1. The PHO View John Wilkinson

2. APHO Mental Health Observatory Core Funding Health Profiles Occasional Papers Website Drug & alcohol monitoring Maternal & Infant Health HES & Commissioning National Library for Public Health EU Commission PHINE Cancer Registry

3. Competency 5 – Manage knowledge and assess needs – some examples Joint Strategic Needs Assessment Health Profiles SHAPE Mental Health Observatory Drugs and Alcohol Cancer data National Library for Public Health Regional Maternity Survey Office: HES Service Europe

4. Big Picture PHO delivers a number of non core functions Core functions now accounts for 25% of annual income More capacity and greater skill set in NEPHO PHINE

5. National Library for Public Health Single source for evidence for public health workforce Evidence-based resources from around the world, UK policy and guidance, news & events, etc. www.library.nhs.uk/publichealth

6. Drugs and alcohol Monthly (about 6 weeks after month end), quarterly and annual outputs to commissioners Used by DATs to commission, decommission and performance manage agencies Used by NTA and Healthcare Commission to manage whole system Alcohol data from April 2008 for PCTs

7. Training and Development NEPHO run workshops, teaching training and advice in areas such as: The development of profiles, indicators performance measures and targets Health Needs Assessment Health Equity Audit Health Impact Assessment Ethnic (and diversity) monitoring

8. Example analyses NEPHO Life Expectancy reports Trend in life expectancy at birth for males in South Tyneside

9. Example analyses NEPHO Life Expectancy reports L.E. at birth for males in South Tyneside, projected against target

10. Example analyses NEPHO Life Expectancy reports Scenario modelling, males in South Tyneside

11. Mental Health - Discharge to first contact Key indicator of post-discharge follow up Important for suicide prevention Collected through the Mental Health Minimum Dataset Data shown are for 2005/6 Available in the NEPHO Mental Health Workbook

12. Interval between discharge and first clinical contact (Patients of all ages - 2005/6)

13. RMSO data

15. Europe “We want our region to perform best of all the regions in Europe” (SE Coast - Darzi Report) Source: ISARE Data Set

16. SHAPE

17. Local Provision Admissions to Trusts for PCT A (2004/05)

18. High Volume Emergency HRGs and ALOS HRG35HRG Label Nat ALOSTrust1Trust2Trust3Trust4Trust5 1E36Chest Pain <70 w/o cc1.621.131.401.110.693.67 2F47General Abdominal Disorders <70 w/o cc2.361.902.872.412.940.83 3P03Upper Respiratory Tract Disorders0.880.631.310.801.690.17 4M09Threatened or Spontaneous Abortion0.570.460.820.620.00 5S16Poisoning, Toxic, Environmental and Unspecified1.961.431.071.260.730.00 6P13Other Gastrointestinal or Metabolic Disorders1.491.101.621.143.03 7D40COPD or Bronchitis w/o cc7.396.765.376.55 0.00 8E35Chest Pain >69 or w cc3.492.443.762.211.000.75 9P06Minor Infections (including Immune Disorders)1.440.841.001.232.441.67 10P26Infectious and Non-Infectious Gastroenteritis1.070.761.500.882.791.00 11E12Acute Myocardial Infarction w/o cc7.536.567.976.314.007.75 12D99Complex Elderly with a Respiratory System P.D16.6316.1815.7511.88 2.00 13F46General Abdominal Disorders >69 or w cc6.134.645.153.857.591.50 14D41Unspecified Acute Lower Respiratory Infection9.69.496.127.835.759.00 15E31Syncope or Collapse >69 or w cc7.656.666.705.908.673.00 16E22Ischaemic Heart Disease without intervention6.323.664.783.233.5013.00 17P01Asthma or Wheezing1.240.811.211.252.00 18E29Arrhythmia or Conduction Disorders >69 or w cc7.325.495.965.643.6710.00 19L09Kidney or Urinary Tract Infections >69 or w cc13.9713.2310.808.247.505.00 20E23IHD without intervention <70 w/o cc3.672.773.092.411.002.50

19. Future? PHINE PCT chief executives development group What support is needed? What could we do better? What could we do less of?