The Atlases of Variation help to identify unwarranted variation and assess the value that healthcare provides to both populations and individuals. This is produced in collaboration with OHID, NHS England and RightCare and many other organisations. Products include Compendium atlases and themed atlases for areas such as Diagnostic Services and Liver Disease.

A defining aspect of the atlases is that each of the indicator’s maps, column chart and box-and-whisker plot is accompanied by text which provides: the context for the indicator, a description of the variation and trend data, options for action and a list of evidence-based resources to support action. Interactive Atlases services can be accessed via the NHS England website.

Latest Atlas

 

2023 Vision updates

In September 2023 updates to the 10 hospital-based indicators (outpatients, cataract surgery, intravitreal injections and retinal detachments) have been published. The indicators are available below and the key indicators are also available in the new Vision profile. These datasets and others from the Atlas will now be updated regularly in the profile. 

 

The updates include a revised confidence interval methodology that has been applied to the data back series.

 

2023 Data File 2023 Metadata Vision Profile  
 

2021 Atlas of variation in risk factors and healthcare
for vision in England

Full document Webinar slides    
Interactive Atlas 2021 Data File 2021 Metadata  

Topics

Introduction Summary Table Outpatient Activity  
Intravitreal Injections Cataract Surgery Rhegmatogenous Retinal Detachment Diabetic Eye Screening
Eye Cancer Sight Loss Outcomes Risk Factors

 

Themed Atlases

 

2019 The 2nd Atlas of variation in risk factors
and healthcare for respiratory disease

Full document      
Interactive Atlas Data File Metadata  

Topics

Introduction Summary Table Risk Factors  
COPD Asthma Pneumonia Bronchiolitis
All Respiratory Disease Health Service Provison Tuberculosis Lung Cancer
Lung Transplantation End of Life Case Studies  

2018 Palliative and end of life care

 

Full Document

 

Introduction

 

Summary Table

Sections 1: Need 2: Hospitals 3: Community

 

Map References

Data File

Metadata

  Resources Slide Pack Interactive Atlas

2017 Diagnostics

Full Document

Data File

Metadata

Sections Introduction Imaging Endoscopy
  Physiological Screening Summary Table
 

Slidepack

 

Webinar

 

Interactive Atlas

 

2017 Liver Disease

Full Document

Data File

Metadata

Sections Introduction Summary Table Chronic Liver Disease
  Risk Factors Influenza Overdose
 

Liver Cancer

 

Transplants & EoLC

 

Interactive Atlas

 

2013 Liver Disease Full Document Data File Metadata
2013 Diagnostics Full Document Data File Metadata
2012 Respiratory Full Document Data File Metadata
2012 Kidney Full Document Data File Metadata
2012 Diabetes Full Document Data File Metadata
2012 Child Health Full Document Data File Metadata

Compendiums

 

 2015 Compendium

Full Document Data File Metadata Interactive Atlas

Tools

LA Opp Tool CCG Opp Tool

Topics

Alcohol Cancer Cardio Child & Maternal
Critical Care Dental Emergency End of Life
Gastro Infectious Disease Interv. Radiology Learning Dis
Mental Health MSK Neurological Older People
Respiratory Vision    

2011 Compendium

Full Document Data File

Topics

Alcohol Cancer Circulation Dental
EmergencyCare Endocrine Gastrointestinal Genitourinary
Hearing Learning Dis Mat & Neonates   Mental Health
MSK Neurological Non PBC Older People
Respiratory Vision    

2010 Compendium

Full Document

 

Additional products

National Clinical Procedures Benchmarking Tool 

This provides CCGs with the rates of occurrence for 27 different clinical procedures for their local area. The tool allows CCGs to compare themselves with their RightCare similar 10 peer group as well as to the England value. The purpose is to highlight areas where there is significant variation, in order to stimulate conversation about best practice and whether the variation observed is warranted or unwarranted.

Benchmarking Tool

Supplementary Spine Charts

 

 

For any enquiries relating to the Atlas series or to provide us with feedback please contact us on: healthcare.variation@dhsc.gov.uk