Dementia: Cumbria

Department of Health written question – answered on 9th September 2015.

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Photo of Sue Hayman Sue Hayman Labour, Workington

To ask the Secretary of State for Health, what the diagnosis rate for dementia of people of each (a) age group and (b) gender in (i) Allerdale borough and (b) Copeland borough has been in each of the last 10 years.

Photo of Sue Hayman Sue Hayman Labour, Workington

To ask the Secretary of State for Health, what the rate of dementia among each (a) age group and (b) gender in (i) Allerdale borough and (ii) Copeland borough has been in each of the last 10 years.

Photo of Jane Ellison Jane Ellison The Parliamentary Under-Secretary of State for Health

Information is not available in the format requested.

The number of people recorded on the practice dementia disease register is available in the Quality and Outcomes Framework (QOF), published by the Health and Social Care Information Centre, from 2006/07, when dementia indicators were introduced into the framework. The diagnosis rate is not available but the numbers of people on the dementia register are available. This is a measure of prevalence rather than incidence.

Number of patients on the QOF Dementia Register in Cumbria as at 31 March

Area

Year

Number of GP practices

Number of patients on the Dementia Register

Prevalence (%)

NHS Cumbria Clinical Commissioning Group (CCG)

2013-14

82

4,602

0.88

NHS Cumbria CCG

2012-13

82

4,248

0.81

Cumbria Teaching Primary Care Trust (PCT)

2011-12

83

3,938

0.76

Cumbria PCT

2010-11

90

3,524

0.68

Cumbria PCT

2009-10

91

3,318

0.64

Cumbria PCT

2008-09

92

3,114

0.60

Cumbria PCT

2007-08

93

3,008

0.58

Cumbria PCT

2006-07

95

2,856

0.56

Source: Health and Social Care Information Centre

Notes:

1. Data is received at practice level, however the practice data cannot be used to estimate prevalence for small areas as practices serve registered patients, not defined geographical areas. The QOF data has been provided down to CCG/PCT level.

2. The figures provided are a snapshot ‘as at 31 March each year’ and are for people of all ages, as a breakdown by age group and gender is not available.

3. The objective of the QOF is to improve the quality of care that patients are given by rewarding practices for the quality of care they provide to their patients. QOF is therefore an incentive payment scheme. Participation by practices is entirely voluntary, though participation rates are over 95%.

4. As QOF registers are constructed to underpin indicators on quality of care, they do not necessarily equate to prevalence as may be defined by epidemiologists. For example, prevalence figures based on QOF registers may differ from prevalence from other sources because of coding and definitional issues.

5. The number of patients on clinical registers can be used to calculate disease prevalence, expressing the number of patients on each register as a percentage of the number of patients on practices’ lists. Therefore, ‘raw prevalence’ for a clinical area is defined as:

Raw Prevalence = (number on clinical register / number on practice list) *100

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