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Dementia in The West Midlands

Dementia in The West Midlands. Dr Khesh Sidhu Deputy Medical Director NHS West Midlands. Outline. WMCBSA Dementia Prevalence Populations Projections Results. WMCBSA. West Midlands Commissioning Business Support Agency Dudley 2y old PCT and SHA Funded NHS organisation.

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Dementia in The West Midlands

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  1. Dementia in The West Midlands Dr Khesh Sidhu Deputy Medical Director NHS West Midlands

  2. Outline • WMCBSA • Dementia • Prevalence • Populations • Projections • Results

  3. WMCBSA • West Midlands Commissioning Business Support Agency • Dudley • 2y old • PCT and SHA Funded NHS organisation

  4. Who are they and what do they do? • Data-warehouse • SUS downloads • Monitors activity against contracts • Activates payments after data is reconciled • Data Cleaning • Monitoring • Account management • Other analyses

  5. Who is there? • IT • Account managers • Finance • IS • Analysts • Public Health Consultant

  6. What sort of analyses • Data quality • Comparative data • Eg Access rates • Qualitimetrics • Death Data • PCT specific demography

  7. Dementia The term ‘dementia’ is used to describe a collection of symptoms, including a decline in memory, reasoning and communication skills, and a gradual loss of skills needed to carry out daily activities. Dementia can affect people of any age, but is most common in older people. One in six people over 80 One in 14 people over 65

  8. Dementia • Age, genetic, background, medical history and lifestyle Types • Alzheimer’s disease • Vascular dementia • Fronto-temporal dementia • Other rare forms of dementia

  9. Prevalence

  10. Prevalence of Young Onset Dementia

  11. Populations • Projections vs Estimates • PCT registrant vs population resident • NSTS (NHS Strategic Tracing Service) • NB not totally accurate

  12. Projections • 2003 and 2004 based projections • Normally available for LA, regions and SHAs NOT PCTs

  13. Projections Some PCTs are coterminous with LA • Sandwell • Solihull • Walsall Others are split Birmingham – South, HoBT and BEN

  14. So.... Method: Apply Dementia rates to PCT registrant populations = putative prevalence by PCT Extrapolate population projections to PCT registrant populations = putative prevalence projections

  15. So.... Method: Apply Dementia rates to PCT registrant populations = putative prevalence by PCT Extrapolatepopulation projections to PCT registrant populations = putative prevalence projections

  16. 5y age band specific dementia prevalence PCT 5y specific age bands PCT Labels

  17. Estimated 5y age band specific dementia prevalence for each PCT

  18. How Valid?

  19. Results

  20. Summary • WMCBSA • Dementia • Prevalence • Populations • Projections • Results • Not easy – it’s big, out there and coming to a place close to you

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