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All Indicators > Indicator
IH2: Access to preventative healthcare
| Definition |
Measures of effectiveness in preventative healthcare |
| Dimension |
Intervening factors |
| Sector |
Healthy areas (intermediate) |
| Components |
- IH2_1 Flu vaccine uptake
- IH2_2 Effective vaccination service
- IH2_3 Breast screening uptake
- IH2_4 Cervical screening uptake
- IH2_6 Family Planning
- IH2_7 Low birth weight
- IH2_8 Use of statins
|
| Source |
Various – see component details |
Component IH2_1: Flu vaccine uptake
| Definition |
Total number of persons vaccinated against influenza divided
by population aged 65 and over expressed as a percentage
(from returning GP practices) |
| Source |
2001 and 2001 Ethnic: Public Health and
Clinical Quality Directorate PH6.3, 2001/02, published by
the Commission for Health Improvement as part of the NHS
Primary Care Trust performance ratings 2002/03 |
| 2003: Public Health and Clinical Quality
Directorate PH6.3, 2003, published by the Commission for
Health Improvement as part of the NHS Primary Care Trust
performance ratings 2003/04 |
| Note |
2001 Ethnic: 2001 LA level data, weighted
by LA ethnic population as a proportion of Local Authority
population |
Additional details
Primary Care Trust (PCT) level data were attached to the Postcode
Address File linking on PCT of residence for each postcode. This
allowed a population weighted value to be created for each Local
Authority District (LAD). PCT boundaries are as at 2002.
For ethinc estimation, an LA level weighting function was created
to model uptake for individuals in ethnic groups within Local Authorities.
Component IH2_2: Effective vaccination service
| Definition |
Weighted measure of hard to achieve vaccinations and completed
courses |
| Source |
2001, 2001 Ethnic: COVER, NHS Immunisation
Statistics for England, 2002/03, Department of Health |
| 2003: COVER, NHS Immunisation Statistics
for England, 2003/04, Department of Health |
| Note |
2001 Ethnic: 2001 LA level data, weighted
by LA ethnic population as a proportion of Local Authority
population
|
Additional details
Vaccination statistics are published for each Primary Care Trust
(PCT) responsible for vaccination provision. The percentage of
children immunised against Diphtheria, Tetanus, Polio (DTP, primary
and booster), MMR (first and second dose) and Meningitis C by their
fifth birthday was used to calculate an effective vaccination measure.
Figures for pertussis (whooping cough) and Hib (haemophilus influenzae
b) were not included due to the small amount of variation in the
data.
Grouped PCT data was substituted where individual PCT data was
unavailable as detailed below:
2001 and 2001 Ethinc Groups
|
| PCT code |
PCT name |
Grouped data available |
| 5KN |
Langbaurgh |
Langbaurgh and Middlesborough |
| 5KM |
Middlesbrough |
| 5H6 |
Ellesmere Port and Neston |
Southport and Ellesmere Port |
| 5F9 |
Southport and Formby |
| 5EE |
North Sheffield |
North Sheffield, Sheffield South East, Sheffield
South West |
| 5EP |
Sheffield South West |
| 5EN |
Sheffield West |
| 5EQ |
South East Sheffield |
| 5HK |
East Leeds |
Leeds and Wakefield |
| 5E7 |
Eastern Wakefield |
| 5HJ |
Leeds North East |
| 5HM |
Leeds North West |
| 5HH |
Leeds West |
| 5HL |
South Leeds |
| 5E8 |
Wakefield West |
| 5MR |
Redditch and Bromsgrove |
Wyre Forest / Redditch / South Worcestershire |
| 5MT |
South Worcestershire |
| 5DR |
Wyre Forest |
| 5GD |
Bedford |
Bedford / Luton / Bedfordshire |
| 5GE |
Bedfordshire Heartlands |
| 5GC |
Luton |
| 5JH |
Cambridge City |
Cambridge / S Cambridgeshire |
| 5JJ |
South Cambridgeshire |
| 5FH |
Bexhill and Rother |
Hastings / Bexhill |
| 5FJ |
Hastings and St Leonards |
| 5L6 |
North Surrey |
Woking / North Surrey |
| 5L7 |
Woking Area |
| 5G2 |
Bracknell Forest |
Slough / Bracknell / Windsor |
| 5DM |
Slough |
| 5G3 |
Windsor, Ascot and Maidenhead |
2003
|
| PCT Code |
PCT Name |
Grouped
data available |
| 5KN |
Langbaurgh |
Langbaurgh and Middlesbrough |
| 5KM |
Middlesbrough |
|
| HK |
East Leeds |
Leeds |
| 5HJ |
Leeds North East |
|
| 5HM |
Leeds North West |
|
| 5HH |
Leeds West |
|
| 5HL |
South Leeds |
|
| 5MR |
Redditch and Bromsgrove |
Wyre Forest / Redditch / South Worcestershire |
| 5MT |
South Worcestershire |
|
| 5DR |
Wyre Forest |
|
| 5FH |
Bexhill and Rother |
Hastings / Bexhill |
| 5FJ |
Hastings and St Leonards |
|
Missing value analysis with regression was carried out to estimate
missing parameters (<1% total) and estimates were adjusted using
the residuals.
Data were attached to the Postcode Address File linking on PCT
of residence for each postcode. This allowed a population weighted
value to be created for each uptake figure which could then be
attributed to each Local Authority District.
Factor analysis was carried out showing a high level of correlation
between the variables. Standardised values (z scores) were created
and combined to give an overall score.
For ethinc estimation, an LA level weighting function was created
to model uptake for individuals in ethnic groups within Local Authorities.
Component IH2_3: Breast screening uptake
| Definition |
Number of women aged 53-64 screened for breast cancer out
of the number of women eligible for screening |
| Source |
2001, 2001 Ethnic: KC63 breast cancer
screening return, 2001/02, published by the Commission
for Health Improvement as part of the NHS Primary Care
Trust performance ratings 2002/03
|
| 2003: KC63 breast cancer screening return,
2003/04, Department of Health |
Additional details
Primary Care Trust (PCT) level data were attached to the Postcode
Address File linking on PCT of residence for each postcode. This
allowed a population weighted value to be created for each Local
Authority District. PCT boundaries are as at 2002.
Component IH2_4: Cervical screening uptake
| Definition |
Coverage of women aged 25-64 (less than 5 years since last
adequate test) |
| Source |
2001, 2001 Ethinc: KC53 cervical cancer
screening return, 2002/03, Department of Health
|
| 2003: KC53 cervical cancer screening return,
2003/04, Department of Health |
Additional details
Primary Care Trust (PCT) level data were attached to the Postcode
Address File linking on PCT of residence for each postcode. This
allowed a population weighted value to be created for each Local
Authority District. PCT boundaries are as at 2002.
Component IH2_6: Family Planning
| Definition |
Under 18 teenage conception rate expressed
as the rate per 1,000 female population aged 15-17 |
| Source |
2001, 2001 Ethinc: Office for National
Statistics and Teenage Pregnacy Unit (November 2005 update),
1998-2000 |
| 2003: Office for National Statistics and
Teenage pregnancy Unit (November 2005 update), 2001-03 |
Additional details
Counts for City of London and Isles of Scilly have been combined
with those for Hackney and Cornwall respectively.
Component IH2_7: Low birth Weight
| Definition |
Number of singleton live births under 2500 grams
as a percentage of total live births |
| Source |
2001, 2001 Ethnic: Annual District Birth
Extract, 1999, 2000, 2001, ONS |
| |
2003: Annual District Birth Extract, 2001,
2002, 2003, ONS |
Additional details
Births without a stated weight, extreme birth weight values of
less than 500g and more than 6000g and still births have been excluded.
Component IH2_8: Use of Statins
| Definition |
Ratio of individuals being prescribed statins to individuals
suffering high blood cholesterol levels |
| Source Numerator |
2001, 2001 Ethinc, 2003: Estimated
number of individuals taking statins, estimated from prescribing
data, Prescribing Pricing Authority
|
| Source Denominator |
2001, 2001 Ethinc, 2003: Estimated
number of adults with a blood cholesterol level >=6.5
mmol/l) (see SH2_3)
|
Additional details
At present, statin prescribing data is only available at the Primary
Care Trust level (PCT). The ratio was therefore constructed at
the PCT level and then a weighted average calculated for each Local
Authority District (LAD). The weight was based on the proportion
of an LAD’s residences that were in an ‘overlap’with
a PCT.
As a regional resource, it is not possible to differentiate access
by ethnic group. Thus, all ethnic groups are attributed the same
quality of preventative healthcare within an LAD.
This indicator has not been updated for 2003 as there was insufficient
information available. Therefore, the 2001 total population estimates
were used.
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