3. Dr Kate Mackay Director of Public Health

4. QUALITY AND OUTCOMES DATA

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

6. 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.

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

8. DPH Annual Report Description of the population Health Profile Inequalities

10. 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

11. Current Health Higher than average rates of breast cancer

12. Mortality from Breast Cancer, DSR per 100,000, 1999 - 2001, ages 50 - 69 years 2001 0 20 40 60 80 100 120 140 160 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

13. Current Health Higher than average rates of Colorectal cancer in men

14. Source:National Statistics of Clinical Health Indicators 2001 Current Health

15. 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

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

17. Coronary Heart Disease Source: Practice Audit

18. Diabetes Source:Practice Audit

19. Diabetes Source: Practice Audit

20. Diabetes Source: Practice Audit

21. Source:National Statistics of Clinical Health Indicators 2001 Colorectal cancer

22. Healthy Lifestyles Smoking Exercise BMI BP Lipids

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