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South Aberdeenshire Health Needs Assessment. Kim Penman Senior Health Improvement Officer. Introduction. South Aberdeenshire is relatively healthy Needs assessment undertaken to give rounded picture of health needs Triangulation process used. Data Sources used in HNA.
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South Aberdeenshire Health Needs Assessment Kim Penman Senior Health Improvement Officer
Introduction • South Aberdeenshire is relatively healthy • Needs assessment undertaken to give rounded picture of health needs • Triangulation process used
Health and Wellbeing Questionnaire 2008 • 112 questionnaires returned (36% response rate) • Young people (69%), children& families (55%), people living in remote/ rural areas (54%) & older people (50%) were main groups identified with specific health / wellbeing issues. • Mental health , drug & alcohol misuse ranked highest health issues.
Traffic Lights • 80% green • 13% red • 7% amber • Red - worse than Scottish average • Amber - within the Scottish average range • Green - better than Scottish average • www.nhsgrampian.org/
Traffic Lights 5 out of 18 intermediate datazones emerged with most red and amber lights • Devenick and Findon (IZ059) • Mearns North and Inverbervie (IZ050) • Mearns and Laurencekirk (IZ049) • Stonehaven South (IZ051) • East Cairngorms (IZ056) Road traffic accidents and unintentional Injuries are only 2 indictors that are consistently poorer than Scottish Average.
Adult Obesity 18 * 16 * 14 * 12 * 10 * * * * 8 6 4 2 % of practice population 0 QOF % of practice population
Chronic Kidney Disease * 10 8 * 6 * * * * 4 * 2 * * 0
Ranked by the number of reds (worse than Scotland average) QOF Findings
QOF Findings • Unsurprisingly chronic diseases more prevalent in practices with older popn primarily in Marr. • Obesity is only condition where all practices had worse prevalence rate than Scottish average • Practices with younger popn profile had lowest prevalence rates (Skene , Portlethen) • Rates of Chronic kidney disease & atrial fibrilation higher than Scottish average in 8 and 7 practices respectively – even in younger to middle age popn (Laurencekirk, Inverbervie and Banchory) • Asthma is worse / similar than Scottish Average in K&M practices, all Deeside practices have better than Scottish average.
Summary Findings • QOF evidences higher levels disease in Deeside area but not evidenced in Health and Wellbeing Traffic Lights, reflects older popn. • Health inequalities showing up along coastal strip. Where both QOF and Health and Wellbeing profiles showing levels of chronic disease where popn younger to middle aged. • East Cairncorms area also showing in both QOF and QOF and Health and Wellbeing profiles , suggesting health inequalities.
Next Steps • Disseminate Needs Assessment Findings • Encourage Use in service planning • Focussed engagement in those areas evidencing health inequalities