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: Q-R


QMAS

– see Glossary

Back to top

Back to Index List


QOF / Quality and Outcomes Framework

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 (CHD)
Stroke and transient ischaemic attack (TIA)
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 (COPD)

Chronic kidney disease
Mental Health, including:

Severe mental health
Dementia
Learning disabilities

Palliative care

These are also presented by deprivation.

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, with more detailed information within the the Why QOF Differs Among Practices report. Details of grouping practices into eight groups for benchmarking are given in the General Practice Comparator Groupings.

For associated information, see also Prevalence.

Back to top

Back to Index List


Quadrant Charts

Programme Budgeting is a well-established technique for assessing investment in health programmes rather than services. It can provide an overall view of how Hull PCT expenditure (from Department of Health Programme Budgeting information) and health outcomes compare with other PCT's in England, and to identify programmes that may require further investigation. Quadrant charts are given in the JSNA Toolkit which plot expenditure and outcomes (in standardised units) for different disease areas.

For associated information, see also Expenditure and Programme Budgeting.

Back to top

Back to Index List


Qualifications

Educational achievement among Hull schools is given within Hull JSNA Toolkit: Deprivation and Associated Measures.

Highest educational attainment was collected as part of the local surveys, and summarised within Hull JSNA Toolkit: Deprivation and Associated Measures, and detailed within the individual survey reports:

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
Social Capital Survey 2009 Main Report
Social Capital Survey 2004 Main Report

Highest educational attainment was collected as part of the 2011 Census, and is presented at ward level within the JSNA Hull Atlas.

Back to top

Back to Index List


Qualitative Research

A number of qualitative research projects have been completed in Hull, some of which are detailed within the JSNA Toolkit.

Reflector groups also followed some of the local Health and Lifestyle Surveys, and the Veterans Health and Lifestyle Survey included some in-depth interviews. Results are summarised within the JSNA Toolkit, and detailed within the survey reflector reports:

Young People Health and Lifestyle Survey 2012 Reflector Report
Young People Health and Lifestyle Survey 2008-09 Reflector Report
Adult Health and Lifestyle Survey 2011-12 Reflector Report
Adult Health and Lifestyle Survey 2007 Reflector Report
Veteran Health and Lifestyle Survey 2009 Report

See also Qualitative Research.

Back to top

Back to Index List


Quality and Outcomes Framework (QOF)

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 (CHD)
Stroke and transient ischaemic attack (TIA)
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 (COPD)

Chronic kidney disease
Mental Health, including:

Severe mental health
Dementia
Learning disabilities

Palliative care

These are also presented by deprivation.

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, with more detailed information within the Why QOF Differs Among Practices report.  Details of grouping practices into eight groups for benchmarking are given in the General Practice Comparator Groupings.

For associated information, see also Prevalence.

Back to top

Back to Index List


Quartiles

– see Glossary

Back to top

Back to Index List


Quintiles

– see Glossary

Back to top

Back to Index List


Readmission to Hospital

The percentage of patients readmitted to hospital (emergency admissions) within 28 days of discharge from hospital is given in Hull JSNA Toolkit: Inpatient Hospital Admissions.

The percentage of patients readmitted to hospital (emergency admissions) within 30 days of discharge from hospital 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.

Back to top

Back to Index List


Reallocation of resources

– see Expenditure and Programme Budgeting

Back to top

Back to Index List


Reflector Groups

– see Surveys and Qualitative Research

Back to top

Back to Index List


Regeneration

– see Environmental Factors and Housing

Back to top

Back to Index List


Registered population

- see Population

Back to top

Back to Index List


Registration of deaths

Deaths should be registered within five days of the death. However, delays can occur if the death needs to be investigated by the local coroner. In these cases, which involve unexplained or suspicious deaths including suicides, the registration date of the death can be several months after the date of the death, as it is necessary to have an official cause of death prior to registering a death. As most deaths are registered within a week, for the majority of deaths, the year of the death and the year of the registration of the death will be within the same calendar year. The deaths which occur within the last few days of one calendar year could well be registered during the next calendar year.  See Hull JSNA Toolkit: Mortality.  See also Mortality.

Back to top

Back to Index List


Religion

Religion was collected within the 2011-12 Health and Lifestyle Survey and is detailed within the survey report:

Adult Health and Lifestyle Survey 2011-12 Main Report
BME Health and Lifestyle Survey 2011-12 Main Report

Religion was collected as part of the 2011 Census, and is presented at ward level with the JSNA Hull Atlas.

Back to top

Back to Index List


Re-offending

The percentage of offenders who re-offend and the average number of re-offences per offender are given in Hull JSNA Toolkit: Deprivation and Associated Measures.

The percentage of offenders who re-offend and the average number of re-offences per offender 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.

Back to top

Back to Index List


Re-organisation of NHS

Information is given in release 4 of the JSNA Toolkit on the re-organisation of the NHS which occurred from the 1st April 2013.

Back to top

Back to Index List


Resident Population

- see Population

Back to top

Back to Index List


Residential Care

The number of people admitted to residential care homes is 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 be in care homes. These estimates can be found in Hull JSNA Toolkit: Older People.

Back to top

Back to Index List


Resource reallocation

– see Expenditure and Programme Budgeting

Back to top

Back to Index List


Respect

Information is given within the JSNA Toolkit from the Social Care User Experience Survey on the percentages reporting that ''I was very happy with the way they treated me''.

Back to top

Back to Index List


Respiratory Disease

The prevalence and modelled prevalence for each general practice, inpatient admissions and mortality are given in Hull JSNA Toolkit: All Respiratory Disease and Hull JSNA Toolkit: Chronic Obstructive Pulmonary Disease. The prevalence, inpatient admissions and mortality rate are also given in relation to deprivation. Information on expenditure and programme budgeting is also given.

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 a long-standing condition as a result of having bronchitis and emphysema. These estimates are available in Hull JSNA Toolkit: Older People.

Premature (under 75 years) mortality rate from respiratory disease and the mortality rate from respiratory disease which is considered preventable are both 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. This information is also displayed within the JSNA Hull Atlas.

For associated information, also see Chronic Obstructive Pulmonary Disease and Smoking.

Back to top

Back to Index List


Retinopathy / Diabetic Retinopathy Screening

– see Diabetes

Back to top

Back to Index List


Revascularisation Rate (for Coronary Heart Disease)

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

Back to top

Back to Index List


Risk

Further information in relation to attitudes to risk and lifestyle risk factors, and screening and health checks is given in the Attitudes to Health Survey conducted during 2007. This information was also collected in some of the surveys and the reflector groups following the surveys, with information summarised in the JSNA Toolkit:

Attitudes to Health Survey 2007
JSNA Toolkit
Young People Health and Lifestyle Survey 2012 Reflector Report
Young People Health and Lifestyle Survey 2008-09 Reflector Report
Adult Health and Lifestyle Survey 2007 Reflector Report
Veteran's Health and Lifestyle Survey 2009 Report

The Department of Health have generated a segmentation model toolkit (see https://socialmarketingportal.dh.gov.uk/healthyfoundations/ for more information). Individuals are classified based on their health-related behaviour. Also see Geo-demographic Segmentation for more information about the groups and their characteristics. The latest Health and Lifestyle Survey included the 19 questions used to classify individuals into the Healthy Foundations groups. Many of the responses to other questions were tabulated in relation to the Healthy Foundation types in the following report:

Adult Health and Lifestyle Survey 2012 Main Report

Social marketing research was completed in Hull during September 2009 to assess general public knowledge and perception of chronic obstructive pulmonary disease (COPD) and of stroke. The conclusions are summarised in the JSNA Toolkit.

Two of the more recent surveys asked about perceived impact on health of changing lifestyle factors such as quitting smoking, eating a healthier diet, reducing alcohol consumption, doing more exercise, achieving or maintaining a healthy weight and reducing stress levels, and details are given in the following reports:

Adult Health and Lifestyle Survey 2011-12 Main Report
BME Health and Lifestyle Survey 2011-12 Main Report
Social Capital Survey 2009 Main Report

Two surveys also asked about the impact on health of quitting smoking:

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
Social Capital Survey 2004 Main Report

Back to top

Back to Index List


Risk Factors

A definition of a risk factor is given in the Glossary.

The prevalence of various lifestyle and behavioural risk factors for poor health or specific health conditions or diseases, such as smoking, obesity, poor diet, lack of exercise and excessive alcohol consumption are given in Hull JSNA Toolkit: Smoking, Hull JSNA Toolkit: Obesity, Hull JSNA Toolkit: Diet, Hull JSNA Toolkit: Exercise and Hull JSNA Toolkit: Alcohol Consumption. The prevalence of multiple risk factors is also presented within these JSNA Toolkit reports (e.g. percentage of population with two out of five risk factors when examining smoking, poor diet, lack of exercise, obesity and excessive alcohol consumption). The estimated total number of people across Hull who have these main five risk factors is also given within these JSNA Toolkit reports as well as within individual reports on risk factors.

Smoking Report 2013
Alcohol Report 2013
Diet and Physical Activity Report 2013
Obesity and Overweight Report 2013

More detailed information on the prevalence of lifestyle and behavioural risk factors is given for both adults and young people (secondary school age) as well as for specific groups such as Black and Minority Ethnic (BME) groups, Gypsy and Travellers and Veterans from the local Surveys, with the prevalence detailed within the survey reports:

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 2014 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 2009 Main Report
Veterans' Health and Lifestyle Survey 2009 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

Reports were also produced following the 2007 survey which predicted which characteristics of people were more likely to smoke, drink excessive alcohol, binge drink, be overweight, be obese, fulfil national exercise requirements and not exercise. For instance, smokers were more likely to drink excessively, eat unhealthier diets and exercise less than non-smokers. Details are given within the specific reports:

Smoking Report 2007
Obesity and Exercise Report 2007
Alcohol Report 2007

Further information in relation to attitudes to risk and lifestyle risk factors is given in the Attitudes to Health Survey conducted during 2007 as well as attitudes towards screening and health checks. This information was also collected in some of the surveys and the reflector groups following the surveys, with information summarised in the JSNA Toolkit:

Attitudes to Health Survey 2007
JSNA Toolkit
Young People Health and Lifestyle Survey 2012 Reflector Report
Young People Health and Lifestyle Survey 2008-09 Reflector Report
Adult Health and Lifestyle Survey 2011-12 Reflector Report
Adult Health and Lifestyle Survey 2007 Reflector Report
Veterans' Health and Lifestyle Survey 2009 Report

Two of the more recent surveys asked about perceived impact on health of changing lifestyle risk factors such as quitting smoking, eating a healthier diet, reducing alcohol consumption, doing more exercise, achieving or maintaining a healthy weight and reducing stress levels, and details are given in the following reports:

Adult Health and Lifestyle Survey 2011-12 Main Report
BME Health and Lifestyle Survey 2011-12 Main Report
Social Capital Survey 2009 Main Report

Two surveys also asked about the impact on health of quitting smoking, but not other lifestyle risk factors:

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
Social Capital Survey 2004 Main Report

Details of which factors are risk factors for specific diseases or medical conditions such as abdominal aortic aneurysm, breast cancer, cancer, circulatory disease, colorectal cancer, chronic obstructive pulmonary disease, diabetes , lung cancer and prostate cancer are given in the JSNA Toolkit. Risk factors and the probability of having a cardiovascular event within the next 10 years are also given within Hull JSNA Toolkit: Coronary Heart Disease.

The prevalence of risk factors and which factors are risk factors for specific diseases are also given in the equity audit reports:

Stroke Equity Audit (September 2011)
Hypertension Equity Audit (February 2011)
Chronic Obstructive Pulmonary Disease Equity Audit (December 2010)
Diabetes Equity Audit (October 2008)
Mental Health Equity Audit (March 2007)
Cancer Equity Audit (July 2006)
Coronary Heart Disease Equity Audit (September 2005)

Back to top

Back to Index List


Risk of cardiovascular event

Definitions of the risk of a 10-year cardiovascular event is given within the Glossary document.

The local Healthy Heart Study involved collecting information on age, gender, blood pressure, cholesterol, smoking status and whether or not the person had diabetes or not. The information was collated into a score (probability) relating to the '10-year risk of a cardiovascular event'. Further information is given in Hull JSNA Toolkit: Coronary Heart Disease.

Back to top

Back to Index List


Road Traffic Accidents

Details relating to rates of those killed or seriously injured in traffic accidents are given in Hull JSNA Toolkit: Accidents.

The number of people reported killed or seriously injured on the roads per 100,000 resident population 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.

Back to top

Back to Index List


Rubella

Information relating to the Measles, Mumps and Rubella (MMR) is given within Hull JSNA Toolkit: Children and Young People the Hull JSNA Toolkit: Vaccinations and Immunisations.

The uptake of MMR 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.

Syphilis, hepatitis B and susceptibility to rubella uptake 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.

Back to top

Back to Index List