Stroke prevalence - ICP Outcomes Framework - Registered Locality

This dataset presents the percentage of patients registered with a general practice who have a recorded history of stroke or transient ischaemic attack (TIA). The data is sourced from the Quality and Outcomes Framework (QOF) maintained by NHS Digital and reflects the prevalence of these conditions across GP practice populations. It serves as a key indicator for understanding the burden of cardiovascular disease within primary care settings.

Rationale

Stroke and TIA are major contributors to long-term disability and mortality. Monitoring their prevalence supports efforts to reduce the overall burden of cardiovascular disease. By identifying the proportion of patients affected, healthcare providers and policymakers can better allocate resources, plan interventions, and track progress in prevention and management strategies.

Numerator

The numerator consists of patients with a recorded diagnosis of stroke or transient ischaemic attack (TIA) on their GP practice's disease register. This information is collected through the Quality and Outcomes Framework (QOF), which incentivizes practices to maintain accurate and up-to-date clinical records.

Denominator

The denominator is the total number of patients registered at the GP practice, also sourced from the QOF. This provides the context needed to calculate the percentage of patients affected by stroke or TIA.

Caveats

There are no specific caveats noted for this indicator. However, it is important to consider that the accuracy of the data depends on consistent and comprehensive recording practices across GP surgeries. Variations in coding or diagnosis thresholds may affect comparability.

External References

Further information and related indicators can be found on the Fingertips Public Health Profiles website.

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.