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Socio-demographic data sources for monitoring locality health profiles and geographical planning of primary health care in the UK

  • Edgar Samarasundera (a1) (a2), David Martin (a3), Sonia Saxena (a4) and Azeem Majeed (a5)
Abstract
Aim

The aim of this article is to provide UK-based primary health care research and development workers with a review of the current range of published, aggregated socio-demographic indicators that can be combined with health and health care datasets, for the purposes of monitoring locality health profiles and planning primary health care. Non-UK readers should nevertheless find the review of some relevance to their own national contexts.

Background

There is an increasing range of resources available for such purposes and many of these datasets are equally useful outside of geographic work. The 2001 census introduced important changes to what routine data are available, as will the 2011 census. These changes have been paralleled by developments in the availability of socio-demographic indicators and the increasing popularity of geographic information systems. Health data can now be combined with those from socio-demographic more efficiently to produce what are termed value-added datasets.

Methods

We review recent and planned developments in key data sources currently available in the UK and examine they can be used to monitor inequalities in primary health care inequalities and their role in the integration of primary health care needs mapping and forecasting with the spatial planning of areas undergoing regeneration.

Conclusions

Recent and planned developments in the availability of both socio-demographic datasets in tandem with parallel developments in spatial technologies have provided a flexible, potent geographical methodology for primary health care research and development. The current consultation process for the 2011 census provides those involved with primary health care research and development an opportunity to influence future developments.

Copyright
Corresponding author
Correspondence to: Mr Edgar Samarasundera, Department of Primary Care and Social Medicine, Imperial College London, Reynolds Building, St Dunstan’s Road, London W6 8RP, UK. Email: e.samarasundera@imperial.ac.uk
References
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Abbas J., Carlin H., Cunningham A., Dedman D. McVey D. 2009: Geodemographic segmentation. York, UK: Association of Public Health Observatories [Technical Briefing 5].
Adams J. White M. 2006: Removing the health domain from the Index of Multiple Deprivation 2004 – effect on measured inequalities in census measure of health. Journal of Public Health 28, 379383.
Asthana S., Halliday J. Brigham P. 2002: Rural deprivation and service need: a review of the literature and an assessment of indicators for rural service planning. Bristol, Avon, UK: South West Public Health Observatory.
Aveyard P., Manaseki S. Chambers J. 2002: The relationship between mean birth weight and birth weight using the Townsend deprivation score and the Super Profile classification system. Public Health 116, 308314.
Baird A.G., Donnelly C.M., Miscampell N.T. Wemyss H.D. 2000: Centralisation of cancer services in rural areas has disadvantages. British Medical Journal 320, 717.
Barnett S., Roderick P., Martin D. Diamond I. 2001: A multilevel analysis of the effects of rurality and social deprivation on premature limiting long term illness. Journal of Epidemiology and Community Health 55, 4451.
Bates A. 2006: Methodology used for producing ONS small area population estimates. Population Trends 125, 3046.
Bibby P. Shepherd J. 2004: Developing a new classification of urban and rural areas for policy purposes: the Methodology. Retrieved 19 April 2009 from http://www.statistics.gov.uk/geography/nrudp.asp
Birkin M. Clarke G. 1998: GIS, geodemographics and spatial modelling: an example within the UK financial services industry. Journal of Housing Research 9, 87112.
Birkin M., Clarke G. Douglas L. 2002: Optimising retail mergers and acquisitions geographically. Progress in Planning 58, 229318.
Birkin M., Clarke G., Gibson P., Dewhurst R. Bobby J. 2005: Re-evaluating funding mechanisms for Primary Care Trusts: a new model of secondary care usage incorporating lifestyle data. Environment and Planning C 23, 317336.
Blackman T. 2006: Placing health: neighbourhood renewal, health improvement and complexity. Bristol, Avon, UK: Policy Press.
Blackman T., Harvey J., Lawrence M. Simon A. 2001: Neighbourhood renewal and health: evidence from a local case study. Health and Place 7, 93103.
Bottle A., Millett C., Xie Y., Saxena S., Wachter R.M. Majeed A. 2008: Quality of primary care and hospital admissions for diabetes mellitus in England. Journal of Ambul Care Management 31, 226238.
Bowling A., Barber J., Morris R. Ebrahim S. 2006: Do perceptions of neighbourhood environment influence health? Baseline findings from a British Survey of Aging. Journal of Epidemiology and Community Health 60, 476483.
Brown P.J.B. Batey P.W.J. 1994: Design and construction of a geodemographic targeting system: super profiles 1994. Liverpool, UK: University of Liverpool, Urban Research and Policy Evaluation Laboratory.
Cabinet Office. 2008: Helping to shape tomorrow: the 2011 Census of Population and Housing in England and Wales. London, UK: The Stationery Office.
Carstairs V. 2000: Socio-economic factors at area level and their relationship with health. In Elliott, P., Wakefield, J., Best, N. and Briggs, D., editors., Spatial epidemiology: methods and applications. Oxford, UK: Oxford University Press, 5167, Ch. 4.
Congdon P. 2006: Estimating diabetes prevalence by small area in England. Journal of Public Health 28, 7181.
Cox J. 1998: Poverty in rural areas is more hidden but no less real than in urban areas. British Medical Journal 316, 722730.
Cromley E.K. McLafferty S.L. 2002: GIS and public health. New York, USA: The Guilford Press.
Damiani M., Propper C. Dixon J. 2005: Mapping choice in the NHS: cross-sectional study of routinely collected data. British Medical Journal 330, 284289.
Day R. 2008: Local environments and older people’s health: dimensions from a comparative qualitative study in Scotland. Health and Place 14, 299312.
Dedman D., Jones A., Tocque K. Bellis M.A. 2006: Population targeting: tools for social marketing. Liverpool, UK: Northwest Public Health Observatory.
Department of Health. 2004: Choosing health: making healthier choices easier. London, UK: DH.
Dixie J. Dorling D. 2002: New questions for the 2001 census. In Rees, P., Martin, D. and Williamson, P., editors. The census data system. Chichester, West Sussex, UK: Wiley, 283294, Ch. 20.
Doran T., Drever F. Whitehead M. 2006: Health underachievement and overachievement in English local authorities. Journal of Epidemiology and Community Health 60, 686693.
Elliott P., Wakefield J., Best N. Briggs D. 2000: Spatial epidemiology: methods and applications. Oxford, UK: Oxford University Press.
Field K. 2000: Measuring the need for primary health care: an index of relative disadvantage. Applied Geography 20, 305332.
Gatrell A.C. 2002: Geographies of health: an introduction. Oxford, UK: Blackwell.
General Register Office for Scotland. 2007: 2006 census test evaluation report. Edinburgh, UK: GROS.
General Register Office for Scotland. 2008: Mid-2007 Population Estimates Scotland. Edinburgh, UK: GROS.
Gnani S. Majeed A. 2006: A user’s guide to data collected in primary care in England. Cambridge: Eastern Region Public Health Observatory.
Guagliardo M.F. 2004: Spatial accessibility of primary care: concepts, methods and challenges. International Journal of Health Geographics 3, 315.
Harris R., Sleight P. Webber R. 2005: Geodemographics: GIS and neighbourhood targeting. Chichester, West Sussex, UK: Wiley.
Hennell T. 2004: Have we learned to count yet? A health services perspective on the 2001 census. Area 36, 124135.
House of Commons Treasury Committee. 2008: Counting the population: eleventh report of session 2007–2008 Volume 1. London, UK: The Stationery Office.
House of Commons Treasury, Sub-committee of Inquiry on Counting the Population. 2008: Retrieved January 2009 from http://www.publications.parliament.uk/pa/cm200708/cmselect/cmtreasy/183/183.pdf
Jenkins C. Campbell J. 1996: Catchment areas in general practice and their relation to size and quality of practice and deprivation: a descriptive study in one London borough. British Medical Journal 313, 11891192.
Jordan H., Roderick P. Martin D. 2004b: The Index of Multiple Deprivation 2000 and accessibility effects on health. Journal of Epidemiology and Community Health 58, 250257.
Jordan H., Roderick P., Martin D. Barnett S. 2004a: Distance, rurality and the need for care: access to services in South West England. International Journal of Health Geographics 3, 2129.
Kalthenthaler E., Maheswaran R. Beverley C. 2004: Population-based health indexes: a systematic review. Health Policy 68, 245255.
Longley P. 2005: Geographic information systems: a renaissance of geodemographics for public service delivery. Progress in Human Geography 29, 5763.
Luo W. 2004: Using a GIS-based floating catchment method to assess areas with shortage of physicians. Health and Place 10, 111.
Luo W. Wang F. 2003: Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in the Chicago region. Environment and Planning B: Planning and Design 30, 865884.
Lynch J.W., Kaplan G.A., Pamuk E.R., Cohen R.D., Heck K.E., Balfour J.L. Yen I.H. 1998: Income inequality and mortality in metropolitan areas of the United States. American Journal of Public Health 88, 10741080.
Majeed F.A., Cook D.G., Poloniecki J. Martin D. 1995: Using data from the 1991 census. British Medical Journal 310, 15111514.
Martin D. 2002: Geography for the 2001 census in England and Wales. Population Trends 108, 715.
Martin D. 2004: Neighbourhoods and area statistics in the post-2001 census era. Area 36, 136145.
Martin D. 2006: Last of the censuses? The future of small area population data. Transactions of the Institute of British Geographers 31, 618.
Martin D. 2007: Census present and future. Journal of the Royal Statistical Society A 170, 263266.
Millett C., Zelenyanszki C., Binysh K., Lancaster J. Majeed A. 2005: Population mobility: characteristics of people registering with general practices. Public Health 119, 632638.
Mimas GeoConvert. Retrieved 22 March 2009 from http://geoconvert.mimas.ac.uk/
Mobley L.R., Root E., Anselin L., Lozano-Gracia N. Koschinsky J. 2006: Spatial analysis of elderly access to primary care services. International Journal of Health Geographics 5, 1935.
Morgan O. Baker A. 2006: Measuring deprivation in England and Wales using 2001 Carstairs scores. Health Statistics Quarterly 31, 2833.
Muggli E.E., McCloskey D. Halliday J.L. 2000: Health behaviour modeling for prenatal diagnosis in Australia: a geodemographic framework for health service utilisation and policy development. BMC Health Services Research 6, 109119.
National Health Service London Healthy Urban Development Unit. 2006a: London Thames Gateway Social Infrastructure Needs Assessment. London, UK: HUDU.
National Health Service London Healthy Urban Development Unit. 2006b: London Thames Gateway Social Infrastructure Framework: a toolkit to guide decision making. London, UK: HUDU.
Neighbourhood Renewal Unit. 2004: The English Indices of Deprivation 2004: Summary (Revised). London, UK: Office of the Deputy Prime Minister.
Nieuwenhuijsen M.J. 2000: Personal exposure monitoring in environmental epidemiology. In Elliott, P., Wakefield, J., Best, N. and Briggs, D., editors., Spatial epidemiology: methods and applications. Oxford, UK: Oxford University Press, 360374, Ch. 20.
Niggebrugge A., Haynes R., Jones A., Lovett A. Harvey I. 2005: The Index of Multiple Deprivation 2000 accessibility domain: a useful indicator for public health? Social Science and Medicine 60, 27432753.
Northern Ireland Statistics and Research Agency. 2005: Report of the inter-departmental urban–rural classification group: statistical classification and delineation of settlements. Belfast, County Antrim, UK: NISRA.
Office of Population Censuses and Surveys. 1994: Undercoverage in Great Britain. London, UK: OPCS [1991 Census user guide 58].
Office for National Statistics. 2008: Helping to shape tomorrow: the 2011 census of population and housing in England and Wales. London, UK: The Stationery Office.
Office for National Statistics Postcode Directory. Retrieved 22 March 2009 from http://www.ons.gov.uk/about-statistics/geography/products/geog-products-postcode/nspd/index.html
Office for National Statistics 2011 Census Consultations. Retrieved 19 April 2009 from http://www.ons.gov.uk/census/2011-census/consultations/index.html
Pencheon D. 2008: The good indicators guide: understanding how to use and choose indicators. Coventry, West Midlands, UK: NHS Institute for Innovation and Improvement.
Powell J., Tapp A., Orme J. Farr M. 2007: Primary care professionals and social marketing of health in neighbourhoods: a case study approach to identify, target and communicate with ‘at risk’ populations. Primary Health Care Research and Development 8, 2235.
Rose D. O’Reilly K. 1998: The ESRC review of government social classifications: final report. London, UK: The Stationery Office.
Sanmartin C., Ross N.A., Tremblay S., Wolfson M., Dunn J.R. Lynch J. 2003: Labour market income inequality and mortality in North American metropolitan areas. Journal of Epidemiol Community Health 57, 792797.
Saxena S., Car J., Eldred D., Soljak M. Majeed A. 2007: Practice size, caseload, deprivation and quality of care of patients with coronary heart disease, hypertension and stroke in primary care: national cross-sectional study. BMC Health Services Research 7, 96104.
Scottish Executive. 2008: Urban–rural classification 2007–2008. Edinburgh, UK: Office of the Chief Statistician.
Scrivener G. Lloyd D.C.E.F. 1995: Allocating census data to general practice populations: implications for study of prescribing variation at practice level. British Medical Journal 311, 163165.
Senior M. 2002: Deprivation indices. In Rees, P., Martin, D. and Williamson, P., editors. The census data system. Chichester, West Sussex, UK: Wiley, 123138, Ch. 9.
Sigfrid L.A., Turner C., Crook D. Ray S. 2006: Using the UK primary care Quality and Outcomes Framework to audit health care equity: preliminary data on diabetes management. Journal of Public Health 28, 221225.
Steele F., Brown J. Chambers R.A. 2002: Controlled donor imputation system for a one-number census. Journal of the Royal Statistical Society Series A 165, 495522.
Strong M., Maheswaran R. Radford J. 2006: Socio-economic deprivation, coronary heart disease prevalence and quality of care: a practice-level analysis in Rotherham using data from the new UK general practitioner Quality and Outcomes Framework. Journal of Public Health 28, 3942.
Subramanian S.V. Kawachi I. 2006: Whose health is affected by income inequality? A multilevel interaction analysis of contemporaneous and lagged effects of state income inequality on individual self-rated health in the United States. Health and Place 12, 141156.
Thiru K., Hassey A. Sullivan F. 2003: Systematic review of scope and quality of electronic patient record data in primary care. British Medical Journal 326, 10701074.
Twigg L., Moon G. Jones K. 2000: Predicting small-area health-related behaviour: a comparison of smoking and drinking indicators. Social Science and Medicine 50, 11091120.
Vickers D. Rees P. 2007: Creating the UK National Statistics 2001 output area classification. Journal of the Royal Statistical Society Series A 170, 379404.
Voas D. Williamson P. 2001: The diversity of diversity: a critique of geodemographic classification. Area 33, 6376.
Wang F. Luo W. 2005: Assessing spatial and nonspatial for healthcare access: towards an integrated approach to defining healthcare professional shortage areas. Health and Place 11, 131146.
Webber R. 2004: Neighbourhood inequalities in the patterns of admissions and their application to the targeting of health promotion campaigns. London, UK: CASA, University College London.
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