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COPD Data

There are various data sources currently available that enable you to compare variance of COPD & Asthma care with your peers.  Click on any of the bullet points below for further information:

 

NHS East Midlands COPD Dashboard

The first published version of the East Midlands COPD Dashboard can be found below.  Next steps are to produce the data at CCG level, in addition to the current PCT and acute trust level data already available.

 

Prevalence

COPD Prevalence Model

The disparity between disease prevalence estimates from large surveys, in particular the Health Survey for England (HSfE), and the number of patients diagnosed and reported in the Quality and Outcomes Framework (QOF) led to demand for disease prevalence models at Primary Care Trust (PCT) and Local Authority (LA) level that give an accurate estimate of true prevalence.

The Association of Public Health Observatories (APHO) developed and published COPD prevalence estimates in early 2008, based on the model of Nacul & Soljak.  This model has since been refined and the input data updated.

The APHO COPD Prevalence Model provides estimates of total (diagnosed and undiagnosed) COPD prevalence

 

QOF Prevalence Data Tables

From The Information Centre QOF2010/11 Prevalence Data tables, we have extracted the practices related to NHS East Midlands and pasted them into the attachment below.

 

APHO General Practice Profiles

These profiles are designed to assist GPs, emerging consortia and PCTs to ensure that they are providing and commissioning effective and appropriate healthcare services for their local population.

APHO General Practice Profiles

 

COPD Prescribing

There are many different locations and tools for comparing and analysing prescribing data.  In addition to the prescribing data on the East Midlands COPD Dashboard, a number of other sources can be found below

 

Prescribing Analysis Charts

NNS Prescription Services & the National Prescribing Centre, have produced 'prescribing analysis charts' for eight different therapeutic areas.  The link below is for the various maps and charts relating to prescribing trends for respiratory system.

NB. Milton Keynes are in the 'Southern' charts.  The remaining PCTS within NHS East Midlands are in the 'Northern' charts.

 

 

Information Centre Prescribing Information

There are various tables relating to prescribing available at the Information Centre

 

 
National Prescribing Centre QIPP Indicators

A set of prescribing comparators have been developed to support the QIPP medicine use and procurement workstream.  The aim of the comparators is to support organisations and prescribers to review the appropriateness of current prescribing, revise prescribing where appropriate and monitor implementation.

Relating to respiratory is 'high dose inhaled corticosteroids in asthma'.  As of April 2012, there is currently no prescribing comparator for this topic. However, the development of a suitable comparator continues to be explored.

 

 

 

Respiratory Atlas of Variation

The aim of the Atlas is to stimulate, within all levels of the NHS, a search for un-warranted variation, defined as 'Variation in the utilization of health care services that cannot be explained by variation in patient or patient preferences'.  We have provided links to the online instant access, along with pdf copies of respiratory related Atlases.

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Image - Respiratory Atlas of Variation
Online version of the Instant Atlas

The online version allows you to select the different categories and PCTs

 

Pdf versions of the Atlas

The following links take you to either a high res (9.5mb) or a low res (5.3mb) version of the Respiratory Atlases.

 

 

INHALE

INHALE is the Interactive Health Atlas for Lung Conditions in England.  It shows comparative respiratory information in England for over 30 different indicators.

The INHALE tool is being developed further, with the East of England Quality Observatory & the Department of Health. 

 

Single Atlas

The Single atlas combines a single map, table, time series chart and bar chart for data display. It is ideally suited to viewing time series data and comparing trends in respiratory data for PCTs with regional/national averages

 

Double Atlas

The Double atlas combines two maps, a table and a scatterplot for data display. It is ideally suited to side by side thematic mapping of two different indicators and exploring the degree of correlation.

 

 

The GP Practice Index

Dr Foster Intelligence has reviewed non-elective hospital admissions for COPD from January to December 2010.  The actual document can be found below.  Alternately, we have extracted the East Midlands PCTs

 

 

 

Asthma Data

We have identified a number of sources for Asthma data

HES Online

Monthly HES topic of interest - Asthma 

 
Asthma UK

Asthma UK have previously produced a regional dashboard highlighting variance within the East Midlands.

 

Health & Safety Executive - HSE

The HSE reports of work-related ill health and occupational disease show that each year there were about 23 new cases of work-related respiratory disease per 100 000 workers during 2008-2010, according to reports by GPs (THOR-GP).

The latest available statistics for each of these diseases are reported and discussed in the following web pages:

 

 

Mortality

Separate mortality data will be available soon

 

Health Investment Packs

These packs have been produced to provide an illustration to PCTs of what can be done to analyse and prioritise health investment within local populations.  Use the e-guides together with the data sets within the packs to identify potentially unwarranted variation.

 

 

 

Better Care Better Value

Effective healthcare is efficient healthcare. The NHS must demonstrate that it is making the most effective use it can of public money to deliver quality healthcare.

The BCBV indicators are high-level indicators that identify potential areas for improvement in efficiency. Aimed at commissioners and providers, these indicators can be used locally to help inform planning, to inform views on the scale of potential efficiency savings in different aspects of care and to generate ideas on how to achieve these savings.

You can generate a csv report by using the link here.  Please note, in these reports, Milton Keynes is still with South Central SHA.

Otherwise, you can view individual area reports - selected by SHA, Provider organisation, or by PCT

 

 

 

 

  

 

Additional indicators and specialities are also available from the BCBV Dashboard home page. 

 

 

Tobacco Control Profiles

The Local Tobacco Control Profiles for England provide a snapshot of the extent of tobacco use, tobacco related harm, and measures being taken to reduce this harm at a local level.

These profiles have been designed to help local government and health services to assess the effect of tobacco use on their local populations.

They will inform commissioning and planning decisions to tackle tobacco use and improve the health of local communities.

To view these profiles by local Primary Care trust, please click on the link below.  Downloadable pdf files are also available from this website link

 

 

Data Packs - COPD Masterclass

The following information was supplied for the COPD Masterclass - held in Leicester on the 11th October 2012.

COPD Image

Indicator Portal

The NHS Information Centre Indicator Portal website gathers together a number of health and social care indicators, not just exclusive to respiratory.  Currently these include:

  • Compendium of Population Health Indicators

  • GP Practice data

  • Local Basket of Inequalities Indicators (LBOI)

  • NHS Outcomes Framework

  • Summary Hospital-level Mortality Indicator (SHMI)

 

Click here to access the NHS Information Centre Indicator Portal

 

Disease Management Information Toolkit

The Disease Management Information Toolkit (DMIT) is a good practice toolkit originally developed by the Department of Health for the NHS to help service providers identify which conditions contribute to high numbers of emergency bed days.

DMIT models the effects of possible interventions at a local level. It can help decision makers analyse the likely impact of possible commissioning options before they are taken, helping with planning decisions.

DMIT modules are available for paediatric asthma, diabetes and epilepsy.