Inequalities in respiratory disease admissions

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Health inequalities dashboards:

This dashboard allows you to analyse hospitalisation rates in Asthma and COPD as a proportion of prevalence at a system (ICB) and local level and how this relates to deprivation.

Key definitions

  • Emergency – non-elective admission, the admission was unpredictable/unplanned and at short notice because of clinical need. 
  • 30-day re-admission – emergency (non-elective) admission within 30 days of a previous admission. 

About the data source

Hospital Episode Statistics (HES) Admitted Patient Care (APC), is an NHS data set comprising details of all admissions at NHS hospitals in England. Each record in HES includes a wide range of information including details of the patient (age, gender, geographic details), when they were treated and what they were treated for. HES is sourced from the Secondary Uses Service (SUS) database, which is collected from hospitals’ patient administration systems on a monthly basis at record level. The quality of HES data is the responsibility of the NHS providers who submit the data to Secondary Uses Service (SUS). These data are required to be accurate to enable them to be correctly paid for the activity they undertake.

The Indices of Deprivation are a unique measure of relative deprivation at a small local area level (Lower-layer Super Output Areas) across England and have been produced by this department and its predecessors in similar way since 2000. The Indices of Deprivation 2019 (IoD2019) is the most recent release. The Indices provide a set of relative measures of deprivation for small across England, based on seven different domains, or facets, of deprivation, including income, employment, education, health, crime, housing and living environment. Deprivation is measured in a broad way to encompass a wide range of aspects of an individual’s living conditions. Each of the domains above are constructed from a basket of different data datasets, or indicators. As far as is possible, each indicator is based on data from the most recent time point available. For the Income Deprivation domain and the Employment Deprivation domain in the IoD2019, the data relates to the tax year 2015/16. Combining information from the seven domains produces an overall relative measure of deprivation, the Index of Multiple Deprivation (IMD).

The Quality and Outcomes Framework (QOF) is a voluntary annual reward and incentive programme for all GP practices in England, detailing practice achievement results and is designed to reward good practice. The QOF contains five main components, known as domains. The five domains are: Clinical; Public Health and Public Health – Additional Services, Public Health – Vaccination and Immunisation and Quality Improvement. Each domain consists of a set of achievement measures, known as indicators, against which practices score points according to their level of achievement. The QOF gives an indication of the overall achievement of a practice through a points system. Practices aim to deliver high quality care across a range of areas for which they score points. The QOF helps practices compare the delivery and quality of care currently provided against the achievements of previous years. Ultimately, the aim is to improve standards of care by assessing and benchmarking the quality-of-care patients receive.

Read the data disclaimer.