Octagon PCN Demographic Profile
The Octagon PCN demographic profile showcases a population of around 94,000 registered individuals with unique characteristics compared to the North Alliance, CCG, and England. The analysis covers various aspects such as ethnic diversity, deprivation levels, birth rates, health indicators, and mortality rates. Octagon PCN's population is expected to grow steadily, with distinct trends predicted up to 2036. Key findings highlight disparities in age distribution, health outcomes, and disease prevalence when compared to broader regional averages.
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Octagon PCN Data pack August 2019
Octagon PCN summary There are approximately 94,000 people registered with Octagon PCN, with a smaller older population compared to the North Alliance, CCG and England. The population of Octagon PCN is expected to grow at a rate relatively similar to that of the CCG over the period 2019-2026, with lower growth predicted within the PCN compared to the CCG between 2026 and 2036 The PCN has a lower proportion of White British ethnic group persons when compared to the North Alliance, CCG and England and conversely, high proportions of individuals from other ethnic groups Relative deprivation is higher in the PCN compared to the North Alliance, CCG and England, although deprivation varies substantially between practices. Approximately 25% of children and 21% of older people live in poverty It is estimated that on average there are around 1,250 births a year in the PCN. Birth rates and the proportion of babies born with a low birth weight are statistically similar to the North Alliance, which in itself has a noticeably high birth rate compared to the CCG Both male and female life expectancy values for Octagon PCN are statistically significantly worse than North Alliance averages Recorded obesity in adults is statistically significantly lower than the North Alliance Estimates of people reporting long-term activity-limiting illness and being in Good or Very Good health are statistically similar than North Alliance averages On average there are 757 deaths a year in the PCN, with around a third of these in people aged under 75 years The PCN has statistically significantly low recorded prevalence of CHD, hypertension, asthma, COPD and cancer compared to the North Alliance and statistically significantly high prevalence of diabetes, mental health disorders, depression and dementia All-cause mortality rates are statistically significantly higher than the North Alliance for Octagon PCN for both all ages and under 75s only. The all age respiratory disease mortality rate is also statistically significantly higher than the North Alliance
GP registered population Age band Octagon PCN North Alliance Cambridgeshire and Peterborough CCG England Number % 94,011 100.0% Total 567,598 983,597 59,759,638 0-4 years 5,796 6.2% 5.9% 5.4% 5.5% 5-14 years Under 18 years 16-64 years 65+ years 75+ years 85+ years 12,602 21,542 60,572 13,972 6,314 1,967 13.4% 22.9% 64.4% 14.9% 6.7% 2.1% 12.6% 21.8% 63.4% 16.9% 7.5% 2.2% 11.7% 20.3% 65.6% 16.3% 7.3% 2.2% 11.8% 20.4% 64.3% 17.4% 8.0% 2.3% Octagon PCN has a higher proportion of people aged 18 and under and lower proportion aged 65 and over compared with North Alliance, CCG and England. Population forecasts 2019 2021 2026 2031 2036 2019 to 2021 2021 to 2026 2026 to 2031 2031 to 2036 PCN Number % Number % Number % Number % Octagon PCN 94,011 96,848 102,361 103,839 102,887 2,837 3.0% 5,514 5.7% 1,478 1.4% -952 -0.9% C&P CCG 982,987 1,011,368 1,072,891 1,097,528 1,110,295 28,381 2.9% 61,522 6.1% 24,637 2.3% 12,767 1.2% The population of Octagon PCN is expected to grow at a rate relatively similar to that of the CCG over the period 2019-2026, with lower growth predicted within the PCN compared to the CCG between 2026 and 2036. Source: GP registered population, April 2019, NHS Digital. Population forecasts based on population distribution at ward level (Apr 19), Mid 2015 based population forecasts Cambridgeshire County Council
Population distribution Population distribution PCN dominant population Source: GP registered population data by Lower Super Output Area, April 19, NHS Digital
Ethnicity White British White Other Mixed Black Asian: Indian/ Bangladeshi/ Pakistani Asian: Chinese/ Other Other PCN Octagon PCN 72.9% 10.8% 2.8% 2.3% 8.0% 2.3% 0.8% North Alliance 80.7% 8.7% 1.9% 1.4% 5.0% 1.7% 0.5% Cambridgeshire and Peterborough CCG 80.0% 9.5% 2.1% 1.3% 4.1% 2.4% 0.7% England 79.8% 5.7% 2.3% 3.5% 5.6% 2.3% 1.0% Octagon PCN has a lower proportion of population from the White British ethnic group and higher proportions from all other ethnic groups in comparison to North Alliance and the CCG. Source: Census 2011 data applied to GP registered population using Census 2011 ethnic group proportions; England data from NOMIS (patients registered at a GP Practice by LSOA, July 2018, NHS Digital)
Deprivation Index of Multiple Deprivation Income Affecting Children Index Income Affecting Older People Index Index of Multiple Deprivation, 2015, by ward BRETTON MEDICAL PRACTICE 36.1 31.7% 21.2% HAMPTON HEALTH THOMAS WALKER OCTAGON MEDICAL CENTRE Octagon PCN 15.5 29.8 27.7 27.8 17.2% 24.5% 24.2% 24.5% 20.7% 22.9% 21.0% 21.0% North Alliance 21.6 17.2 18.9% 15.4% 16.5% 14.3% C&P CCG England 21.8 19.9% 16.2% Relative deprivation is higher in Octagon PCN than the North Alliance, C&P CCG and England averages, although there is substantial observed variance at practice level. Approximately 25% of children and 21% of older people live in income deprived households in Octagon PCN; higher than the averages for North Alliance, CCG and England. Source: C&P PHI derived from Indices of Multiple Deprivation 2015, DCLG and GP registered population data for July 2018. Practice data from PHE Fingertips.
Births and Fertility Birth rates by ward Estimated Birth rate per 1,000 female population aged 15 to 44 years Number of live births Low birth weight births (under 2,500g) (2014-2016) Octagon PCN 3,702 68.8 7.3% North Alliance 19,756 65.8 6.8% Cambridgeshire and Peterborough CCG 31,348 58.2 6.5% England 1,989,052 62.4 7.4% Birth rates and low birth weight births in Octagon PCN are statistically similar to the averages for the North Alliance. Note: Relates to Cambridgeshire and Peterborough residents only
Life expectancy Males (years) Females (years) Octagon PCN 78.9 82.4 North Alliance 80.5 83.7 Cambridgeshire and Peterborough CCG 81.2 84.3 Both male and female life expectancy values are statistically significantly lower in Octagon PCN compared to the North Alliance. Source: C&P PHI based, derived fromNHS Digital Civil Registration data and GP registered population data (benchmark = North Alliance), 2013 2017
Risk factors Obesity Estimated Smoking Number % Number % Octagon PCN 6,640 9.4% 15,461 20.9% North Alliance 44,121 10.1% 90,367 19.8% Cambridgeshire and Peterborough CCG 65,496 8.5% 136,105 17.0% England 4,530,447 9.8% 8,301,429 17.2% Recorded prevalence of obesity is statistically significantly lower in Octagon PCN compared to the average for North Alliance. Estimated smoking prevalence is statistically significantly higher in Octagon PCN compared to the average for North Alliance. Source: Obesity - C&P PHI derived from NHS Digital QOF data for 2017/18 (benchmark = North Alliance) Estimated smoking - C&P PHI derived from the QOF based smoking prevalence estimate from the Public Health England (PHE) National General Practice Profiles at https://fingertips.phe.org.uk/profile/general-practice (benchmark = North Alliance)
Self-reported limiting long-term illness and general health status Long-term activity- limiting illness Good or very good health Octagon PCN 16.5% 81.7% North Alliance 16.7% 81.9% Cambridgeshire and Peterborough CCG 15.5% 83.6% England 17.6% 81.4 % It is estimated that Octagon PCN has a statistically similar proportion of residents with long-term activity-limiting illness and good or very good health when compared to the North Alliance. Source: C&P PHI from Census 2011, NOMIS and patients registered at a GP Practice by LSOA, July 2018, NHS Digital (benchmark = North Alliance)
Mortality all causes All ages Under 75 year olds Number Number DASR per 100,000 928.3 DASR per 100,000 349.6 Bretton Medical Practice 351 158 Hampton Health 280 1,728.5 61 419.5 Octagon Medical Centre 2,687 1,078.7 809 354.4 Thomas Walker 468 1,249.4 101 355.2 Octagon PCN 3,786 1,114.9 1,129 354.6 North Alliance 21,171 34,464 949.8 901.5 6,793 10,385 311.9 286.4 Cambridgeshire and Peterborough CCG There are on average 757 deaths a year in Octagon PCN, approximately a third are in people aged under 75 years. All-cause mortality for all ages and under 75s only is statistically significantly higher than the North Alliance. DASR = directly age standardised rate per 100,000 population Source: C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)
Circulatory disease Prevalence Mortality (circulatory) Coronary heart disease Number Hypertension Stroke All ages Under 75 year olds Number DASR per % Number % Number % Number DASR per 100,000 100,000 Bretton Medical Practice 330 2.8% 1,648 13.8% 165 1.4% 85 219.5 42 92.6 Hampton Health 104 1.1% 597 6.4% 76 0.8% 54 333.7 9 64.2 Octagon Medical Centre 1,796 2.9% 8,537 13.6% 1,056 1.7% 616 247.2 173 76.5 Thomas Walker 265 3.4% 1,173 15.2% 109 1.4% 126 336.3 25 88.5 Octagon PCN 2,495 2.7% 11,955 13.0% 1,406 1.5% 881 260.4 249 79.2 North Alliance 16,999 26,602 3.0% 2.8% 77,171 122,348 13.8% 12.6% 8,908 14,132 1.6% 1.5% 5,344 9,004 241.0 236.7 1,520 2,288 70.4 63.9 C&P CCG England 1,827,352 3.1% 8,141,488 13.9% 1,030,869 1.8% Not available Octagon PCN prevalence rates of CHD and hypertension are statistically significantly low compared to the North Alliance average and stroke prevalence is statistically similar. Circulatory disease all-age and premature mortality rates are statistically similar to North Alliance. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)
Respiratory disease Prevalence Mortality Asthma Chronic Obstructive Pulmonary Disease All ages Under 75 years Number % Number % Number DASR per Number DASR per 100,000 156.5 237.4 100,000 49.3 30.1 57 41 21 <5 Bretton Medical Practice 678 5.7% 279 2.3% Hampton Health 475 5.1% 52 0.6% 420 169.6 87 40.0 Octagon Medical Centre 3,670 5.8% 1,139 1.8% Thomas Walker 347 4.5% 152 2.0% 198.0 8 28.3 76 Octagon PCN 5,170 5.6% 1,622 1.8% 594 177.0 120 39.7 North Alliance 33,050 57,830 5.9% 6.0% 10,952 16,513 2.0% 1.7% 3,065 4,533 139.7 119.9 678 942 31.9 26.8 C&P CCG England 3,463,893 5.9% 1,113,417 1.9% Not available Asthma and COPD prevalence are both statistically significantly low in Octagon PCN compared to North Alliance, although prevalence is statistically significantly high in Bretton Medical Practice. Mortality rates for respiratory disease (all age) are statistically significantly worse for Octagon PCN than the North Alliance and statistically similar for under 75s only. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance)
Long term conditions Prevalence Mortality - Cancer All ages Diabetes (17+ years) Number Cancer Under 75 year olds Number % Number % DASR per 100,000 287.1 Number DASR per 100,000 125.1 Bretton Medical Practice 681 7.4% 270 2.3% 112 55 Hampton Health 272 4.2% 126 1.4% 41 282.4 25 184.0 Octagon Medical Centre 3,802 7.6% 1,661 2.6% 721 292.4 324 143.5 Thomas Walker 527 8.6% 164 2.1% 113 312.1 37 129.5 Octagon PCN 987 292.0 5,282 7.3% 2.221 2.4% 441 140.9 North Alliance 30,953 46,573 7.0% 6.0% 14,854 25,700 2.7% 2.7% 6,093 9,902 269.7 259.5 2,807 4,411 130.1 123.2 C&P CCG England 3,196,124 6.8% 1,593,302 2.7% Not available Diabetes prevalence is statistically significantly high in Octagon PCN compared to North Alliance, whereas cancer prevalence is statistically significantly low. All practices have statistically similar all-age and premature cancer mortality rates to the North Alliance. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures DASR = Directly age standardised rate per 100,000 population Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)
Mental health Schizophrenia, bipolar affective disorder and other psychoses Depression (18+ years) Dementia Learning disabilities Number % Number % Number % Number % Bretton Medical Practice 117 1.0% 982 10.8% 57 0.5% 71 0.6% Hampton Health 66 0.7% 912 14.5% 87 0.9% 33 0.4% Octagon Medical Centre 497 0.8% 4,579 9.3% 594 0.9% 305 0.5% Thomas Walker 70 0.9% 583 9.7% 89 1.2% 31 0.4% Octagon PCN 750 0.8% 7,056 10.0% 827 0.9% 440 0.5% North Alliance 4,096 7,750 0.7% 0.8% 41,730 68,112 9.5% 8.8% 4,094 6,551 0.7% 0.7% 2,675 4,057 0.5% 0.4% C&P CCG England 550,918 0.9% 4,589,213 9.9% 446,548 0.8% 284,422 0.5% Octagon PCN prevalence rates of severe mental illness, depression and dementia are statistically significantly worse than North Alliance; learning disability prevalence is statistically similar. Note: Prevalence data are not available by age i.e. it is not age weighted so differences may be explained by differing age structures Source: Prevalence (recorded) - C&P PHI from QOF, NHS Digital, 2017/18 (benchmark = North Alliance) Mortality - C&P PHI, from NHS Digital Civil Registration Data and NHS Digital GP registered population data, 2013-2017 (benchmark = North Alliance)
