Inequalities indicators consultation 2003
What will make a good basket for tracking inequalities at a local level?
 

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  Example basket 1

This basket was filled with indicators which might be used to help track progress against the PPF 2003 - 2006 targets. 
It is very small, with just one indicator per PPF target.
These targets are:

 

bullet

Deliver a one percentage point reduction per year in the proportion of women continuing to smoke throughout pregnancy, focusing especially on smokers from disadvantaged groups as a contribution to the national target to reduce by at least 10% the gap in mortality between “routine and manual” groups and the population as a whole by 2010, starting with children under one year.

bullet

Deliver an increase of 2 percentage points per year in breastfeeding initiation rate, focusing especially on women from disadvantaged groups.

bullet

Achieve agreed local teenage conception reduction targets while reducing the gap in rates between the worst fifth of wards and the average by at least a quarter in line with national targets.

bullet

Contribute to a national reduction in death rates from CHD of at least 25% in people under 75 by 2005 compared to 1995-1997, targeting the 20% of areas with the highest rates of CHD.

bullet

Contribute to a national reduction in cancer death rates of at least 12% in people under 75 by 2005 compared to 1995-1997, targeting the 20% of areas with the highest rates of cancer.

bullet

Achieve the target of 70% uptake in influenza immunisation in people aged 65 years and over, targeting populations in the 20% of areas with the lowest life expectancy.

 

no

Indicator

Intervention stage

Local authority level

PCT level

Data source

Frequency

Large  number*

Interpretation

 

Smoking in pregnancy target

 

 

 

 

 

 

 

16

Number of women identified as smoking during pregnancy

outcome

no

yes

yes

yes

yes

yes

 

Breastfeeding initiation target

 

 

 

 

 

 

 

13

% of mothers who breastfeed

outcome

no

yes

yes

yes

yes

yes

 

Reducing teenage conceptions target

 

 

 

 

 

 

 

69

Conceptions to girls under 18 years (rates)

outcome

yes

yes

yes

yes

yes

yes

 

Reducing death rates from CHD

target

 

 

 

 

 

 

 

72

Mortality rate from circulatory disease under 75 years

outcome

yes

yes

yes

yes

yes

yes

 

Reducing death rates from cancer target

 

 

 

 

 

 

 

73

mortality rate from cancer under 75 years

outcome

yes

yes

yes

yes

yes

yes

 

Uptake of influenza immunization in >65s target

 

 

 

 

 

 

 

74

vaccination rates (MMR, flu, meningococcal C)

process

yes

yes

yes

yes

yes

yes

                     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Example basket 2

 

Builds on example basket 1 by using more than one indicator for some of the PPF targets.  Does not have any indicators relating to other determinants of health, of have any indicators specifically to known local problems.  Note that some indicators could fit in more than one category, eg smoking cessation might be useful for tracking CHD, cancer and smoking cessation patterns in young women (who are or might become pregnant).

 

no

Indicator

Intervention stage

Local authority level

PCT level

Data source

Frequency

Large  number*

Interpretation

 

Smoking in pregnancy target

 

 

 

 

 

 

 

16

Number of women identified as smoking during pregnancy

outcome

no

yes

yes

yes

yes

yes

23

Smoking rates for pregnant teenagers

outcome

yes

yes

yes

yes

yes

yes

9

% of mothers smoking over 10 cigarettes per day (during pregnancy)

outcome

no

yes

yes

yes

yes

yes

15

Number of women known to be engaging with midwife on smoking cessation programme within maternity services

outcome

no

yes

yes

yes

yes

yes

 

Breastfeeding initiation target

 

 

 

 

 

 

 

13

% of mothers who breastfeed

outcome

no

yes

yes

yes

yes

yes

 

Reducing teenage conceptions target

 

 

 

 

 

 

 

69

Conceptions to girls under 18 years (rates)

outcome

yes

yes

yes

yes

yes

yes

29

Proportion of under 18’s by gender who register with NHS-funded community clinic for contraceptive services in any one year

outcome

no

yes

yes

yes

yes

yes

42

Proportion of children having average levels of communication, language and literacy age 2

outcome

yes

no

yes

yes

yes

yes

46

Proportion of 16-19 year old teenage mothers in education, employment or training

outcome

yes

no

yes

yes

yes

yes

78

% of 14 year olds at or above the standard of literacy numeracy science and ICT for their age

outcome

yes

no

yes

yes

yes

yes

79

% of 11 year olds at or above the expected standard for their age in numeracy and literacy

outcome

yes

no

yes

yes

yes

yes

12

maternal age

impact

no

yes

yes

yes

no

yes

14

social class (of new-mothers)

outcome

yes

no

yes

no

yes

yes

18

Number of children participating in schemes

outcome

yes

no

no

yes

yes

yes

19

Use of contraception on first occasion of sexual intercourse by young people under 18

outcome

no

no

yes

yes

yes

yes

27

provision of emergency oral contraception by local pharmacists

input

no

yes

yes

yes

no

yes

 

Reducing death rates from CHD

target

 

 

 

 

 

 

 

72

Mortality rate from circulatory disease under 75 years

outcome

yes

yes

yes

yes

yes

yes

78

premature deaths from cardiovascular disease (rate)

outcome

yes

yes

yes

yes

yes

yes

82

number of deaths from CHD

outcome

yes

yes

yes

yes

yes

yes

92

death rate from stroke

outcome

yes

yes

yes

yes

yes

yes

56

waiting under 3 months for revascularisation

outcome

no

yes

yes

yes

yes

yes

57

Waiting under 3 months for anginography

outcome

no

yes

yes

yes

yes

yes

61

raised blood pressure

outcome

no

yes

yes

yes

yes

yes

63

Proportion of people suffering heart attack who receive thrombolysis within 60 minutes of calling for professional help

process

no

yes

yes

yes

yes

yes

64

Proportion of people accessing a Rapid Access Chest Pain Clinic in under 2 weeks

outcome

no

yes

yes

yes

yes

yes

 

Reducing death rates from cancer target

 

 

 

 

 

 

 

93

death rate from lung cancer

outcome

yes

yes

yes

yes

yes

yes

58

Smoking cessation rate

outcome

no

yes

yes

yes

yes

yes

65

Overall smoking rates (no. smokers/total residents)

outcome

no

yes

yes

yes

yes

yes

67

numbers still quit after 52 weeks

outcome

no

yes

yes

yes

yes

yes

68

numbers seen by smoking cessation services

process

no

yes

yes

yes

yes

yes

73

mortality rate from cancer under 75 years

outcome

yes

yes

yes

yes

yes

yes

84

Cancer waiting times (urgent referral)

impact

no

yes

yes

yes

yes

yes

85

Cancer waiting times (diagnosis to treatment)

impact

no

yes

yes

yes

yes

yes

88

% of people diagnosed with cancer who recover

outcome

no

yes

yes

yes

yes

yes

 

Uptake of influenza immunization in >65s target

 

 

 

 

 

 

 

74

vaccination rates (MMR, flu, meningococcal C)

process

yes

yes

yes

yes

yes

yes

2

% uptake of influenza immunisation of over 65

outcome

no

yes

yes

yes

yes

yes

 


Example basket 3

 

Builds on example basket 2 by adding some indicators of wider determinants of health.  Does not have any indicators relating specifically to known local problems.

 

no

Indicator

Intervention stage

Local authority level

PCT level

Data source

Frequency

Large  number*

Interpretation

 

Smoking in pregnancy target

 

 

 

 

 

 

 

16

Number of women identified as smoking during pregnancy

outcome

no

yes

yes

yes

yes

yes

23

Smoking rates for pregnant teenagers

outcome

yes

yes

yes

yes

yes

yes

9

% of mothers smoking over 10 cigarettes per day (during pregnancy)

outcome

no

yes

yes

yes

yes

yes

15

Number of women known to be engaging with midwife on smoking cessation programme within maternity services

outcome

no

yes

yes

yes

yes

yes

 

Breastfeeding initiation target

 

 

 

 

 

 

 

13

% of mothers who breastfeed

outcome

no

yes

yes

yes

yes

yes

 

Reducing teenage conceptions target

 

 

 

 

 

 

 

69

Conceptions to girls under 18 years (rates)

outcome

yes

yes

yes

yes

yes

yes

29

Proportion of under 18’s by gender who register with NHS-funded community clinic for contraceptive services in any one year

outcome

no

yes

yes

yes

yes

yes

42

Proportion of children having average levels of communication, language and literacy age 2

outcome

yes

no

yes

yes

yes

yes

46

Proportion of 16-19 year old teenage mothers in education, employment or training

outcome

yes

no

yes

yes

yes

yes

78

% of 14 year olds at or above the standard of literacy numeracy science and ICT for their age

outcome

yes

no

yes

yes

yes

yes

79

% of 11 year olds at or above the expected standard for their age in numeracy and literacy

outcome

yes

no

yes

yes

yes

yes

12

maternal age

impact

no

yes

yes

yes

no

yes

14

social class (of new-mothers)

outcome

yes

no

yes

no

yes

yes

18

Number of children participating in schemes

outcome

yes

no

no

yes

yes

yes

19

Use of contraception on first occasion of sexual intercourse by young people under 18

outcome

no

no

yes

yes

yes

yes

27

provision of emergency oral contraception by local pharmacists

input

no

yes

yes

yes

no

yes

 

Reducing death rates from CHD

target

 

 

 

 

 

 

 

72

Mortality rate from circulatory disease under 75 years

outcome

yes

yes

yes

yes

yes

yes

78

premature deaths from cardiovascular disease (rate)

outcome

yes

yes

yes

yes

yes

yes

82

number of deaths from CHD

outcome

yes

yes

yes

yes

yes

yes

92

death rate from stroke

outcome

yes

yes

yes

yes

yes

yes

56

waiting under 3 months for revascularisation

outcome

no

yes

yes

yes

yes

yes

57

Waiting under 3 months for anginography

outcome

no

yes

yes

yes

yes

yes

61

raised blood pressure

outcome

no

yes

yes

yes

yes

yes

63

Proportion of people suffering heart attack who receive thrombolysis within 60 minutes of calling for professional help

process

no

yes

yes

yes

yes

yes

64

Proportion of people accessing a Rapid Access Chest Pain Clinic in under 2 weeks

outcome

no

yes

yes

yes

yes

yes

 

Reducing death rates from cancer target

 

 

 

 

 

 

 

58

Smoking cessation rate

outcome

no

yes

yes

yes

yes

yes

65

Overall smoking rates (no. smokers/total residents)

outcome

no

yes

yes

yes

yes

yes

93

death rate from lung cancer

outcome

yes

yes

yes

yes

yes

yes

67

numbers still quit after 52 weeks

outcome

no

yes

yes

yes

yes

yes

68

numbers seen by smoking cessation services

process

no

yes

yes

yes

yes

yes

73

mortality rate from cancer under 75 years

outcome

yes

yes

yes

yes

yes

yes

84

Cancer waiting times (urgent referral)

impact

no

yes

yes

yes

yes

yes

85

Cancer waiting times (diagnosis to treatment)

impact

no

yes

yes

yes

yes

yes

88

% of people diagnosed with cancer who recover

outcome

no

yes

yes

yes

yes

yes

 

Uptake of influenza immunization in >65s target

 

 

 

 

 

 

 

74

vaccination rates (MMR, flu, meningococcal C)

process

yes

yes

yes

yes

yes

yes

2

% uptake of influenza immunisation of over 65

 

outcome

no

yes

yes

yes

yes

yes

 

Indicators which might be used alongside the above to track wider determinants

 

 

 

 

 

 

 

72

GCSE attainment

outcome

yes

no

yes

yes

yes

yes

80

Vehicle crimes per 1000 population

outcome

yes

no

yes

yes

yes

yes

117

fluoridation levels

process

yes

no

yes

yes

yes

yes

124

long term unemployment

outcome

yes

no

yes

yes

yes

yes

125

Income deprivation index

impact

yes

no

yes

yes

yes

yes

3

Life expectancy at birth

impact

yes

yes

yes

yes

yes

yes

56

Number of sure start schemes in deprived wards

input

yes

yes

yes

yes

yes

yes

84

Number of A&E admissions caused by RTAs in one year in the locality

outcome

yes

yes

yes

yes

yes

yes

69

Numbers of people with HIV

outcome

no

yes

yes

yes

yes

yes

73

Number of people registered with a GP

outcome

no

yes

yes

yes

yes

Yes

148

Air quality indicators (NO2 and PM10)

outcome

yes

no

yes

no

no

no

114

Number of portions of fruit and veg eaten per day

outcome

no

no

no

no

no

yes

106

Number in hostel accommodation

outcome

yes

no

yes

yes

no

yes

70

Number of care leavers in education, employment, training relative to their non-care peers

outcome

yes

no

yes

yes

no

yes

51

number of convicted children in care (relative to their non care peers)

outcome

yes

no

yes

yes

no

yes

22

Truancy rates

outcome

yes

no

yes

yes

no

yes

118

Domestic burglaries per 1000 population

outcome

yes

no

yes

yes

yes

yes

110

IMD scores

outcome

yes

no

yes

yes

yes

yes

73

Child Poverty Index

impact

yes

no

yes

yes

yes

yes

77

mental illness

outcome

no

yes

yes

yes

yes

yes

78

median wait for treatment of psychosis

outcome

no

yes

yes

yes

yes

yes

70

number of people with severe mental illness receiving outreach services

outcome

no

yes

yes

yes

yes

yes

68

immunisation of babies

impact

yes

yes

yes

yes

yes

yes