Long-term Conditions & Prevention
Tower Hamlets — are we finding and managing disease?
Figures are your practice where published; otherwise the nearest available area, marked ○.
Your borough
Your boroughCondition cards — found vs expected, and how well managed
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.
Dementia — recorded register & care planning
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.
1,027 people aged 65+ on the dementia register. Official modelled 65+ estimated diagnosis rate 63.6% at ICB grain (NHS NORTH EAST LONDON INTEGRATED CARE BOARD). This is the recorded register vs the registered list — not the modelled diagnosis-rate-vs-expected.
Severe Mental Illness — physical health checks
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.
4,335 people on the SMI register. 10.5% received none of the six checks. Every coverage figure is the recorded count ÷ the SMI register — best-effort over submitted practices.
Prescribing tie-in — antibacterial stewardship
Antibacterial items (BNF chapter 5.1) as a share of all prescribed items, against the nearest-parent benchmark. A stewardship lens — lower is better.
A statins-vs-CVD-register scatter (in the design mockup) is omitted — drug-level reads beyond the antibacterial share are not held.
Register composition
The mix of long-term conditions by recorded prevalence — a quick read of the case-mix this team manages.
Practice comparison
One sortable row per practice — finding and managing disease. Click a heading to re-sort; your practice is highlighted.
| # | Practice | QOF % ▼ | HTN found % | Diabetes found % | Smoking % | IMD decile | List |
|---|---|---|---|---|---|---|---|
| 1 | GOUGH WALK PRACTICE | 100% | 8.8% | 9.9% | 13.7% | 2 | 11,456 |
| 2 | THE CHRISP STREET HTH CTR | 100% | 9.4% | 9.5% | 15.8% | 2 | 13,973 |
| 3 | WELLINGTON WAY HEALTH CENTRE | 100% | 6.7% | 6.9% | 17.3% | 3 | 12,480 |
| 4 | THE WAPPING GROUP PRACTICE | 100% | 8.3% | 4.7% | 12.3% | 7 | 10,599 |
| 5 | ROSERTON STREET SURGERY | 99% | 5.0% | 3.7% | 10.7% | 5 | 17,141 |
| 6 | GOODMAN'S FIELD HEALTH CENTRE | 99% | 6.2% | 6.3% | 12.0% | 3 | 37,455 |
| 7 | THE GROVE ROAD SURGERY | 99% | 8.0% | 6.3% | 19.4% | 4 | 3,744 |
| 8 | THE LIMEHOUSE PRACTICE | 99% | 9.2% | 8.4% | 16.5% | 3 | 11,828 |
| 9 | ABERFELDY PRACTICE | 98% | 4.8% | 5.6% | 14.3% | 4 | 14,323 |
| 10 | THE BARKANTINE PRACTICE | 98% | 5.7% | 5.0% | 10.6% | 6 | 26,473 |
| 11 | DOCKLANDS MEDICAL CENTRE | 97% | 6.9% | 4.2% | 13.4% | 6 | 9,804 |
| 12 | HARFORD HEALTH CENTRE | 97% | 9.8% | 11.7% | 13.8% | 2 | 9,153 |
| 13 | HARLEY GROVE MEDICAL CTR. | 97% | 7.7% | 8.5% | 16.9% | 3 | 7,564 |
| 14 | RUSTON STREET CLINIC | 97% | 9.1% | 6.9% | 16.0% | 3 | 3,813 |
| 15 | STROUTS PLACE MEDICAL CENTRE | 97% | 6.3% | 5.5% | 15.4% | 3 | 9,743 |
| 16 | XX PLACE HEALTH CENTRE | 97% | 9.1% | 9.2% | 13.7% | 2 | 16,669 |
| 17 | ISLAND HEALTH | 96% | 7.8% | 5.5% | 15.6% | 5 | 12,863 |
| 18 | ST. STEPHENS HEALTH CENTRE | 96% | 10.5% | 8.7% | 17.5% | 3 | 12,836 |
| 19 | THE SPITALFIELDS PRACTICE | 95% | 7.9% | 8.3% | 15.6% | 3 | 13,078 |
| 20 | THE BLITHEHALE MED.CTR. | 94% | 7.0% | 7.7% | 17.7% | 2 | 14,130 |
| 21 | ST ANDREWS HEALTH CENTRE | 92% | 7.8% | 8.0% | 13.7% | 2 | 32,443 |
| 22 | ST. KATHERINE'S DOCK PRACTICE | 92% | 11.7% | 3.7% | 7.4% | 9 | 2,343 |
| 23 | THE MISSION PRACTICE | 90% | 9.5% | 8.0% | 18.2% | 2 | 11,268 |
| 24 | CITY SQUARE MEDICAL GROUP | 90% | 11.0% | 11.9% | 14.5% | 2 | 10,733 |
| 25 | SUTTONS WHARF HEALTH CENTRE | 90% | 4.0% | 3.8% | 13.5% | 3 | 17,684 |
| 26 | TREDEGAR PRACTICE | 88% | 8.0% | 5.9% | 16.9% | 4 | 5,639 |
| 27 | THE JUBILEE STREET PRACTICE LTD | 88% | 9.3% | 9.6% | 15.0% | 2 | 16,266 |
| 28 | BETHNAL GREEN HEALTH CTR. | 78% | 10.0% | 8.2% | 17.9% | 2 | 9,520 |
| 29 | ALBION HEALTH CENTRE | 77% | 8.7% | 10.7% | 18.0% | 1 | 8,824 |
| 30 | HEALTH E1 | 66% | 9.1% | 5.3% | — | 2 | 1,032 |
Wider area context
Wider area contextNot specific to your practice — nearest available area, marked ○.
Case-finding gap (expected − recorded)
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.
Recorded vs expected prevalence
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.
Risk factors vs nearest parent
The upstream drivers of long-term conditions, compared with the nearest-parent benchmark. Higher bars mean this population carries more of that risk.
LD health-check coverage
Learning-disability annual health checks as a share of the LD register, with last year for context.
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
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.
Shown for NHS NORTH EAST LONDON INTEGRATED CARE BOARD (ICB). Season 2025 to 2026, final end-of-season data. Coverage is vaccinated ÷ eligible — additive ICB → Region → National.
Prevalence vs deprivation gradient
Each dot is a practice: its patients' deprivation (x) against recorded diabetes prevalence (y). A rising line means disease concentrates in more-deprived areas.
Across this borough’s 30 practices, more-deprived practices have a higher recorded diabetes prevalence — a strong positive relationship (r = 0.79, n = 30).