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: P


Palliative Care

Information on palliative care, as well as location of deaths, including deaths at home, may be found in Hull JSNA Toolkit: Palliative Care.

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Partnership Working

The JSNA and the Equity Audits involved partnership working. Ffurther information on partnership working including specific examples of projects involving partnership working is given within the JSNA Toolkit.

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Patient Population

- see Population

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PBMA / Programme Budgeting and Marginal Analysis

- see Expenditure and Programme Budgeting

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PBS Diabetes Model

For an explanation see Glossary. For modelling of diabetes prevalence using this model see the Diabetes Equity Audit and Hull JSNA Toolkit: Diabetes.

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PCV / Pneumococcal Conjugate Vaccine

Information relating to the pneumococcal conjugate vaccine is given within Hull JSNA Toolkit: Children and Young People and Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of the pneumococcal conjugate vaccine 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. 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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Percentiles

– see Glossary

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Percutaneous Coronary Intervention / PCI

Angiography is an investigation of coronary heart disease (CHD) undertaken to assess whether one of two common treatments are necessary: percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). Whilst specific patients may be more suitable to either PCI or CABG, for most patients both treatments are equally effective and the choice of treatment depends on available resources and/or clinician preference. However, generally PCI is becoming more common as it is does not involve open surgery as CABG does. Overall treatment (revascularisation) rates are given within the JSNA Toolkit and Coronary Heart Disease Equity Audit for PCI and CABG combined rather than examining PCI rates and CABG rates separately. The rates of revascularisation are also given in relation to deprivation. Elective and non-elective admission for CHD are also given within Hull JSNA Toolkit: Coronary Heart Disease.

For associated information, see Cardiovascular Disease

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Performance Targets

A number of indicators, outcome measures and targets have been used previously. Details of these historical (although some as also indicators within the Public Health Outcomes Framework) indicators and progress towards targets is given within the JSNA Toolkit.

Information relating to the indicators within the Public Health Outcomes Framework (PHOF) are incorporated into the JSNA Toolkit. However, some of the indicators may change slightly, and the local PHOF documents use the latest definitions. Where data are available (which either matched the definitions or was similar to the definition), it is presented within the JSNA Toolkit.

The indicators within Public Health Outcomes Framework and further analysis is given within the following reports:

Public Health Outcomes Framework National Profile for Hull
Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here)
Public Health Outcomes Framework Summary
Public Health Outcomes Framework Young People Report

Further information relating to local strategies, indicators and targets are given for the Health and Wellbeing Board and City Plan.

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Pertussis / Whooping Cough

The incidence of pertussis (whooping cough) is given within Hull JSNA Toolkit: Children and Young People. Information relating to the diphtheria, tetanus and pertussis (DTP) vaccination is also given within Hull JSNA Toolkit: Children and Young People and 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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Phenylkentonuria Bloodspot Newborn Screening

Uptake of screening for phenylketonuria using ‘bloodspot screening’ is an indicator within the Public Health Outcomes Framework, although data is currently unavailable for further analysis.

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PHOF / Public Health Outcomes Framework

- see Public Health Outcomes Framework

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Physical Activity

- see Physical Activity

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Pie charts, Causes of Death

Pie charts have been used to illustrate the percentage of deaths in Hull from different causes for all causes, and by cancer site for all cancer deaths. These are presented in Hull JSNA Toolkit: Mortality.

See also Mortality

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Pneumococcal Conjugate Vaccine (PCV)

Information relating to the pneumococcal conjugate vaccine is given within Hull JSNA Toolkit: Children and Young People and Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of the pneumococcal conjugate vaccine 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. 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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Pneumococcal Polysaccharide Vaccine / PPV

Information relating to the pneumococcal polysaccharide vaccine is given within Hull JSNA Toolkit: Children and Young People and Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of the pneumococcal polysaccharide vaccine 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.

Information on other Vaccinations and Immunisations is also available.

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Polio (Inactivated Polio Vaccine / IPV)

Information relating to the Inactivated Polio Vaccine (IPV) is given within Hull JSNA Toolkit: Children and Young People and Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of the Inactivated Polio Vaccine 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. This information is also given at ward level among one year olds in the JSNA Hull Atlas.

Information on other Vaccinations and Immunisations is also available.

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Pollution

- see Environmental Factors and Housing

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POPPI / Projecting Older People Population Information

The Projecting Older People Population Information (POPPI) System provides population projections for people aged 65+ years for 2011, 2015, 2020, 2025 and 2030 (i.e. predictive modelling). It provides various estimates of the number of people aged 65+ years in Hull are predicted to have specific health needs such as the numbers predicted to be in care homes, who have diabetes, who are obese, who are incontinent, etc. These estimates can be found in Hull JSNA Toolkit: Older People.

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Population

- see Population

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Population Pyramids

- see Population

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Poverty

– see Deprivation

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PPV/ Pneumococcal Polysaccharide Vaccine

Information relating to the pneumococcal polysaccharide vaccine is given within Hull JSNA Toolkit: Children and Young People and Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of the pneumococcal polysaccharide vaccine 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.

Information on other Vaccinations and Immunisations is also available.

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Practices, GP

The JSNA Toolkit gives a map showing the location of the general practices in Hull.

The general practices in Hull differ with regard to their registered population in terms of deprivation and age of patients. Whilst general practices can be compared, it is better and easier to try to compare like-with-like. As a result, the general practices in Hull have been grouped according to the average deprivation score of their patients and the average age of their patients. The General Practice Comparator Groupings document provides further details.

For an explanation of the Quality and Outcomes Framework, see the JSNA Toolkit or Glossary.

For information on the prevalence of diseases from the QOF, see Prevalence.

For further information at practice level is given in relation to childhood vaccinations and immunisations, see Vaccinations and Immunisations.

For further information at practice level is given in relation to cancer screening, see Screening.

From the GP Patient Survey, patients with long-term conditions were asked if they had enough support from local services or organisations to manage their long-term health condition(s). Results are given in the JSNA Toolkit.

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Predictive Modelling

The JSNA Toolkit includes information on predictive modelling and a number of approaches and models involving prioritisation of resources. These include the asset approach, programme budging and marginal analysis, use of a local model, scenario generator, work undertaken by Price Waterhouse Cooper and work undertaken by John Hampson an external consultant. Predictive modelling with sensitivity analyses were also undertaken with life expectancy and smoking with the intention of examining this in relation to potential changes to resource allocation.

The Projecting Older People Population Information (POPPI) System provides population projections for people aged 65+ years for 2011, 2015, 2020, 2025 and 2030 (i.e. predictive modelling). It provides various estimates of the number of people aged 65+ years in Hull are predicted to have specific health needs such as the numbers predicted to be in care homes, who have diabetes, who are obese, who are incontinent, etc. These estimates are available in Hull JSNA Toolkit: Older People.

Nationally, modelled or synthetic estimates of the prevalence of lifestyle risk factors, and models are available to estimate the prevalence of various diseases in different populations. A modelled or synthetic estimate is only as good as the model and as good as the underlying data from which the model is produced. A full discussion of the Problem of Synthetic Estimates is available, and it is also discussed within the JSNA Toolkit and Glossary. Modelled prevalence estimates have been produced at practice level using various 'models' for each of the diseases in the Quality and Outcome Framework (QOF). These are then compared with the actual diagnosed number on the QOF disease registers. Details of the models and the modelled estimates and differences between the modelled estimates and the registers are given in the JSNA Toolkit.

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Pregnancy

Information relating to fertility, number of births, abortions, under 18 conception rate, and smoking in pregnancy are also given within Hull JSNA Toolkit: Smoking.

The under 18 conception rate and smoking in pregnancy 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. The under 18 conception rate is also displayed within the JSNA Hull Atlas.

There are some indicators within Public Health Outcomes Framework relating to screening and vaccination of pregnant women against disease 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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Premature Mortality

As everybody dies, to assess poor health and mortality, premature mortality is often used which is defined as dying prior to the age of 75 years. For mortality rates, see Mortality.

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Prevalence

For an explanation of prevalence, see Glossary.

For details of where to find prevalence estimates of disease and lifestyle risk factors, and information about modelled prevalence estimates, see Prevalence.

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Preventable Mortality

– see Mortality

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Price Waterhouse Cooper

The JSNA Toolkit includes information on predictive modelling and a number of approaches and models involving prioritisation of resources. These include the asset approach, programme budging and marginal analysis, use of a local model, scenario generator, work undertaken by Price Waterhouse Cooper and work undertaken by John Hampson an external consultant. Predictive modelling with sensitivity analyses were also undertaken with life expectancy and smoking with the intention of examining this in relation to potential changes to resource allocation.

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Primary Care

Hull JSNA Toolkit: Geographical Area gives a map showing the location of the general practices in Hull.

The general practices in Hull differ with regard to their registered population in terms of deprivation and age of patients. Whilst general practices can be compared, it is better and easier to try to compare like-with-like. As a result, the general practices in Hull have been grouped according to the average deprivation score of their patients and the average age of their patients. The General Practice Comparator Groupings document provides further details.

For an explanation of the Quality and Outcomes Framework, see the JSNA Toolkit or Glossary.

For information on the prevalence of diseases from the QOF, see Prevalence.

Further information at practice level is given in relation to childhood vaccinations and immunisations, see Vaccinations and Immunisations.

For further information at practice level is given in relation to cancer screening, see Screening.

From the GP Patient Survey, patients with long-term conditions were asked if they had enough support from local services or organisations to manage their long-term health condition(s). Results are given in the JSNA Toolkit.

There are also specific programme budgeting and marginal analysis reports for primary and community care which examines expenditure in relation to outcomes for Hull and compares these with other comparator areas:

PBMA Primary and Community Care 2009/10
PBMA Primary and Community Care 2008/09
PBMA Primary and Community Care 2007/08

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Primary Care Survey

The percentages with sufficient support to manage their long-term health conditions is given in the JSNA Toolkit, and was collected as part of the GP Patient Survey.

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Prioritisation

The JSNA Toolkit includes information on predictive modelling and a number of approaches and models involving prioritisation of resources. These include the asset approach, programme budging and marginal analysis, use of a local model, scenario generator, work undertaken by Price Waterhouse Cooper and work undertaken by John Hampson an external consultant. Predictive modelling with sensitivity analyses were also undertaken with life expectancy and smoking with the intention of examining this in relation to potential changes to resource allocation.

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Prisoners

The estimated number of prisoners within Hull with mental health or substance abuse issues have been estimated in the Hull JSNA Toolkit: Mental Health and Learning Disabilities and Hull JSNA Toolkit: Drug and Substance Abuse respectively as well as in the Mental Health Equity Audit.

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Problems of Small Numbers

– see Glossary

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Procedure Codes and Surgical Operations

– see Glossary

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Programme Budgeting and Expenditure (PBMA)

- see Expenditure and Programme Budgeting

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Projected Household Estimates

The projected population estimates for Hull, estimated by the Office for National Statistics, are available in the JSNA Toolkit overall and by age group. The projected number of households in Hull is also given in the JSNA Toolkit.

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Projected Population Estimates

The projected population estimates for Hull, estimated by the Office for National Statistics, are available in Hull JSNA Toolkit: Demography and Demographics overall and by age group. The projected number of households in Hull is also 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 (i.e. predictive modelling). It provides various estimates of the number of people aged 65+ years in Hull are predicted to have specific health needs such as the numbers predicted to be in care homes, who have diabetes, who are obese, who are incontinent, etc. These estimates can be found in Hull JSNA Toolkit: Older People.

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Projecting Older People Population Information (POPPI)

The Projecting Older People Population Information (POPPI) System provides population projections for people aged 65+ years for 2011, 2015, 2020, 2025 and 2030 (i.e. predictive modelling). It provides various estimates of the number of people aged 65+ years in Hull are predicted to have specific health needs such as the numbers predicted to be in care homes, who have diabetes, who are obese, who are incontinent, etc. These estimates can be found in Hull JSNA Toolkit: Older People.

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Projections

Population projections produced by the Office for National Statistics are available in Hull JSNA Toolkit: Demography and Demographics.

Projections to 2030 of future social care need in relation to substance abuse, mental health, learning disabilities and physical disabilities are available on Projecting Adult Needs and Service Information (PANSI) for Hull for persons aged 18-64 years. This information is given within Hull JSNA Toolkit: Drug and Substance Abuse, Hull JSNA Toolkit: Mental Health and Learning Disabilities and Hull JSNA Toolkit: General Health, Disabilities, Caring and Use of Healthcare Services respectively.

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 various estimates of the number of people aged 65+ years in Hull are predicted to have specific health needs such as the numbers predicted to be in care homes, who have diabetes, who are obese, who are incontinent, etc. These estimates can be found in Hull JSNA Toolkit: Older People.

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Prostate Cancer

Information relating to risk factors, incidence, hospital admissions, mortality and survival is included within Hull JSNA Toolkit: Prostate Cancer. Hospital admission and mortality information is also presented by deprivation. The percentage of prostate cancer deaths out of all cancer deaths is also given.

Information is also available in the Cancer Equity Audit.

General information relating to Cancer. is also available.

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Public Health Outcomes Framework (PHOF)

- see Public Health Outcomes Framework

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P-values

- see Glossary

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