Indicator National Dudley CCG Sandwell and West Birmingham CCG Walsall CCG Wolverhampton CCG Observed Prevalence CKD 18 +(2016/17) 4.10% 6.1% 3.6% 5.2% 4.3% Estimated CKD percentage diagnosed (2016/17 reported vs. 2011 expected) 67.21% 91.04% 66.67% 81.25% 68.25% Percentage of patients on CKD register with last BP reading of less than 140/85 mmHg (2014/15) 74.4% 74.6% 74.5% 79.2% 73.0% Percentage of patients on the CKD register with hypertension and proteinuria who are currently treated with an ACE-I or ARB (2014/15) 76.4% 76.0% 75.9% 73.4% 72.8% Percentage of patients on the CKD register whose notes have a record of a urine albumin:creatinine ratio test in the preceding 12 months (2014/15) 75.4% 75.9% 76.8% 81.2% 76.6% Black Country STP - Asthma
Indicator National Dudley CCG Sandwell and West Birmingham CCG Walsall CCG Wolverhampton CCG Observed prevalence asthma (all ages) (2016/17) 5.94% 6.29% 5.77% 6.30% 5.99% Estimated percentage diagnosed asthma (2016/17 reported vs. 2008 expected) 65.06% 68.49% 63.09% 68.47% 65.38% Emergency admissions of asthma per 1000 population (2012/13) 1.09 1.18 2.14 1.51 1.56 Emergency admissions for children with asthma per 100,000 (2012/13) 219.1 222.1 455.2 331.6 383.8 Cost per asthma emergency admission (2010/11) (£) 943 982 874 918 889 Also see lifestyle indicators: 4, 5 (Page 4) Country STP – COPD
Indicator National Dudley CCG Sandwell and West Birmingham CCG Walsall CCG Wolverhampton CCG COPD prevalence (all ages) (2016/17) 1.87% 2.05% 1.53% 2.52% 1.82% Estimated percentage of diagnosed COPD (Reported 2016/17 vs. expected 2011/12) 64.26% 52.08% 44.33% 62.66% 47.13% COPD diagnosis confirmed by spirometry (2016/17) – incl. exceptions 88.94% 90.29% 88.74% 88.82% 89.84% COPD emergency admissions per 1000 population (2012/13) 2.06 2.69 2.12 2.96 2.38 COPD emergency admissions per 100 on disease register (2010/11) 12.0 13.3 14.1 12.3 11.6 COPD cost per emergency admission (£) (2010/11) 2288 2121 1936 2533 2273 Record of FEV1 in last 12 months (2016/17) – incl. exceptions 86.80% 94.24% 86.26% 86.92% 88.97% Assessed using MRC dyspnoea in last 12 months (2016/17) – incl. exceptions 90.39% 94.17% 90.29% 90.52% 91.37% Also see lifestyle indicators: 4, 5 (Page 4) Black Country STP —Atrial fibrillation (AF)
Indicator National Dudley CCG Sandwell and West Birmingham CCG Walsall CCG Wolverhampton CCG AF QOF prevalence (2016/17) 1.8% 2.0% 1.2% 1.9% 1.7% Estimated percentage diagnosed AF (reported 2016/17 vs. expected 2015/16) 75.00% 71.43% 63.16% 79.17% 70.83% AF patients treated with anti-coagulant/ platelet therapy (2016/17) 81.2% 81.9% 83.6% 83.2% 77.2% Stroke prevalence (2016/17) 1.7% 1.9% 1.4% 1.8% 1.8% Stroke admissions with history of atrial fibrillation not prescribed anticoagulation prior to stroke (2015/16) 52.5% 53.3% 47.1% 45.8% 63.6% Black Country STP —Dementia Indicator National Dudley CCG Sandwell and West Birmingham CCG Walsall CCG Wolverhampton CCG
Dementia QOF prevalence (pop.) (2016/17) 0.76% 0.42% 0.52% 0.82% 0.82% Dementia QOF prevalence (age 65+ (April 2017) 4.29% 3.92% 3.95% 4.60% 4.96% Estimated percentage diagnosed dementia (age 65+ years) (April 2017) 67.9% 61.5% 62.1% 71.6% 73.4% Also see lifestyle indicators: 4, 5 (Page 4) Black Country STP - Heart failure Indicator National Dudley CCG Sandwell and West Birmingham CCG Walsall CCG Wolverhampton CCG
Hypertension prevalence (2016/17) 18.1% 13.6%* 15.5% 14.7%* Estimated smoking prevalence (2016/17) 16.3% 19.9%* 20.6% 20.0%* Diabetes prevalence (age 17+ years) (2016/17) 7.1% 9.1%* 8.8% 8.3%* Stroke prevalence (2016/17) 1.9% 1.4%* 1.8% 1.8%* Dementia QOF prevalence (age 65+) (April 2017) 3.92% 3.95% 4.60% 4.96% Appendix – CCG performance against 10 most similar CCGs according to Public Health England (PHE) available via