1. Renal Mapping Project Dr Afzal Chaudhry Kirsty Smith James Hollinshead

2. Aims Background to mapping project Uses of the maps Introduction to the maps Future plans

3. Background Increasing use of maps in public health Examples: –Teenage pregnancy –Hospital episodes –Cancer e-atlas Interactive maps make the information more accessible

4. Renal mapping project Collaboration between the Renal Registry and East Midlands Public Health Observatory Renal Registry reports Mapping software ‘instant atlas’ On line access

5. Advantages of maps Interactive and interesting Can be used for: –Estimating need –Commissioning services –Identifying inequalities Combining data: extension of dataset beyond that held by the Registry

6. Current maps available- Single map

7. Current maps available Single maps RRT prevalence (direct and indirect) Geography: LA or PCT Allows: Trends Area comparisons

8. Current maps available- Double map

9. Current maps available Double maps Allows the investigation of correlations RRT prevalence (direct and indirect) Geography: LA or PCT Can compare RRT rate with other factors Deprivation Ethnicity CHD mortality

10. Current maps available- Area Profiles

11. Current maps available Area profiles PCT profile on one page Two PCTs can be compared Difference from national data displayed Currently: –Calcium –Phosphate –Parathyroid Hormone

12. Future maps available- Funnel plot

13. Future maps available Funnel Plots Allow outlying areas to be identified Data points are plotted on a graph with the mean value and “control limits” –Within control limits are performing as expected –Outside control limits are unexpectedly high or low

14. Progress to date Currently Maps produced On staging server (limited access) Looking for feedback (working group) Refine the maps with feedback Place on public website Increase data and update year on year