Stuff that occurs to me

All of my 'how to' posts are tagged here. The most popular posts are about blocking and private accounts on Twitter, also the science communication jobs list. None of the science or medical information I might post to this blog should be taken as medical advice (I'm not medically trained).

Think of this blog as a sort of nursery for my half-baked ideas hence 'stuff that occurs to me'.

Contact: @JoBrodie Email: jo DOT brodie AT gmail DOT com

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Showing posts with label health statistics. Show all posts
Showing posts with label health statistics. Show all posts

Friday, 31 October 2014

UK Gov Statistics page has an 'upcoming' tab, ie a publications schedule

by @JoBrodie, brodiesnotes.blogspot.com



tl;dr https://www.gov.uk/government/statistics (look for the announcement's tab, which cleverly has its own bookmarkable URL https://www.gov.uk/government/statistics/announcements - RSS / email alerts may also appear).



At some point every year various data / statistics collectors release the previous year's aggregated stats such as mortality rates (what everyone died of), QOF* figures, prescription costs (how much money the NHS has spent on X,Y and Z), various in-patient audits and they're generally predictable. Other reports are released quarterly, some on a more ad hoc basis, some are a complete surprise.

My favourite predictable stats info page is the Scottish Diabetes Survey http://www.diabetesinscotland.org.uk/Publications.aspx?catId=3

The HSCIC (Health & Social Care Information Centre) has a publication schedule (I'm interested in the ones to do with diabetes prescriptions and the national diabetes audits) and you can see on this page http://www.hscic.gov.uk/pubs/calendar what documents are due to be published, and when.

I asked the Gov.uk people if they might have such a thing for their Government publications page (https://www.gov.uk/government/publications) and it turns out they've recently launched something like this for their Statistics (though not other kinds of publications). Fair enough, it's a nice start. 

Published https://www.gov.uk/government/statistics
Yet to be published https://www.gov.uk/government/statistics/announcements

Both are actually the same page - the 'yet to be published' is just the 'Upcoming' tab.

They also said that they're planning to have RSS feeds & email subscriptions (keyword search results pinged automatically to you via alerts) which I'm very pleased about, and had previously asked for.

I thought others might like to know :)

*Quality and Outcomes Framework which has a particular purpose (paying GP surgeries according to the numbers of patients they have who have had certain tests or interventions done, eg advice about stopping smoking, measurement of cholesterol, an HbA1c test for people with diabetes) and which by happy coincidence also tells you many people (over 17) have diabetes (other conditions are available but I work in diabetes charities so that's what I'm after).

Latest QOF figures were published on 28 October http://www.hscic.gov.uk/catalogue/PUB15751 and they are published reliably in October every year http://www.hscic.gov.uk/qof

Monday, 4 March 2013

Trying to find this year's QOF stats on diabetes - worked example

This is an unfinished post that I last saved on 10 February 2013. I was in the middle of updating my own stats website at DiabetesStatistics and (a) discovered that all the previous links to stats files were now out of date because people will keep moving things around and (b) I found conflicting numbers and hadn't managed to resolve it. I'm publishing this now as I was so surprised to read of 'new' figures today... which seem to be the October 2012 QOF figures. Odd.

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When I worked at Diabetes UK one of my tasks was to contribute to our "Diabetes in the UK" document which began to be updated annually to take account of new QOF (Quality and Outcomes Framework) figures for people with diabetes. You can see the history of the document from 1988 to the present at this page on diabetes prevalence here.

Here are the 2011/2012 figures I've found for each nation.

England: 2,566,436 people over age of 17 with diabetes (any type)
Scotland: 234,871 or possibly 247,278 (not sure about this one, see explanatory text below)
Northern Ireland: 75,837
Wales: 167,537

Total: 3,018,610 / 3044681

http://www.gpcontract.co.uk/child/UK/DM%2019/12
NumeratorDenominatorRatioCentile
Wales 167537 3185538 5.3%
England 2544197 55068625 4.6%
UK 3018610 65358176 4.6%
Scotland 231248 5210522 4.4%
Northern Ireland 75628 1893491 4.0%

Briefly, and probably somewhat simplistically, QOF is a form of accounting so that each GP practice in the various nations gets the appropriate payment for the number of people they are looking after with different conditions. I'm not sure that it was particularly designed to provide health charities with a handy record of how many people (over the age of 17) have a particular condition, but that info is there and that's the only reason I've ever looked at the data.

Taking England (because I live there and it's got the biggest population) as an example, the data is available at the level of 'everyone in England', 'everyone in a particular Strategic Health Authority', 'everyone at a particular practice' - using the latter you can also find out information about how many people in a particular town (eg with 5 practices) have a particular condition.

I won't pretend that I've ever gone to the QOF's landing page and gone straight to the relevant file and picked out the answer I want. Usually it's a case of clicking on a few things, trying to remember how I did it last year and eventually finding it. Or asking a colleague.

The QOF figures for 2011/2012 came out in October but I paid little heed to them as I'm no longer in the business of updating statistics, but then I remembered my very large DiabetesStatistics google site and I thought... I really ought to try and update it.

Easier said than done.

I created it largely for me but also for colleagues and anyone else who might be interested in statistics. Its strength, for me, is that I left reasonably good instructions on how I got hold of the figures rather than just the figures themselves.

However an additional challenge is that statistics websites often move things around, so while the instructions are good, you can't 'follow along' using previously captured figures as a guide to how to do it now because all the pages and files are '404 not found' or worse, take you to the sites' homepages.

Every single link in this section below, of this QOF overview page is now non-functioning ;)

NHS Information Centre's pages on QOF ENGLAND
Landing page (2010/2011) » data tables » Prevalence data tables » SHA level QOF tables (opens .xls)

Below is the very detailed record of my attempts to correct the links for 2010/2011 data and find 2011/2012 data. It's quite long...

In the text below the addresses are shown as embedded links but for URL hackers I've left the full addresses at the end, though the NHS IC ones don't really lend themselves to that unfortunately.

Firstly, I found where the 2010/2011 data for England had been moved, here are the links for each of them... this was partly to correct the links but also to refamiliarise myself with the process of where to look for the relevant number.

2010-2011 QOF data for ENGLAND - published in 2011
So, now onto the four nations...


2011-2012 QOF data for ENGLAND - published on 26 October 2012
Checking as we go...
For fun (your mileage may vary) you can also fact-check you've got the correct stat by googling that number along with the word diabetes - I found this question asked and answered in Parliament, which mentioned this specific figure, so this is an independent verification.

I also searched on Google for million Diabetes UK and then restricted to the most recent month to see any instances of things like "there are X million people" on DUK's site, or "According to Diabetes UK there are x million people with diabetes". I found a couple of references to 3.7 million, so then searched for that to find their September 2012 report which specifically mentions 3.7 million people with diabetes in the UK - this will include all England, Scotland, Northern Ireland and Wales 'known cases' of diabetes - this just tells me that once I've got all my figures they should probably combine to form 3.7 million (unless they're including an estimate of people with undiagnosed diabetes which is about 850,000 but I doubt it).

NORTHERN IRELAND
And Googling for 75,837 diabetes brings up plenty of evidence that others have picked the same figure, which is always heartening.

SCOTLAND
This one was a wee bit tougher because the relevant spreadsheet has macros and regardless of whether or not I enabled or disabled them the file wouldn't work on my computer (a Mac) and I couldn't select the QOF register I wanted to look at. Fortunately I spotted there was a second tab, which presents the data in a different way, so I went for that one instead. On Googling the resulting number (234,871) I didn't find much evidence of it having been used by anyone, so possibly another figure is in use.

However it is similar to the figure for last year's Scotland prevalence 2010/2011 on Diabetes UK's page (223,494) and slightly larger, so it's pretty plausible.

It's also possible that I picked the wrong file, so corrections would be appreciated! So many files...
Incidentally my page on Scotland stats took me to the 2011 register information, from which I was able to work out the landing page above.

(*) It should be possible to do it using the first tab ('by NHS board') but the macros weren't friendly. Where it says (near the top) 'please select QOF register' it should be possible to select Diabetes from a drop-down menu and get the relevant information for NHS Scotland as a whole, and then for each NHS region.

Other figures I found
Diabetes rate in Scotland continues to increase BBC News (20 August 2012) - 247,278 people, this figure comes from the Scottish Diabetes Survey.

The Scottish Diabetes Survey seems to be consistently a bit higher than QOF because for 2010/2011 prevalence Diabetes UK was using QOF figures of 223,494 and SDS for 2010 had it as 237,468.

Last year I probably knew why there was a difference ;)


WALES
  • After a lot of false starts, I discovered this helpful page from the GP Contract website, called QOF Database - Wales - DM 19
  • Look for DM 19 | 2012 = 167,537



GP Contract - QOF Database - Wales - DM 19
  http://www.gpcontract.co.uk/timeline/WAL/DM%2019

http://www.gpcontract.co.uk/child/WAL/DM%2019/12
167,537

42,713

General Medical Services Contract: Quality and Outcomes Framework Statistics, 2011-12
  http://wales.gov.uk/topics/statistics/headlines/health2012/1209271/?lang=en
QOF Data Summary for Wales and LHBs, 2011-12
  http://wales.gov.uk/docs/statistics/2012/120927datasummaryen.xls

StatsWales
  https://statswales.wales.gov.uk/Catalogue/Health-and-Social-Care/NHS-Primary-and-Community-Activity/GMS-Contract





Unless you are tasked with trying to find information from scratch and the links above don't work you probably don't need to look further. If the links above don't work you may be able to draw some conclusions about site hierarchies from the links' structures below.\

Other useful resources
Association of Public Health Observatories (APHO)'s Diabetes Prevalence Model
  http://www.yhpho.org.uk/default.aspx?RID=81090 (England, Scotland, Wales only)

Raw URLs / addresses
2010-2011 QOF data for ENGLAND - published in 2011
Quality and Outcomes Framework - 2010-11
  http://www.ic.nhs.uk/catalogue/PUB04396
Quality and Outcomes Framework - 2010-11, England level
  http://www.ic.nhs.uk/catalogue/PUB05673
Quality and Outcomes Framework - 2010-11, England level: Prevalence data tables
  http://www.ic.nhs.uk/catalogue/PUB05673/qof-10-11-data-tab-prev-eng.xls


2012 data
ENGLAND 
Quality and Outcomes Framework - 2011-12
  http://www.ic.nhs.uk/catalogue/PUB08135
Quality and Outcomes Framework - 2011-12, England level 
  http://www.ic.nhs.uk/catalogue/PUB08661
Quality and Outcomes Framework - 2011-12, England level: Prevalence data tables 
  http://www.ic.nhs.uk/catalogue/PUB08661/qof-11-12-data-tab-eng-nat-prev.xls

The chances are that next year's file might be called qof-12-13-data-tab-eng-nat-prev.xls which you can search for, although it's not clear from the PUB0123 type numbers in the URL where it will be located so file searching probably best unless the landing page helps you.

My DiabetesStatistics page on England
  https://sites.google.com/site/diabetesstatistics/uk-and-local-stats/nations/england


NORTHERN IRELAND
NI Direct QOF data
  http://www.dhsspsni.gov.uk/index/stats_research/stats-resource/stats-gp-allocation/gp_contract_qof/qof_data.htm
Local Commissioning Group Level (for relevant year)
  http://www.dhsspsni.gov.uk/index/stats_research/stats-resource/stats-gp-allocation/gp_contract_qof/qof_data/statistics_and_research-qof-lcg-2011-12.htm
Achievement in the Clinical Areas table:  Diabetes XLS 
  http://www.dhsspsni.gov.uk/diabetes_indicators_by_lcg_2011-12.xls

My DiabetesStatistics page on Northern Ireland
  https://sites.google.com/site/diabetesstatistics/uk-and-local-stats/nations/northern-ireland


SCOTLAND
ISD Scotland's Quality and Outcomes Framework
  http://www.isdscotland.org/Health-Topics/General-Practice/Quality-And-Outcomes-Framework/
Register and prevalence data at Scotland, NHS Board and CHP level
  http://www.isdscotland.org/Health-Topics/General-Practice/Quality-And-Outcomes-Framework/2011-12/Register-and-prevalence-data.asp
Prevalence reported from QOF registers (practices with any contract type)
  http://www.isdscotland.org/Health-Topics/General-Practice/Publications/2012-09-25/QOF_Scot_201112_Boards_all_prevalence.xls

Scottish Diabetes Survey
  http://www.sci-diabetes.scot.nhs.uk/

My DiabetesStatistics page on Scotland
  https://sites.google.com/site/diabetesstatistics/uk-and-local-stats/nations/scotland
 

WALES

Quality and Outcomes Framework (QOF) by local health board and disease registers
  https://statswales.wales.gov.uk/Catalogue/Health-and-Social-Care/NHS-Primary-and-Community-Activity/GMS-Contract/PatientsOnQualityAndOutcomesFramework-by-LocalHealthBoard-DiseaseRegister 

My DiabetesStatisitcs page on Wales
  https://sites.google.com/site/diabetesstatistics/uk-and-local-stats/nations/wales


Monday, 17 January 2011

Diabetes statistics bookmarked

We are in the process of updating our 'Diabetes in the UK 2010' document and I thought it was about time I got some of my stats-related bookmarks into a better order. They've rather run away with themselves and hopefully by putting them here I'll be able to work out what it was I was trying to find information on. This is a bit of a mixed bag (by no means complete) as we end up working on different aspects of it. If I find anything bookmark-worthy from my colleagues I'll add it here as well.

EDIT: 2 August 2011 - I've added a few more statistics resources.

If you know of a great resource that I've not put here yet, do give me a prod @JoBrodie ta :)


APHO (Association of Public Health Observatories)

Audits and general statistics (see also Children)
National Diabetes Audit
From 2003, latest data collection Sep / Oct 2010, latest report 2009 (background) (other)
http://www.ic.nhs.uk/services/national-clinical-audit-support-programme-ncasp/audit-reports/diabetes

National Diabetes Audit Executive Summary 2008-2009
http://www.ic.nhs.uk/webfiles/Services/NCASP/audits%20and%20reports/National%20Diabetes%20Audit%20(NDA)%20Executive%20Summary%202008-2009.pdf

NHS Atlas of Variation in Healthcare
http://www.rightcare.nhs.uk/atlas/qipp_nhsAtlas-HIGH_261110c.pdf

NHS IC reports
http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/diabetes

QOF database, example Bradford & Airedale PCT
http://www.gpcontract.co.uk/pct.php?orgcode=5NY (see ‘Search’ tab to select others)
For explanation of what QOF is see http://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicescontract/qof/Pages/QualityOutcomesFramework.aspx and http://www.gpcontract.co.uk/

UK National Statistics – Publication Hub on diabetes topics
http://www.statistics.gov.uk/hub/search/index.html?newquery=diabetes
see also http://www.statistics.gov.uk/hub/health-social-care/health-of-the-population/conditions-and-diseases/index.html

Benchmarking and commissioning
Diabetes Community Health Profiles
http://yhpho.york.ac.uk/diabetesprofiles/

Diabetes Data Directory
http://yhpho.york.ac.uk/diabetesdd/introddd.asp

lntroduction to the NHS Diabetes Commissioning Resource
http://www.diabetes.nhs.uk/commissioning_resource/

Children
The fifth UK paediatric diabetes services survey: meeting guidelines and recommendations? July 2010 [BMJ abstract] http://adc.bmj.com/content/95/10/837.abstract?etoc

National Diabetes Paediatric Report 2008-2009
http://www.ic.nhs.uk/webfiles/Services/NCASP/audits%20and%20reports/NDA%20Paediatric%20Report%202008-2009.pdf

National Diabetes Audit
Key findings about the quality of care for children and young people with diabetes in England and Wales Report for the audit period 2007-2008
http://www.ic.nhs.uk/webfiles/Services/NCASP/audits%20and%20reports/7189_Paediatric_Report_final.pdf

Comorbidities and other conditions
Pregnancy
CEMACH diabetes reports
http://www.cemach.org.uk/Publications-Press-Releases/Report-Publications/Diabetes-in-Pregnancy.aspx

Complications
Amputation
NASDAB: National Amputee Statistical Database (UK) http://www.nasdab.co.uk/
replaced by 'Limbless Statistics' http://www.limbless-statistics.org/
Unfortunately latest report is 2006 / 2007 http://www.limbless-statistics.org/documents/Report2006-07.pdf

Retinopathy
Number of people with diabetes who have received screening for diabetic retinopathy in England http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/Vitalsignsmonitoring/DH_112536

English National Screening Programme for Diabetic Retinopathy (ENSPDR)
http://www.retinalscreening.nhs.uk/pages/

Four Nations involvement http://www.retinalscreening.nhs.uk/pages/default.asp?id=2&sID=75

2010 Annual Evidence Update on Diabetic Retinopathy - Screening for diabetic retinopathy (methodologies)
http://www.library.nhs.uk/Diabetes/ViewResource.aspx?resID=387102

NHS Evidence – diabetes: Retinopathy>Causes, Risk Factors and Screening
http://www.library.nhs.uk/DIABETES/SearchResults.aspx?tabID=290&summaries=true&resultsPerPage=10&sort=PUBLICATION_DATE&catID=5659&

Critical appraisal info
Statistics at Square One
http://resources.bmj.com/bmj/readers/statistics-at-square-one/

General
NIDDK
: Diabetes populations across the US
http://diabetes.niddk.nih.gov/populations/index.htm

IDF (International Diabetes Federation): Diabetes Atlas
http://www.diabetesatlas.org/

Labour Force Survey: Employment status by occupation and sex
http://www.statistics.gov.uk/statbase/product.asp?vlnk=14248

National Statistics: Population Trends Spring 2008, No 131
http://www.statistics.gov.uk/downloads/theme_population/Population_Trends_131_web.pdf

NatCen (National Centre for Social Research)
http://www.natcen.ac.uk/

NHS Evidence – diabetes (see also Treatments)
http://www.library.nhs.uk/diabetes/

Office for National Statistics
http://www.statistics.gov.uk/default.asp

NeLM search for diabetes
National electronic Library for Medicines
http://www.nelm.nhs.uk/en/Original-search/?query=diabetes+

Health surveys
Health Survey for England
http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england

Health Survey for England - 2008 summary of key findings
http://www.ic.nhs.uk/webfiles/publications/HSE/HSE08/HSE_08_Summary_of_key_findings.pdf

Health Survey for England - 2008 trend tables
http://www.ic.nhs.uk/pubs/hse08trends and
http://www.ic.nhs.uk/webfiles/publications/HSE/HSE08trends/Health_Survey_for_england_trend_tables_2008.pdf

Health Survey for England - 2008: Physical activity and fitness
http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2008-physical-activity-and-fitness

Hospital admissions
Clinical and Health Outcomes Knowledge Base
Emergency hospital admissions: diabetic ketoacidosis and coma
http://www.nchod.nhs.uk/NCHOD/compendium.nsf/17b8958892856d44802573a30020fcd9/56303822d72c4ef9652570d1001cb767!OpenDocument

Nation-specific
Scotland
http://www.diabetesinscotland.org.uk/Publications.aspx

Wales
http://www.wales.nhs.uk/sites3/index.cfm?Error=200

Standards
National service framework for diabetes: standards
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4002951

[Report] Turning the Corner: Improving Diabetes Care (2006)
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4136011.pdf

[Report] Six Years On Delivering the Diabetes National Service Framework (2010)
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_112511.pdf

Treatment
Insulin pumps
Scotland only
Appendix 2 Table of NHS Board planned investment in Insulin Pump Therapy
http://www.scotland.gov.uk/Publications/2010/08/17095311/10
Judging from the Hansard reports (via TheyWorkForYou) retinopathy screening seems to be discussed more by Parliament in relation to Scotland http://www.theyworkforyou.com/search/?s=retinopathy+screening

NHS Scotland: Figures are for patients with Type 1 diabetes receiving insulin pump therapy as of August 2009
http://www.theyworkforyou.com/spwrans/?id=2010-06-14.S3W-34132.h&s=insulin+pump#gS3W-34132.q0

YHPHO Insulin pump audit (2010)
http://www.yhpho.org.uk/resource/item.aspx?RID=91531

DUETS
Uncertainties about the Effects of Treatments
http://www.library.nhs.uk/DIABETES/ViewResource.aspx?resID=392331&tabID=289

NHS Evidence - UK Database of Uncertainties about the Effects of Treatments (DUETs)
http://www.library.nhs.uk/duets/SearchResults.aspx?catID=14514

Prescription costs
Prescription Cost Analysis 2008
http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescription-cost-analysis-2008

Prescribing for Diabetes in England: Supplement – January 2002 to March 2009
NHS IC – all prescription information

ABPI: Facts & Statistics from the pharmaceutical industry
Pharmaceuticals and the UK economy

NHS Information Centre report finds a 40% rise in cost and number of prescriptions to treat diabetes in England over the last 5 years (July 2010)
http://www.nelm.nhs.uk/en/NeLM-Area/News/2010---July/30/NHS-Information-Centre-report-finds-a-40-rise-in-cost-and-number-of-prescriptions-to-treat-diabetes-in-England-over-the-last-5-years/

GPRD: Drug Utilisation & Disease Patterns
http://www.gprd.com/services/drugutilisation.asp
(don’t think I can access this but haven’t spent a lot of time on it)

Drug Topics 2010 (US)
2009 Top 200 generic drugs by total prescriptions
http://drugtopics.modernmedicine.com/drugtopics/data/articlestandard//drugtopics/252010/674982/article.pdf