https://phescreening.blog.gov.uk/2017/10/10/tools-to-address-inequalities-local-aaa-programmes/

Tools to address inequalities: local AAA programmes

I know not everyone enjoys staring at spreadsheets as much as I do but data can be a powerful tool in addressing problems in local NHS abdominal aortic aneurysm (AAA) services.

We have developed a new report for local use to better understand the population eligible for screening and improve services to meet their needs. This report highlights inequalities in AAA local provider areas and will also help provide evidence of the quality of services local providers deliver. We know, for instance, that men living in more deprived areas are less likely to attend screening and are more likely to have an aneurysm.

Uptake of AAA screening and detection of aneurysms by IMD2010 decile, 1 April 2013 to 31 March 2015

To address this kind of inequality we’ve developed a report for local programmes that shows where this inequality of uptake occurs in their programme.

Our challenge to local AAA providers

We are challenging providers to increase uptake in the most deprived areas by 10% by the end of 2018 to 2019.

I know what you’re thinking, this all sounds like a great idea but it's probably all too hard to do. Right? Wrong!

Providers, commissioners and PHE screening quality assurance teams should work together to develop focused interventions to increase the uptake of screening. To help with this, we’ve produced:

  • a tool to help you analyse the data in the report
  • a series of videos to help you use the report and the tool

Of course,  always remember that AAA screening is an individual choice rather than a recommendation. Saying that, people can only make a choice that is right for them if they have access to high quality, evidence-based and accessible information. That is something this tool and videos will help you with.

Analysis tool

I’ll be sending local AAA programme managers the tool when the reports are available later in October. It enables programmes to easily summarise data from the report in to tables and charts.  You’ll also be able to access it on GOV.UK in early 2018.

Video guide

These videos are available to use whenever is convenient and users can go back to them as often as they need. We will be developing another set of videos that cover the ethnic group section of the report ready for the next data release in January 2018.

If you have any questions, please comment on this blog or in our feedback survey.

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1 comment

  1. Comment by Irene Stratton posted on

    We've known for a long time that aneurysms are more common in men who smoke (this report from 1999 http://www.sciencedirect.com/science/article/pii/S0741521499700492)

    and we know that smoking is far more common in deprived areas
    (http://www.bmj.com/content/348/bmj.g2184)
    ( the graph showing this is here: http://www.bmj.com/content/bmj/348/bmj.g2184/F1.medium.gif)

    so isn't the higher rate of aneurysms going to be driven more by smoking than the deprivation score? I've skipped through the videos and can't see a mention of smoking.

    This report shows that smoking rates are higher in those with fewer qualifications and those who live alone:

    https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/datasets/adultsmokinghabitsinengland

    Of course this also means that women who smoke are at higher risk of AAA then men who don't smoke...... women smokers are screened for AAA in USA I think.
    http://onlinelibrary.wiley.com/doi/10.1002/bjs.9526/abstract

    Reply

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