rank slightly higher than the England average. So, in this case we can conclude that the main factor pulling down the population health status in this CCG is deprivation. (2011/12) Lowest ranked practice in England Highest ranked practice in England Average rank of this CCG’s practices England average rank Individual practices in this CCG Interquartile range of this CCG’s practices

Sources and references This final page of the main profile gives information on the sources of data used, and copyright notices for the data used within the maps. Further technical questions from CCGs and SHAs may be sent to: