Healthcare Public Health

Healthcare public health relates to the effectiveness and quality of health services and their associated health outcomes.  Our local NHS commissioner is NHS Cambridgeshire and Peterborough Clinical Commissioning Group (CCG).  These pages bring together information relating to our local health service and CCG.

NHS Cambridgeshire and Peterborough CCG

From April 2013, Clinical Commissioning Groups (CCGs) took over the responsibility from Primary Trust Care Trusts (PCTs) for planning and commissioning health services across the country.  Led by GPs and clinicians, Clinical Commissioning Groups work with patients and healthcare professionals and in partnership with local communities and local authorities.

NHS Cambridgeshire and Peterborough CCG is one of the largest CCGs in England with 105 GP practices as members, which covers all GP practices in Cambridgeshire and Peterborough, as well as three in North Hertfordshire and two in Northamptonshire. The CCG is responsible for planning and buying local NHS services, such as the care you receive at hospital and in the community, as well as ensuring these services deliver the best possible care and treatment for patients.

CCG Map and population

A map showing the official boundary of NHS Cambridgeshire and Peterborough CCG can be found below The map also shows the locations of all the practices that form the CCG, the Area Executive Partnerships to which they belong and the local authorities in which they are located.  The north west of the CCG’s area crosses the boundary of East Northamptonshire, and to the south, North Hertfordshire.

Please note: The CCG map above is based on the practices and AEPs as at January 2017.

Click here to view the CCG map in full size

CCG/LCG Profiles

Our  CCG/LCG Public Health Profiles (153.38 KB) provide data at Local Commissioning Group (LCG) level for demography, deprivation, life expectancy, births, recorded disease prevalence and mortality, with comparisons to CCG rates. The profiles highlight the variation within the CCG which can reflect geographical differences and socio-economic circumstances.

Data in the profiles relate to the eight LCGs as at April 2016.  We are working on new profiles for the latest arrangement of practices in the CCG.

Healthcare Prevention Strategy

Health System Prevention Strategy for Cambridgeshire and Peterborough was produced in January 2016 in recognition of the impact of preventable ill health on the local health economy and to identify opportunities for action.

Significant proportions of ill health and health service activity are potentially preventable. A recent Public Health England Lancet publication about the global burden of disease found that 40% of the NHS workload is potentially preventable, yet the proportion of health expenditure directed at prevention, although hard to estimate reliably, is probably closer to 4%. [1]

Prevention, at all levels has been recognised as critical to building a sustainable health system. NHS England’s Five Year Forward View states that ‘The future health of millions of children, the sustainability of the NHS, and the economic prosperity of Britain all now depend on a radical upgrade in prevention and public health.’

The objectives of producing the strategy were:

  • To identify the savings to the NHS, where possible, from current and planned prevention initiatives.
  • To identify areas/interventions for potential additional NHS investment in prevention which would maximise savings to the local NHS over the next three, five, 10 years and beyond.
  • Identify areas and initiatives for potential stretch and outline the strategy for delivering these including projected savings to the NHS, where possible.

[1] Changes in health in England, with analysis by English regions and areas of deprivation, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. John N Newton et al. The Lancet. September 15, 2015 (15) 00195-6.

Primary Care Profiles

Quality and Outcomes Framework (QOF)

The Quality and Outcomes Framework (QOF) is the annual reward and incentive programme detailing GP practice achievement results. It rewards practices for the provision of quality care and helps standardise improvement in the delivery of primary medical services.  QOF data are released nationally by NHS Digital at http://content.digital.nhs.uk/qof.   Data from QOF include disease prevalence data for a number of health conditions:

  • Arthritis
  • Asthma
  • Atrial fibrillation
  • Cancer
  • Coronary Heart Disease (CHD)
  • Chronic Kidney Disease
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Dementia
  • Depression
  • Diabetes
  • Epilepsy
  • Heart failure
  • Hypertension
  • Hypothyroidism
  • Learning disabilities
  • Left ventricular dysfunction
  • Mental Health
  • Obesity
  • Osteoporosis
  • Peripheral arterial disease
  • Palliative care
  • Stroke and transient ischaemic attack

(Conditions included vary by year)

Local QOF analysis

We use the data from NHS Digital, linked to other sources, to do additional analysis for Cambridgeshire and Peterborough, making the results available in a modifiable pivot tool:

 Cambridgeshire and Peterborough QOF Pivot Tool (1.37 MB)

Our analysis provides:

  • An extract of data for practices in Cambridgeshire and Peterborough Clinical Commissioning Group
  • Combined data for all QOF years from 2008/09 to 2015/16
  • Calculated 95% confidence intervals allowing statistical comparison
  • Assessment of statistical significance against local and national averages
  • Aggregate data for CCG localities and neighbourhood teams
  • Aggregate data by IMD grouping of practice
  • Proxy data for upper- and lower-tier local authorities based on practice location
  • Proxy data for local authority IMD groupings based on practice location

Local QOF Profiles

In addition to the above analysis, our Quality and Outcomes Framework 2015/16 show the latest QOF data by practice and CCG locality for 2015/16 in an easy to read, visual summary.  Prevalence rates are benchmarked against the CCG average to highlight variation within the CCG and each locality, expanding on the nationally benchmarked data provided by PHE’s National GP Profiles.

PHE National General Practice Profiles

Public Health England produce the National General Practice Profiles.  The profiles present an interactive tool containing demographic, QOF, cancer services, child health, antibiotic prescribing and patient satisfaction data at GP and CCG level.

Atlas of Variation

The NHS Atlas of Variation in Healthcare 2015 is a collaboration between NHS England, Public Health England and NHS Right Care, presenting data for over 100 indicators relating to healthcare interventions and disease.  The NHS Atlas highlights unwarranted variation in quality, cost, activity and health outcomes between local health economies, prompting action to improve quality and value.

Or local  Cambridgeshire and Peterborough CCG  Atlas of Variation 2015 focusses on indicators in the NHS Atlas that present data at CCG level, highlighting where the CCG’s position is in the top or bottom 20% of CCG’s nationally, and how the CCG compares to its ‘statistical neighbours’.

The full NHS Atlas of Variation PDF (17 MB) presents mapped data for all of England, along with commentary, options for action and links to existing intiatives and resources.  The report also presents the full methodology and discusses how the NHS Atlas can be used in conjunction with Commissioning for Value packs and Spend and Outcome Tools.

For more details on the NHS Atlas of Variation in Healthcare, see: http://www.rightcare.nhs.uk/index.php/nhs-atlas/

Spend and Outcomes Tool (SPOT)

Public Health England have developed a Spend and Outcome Tool (SPOT) to give organisations in England an overview of spend and outcomes across key areas of business.  SPOTs are released for both Clinical Commissioning Groups and Local Authorities.

SPOT allows the assessment of levels of investment and associated clinical outcomes in comparison to regional and national benchmarks across several programme budget areas.

A summary of the SPOT for Cambridgeshire and Peterborough CCG is published by PHE:  PHE SPOT Summary 06H (385.65 KB)

Our local  Analysis of Spend and Outcome Tool 2015 – Cambridgeshire and Peterborough CCG (589.41 KB) includes an overview of the tool and a focus on the five programme budget areas where the CCG is a statistical outlier.

For access to all of the SPOT resources published by Public Health England, see: http://www.yhpho.org.uk/default.aspx?RID=49488