Diabetics (Type 2) receiving all 8 care processes - ICP Outcomes Framework - Registered Locality

This dataset presents the percentage of individuals with type 2 diabetes who have received all eight recommended care processes as defined by the National Diabetes Audit (NDA). These care processes are essential checks and tests that support effective monitoring and management of diabetes. They include measurements and assessments such as body mass index (BMI), blood pressure, smoking status, HbA1c, cholesterol, urine albumin, serum creatinine, and foot examination for nerve and circulation health. The dataset provides a comprehensive view of how well healthcare providers are delivering routine diabetes care.

Rationale

Receiving all eight care processes is associated with improved monitoring and early detection of complications in people with type 2 diabetes. This indicator helps evaluate the consistency and quality of routine diabetes care and supports efforts to enhance patient outcomes through comprehensive clinical assessments.

Numerator

The numerator includes the number of individuals with type 2 diabetes who received all eight care processes within the audit period. These processes are: BMI measurement, blood pressure check, smoking status recording, HbA1c test, cholesterol test, urine albumin test, serum creatinine test, and foot examination for nerve and circulation health. Data is sourced from the National Diabetes Audit (NDA) and NHS England.

Denominator

The denominator includes all individuals registered with type 1 diabetes at GP practices participating in the National Diabetes Audit. This ensures a consistent and representative population base for calculating the indicator.

Caveats

Data is collected over a 15-month period

Localities Explained

This dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:

• Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).
• Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.

This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.

Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.