All Indicators > Indicator IH2: Access to preventative healthcare
| Definition | Measures of effectiveness in preventative healthcare |
| Dimension | Intervening factors |
| Sector | Healthy areas (intermediate) |
| Components |
|
| 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 | |
| 2005: The Health Protection Agency, published by the Information Centre, Immunisation statistics, England 2005-2006. | |
| 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 ethnic 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 | |
| 2005: COVER, The Information Centre, Immunisation statistics, England 2005-2006. | |
| 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 Ethnic 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 ethnic 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 | |
| 2005: KC63 breast cancer screening return, 2005/06, 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 for 2003 were 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 Ethnic: KC53 cervical cancer screening return, 2002/03, Department of Health |
| 2003: KC53 cervical cancer screening return, 2003/04, Department of Health | |
| 2005: KC53 cervical cancer screening return, 2005/06, 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 Ethnic: Office for National Statistics and Teenage Pregnancy Unit (November 2005 update), 1998-2000 |
| 2003: Office for National Statistics and Teenage pregnancy Unit (November 2005 update), 2001-03 | |
| 2005: Office for National Statistics, published by The Information Centre for health and social care, 2002-04 |
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 | |
| 2005: Annual District Birth Extract, 2003, 2004, 2005, 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.