Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 

Index List: D


Data Sources

– see Glossary

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Daycases

– see Inpatient Admissions

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Deaf

The number of people registered as deaf or hard of hearing in Hull are given in the JSNA Toolkit.

The Projecting Older People Population Information (POPPI) System provides population projections for people aged 65+ years for 2011, 2015, 2020, 2025 and 2030. It provides estimates of the number of people aged 65+ years in Hull are predicted to have moderate or severe hearing impairment or profound hearing impairment. These estimates are available in Hull JSNA Toolkit: Older People.

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Deaths

Information relating to the number of deaths, detailed causes of death, cumulative mortality figures for each main cause of death by age at death, location of death (home, hospital, nursing or residential homes, etc), winter deaths and mortality rates are all given within Hull JSNA Toolkit: Mortality.

Deaths are generally defined in relation to time period in which the death was registered rather than when the death actually occurred. For example, mortality rates for 2009-2011 involve deaths registered during the calendar years 2009 to 2011 inclusive. Further discussion of this is given in the Glossary and in Hull JSNA Toolkit: Mortality.

Information is given at ward level in the JSNA Hull Atlas.

Higher tier local authorities were also ranked on premature mortality rates as part of Public Health England's Longer Lives project. Details are given in the Longer Lives Briefing Report.

Excess winter deaths is an indicator within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

See also Mortality.

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Decent Homes Standard

– see Environmental Factors and Housing

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Definitions

The definitions used in the Health and Lifestyle Surveys, JSNA and JSNA Toolkit are generally given within the documents themselves, but further details are also given in the Glossary.

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Dementia

The prevalence and modelled prevalence for each general practice, inpatient admissions and mortality rates are given in Hull JSNA Toolkit: Mental Health and Learning Disabilities. The prevalence, inpatient admission rate and mortality rate are also given in relation to deprivation.

Dementia is a key strategic aim within the Health and Wellbeing Board Action Plan. "People with dementia have the help they need to live safely in their homes. All of the care and help that they and their families get will be of good quality."

The Projecting Older People Population Information (POPPI) System provides population projections for people aged 65+ years for 2011, 2015, 2020, 2025 and 2030. It provides estimates of the number of people aged 65+ years in Hull are predicted to have dementia. These estimates are available in Hull JSNA Toolkit: Older People.

For associated information, also see Mental Health.

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Demography

– see Population

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Density of Population

Ward level data from the 2011 Census is available in the JSNA Hull Atlas in relation to population density.

See also Population.

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Dentistry

An Oral Health Needs in Hull Summary 2015 has been produced, summarising information available from the Yorkshire and Humber Oral Health Needs Assessment, as well as from Hull JSNA Toolkit: Dental Health. This has been prepared to inform and complenent Hull's Oral Health Action Plan 2015-2020.

The time since the last dental visit has been collected in most of the Health and Lifestyle Surveys and is summarised within Hull JSNA Toolkit: Dental Health and described within the main reports as follows:

Young People Health and Lifestyle Survey 2012 Main Report
Young People Health and Lifestyle Survey 2008-09 Main Report
Young People Health and Lifestyle Survey 2002 Main Report
Adult Health and Lifestyle Survey 2011-12 Main Report
BME Health and Lifestyle Survey 2011-12 Main Report
Adult Health and Lifestyle Survey 2007 Main Report
BME Health and Lifestyle Survey 2007 Main Report
Gypsy and Traveller Health and Lifestyle Survey 2007 Main Report
Adult Health and Lifestyle Survey 2003 Main Report
Adult Health and Lifestyle Survey 2003 Eastern Hull Tables
Adult Health and Lifestyle Survey 2003 West Hull Tables

Within the Young People Health and Lifestyle Survey 2002 Main Report further information is provided about the reason for the last dental visit and whether the child has ever worn a brace on their teeth. The Adult Health and Lifestyle Survey 2003 Main Report also asked about distance to their dentist.

Expenditure and programme budgeting (together with outcomes) are also given within Hull JSNA Toolkit: Dental Health.

Tooth decay in children is an indicator within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Depression

The Projecting Older People Population Information (POPPI) System provides population projections for people aged 65+ years for 2011, 2015, 2020, 2025 and 2030. It provides estimates of the number of people aged 65+ years in Hull are predicted to have depression. These estimates are available in Hull JSNA Toolkit: Older People. and Hull JSNA Toolkit: Mental Health and Learning Disabilities See also Mental Health.

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Deprivation

- see Deprivation

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Diabetes

- see Diabetes

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Diabetic Retinopathy Screening

Uptake rates for diabetic retinopathy screening is an indicator within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Diagnoses

The prevalence of diagnosed disease from the Quality and Outcomes Framework (QOF) is given in the JSNA Toolkit for the following diseases:

Cardiovascular diseases, including:

Coronary heart disease
Stroke and transient ischaemic attack
Left ventricular function (2004/05 and 2005/06 only)
Heart failure
Atrial fibrillation
Hypertension

Cancer
Diabetes
Epilepsy
Hypothyroidism disease
Respiratory diseases, including:

Asthma
Chronic obstructive pulmonary disease

Chronic kidney disease
Mental health, including:

Severe mental health
Dementia
Learning disabilities

Palliative care

These are also presented by deprivation. More information about QOF is given in the JSNA Toolkit and the Glossary.

Some of the issues associated with comparing prevalence figures over all the Hull practices are discussed within the General Practice Comparator Groupings, JSNA Toolkit and Glossary. Details of grouping practices into eight groups for benchmarking are given in the General Practice Comparator Groupings.

The prevalence of sexually transmitted infections and of tuberculosis is also given within the JSNA Toolkit.

The diagnosed prevalence of diabetes as for those aged 17+ years, the crude rate of Chlamydia diagnoses per 100,000 young adults aged 15-24 years, and the tuberculosis incidence are indicators within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

For associated information, also see Prevalence.

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Diet

- see Diet

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Dietary Services

- see Diet

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Digestive Diseases

Mortality rates are given within Hull JSNA Toolkit: Digestive Diseases.

The premature (under 75) mortality rates for liver disease and liver disease that is considered to be preventable are indicators within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Dignity

Within the Social Care User Experience Surveys run by the NHS Information Centre for Health and Social Care, service users were asked "how happy were you with the way those who discussed your needs treated you?" The percentage reporting that "I was very happy with the way they treated me" for Hull the most recent survey is presented within the JSNA Toolkit.

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Diphtheria

Information relating to the diphtheria, tetanus and pertussis (DTP) vaccination is given within Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of DTP is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. This is also given at ward level in the JSNA Hull Atlas

Information on other Vaccinations and Immunisations is also available.

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Direct Standardisation

– see Glossary

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Directly Standardised Mortality Rate (DSR)

For an explanation see Glossary. For analysis of mortality rates, see Mortality.

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Director of Public Health Annual Reports

- see Director of Public Health (DPH) Annual Reports

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Disability Living Allowance

- see Deprivation

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Disability-free/Healthy Life Expectancy

- see Life Expectancy

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Disease Registers

As part of the Quality and Outcomes Framework (QOF), practices need to have registers of patients who have had a diagnosis of that specific disease. More information about QOF is given in the JSNA Toolkit and Glossary. The QOF general practice disease registers cover a range of medical conditions and diseases, and the prevalence of the disease is reported within the JSNA Toolkit for the following diseases:

Cardiovascular diseases, including:

Coronary heart disease
Stroke and transient ischaemic attack
Left ventricular function (2004/05 and 2005/06 only)
Heart failure
Atrial fibrillation
Hypertension

Cancer
Diabetes
Epilepsy
Hypothyroidism disease
Respiratory diseases, including:

Asthma
Chronic obstructive pulmonary disease

Chronic kidney disease
Mental health, including:

Severe mental health
Dementia
Learning disabilities

Palliative care

These are also presented by deprivation. More information about QOF is given in the JSNA Toolkit and Glossary.

Some of the issues associated with comparing prevalence figures over all the Hull practices are discussed within the General Practice Comparator Groupings, JSNA Toolkit and the Glossary.   Details of grouping practices into eight groups for benchmarking are given in the General Practice Comparator Groupings.

For associated information, also see Prevalence.

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DPH Annual Reports

- see Director of Public Health (DPH) Annual Reports

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Drinking Alcohol

- see Alcohol

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Drug Use

The prevalence of drug use among adults, prisoners and young people is given within Hull JSNA Toolkit: Drug and Substance Abuse as well as information on overall inpatient admissions and mortality rates, which are both also presented for different deprivation groups. The predicted numbers requiring social care for substance abuse for 2015, 2020, 2025 and 2030 among Hull residents aged 18-64 years are also given in theHull JSNA Toolkit: Drug and Substance Abuse.

The Young People Health and Lifestyle Surveys also collected information on drug use which is detailed in the survey reports:

Young People Health and Lifestyle Survey 2012 Main Report (205 pages)
Young People Health and Lifestyle Survey 2008-09 Main Report (183 pages)

Veterans were not specifically asked if they themselves used drugs, but asked whether 'anyone who used to be in the Armed Services' did so, and they were also asked if they thought this has attributed or caused by their time in the Armed Services and if they had received professional help or advice for drug use. Information is given within the survey report:

Veterans’ Health and Lifestyle Survey 2009 Main Report

Information is also provided within the JSNA and Mental Health Equity Audit.

Qualitative Research was undertaken involving young people in relation to their attitudes to drugs, details of which can be found in the following reports:

Young People Health and Lifestyle Survey 2012 Reflector Report (34 pages)
Young People Health and Lifestyle Survey 2008-09 Reflector Report (24 pages)

Successful completion (does not re-present within 6 months) of opiate and non-opiate drug treatment programmes are indicators within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Drunk / Ill Effects in Young People After Drinking Alcohol

- see Alcohol

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DSR / Directly Standardised Mortality Rate

For an explanation see Glossary. For analysis of mortality rates, see Mortality.

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DTP / Diphtheria, Tetanus and Pertussis (Whooping Cough)

Information relating to the diphtheria, tetanus and pertussis (DTP) vaccination is also given within Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of DTP is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. This is also given at ward level in the JSNA Hull Atlas.

Information on other Vaccinations and Immunisations is also available.

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