LTC & PREVENTION · England

Long-term Conditions & Prevention

England — National — are we finding and managing disease?

Geography
England
QOF achievement
96.7%
Biggest find-gap
Diabetes +1.4pp

○Figures are your practice where published; otherwise the nearest available area, marked ○.

QOF achievement
96.7%
clinical points achieved
Hypertension recorded
15.3%
recorded prevalence
Diabetes recorded
6.5%
vs 7.8% expected
Smoking
13.5%
adults (QOF)
Obesity
13.9%
adults (QOF)
LD health checks
72%
of register · England
Dementia recorded (65+)
4.28%
registered 65+
SMI: all six checks
65.1%
of the SMI register
Flu vaccine (65+)
74.5%
of eligible 65+
Life expectancy (F)
83.0y
2019 - 23
What this tells you · This reads across QOF registers + achievement, the recorded-vs-expected case-finding gap (Fingertips modelled prevalence), upstream risk factors and small-area health for England. Each panel is drawn only from data we hold at this grain.
Seasonal flu vaccine uptake is published at ICB grain (UKHSA), so it is shown for England (England).
Learning-disability annual-health-check coverage is published at England / SICBL grain only, so it is shown at England grain.
Practice comparison is shown at ICB / borough / PCN scope (too many practices to table at National scope).

England

●England

Condition cards — found vs expected, and how well managed

●EnglandQOF + Fingertips

One card per major condition. The number is recorded QOF prevalence; the sub-line compares it to the modelled expected prevalence (where held) plus the QOF achievement for that clinical area.

CVD / CHD
3.0%
QOF 98%
Diabetes
6.5%
exp 7.8% · QOF 95%
COPD / Asthma
1.9%
QOF 97%
Hypertension
15.3%
QOF 98%
Depression / SMI
11.5%
exp 1.2% · QOF 96%

Dementia — recorded register & care planning

●EnglandPrimary Care Dementia

Recorded dementia register prevalence among the registered 65+ (registration-based, vs the nearest-parent benchmark), and how much of the register has a care plan and a medication review. The official modelled diagnosis-rate-vs-expected is shown for context — it is published only at sub-ICB and above.

Englandcomparator
Recorded dementia (65+)4.28%

498,122 people aged 65+ on the dementia register. Official modelled 65+ estimated diagnosis rate 66.3% at National grain (ENGLAND). This is the recorded register vs the registered list — not the modelled diagnosis-rate-vs-expected.

Care plan
76%
Medication review
59%

Severe Mental Illness — physical health checks

●EnglandPHSMI (experimental)

The percentage of the SMI register who received all six annual physical-health checks (vs the nearest-parent benchmark), and coverage of each of the six elements. Experimental NHS statistic (PHSMI) over a rolling 12-month window — sub-ICB submission completeness varies, so practices that did not submit are absent.

Englandcomparator
All six checks65.1%

484,420 people on the SMI register. 4.7% received none of the six checks. Every coverage figure is the recorded count ÷ the SMI register — best-effort over submitted practices.

Alcohol
82%
Blood glucose
77%
Blood lipid
76%
Blood pressure
84%
BMI
83%
Smoking
83%

Prescribing tie-in — antibacterial stewardship

●EnglandNHSBSA prescribing

Antibacterial items (BNF chapter 5.1) as a share of all prescribed items, against the nearest-parent benchmark. A stewardship lens — lower is better.

Englandcomparator
Antibacterial items (BNF 5.1)2.4%

A statins-vs-CVD-register scatter (in the design mockup) is omitted — drug-level reads beyond the antibacterial share are not held.

Register composition

●EnglandQOF registers

The mix of long-term conditions by recorded prevalence — a quick read of the case-mix this team manages.

by recorded prevalence
Hypertension30%
Depression23%
Non-diabetic hyperglycaemia15%
Diabetes mellitus13%
Asthma12%
Cancer8%

Practice comparison

●EnglandQOF + Fingertips

One sortable row per practice — finding and managing disease. Click a heading to re-sort; your practice is highlighted.

Practice comparison is shown at ICB / borough / PCN scope (too many practices to table at National scope).

Wider area context

○Wider area context

Not specific to your practice — nearest available area, marked ○.

Case-finding gap (expected − recorded)

○Modelled · ICB+EnglandFingertips − QOF

How many more people we'd expect to have each condition than are on the register. Longer orange bars = more people likely living undiagnosed. The expected prevalence is a Fingertips MODELLED estimate published at ICB / England grain, not your practice's own count.

over-recordedlikely undiagnosed
Type 2 diabetes (total expected)
+1.4pp
Non-diabetic hyperglycaemia
+5.3pp
Severe mental illness (SMI)
+0.1pp
Dementia diagnosis rate (65+)
+33.7pp

Recorded vs expected prevalence

○Modelled · ICB+EnglandQOF vs modelled

Two bars per condition: what's on the register (blue) against what we'd expect (orange). The bigger the orange overhang, the bigger the find opportunity. The expected is the Fingertips modelled (ICB / England) figure, not practice-level.

Recorded (QOF)Expected (modelled)
Type 2 diabetes (total expected)6.5% / 7.8%
Non-diabetic hyperglycaemia7.4% / 12.7%
Severe mental illness (SMI)1.0% / 1.2%
Common mental disorders (16+)11.5% / 16.9%
Common mental disorders (65+)11.5% / 10.3%

Risk factors vs nearest parent

○Wider area · nearest parentFingertips + Census

The upstream drivers of long-term conditions, compared with the nearest-parent benchmark. Higher bars mean this population carries more of that risk.

Englandcomparator
Smoking (adults, QOF)13.5%
Obesity (adults, QOF)13.9%
Not-good health (Census)5.1%
Limiting disability (Census)17.1%

LD health-check coverage

○Wider area · EnglandLD-AHC · England

Learning-disability annual health checks as a share of the LD register, with last year for context.

LD checks · 2024-25
72%
LD checks · 2023-24
71%

Derived checks ÷ register ratio at England grain (the dataset's published grain — not the official 14+ AHC coverage). Up 1.4pp year-on-year. SMI physical-health-check coverage is not held.

Seasonal flu vaccine uptake

○Wider area · EnglandUKHSA · England

Flu vaccine coverage among the eligible GP cohorts — aged 65+ (the headline), under-65 in a clinical at-risk group, and pregnant women — against the nearest-parent benchmark. UKHSA publishes this at ICB grain (not GP practice), so figures are shown at the scope's nearest published grain; in-season figures are provisional.

Englandcomparator
65+ flu coverage74.5%

Shown for England (England). Season 2025 to 2026, final end-of-season data. Coverage is vaccinated ÷ eligible — additive ICB → Region → National.

Aged 65+
75%
Under-65 at-risk
41%
Pregnant women
38%

Prevalence vs deprivation gradient

○Catchment-weighted · LSOAQOF × IoD2025

Each dot is a practice: its patients' deprivation (x) against recorded diabetes prevalence (y). A rising line means disease concentrates in more-deprived areas.

0.332.464.543565IMD 2019 score — more deprived →Diabetes prevalence (%) →

Across England’s 6,125 practices, more-deprived practices have a higher recorded diabetes prevalence — a weak positive relationship (r = 0.37, n = 6125).

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