National Diabetes Audit 2010-2011
Report 1: Care Processes and Treatment Targets
Summary for The James Cook University Hospital
(RTRAT)
Key findings about the quality
of care for people with diabetes
in The James Cook University Hospital
Report for the audit period
2010-2011
Participation
This year 75 secondary care units in England submitted data to the National Diabetes Audit
(NDA) an increase from 62 in the previous year.
Secondary care unit participation by audit year is shown in Table 1.
Table 1. Participating secondary care units by audit year
Audit Year
2010-2011
2009-2010
75
62
Of the 75 secondary care units participating in the 2010-2011 audit, only 40 took part in the
2009-2010 audit. These are the only secondary care units where two year time series analysis
will be possible in this report.
Registrations
This year, The James Cook University Hospital submitted data for 2,236 patients with diabetes.
Table 2 shows the total number of registrations by diabetes type.
Table 2. Diabetes registrations by type for The James Cook University Hospital
Total number of
registrations
All diabetes*
2,236
Type 1
745
Type 2
1,284
* All diabetes includes maturity onset diabetes of the young (MODY), other specified and unspecified
-2National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Demographics
Figures 1 and 2 display the demographic distribution of the NDA diabetes population by age and
gender for Type 1 and Type 2 diabetes respectively.
Figure 1. Age and gender of patients with Type 1 diabetes in The James Cook University Hospital
Figure 2. Age and gender of patients with Type 2 diabetes in The James Cook University Hospital
-3National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Care Processes
All patients aged 12 years and over should receive all of the nine, National Institute for Clinical
Excellence (NICE) recommended, care processes (the core annual review ‘bundle’).
Care process results for patients of all diabetes types
The overall results for The James Cook University Hospital for patients of all ages and all diabetes
types are shown in Table 3.
Table 3. Percentage of all patients in The James Cook University Hospital receiving NICE
recommended care processes by care process type
Care Process
recorded
Percentage of
registered patients in
secondary care unit
(including RAG Score)
Percentage point
change since
2009-2010
Median score
across all
secondary care
units
National
quartile ranking
All Care Processes*
53.0%
-4.82%
42.4%
1
Blood Creatinine
89.4%
-3.64%
87.8%
2
Blood Pressure
98.4%
+2.35%
88.7%
1
BMI
92.8%
+0.70%
84.6%
2
Cholesterol
85.8%
-5.57%
84.1%
2
Eye Screening
100.0%
0.00%
68.7%
1
Foot Exam
100.0%
0.00%
66.6%
1
HbA1c**
91.7%
-1.68%
92.2%
3
Smoking Review
100.0%
0.00%
73.4%
1
Urinary Albumin
55.1%
-5.17%
61.6%
3
*People registered with diabetes receiving all nine key processes of care processes
**For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
Figure 3 shows the variation, across all secondary care units, in the percentage of diabetes patients
receiving all nine NICE recommended care processes.
The results for The James Cook University Hospital are highlighted as the black bar.
Figure 3. All care processes achieved by secondary care units
-4National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
At a national level, patients under the age of 55 years with either Type 1 or Type 2 diabetes are less
likely than those who are 55 years and over to complete their annual checks.
Table 4 to Table 9 show the variation in the recording of care processes by age group and diabetes
type for The James Cook University Hospital.
Care process results for patients with Type 1 diabetes
The overall results for The James Cook University Hospital for patients of all ages with Type 1 diabetes
are shown in Table 4.
Table 4. Percentage of patients in The James Cook University Hospital of all ages with Type 1
diabetes receiving NICE recommended care processes by care process type
Care Process
recorded
Percentage of
registered patients in
secondary care unit
(including RAG Score)
Percentage point
change since
2009-2010
Median score
across all
secondary care
units
National
quartile ranking
All Care Processes*
47.7%
-2.20%
39.6%
1
Blood Creatinine
92.9%
+2.58%
87.4%
2
Blood Pressure
99.9%
+2.76%
93.3%
1
BMI
98.7%
+2.85%
89.2%
1
Cholesterol
88.6%
+0.38%
84.0%
2
Eye Screening
100.0%
0.00%
75.4%
1
Foot Exam
100.0%
0.00%
69.3%
1
HbA1c**
94.4%
+2.34%
94.3%
2
Smoking Review
100.0%
0.00%
80.6%
1
Urinary Albumin
49.8%
-2.05%
58.8%
3
*People registered with diabetes receiving all nine key processes of care processes
**For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
-5National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
The overall results for participating practices in The James Cook University Hospital for patients aged
under 55 years with Type 1 diabetes are shown in Table 5.
Table 5. Percentage of patients in The James Cook University Hospital aged under 55 years with Type
1 diabetes receiving NICE recommended care processes by care process type
Care Process
recorded
Percentage of
registered patients in
secondary care unit
(including RAG Score)
Percentage point
change since
2009-2010
Median score
across all
secondary care
units
National
quartile ranking
All Care Processes*
43.9%
-0.13%
33.8%
1
Blood Creatinine
91.4%
+3.84%
85.2%
2
Blood Pressure
99.8%
+3.11%
92.3%
1
BMI
98.8%
+3.28%
87.8%
1
Cholesterol
86.3%
+0.93%
80.2%
2
Eye Screening
100.0%
0.00%
73.6%
1
Foot Exam
100.0%
0.00%
66.2%
1
HbA1c**
93.7%
+3.36%
94.2%
3
Smoking Review
100.0%
0.00%
79.3%
1
Urinary Albumin
46.4%
+0.16%
55.6%
3
*People registered with diabetes receiving all nine key processes of care processes
**For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
The overall results for participating practices in The James Cook University Hospital for patients aged
55 years and over with Type 1 diabetes are shown in Table 6.
Table 6. Percentage of patients in The James Cook University Hospital aged 55 years and over with
Type 1 diabetes receiving NICE recommended care processes by care process type
Care Process
recorded
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
All Care Processes*
59.7%
-5.90%
49.9%
1
Blood Creatinine
97.7%
-0.05%
93.6%
2
Blood Pressure
100.0%
+1.85%
95.8%
1
BMI
98.3%
+1.63%
91.0%
1
Cholesterol
96.0%
+0.10%
91.9%
2
Eye Screening
100.0%
0.00%
80.4%
1
Foot Exam
100.0%
0.00%
77.3%
1
HbA1c**
96.6%
-0.08%
96.7%
3
Smoking Review
100.0%
0.00%
80.6%
1
Urinary Albumin
60.8%
-6.24%
71.0%
4
*People registered with diabetes receiving all nine key processes of care processes
**For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
-6National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Care process results for patients with Type 2 diabetes
The overall results for The James Cook University Hospital for patients of all ages with Type 2 diabetes
are shown in Table 7.
Table 7. Percentage of patients in The James Cook University Hospital of all ages with Type 2
diabetes receiving NICE recommended care processes by care process type
Care Process
recorded
Percentage of
registered patients in
secondary care unit
(including RAG Score)
Percentage point
change since
2009-2010
Median score
across all
secondary care
units
National
quartile ranking
All Care Processes*
63.4%
-0.20%
49.7%
1
Blood Creatinine
96.4%
-0.62%
93.9%
2
Blood Pressure
99.5%
+1.87%
94.1%
1
BMI
97.7%
+2.92%
89.1%
1
Cholesterol
93.8%
-2.00%
91.4%
2
Eye Screening
100.0%
0.00%
76.6%
1
Foot Exam
100.0%
0.00%
78.0%
1
HbA1c**
96.0%
-0.63%
95.2%
2
Smoking Review
100.0%
0.00%
82.6%
1
Urinary Albumin
65.1%
-0.67%
70.8%
3
*People registered with diabetes receiving all nine key processes of care processes
**For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
-7National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
The overall results for The James Cook University Hospital for patients aged under 55 years with Type
2 diabetes are shown in Table 8.
Table 8. Percentage of patients in The James Cook University Hospital aged under 55 years with
Type 2 diabetes receiving NICE recommended care processes by care process type
Care Process
recorded
Percentage of
registered patients in
secondary care unit
(including RAG Score)
Percentage point
change since
2009-2010
Median score
across all
secondary care
units
National
quartile ranking
All Care Processes*
57.4%
-1.95%
44.6%
1
Blood Creatinine
94.6%
-1.13%
91.4%
2
Blood Pressure
99.0%
+1.95%
94.6%
1
BMI
96.7%
+1.26%
91.2%
1
Cholesterol
93.3%
-1.05%
89.9%
2
Eye Screening
100.0%
0.00%
73.1%
1
Foot Exam
100.0%
0.00%
75.5%
1
HbA1c**
96.2%
+0.15%
95.3%
2
Smoking Review
100.0%
0.00%
82.3%
1
Urinary Albumin
58.2%
-2.93%
66.6%
3
*People registered with diabetes receiving all nine key processes of care processes
**For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
The overall results for participating practices in The James Cook University Hospital for patients aged
55 years and over with Type 2 diabetes are shown in Table 9.
Table 9. Percentage of patients in The James Cook University Hospital aged 55 years and over with
Type 2 diabetes receiving NICE recommended care processes by care process type
Care Process
recorded
Percentage of
registered patients in
secondary care unit
(including RAG Score)
Percentage point
change since
2009-2010
Median score
across all
secondary care
units
National
quartile ranking
All Care Processes*
66.0%
+1.12%
51.0%
1
Blood Creatinine
97.2%
-0.22%
94.5%
2
Blood Pressure
99.8%
+1.92%
94.3%
1
BMI
98.2%
+3.57%
88.3%
1
Cholesterol
94.0%
-2.23%
91.6%
2
Eye Screening
100.0%
0.00%
76.9%
1
Foot Exam
100.0%
0.00%
77.8%
1
HbA1c**
95.9%
-0.89%
95.7%
2
Smoking Review
100.0%
0.00%
82.6%
1
Urinary Albumin
68.1%
+0.93%
72.2%
3
*People registered with diabetes receiving all nine key processes of care processes
**For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
-8National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
All care processes results by age
A comparison of results for The James Cook University Hospital of patients receiving all care
processes by age group and diabetes type are shown in Table 10 and Figure 4.
Table 10. Percentage of patients in The James Cook University Hospital receiving all care processes
by age group and diabetes type
Percentage of registered patients in secondary care unit (including RAG score) for all care
processes
Type
All ages
Aged under 55 years
Aged 55 years and over
Type 1
47.7%
43.9%
59.7%
Type 2
63.4%
57.4%
66.0%
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
Figure 4. All care processes completed in The James Cook University Hospital
-9National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Treatment Targets
Healthcare professionals and patients should work in partnership to ensure patients achieve their
NICE recommended treatment targets for glucose control, blood pressure and blood cholesterol.
Treatment targets for patients of all diabetes types
The overall results for The James Cook University Hospital for patients of all ages and of all diabetes
types are shown in Table 11. All percentage figures relate to the total number of patients with the
target value recorded.
Table 11. Treatment target achievement rate for patients at The James Cook University Hospital of
all ages and all diabetes types by treatment target type
Target
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
HbA1c < 6.5% (48 mmol/mol)
12.6%
-13.53%
10.3%
2
HbA1c <= 7.5% (58 mmol/mol)
37.8%
-20.94%
37.4%
2
HbA1c <= 10.0% (86 mmol/mol)
83.3%
-8.22%
85.5%
3
Cholesterol < 4 mmol/l
43.7%
+6.65%
43.2%
2
Cholesterol < 5 mmol/l
78.8%
+3.46%
78.8%
2
Target BP*
37.5%
+0.72%
40.2%
3
BP < 140/80
44.7%
-1.10%
48.5%
4
All**
10.9%
-7.26%
12.7%
4
*Blood pressure target of <140/80 applied to those patients without recorded eye, kidney or vascular disease (EKV-) and
blood pressure target <130/80 applied to those patients with recorded eye, kidney or vascular disease.
**Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
The spread of scores across all secondary care units for achieving treatment targets is shown in
Figure 5.
The results for The James Cook University Hospital is highlighted as the black bar.
Figure 5. All targets achieved by secondary care units
- 10 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
At a national level, patients under the age of 55 years with either Type 1 or Type 2 diabetes are less
likely than those who are 55 years and over to achieve their treatment targets.
Table 12 to Table 17 show the variation in achieving treatment targets by age and diabetes type for
The James Cook University Hospital.
Treatment targets for patients with Type 1 diabetes
The overall results for The James Cook University Hospital for patients of all ages with Type 1
diabetes are shown in Table 12. All percentage figures in Table 12, Table 13 and Table 14 relate to
the total number of patients with the target value recorded.
Table 12. Treatment target achievement rate for patients in The James Cook University Hospital
with Type 1 diabetes of all ages by treatment target type
Target
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
HbA1c < 6.5% (48 mmol/mol)
5.7%
-2.99%
6.5%
3
HbA1c <= 7.5% (58 mmol/mol)
26.3%
-4.81%
27.6%
3
HbA1c <= 10.0% (86 mmol/mol)
80.1%
-3.86%
82.7%
3
Cholesterol < 4 mmol/l
30.8%
+4.48%
30.8%
3
Cholesterol < 5 mmol/l
72.9%
+6.17%
72.9%
3
Target BP*
43.0%
+2.58%
50.7%
4
BP < 140/80
48.3%
+1.13%
56.1%
4
All**
8.7%
-0.90%
10.9%
3
*Blood pressure target of <140/80 applied to those patients without recorded eye, kidney or vascular disease (EKV-) and
blood pressure target <130/80 applied to those patients with recorded eye, kidney or vascular disease.
**Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
The overall results for The James Cook University Hospital for patients aged under 55 years with Type
1 diabetes are shown in Table 13.
Table 13. Treatment target achievement rate for patients in The James Cook University Hospital
with Type 1 diabetes aged under 55 by treatment target type
Target
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
HbA1c < 6.5% (48 mmol/mol)
6.0%
-1.55%
6.4%
3
HbA1c <= 7.5% (58 mmol/mol)
25.7%
-1.49%
26.4%
3
HbA1c <= 10.0% (86 mmol/mol)
77.5%
-3.03%
79.7%
3
Cholesterol < 4 mmol/l
25.1%
+4.06%
26.4%
3
Cholesterol < 5 mmol/l
68.6%
+7.90%
69.4%
3
Target BP*
46.3%
+1.61%
56.1%
4
BP < 140/80
50.0%
+1.91%
58.6%
4
All**
9.9%
+0.47%
10.9%
3
*Blood pressure target of <140/80 applied to those patients without recorded eye, kidney or vascular disease (EKV-) and
blood pressure target <130/80 applied to those patients with recorded eye, kidney or vascular disease.
**Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
- 11 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
The overall results for The James Cook University Hospital for patients aged 55 years and over with
Type 1 diabetes are shown in Table 14.
Table 14. Treatment target achievement rate for patients in The James Cook University Hospital
with Type 1 diabetes aged 55 and over by treatment target type
Target
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
HbA1c < 6.5% (48 mmol/mol)
4.7%
-6.83%
5.7%
3
HbA1c <= 7.5% (58 mmol/mol)
28.2%
-12.92%
30.4%
3
HbA1c <= 10.0% (86 mmol/mol)
88.2%
-4.46%
90.3%
3
Cholesterol < 4 mmol/l
47.3%
+8.34%
41.2%
1
Cholesterol < 5 mmol/l
85.2%
+4.13%
81.2%
1
Target BP*
32.4%
+3.33%
39.4%
4
BP < 140/80
42.6%
-1.91%
50.6%
4
All**
5.4%
-4.77%
10.5%
4
*Blood pressure target of <140/80 applied to those patients without recorded eye, kidney or vascular disease (EKV-) and
blood pressure target <130/80 applied to those patients with recorded eye, kidney or vascular disease.
**Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
- 12 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Treatment targets for patients with Type 2 diabetes
The overall results for The James Cook University Hospital for patients with Type 2 diabetes are
shown in Table 15. All percentage figures in Table 15, Table 16 and Table 17 relate to the total
number of patients with the target value recorded.
Table 15. Treatment target achievement rate for patients in The James Cook University Hospital
with Type 2 diabetes of all ages by treatment target type
Target
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
HbA1c < 6.5% (48 mmol/mol)
13.2%
-15.05%
12.3%
2
HbA1c <= 7.5% (58 mmol/mol)
41.6%
-21.34%
40.6%
2
HbA1c <= 10.0% (86 mmol/mol)
84.4%
-8.32%
86.0%
3
Cholesterol < 4 mmol/l
51.0%
+12.01%
48.1%
2
Cholesterol < 5 mmol/l
82.0%
+5.13%
81.0%
2
Target BP*
31.9%
-2.93%
35.0%
4
BP < 140/80
40.8%
-3.89%
45.4%
4
All**
11.7%
-7.60%
12.9%
3
*Blood pressure target of <140/80 applied to those patients without recorded eye, kidney or vascular disease (EKV-) and
blood pressure target <130/80 applied to those patients with recorded eye, kidney or vascular disease.
**Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
The overall results for The James Cook University Hospital for patients aged under 55 years with
Type 2 diabetes are shown in Table 16.
Table 16. Treatment target achievement rate for patients in The James Cook University Hospital
with Type 2 diabetes aged under 55 by treatment target type
Target
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
HbA1c < 6.5% (48 mmol/mol)
11.5%
-10.57%
12.9%
3
HbA1c <= 7.5% (58 mmol/mol)
33.1%
-16.23%
34.6%
3
HbA1c <= 10.0% (86 mmol/mol)
73.1%
-12.69%
77.5%
4
Cholesterol < 4 mmol/l
39.4%
+11.29%
35.6%
2
Cholesterol < 5 mmol/l
70.8%
+4.85%
71.9%
3
Target BP*
36.0%
+0.60%
37.4%
3
BP < 140/80
39.4%
-0.15%
41.0%
3
All**
9.8%
-4.61%
11.0%
3
*Blood pressure target of <140/80 applied to those patients without recorded eye, kidney or vascular disease (EKV-) and
blood pressure target <130/80 applied to those patients with recorded eye, kidney or vascular disease.
**Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
- 13 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
The overall results for The James Cook University Hospital for patients aged 55 years and over with
Type 2 diabetes are shown in Table 17.
Table 17. Treatment target achievement rate for patients in The James Cook University Hospital
with Type 2 diabetes aged 55 and over by treatment target type
Target
Percentage of
Percentage point
registered patients in
change since
secondary care unit
2009-2010
(including RAG Score)
Median score
across all
secondary care
units
National
quartile ranking
HbA1c < 6.5% (48 mmol/mol)
14.0%
-16.16%
12.8%
2
HbA1c <= 7.5% (58 mmol/mol)
45.4%
-21.72%
43.3%
2
HbA1c <= 10.0% (86 mmol/mol)
89.4%
-5.46%
89.2%
2
Cholesterol < 4 mmol/l
56.0%
+13.78%
52.4%
2
Cholesterol < 5 mmol/l
86.8%
+6.72%
84.6%
1
Target BP*
30.2%
-4.53%
34.3%
4
BP < 140/80
41.4%
-4.83%
46.9%
4
All**
12.5%
-8.24%
13.2%
3
*Blood pressure target of <140/80 applied to those patients without recorded eye, kidney or vascular disease (EKV-) and
blood pressure target <130/80 applied to those patients with recorded eye, kidney or vascular disease.
**Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
- 14 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
All treatment targets by age
A comparison of results for The James Cook University Hospital of patients achieving all targets* by
age group and diabetes type are shown in Table 18 and Figure 6.
Table 18. Percentage of patients in The James Cook University Hospital receiving all targets* by
age group and diabetes type
Percentage of registered patients in secondary care unit (including RAG score) for all
treatment
Type
All ages
Aged under 55 years
Aged 55 years and over
Type 1
8.7%
9.9%
5.4%
Type 2
11.7%
9.8%
12.5%
*Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
RAG (Red-Amber-Green) score key: Ŷ <70% Ŷ 70% - 90% Ŷ >90%
Figure 6. All treatment targets achieved in The James Cook University Hospital
Further Information
The NDA also reports on statistics about diabetic kidney disease, mortality and the
complications of diabetes. These reports will be published over the next six months.
For further information, including NDA methodology and national summary reports,
please visit the website for the National Diabetes Audit.
- 15 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Appendix 1: Percentage of registered patients receiving all care processes by secondary care
unit
The following data supports Figure 3 in this report.
Secondary Care Unit
Percentage of
patients receiving
all care processes*
Addenbrooke's Hospital (RGT01)
33.0%
Aintree University Hospital NHS Foundation Trust (REM)
38.2%
Basildon University Hospital (RDDH0)
25.7%
Basingstoke and North Hampshire Hospital (RN506)
35.4%
Bishop Auckland Hospital (RXPBA)
45.4%
Broomfield Hospital (RQ8L0)
5.2%
Buckinghamshire Healthcare NHS Trust (RXQ00)
56.2%
Calderdale Royal Hospital (RWY02)
75.8%
Central Middlesex Hospital (RV831)
48.8%
Churchill Hospital (RTH02)
45.1%
Colchester General Hospital (RDEE4)
31.1%
Countess of Chester Hospital NHS Foundation Trust (RJR00)
53.3%
Darent Valley Hospital (RN707)
37.5%
Darlington Memorial Hospital (RXPDA)
39.1%
Derby Hospitals NHS Foundation Trust (RTG00)
25.8%
Doncaster and Bassetlaw Hospitals NHS Foundation Trust (RP500)
40.4%
Dorset County Hospital NHS Foundation Trust (RBD)
24.5%
Ealing Hospital (RC368)
48.7%
East and North Hertfordshire NHS Trust (RWH)
45.4%
East Surrey Hospital (RTP04)
30.8%
Frimley Park Hospital (RDU01)
29.1%
George Eliot Hospital NHS Trust (RLT00)
47.0%
Harrogate District Hospital (RCD01)
67.7%
Hereford County Hospital (RLQ01)
50.2%
Hospital of St Cross (RKB03)
49.5%
Hull Royal Infirmary (RWA01)
46.7%
King's College Hospital NHS Foundation Trust (RJZ)
26.0%
Leicester General Hospital (RWEAK)
47.1%
Leicester Royal Infirmary (RWEAA)
53.1%
Manchester Royal Infirmary (RW3MR)
15.9%
Milton Keynes Hospital (RD816)
40.2%
Northern General Hospital (RHQNG)
53.4%
Northumbria Healthcare NHS Foundation Trust (RTF)
39.7%
Northwick Park Hospital (RV820)
42.4%
Nottingham University Hospitals NHS Trust (RX1)
51.8%
Pennine Acute Hospitals NHS Trust (RW600)
25.7%
Peterborough and Stamford Hospitals NHS Foundation Trust (RGN)
37.3%
- 16 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Secondary Care Unit
Percentage of
patients receiving
all care processes*
Poole General Hospital (RD300)
52.8%
Princess Royal Hospital (RXH09)
54.1%
Queen Elizabeth Hospital (RRK02)
37.3%
Queen's Hospital, Burton upon Trent (RJF02)
35.6%
Royal Albert Edward Infirmary (RRF02)
13.2%
Royal Blackburn Hospital (RXR20)
30.0%
Royal Bournemouth General Hospital (RDZ20)
39.4%
Royal Devon and Exeter Hospital (Wonford) (RH801)
38.8%
Royal Hallamshire Hospital (RHQHH)
58.0%
Royal Surrey County Hospital (RA201)
66.3%
Royal Sussex County Hospital (RXH01)
43.3%
Royal United Hospital (RD130)
50.8%
Salford Royal (RM301)
54.6%
Salisbury Health Care NHS Trust (RNZ00)
50.6%
Sandwell General Hospital (RXK01)
32.8%
South Tyneside NHS Foundation Trust (RE900)
42.1%
Southampton General Hospital (RHM01)
56.3%
St Helens and Knowsley Hospitals NHS Trust (RBN)
42.8%
St James's University Hospital (RR813)
52.3%
St Mary's Hospital (HQ) (RYJ01)
42.4%
St Peter's Hospital (RTK01)
35.3%
Sunderland Royal Hospital (RLNGL)
45.1%
Tameside General Hospital (RMP01)
53.1%
Taunton and Somerset NHS Foundation Trust (RBA)
42.3%
The James Cook University Hospital (RTRAT)
53.0%
The Royal Liverpool University Hospital (RQ617)
39.7%
The Royal London Hospital (RNJ12)
32.7%
The Royal Wolverhampton Hospitals NHS Trust (RL4)
54.8%
The Whittington Hospital (RKEQ4)
44.2%
University Hospital (Coventry) (RKB01)
46.8%
University Hospital Lewisham (RJ224)
35.3%
University Hospital of North Durham (RXPCP)
43.3%
University Hospital of North Tees (RVWAE)
32.5%
Withington Hospital (RM201)
23.2%
Worcestershire Acute Hospitals NHS Trust (RWP00)
24.2%
Wythenshawe Hospital (RM202)
27.1%
Yeovil District Hospital (RA430)
36.3%
York Hospital (RCB55)
56.5%
*People registered with diabetes receiving all nine key processes of care processes
For patients under 12 years of ages, ‘all care processes’ is defined as HbA1c only as other care process are not
recommended in the NICE guidelines for this age group.
- 17 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Appendix 2: Percentage of patients achieving all treatments targets by secondary care unit
The following data supports Figure 5 in this report.
Secondary Care Unit
Percentage of
patients achieving
all treatment
targets*
Addenbrooke's Hospital (RGT01)
11.7%
Aintree University Hospital NHS Foundation Trust (REM)
12.5%
Basildon University Hospital (RDDH0)
17.1%
Basingstoke and North Hampshire Hospital (RN506)
8.9%
Bishop Auckland Hospital (RXPBA)
9.0%
Broomfield Hospital (RQ8L0)
10.2%
Buckinghamshire Healthcare NHS Trust (RXQ00)
8.7%
Calderdale Royal Hospital (RWY02)
13.4%
Central Middlesex Hospital (RV831)
11.5%
Churchill Hospital (RTH02)
14.0%
Colchester General Hospital (RDEE4)
11.8%
Countess of Chester Hospital NHS Foundation Trust (RJR00)
13.6%
Darent Valley Hospital (RN707)
10.7%
Darlington Memorial Hospital (RXPDA)
11.7%
Derby Hospitals NHS Foundation Trust (RTG00)
9.9%
Doncaster and Bassetlaw Hospitals NHS Foundation Trust (RP500)
11.7%
Dorset County Hospital NHS Foundation Trust (RBD)
12.0%
Ealing Hospital (RC368)
9.8%
East and North Hertfordshire NHS Trust (RWH)
13.5%
East Surrey Hospital (RTP04)
17.7%
Frimley Park Hospital (RDU01)
15.4%
George Eliot Hospital NHS Trust (RLT00)
11.2%
Harrogate District Hospital (RCD01)
21.7%
Hereford County Hospital (RLQ01)
7.4%
Hospital of St Cross (RKB03)
17.0%
Hull Royal Infirmary (RWA01)
15.6%
King's College Hospital NHS Foundation Trust (RJZ)
15.7%
Leicester General Hospital (RWEAK)
14.0%
Leicester Royal Infirmary (RWEAA)
13.7%
Manchester Royal Infirmary (RW3MR)
16.7%
Milton Keynes Hospital (RD816)
16.7%
Northern General Hospital (RHQNG)
11.5%
Northumbria Healthcare NHS Foundation Trust (RTF)
12.9%
Northwick Park Hospital (RV820)
14.9%
Nottingham University Hospitals NHS Trust (RX1)
11.1%
Pennine Acute Hospitals NHS Trust (RW600)
13.5%
Peterborough and Stamford Hospitals NHS Foundation Trust (RGN)
18.3%
- 18 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.
Secondary Care Unit
Percentage of
patients achieving
all treatment
targets*
Poole General Hospital (RD300)
10.1%
Princess Royal Hospital (RXH09)
11.0%
Queen Elizabeth Hospital (RRK02)
12.2%
Queen's Hospital, Burton upon Trent (RJF02)
12.8%
Royal Albert Edward Infirmary (RRF02)
16.8%
Royal Blackburn Hospital (RXR20)
9.2%
Royal Bournemouth General Hospital (RDZ20)
8.6%
Royal Devon and Exeter Hospital (Wonford) (RH801)
8.9%
Royal Hallamshire Hospital (RHQHH)
8.8%
Royal Surrey County Hospital (RA201)
16.4%
Royal Sussex County Hospital (RXH01)
13.6%
Royal United Hospital (RD130)
11.8%
Salford Royal (RM301)
25.0%
Salisbury Health Care NHS Trust (RNZ00)
8.6%
Sandwell General Hospital (RXK01)
14.6%
South Tyneside NHS Foundation Trust (RE900)
22.1%
Southampton General Hospital (RHM01)
7.4%
St Helens and Knowsley Hospitals NHS Trust (RBN)
11.4%
St James's University Hospital (RR813)
9.7%
St Mary's Hospital (HQ) (RYJ01)
15.2%
St Peter's Hospital (RTK01)
20.6%
Sunderland Royal Hospital (RLNGL)
12.1%
Tameside General Hospital (RMP01)
9.0%
Taunton and Somerset NHS Foundation Trust (RBA)
16.7%
The James Cook University Hospital (RTRAT)
10.9%
The Royal Liverpool University Hospital (RQ617)
14.0%
The Royal London Hospital (RNJ12)
17.0%
The Royal Wolverhampton Hospitals NHS Trust (RL4)
12.2%
The Whittington Hospital (RKEQ4)
16.3%
University Hospital (Coventry) (RKB01)
16.0%
University Hospital Lewisham (RJ224)
12.2%
University Hospital of North Durham (RXPCP)
12.7%
University Hospital of North Tees (RVWAE)
14.9%
Withington Hospital (RM201)
18.9%
Worcestershire Acute Hospitals NHS Trust (RWP00)
11.4%
Wythenshawe Hospital (RM202)
16.7%
Yeovil District Hospital (RA430)
16.5%
York Hospital (RCB55)
7.5%
*Where patients have achieved HbA1c ч7.5%, cholesterol < 5mmol/l and their relevant blood pressure target.
- 19 National Diabetes Audit 2010-2011 - The James Cook University Hospital
Copyright © 2012, The Health and Social Care Information Centre, National Diabetes Audit. All rights reserved.