Public Health Wales Vaccine Preventable Disease Programme

Transcription

1 Public Health Wales Vaccine Preventable Disease Programme Uptake of Seasonal Influenza Vaccination HB specific reports Aneurin Bevan Health Board / July Page of

2 . Background The aim of the Welsh Government seasonal influenza immunisation campaign policy is to minimise flu related morbidity, mortality, and hospital admissions. In Wales in /, free seasonal influenza immunisation was offered to all people aged 6 years and over, and people between 6 months and 6 years in clinical risk groups (chronic respiratory disease, chronic heart disease, chronic renal disease, chronic liver disease, chronic neurological conditions, diabetes mellitus, and immunosuppression), all pregnant women,residents of long-stay care homes, and those who were a main carer for an elderly or disabled person whose welfare may be at risk if the carer fell ill. For / the Welsh Government target immunisation uptake rate was % for people aged 6 years and over, those aged under 6 years in clinical risk groups, and all pregnant women. For / Welsh Government has elevated influenza vaccine uptake to a Tier target. This report has been prepared using influenza immunisation data collected directly from practices using the Audit+ Data Quality System. The report provides a description of the spread in uptake of influenza immunisation at General Practice level and allows HB Immunisation Coordinators, Nursing and Medical leads, Directors of Public Health, and Public Health Wales to identify possible problems with return of immunisation data or low uptake of influenza immunisation. This report reflects data on immunisations given and recorded on GP systems up to th March, collated via Audit+. Data was received from % of practices in Aneurin Bevan HB. July Page of

3 . Summary of uptake in Aneurin Bevan HB Table. Summary data for Aneurin Bevan Local Authorities (patients aged 6y and over and patients aged under 6y at risk). Patients aged 6y and over Practices Practices not Total Lowest practice Highest practice Overall LA achieving % submitting practices uptake (%) uptake (%) uptake (%) Blaenau Gwent Caerphilly Monmouthshire Newport Torfaen Aneurin Bevan total Patients aged under 6y at risk Practices Practices not Total Lowest practice Highest practice Overall LA achieving % submitting practices uptake (%) uptake (%) uptake (%) Blaenau Gwent...6 Caerphilly Monmouthshire Newport Torfaen. 6.. Aneurin Bevan total Figure. Box and whisker plot showing distributions of practice seasonal influenza immunisation uptake rates (patients aged 6y and over). See page for notes on interpretation. Blaenau Gwent Caerphilly Monmouthshire Newport Torfaen 6 8 Uptake% (6y and over) Produced by Public Health Wales Data source: Audit Plus Data Quality System Figure. Box and whisker plot showing distributions of practice seasonal influenza immunisation uptake rates (patients aged under 6y at risk). See page for notes on interpretation. Blaenau Gwent Caerphilly Monmouthshire Newport Torfaen 6 8 Uptake% (under 6y at risk) Produced by Public Health Wales Data source: Audit Plus Data Quality System July Page of

4 Figure. Notes on interpretation - Diagram of a box and whisker plot. uptake % 6 8 Outlier Upper uptake limit (uptakes within the upper quartile +. X interquartile range) Upper quartile Median Interquartile range Lower quartile Lower Lower uptake limit limit (uptakes within the lower quartile +.. X interquartile range) Outlier Main spread of practice level uptake rates Figures and summarise the range of uptake rates within practices based in LHB Local Authority areas. Figure provides an illustration as to how the box and whisker plots are constructed. The box and whisker plots above show the spread of uptake rates of practices within HB Local Authority (LA) areas. The line inside the shaded box represents the median practice uptake rate (half of the LA practices have an uptake higher than the median value and half have an uptake lower than the median value). The shaded box represents the spread in uptake rates of the central % of practices, this is called the interquartile range. The whiskers extending above and below the shaded box represent the spread in practice uptake rates for the majority of practices within the LA. Any practices with uptake rates that are very different from the majority of practices within the LA are termed outliers and appear as dots outside the whiskers. July Page of

5 . Practice level data Table. Practice level influenza immunisation uptake data for Blaenau Gwent Local Authority based practices. Local Authority Patients 6y and over Patients under 6y at risk Practice code (n) (n) (n) (%) (n) (%) Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent Blaenau Gwent > % 6% - % < 6% July Page of

6 Figure. Practice level influenza immunisation uptake data for Blaenau Gwent Local Authority based practices (patients aged 6 years and over). Aneurin Bevan HB - Blaenau Gwent patients aged 6y and over Figure. Practice level influenza immunisation uptake data for Blaenau Gwent Local Authority based practices (at risk patients aged under 6 years). Aneurin Bevan HB - Blaenau Gwent patients under 6y at risk July Page 6 of

7 Table. Practice level influenza immunisation uptake data for Caerphilly Local Authority based practices. Local Authority Patients 6y and over Patients under 6y at risk Practice code (n) (n) (n) (%) (n) (%) Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly.6. Caerphilly Caerphilly.. Caerphilly. 6. Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly Caerphilly > % 6% - % < 6% July Page of

8 Figure. Practice level influenza immunisation uptake data for Caerphilly Local Authority based practices (patients aged 6 years and over). Aneurin Bevan HB - Caerphilly patients aged 6y and over Figure 6. Practice level influenza immunisation uptake data for Caerphilly Local Authority based practices (at risk patients aged under 6 years). Aneurin Bevan HB - Caerphilly patients under 6y at risk July Page 8 of

9 Table. Practice level influenza immunisation uptake data for Monmouthshire Local Authority based practices. Local Authority Patients 6y and over Patients under 6y at risk Practice code (n) (n) (n) (%) (n) (%) Monmouthshire Monmouthshire Monmouthshire Monmouthshire Monmouthshire Monmouthshire Monmouthshire Monmouthshire 8.. Monmouthshire Monmouthshire. 6. Monmouthshire.. Monmouthshire Monmouthshire Monmouthshire > % 6% - % < 6% July Page of

10 Figure. Practice level influenza immunisation uptake data for Monmouthshire Local Authority based practices (patients aged 6 years and over). Aneurin Bevan HB - Monmouthshire patients aged 6y and over Figure 8. Practice level influenza immunisation uptake data for Monmouthshire Local Authority based practices (at risk patients aged under 6 years). Aneurin Bevan HB - Monmouthshire patients under 6y at risk July Page of

11 Table. Practice level influenza immunisation uptake data for Newport Local Authority based practices. Local Authority Patients 6y and over Patients under 6y at risk Practice code (n) (n) (n) (%) (n) (%) Newport W Newport W6.8. Newport W6..6 Newport W. 8. Newport W Newport W Newport W. 6. Newport W Newport W Newport W Newport W Newport W Newport W Newport W Newport W Newport W Newport W Newport W Newport W Newport W Newport W > % 6% - % < 6% July Page of

12 Figure. Practice level influenza immunisation uptake data for Newport Local Authority based practices (patients aged 6 years and over). Aneurin Bevan HB - Newport patients aged 6y and over W W6 W6 W W6 W W W68 W8 W6 W W W8 W W W W W W W W Figure. Practice level influenza immunisation uptake data for Newport Local Authority based (at risk patients aged under 6 years). Aneurin Bevan HB - Newport patients under 6y at risk W W68 W W8 W W W6 W W6 W6 W6 W W W W W W8 W W W W July Page of

13 Table 6. Practice level influenza immunisation uptake data for Torfaen Local Authority based practices. Local Authority Patients 6y and over Patients under 6y at risk Practice code (n) (n) (n) (%) (n) (%) Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen Torfaen > % 6% - % < 6% July Page of

14 Figure. Practice level influenza immunisation uptake data for Torfaen Local Authority based practices (patients aged 6 years and over). Aneurin Bevan HB - Torfaen patients aged 6y and over Figure. Practice level influenza immunisation uptake data for Torfaen Local Authority based practices (at risk patients aged under 6 years). Aneurin Bevan HB - Torfaen patients under 6y at risk July Page of