1. Primary care data for JSNA
Julian Flowers

2. Primary care data and JSNA?
Needs assessment...
1st point of contact
(Includes general practice, ambulance, A&E, community care, pharmacy, optometry....)
Burden of disease
Quality of primary care and health improvement
Health inequalities
Social phenomena/ community links
Population growth
Real time

3. Primary care data sources
From primary care
Direct extracts
Research datasets
GPES
Spotter practices, sentinel practices, B’ham RCGP unit
About primary care
Research networks
QOF
NHS Comparators
For primary care populations
Attributed data
Social marketing...

4. Key data sources QOF NHS Comparators Prescribing... Practice profiles
HES
GPRD, Qresearch, (PRIMIS), THIN
Local collections

5. Prevalence models and estimates
Practice => LA
Apportioned practice level data to LA via Exeter
Used in health profiles
All QOF areas
Models
IHC programme
Extimates fpr LA/PCT of expected prevalence of hypertenision, diuabetes, COPD, CHD, stroke/TIA, CVD, CKD
Based on age, sex, deprivation, erthnicity & smoking (if relevant)
Practice level estimates in pipeline - already done CVD fr CQC

13. Inequality 1

16. Practice profiles

17. Issues Populations Getting at the data Complexity Consistency
Comparability
Quality

18. Some links http://www.erpho.org.uk/viewResource.aspx?id=18059

19. Ideas about data presentation

20. COPD dashboard
Red background to charts = significantly high, green background = low
Red lines on trend charts are EoE averages
Bullet graph red (to the right) = significantly worse

21. Updated version of previous slide
Updated version of previous slide. Basildon is trust 2 and it still has high SMR but its standardised rate is falling especially for emeregncy adbussions although it remains above the regional average. The upswing in trust 7 (Ipswich) is due to incomplete data for first 2 quarters