1. Public Health Intelligence in the new world Alison Hill Public Health England Health Statistics User Group: 1 st July 2013

2. Content: Update on the public health intelligence system Who are the partners in this new system? What are the key opportunities and challenges? And what next? 2

3. The New Public Health Intelligence System: Locally driven, nationally delivered Local authorities (and CCGs) Public Health England NHS England Health and Social Care Information Centre National Institute for Health and Care Excellence Department of Health and other govt depts 3

4. 4 http://www.healthmetricsandevaluation.org; The Lancet, Early Online Publication, 5 March 2013doi:10.1016/S0140-6736(13)60355-4 Overall, the three risk factors that account for the most disease burden in the United Kingdom are dietary risks, tobacco smoking, and high blood pressure. The leading risk factor for both children under 5 and adults aged 15-49 years was tobacco smoking in 2010. Tobacco smoking as a risk factor for children is due to second-hand smoke exposure. Where do we focus our efforts?

5. National support for local systems Generic profiling and surveillance products Health Profiles Local Health Public Health Outcomes Framework General Practice profiles NHS Atlas of Healthcare Variation Surveillance Longer Lives 5

6. Major killers/ diseases/ conditions CVD HIN Cancer HIN Mental health and wellbeing HIN Respiratory disease Injuries Liver disease MSK Risk factors Obesity Physical Activity Nutrition Tobacco Alcohol Drugs Violence Sexual health Health protection Communicable disease Immunisation Screening Environmental hazards Extreme events Wider determinants Inequalities Sustainable development Employment /worklessness Transport Housing Population groups Maternity and child HIN Working age Older people Learning disabled Offenders End of life 6 Thematic programmes Developing knowledge and building intelligence in all priority areas to improve health and reduce inequalities Bringing together experts from across the system Coordinating and collaborating to provide world class expertise National support for local systems

7. Thematic programmes – what products? Data mapping and signposting Analysis and analytical reports Evidence reviews Tools (atlases, profiles, cost effectiveness, return on investment models, surveillance dashboard) Evaluation tools Research 7 National support for local systems

8. Strategic leadership in health intelligence Data management – Disease registration (cancers, congenital anomalies, rare diseases) Information management – Indicator development, storage, visualisation Standardisation of methods and operating procedures (working with HSCIC, NHS England) Advocacy with data and knowledge providers (ONS, HSCIC, NICE) 8

9. Opportunities in the new public health intelligence system Design and development of an integrated public health intelligence system Integration of the three planks of knowledge: Intelligence, evidence and expertise to promote effective interventions by local authorities, the NHS and other partners National services delivered at scale based on local needs Co-production – local practitioners working with national experts Creation of communities of interest – putting people in touch with people A single web portal for all public health evidence and intelligence Development of the professional public health intelligence workforce 9

10. Challenges in the new public health intelligence system Designing a new system that is focused on the needs of local populations Developing PHE’s ‘local contribution’ – working in partnership with PHE Centres to provide support and access to national resources Local authority access to person confidential data from the NHS Building capacity and developing the health intelligence workforce 10

11. Questions? And please get in contact with your queries and suggestions: Dr Alison Hill, Deputy to the Chief Knowledge Officer, Director of Knowledge & Intelligence (England) Public Health England 5th Floor, Wellington House, 133-155 Waterloo Road, London SE1 8UG Tel: 0207 654 8030 Mob: 07827 976713 alison.hill@phe.gov.uk 11