1. Health Survey for England Data - Use in NHS Salford Public Health Kuiama Thompson April 2010

2. How NHS Salford has used Health Survey for England Data Provide estimates of population levels of need for services –Hypertension Prevalence –Obesity Prevalence –Alcohol Consumption

3. Modelled Hypertension Prevalence at Practice Level First modelled in 2008 using Doncaster Public Health Intelligence Unit Model All practices significantly under diagnosing patients Presented to GPs at PBC Cluster Meetings

4. Hypertension Prevalence Funnel Plot

5. Hypertension Prevalence Bar Chart

6. Possible Reasons for Significant Differences Model uses HSE data which is a one off BP reading GPs do not code Grade 1 hypertensives Patients with Grade 2 hypertension are not being diagnosed High prevalence of hypertensive patients not being measured

7. Hypertension Prevalence Excluding Grade 1 Extracted data from 2005-2007 HSE Data items used – –Valid BP Reading –Age & Age Band –Gender –Deprivation Quintile –Prescribed drugs for BP –Omron systolic & diastolic BP Readings

8. Hypertension Prevalence Excluding Grade 1 Included only BP readings > 160/100 or prescribed drugs for BP Counted hypertensive participants and calculated prevalence by age band, gender & deprivation quintile No significant differences for deprivation Applied prevalence by age band & gender to practice populations

9. Hypertension Prevalence Bar Chart Excluding Grade 1

10. Issues Using HSE Data Ensuring data from different years could be analysed collectively Understanding which variables to use Trawling through lists of variables and their descriptions MethodBox will simplify use

11. Any Questions?