Evidence into Practice: systematically improving the outcomes of prevention in Primary Care

Summary

NHS Greenwich face some major healthcare challenges with significant health inequalities existing within the locality. Overall, life expectancy is worse than the England average.

Men living in the least deprived wards of Greenwich can expect to live for an average of seven years longer than those in the most deprived wards and for women the difference is nearly five years1. Diabetes is a major contributor to premature death in the borough.

NHS Greenwich is one of 13 PCTs identified by the National Health Inequalities Support Team that account for 40 per cent of the national gap in life expectancy2.

Challenge

Diabetes has been highlighted as a major contributor to premature death in Greenwich, both as a direct result of the disease and indirectly through associated cardiovascular events3.

Recent QoF figures show there are 10,033 patients with recorded diabetes. However, the Yorkshire and Humber Public Health Observatory (YHPHO) prevalence model estimates the actual figure to be 12,900, suggesting that more than 22 per cent of patients are undiagnosed. Diabetes prevalence is estimated to rise to 16,068 patients by 2020, an increase of 37 per cent4.

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