South West Public Health Observatory The Public Health Observatories: an introduction Presentation to Health Statistics User Group Liz Rolfe 25 March 2011

South West Public Health Observatory Today’s agenda Introduce the PHOs, and how they support public health. Introduce key PHO products and tools, and how to access them.

South West Public Health Observatory Who are the Public Health Observatories? Sub-national organisations responding to local health intelligence needs. An effective national network working together to share expertise and produce nationally agreed products. Producing information, data and intelligence on people's health and health care for practitioners, policy makers and the wider community. Experts in turning information and data into meaningful intelligence.

South West Public Health Observatory The role of PHOs Each PHO fulfils broad core roles: –Sub-national health intelligence service –Focus for capacity building and skills development –Providing a ‘bridge’ between academic public health and practice PHOs also all have non-core roles, leading nationally commissioned projects, e.g. –Local Authority Health Profiles –Prevalence models –Delivering ‘specialist observatories, e.g. Obesity, child and maternal.

South West Public Health Observatory PHO network map

South West Public Health Observatory PHO lead areas East Midlands Food and Nutrition Renal Disease Teenage Pregnancy Cancer Eastern Primary Care Sustainable Development Chronic Obstructive Pulmonary Disease (COPD) London Black and Ethnic Minorities Tobacco Health Inequalities North East Mental Health Learning Disabilities Offender Health Europe and International North West Drug Misuse Alcohol Crime and Violence Dental Health South East Physical Activity Obesity Transport Coronary Heart Disease Stroke South West Sexual Health Injuries End of Life West Midlands Older People Social Care Environment Yorkshire and Humber Children and Young People Diabetes Health Economics

South West Public Health Observatory Guide to PHO tools and key data sources

South West Public Health Observatory Member of a Local Authority What are the health and social issues in my community?

South West Public Health Observatory Local Authority Health Profiles efault.aspx?RID=49802

South West Public Health Observatory Local Authority Health Profiles

South West Public Health Observatory Marmot indicators for Local Authorities /MARMOT/MARMOTINDICATORS.ASPX

South West Public Health Observatory GP comissioners What are the public health needs for my GP cluster?

South West Public Health Observatory General Practice profiles

South West Public Health Observatory General Practice profiles

South West Public Health Observatory Disease prevalence models Provide estimates of the underlying prevalence derived from population statistics and scientific research on the risk factors for each disease. This enables the assessment of the true needs of their population, calculate the level of services needed and invest the appropriate level of resources for prevention, early detection, treatment and care. Models developed include: cancer, cardiovascular disease, chronic kidney disease, chronic obstructive pulmonary disease, diabetes, hypertension and stoke.

South West Public Health Observatory Disease prevalence models

South West Public Health Observatory Commissioners What is the best use of resources in order to maximise health gain for the population?

South West Public Health Observatory PCT Spend and Outcome Factsheets and Tool (SPOT) Programme Budgeting is a well-established technique for assessing investment in programmes of care. SPOT uses Programme Budgeting data and indicators of health outcome by programme to present PCTs with an analysis of the impact of their expenditure. Allows easy identification of those areas which require priority attention, where relative potential shifts in investment opportunities will optimise local health gains and increase quality. Enables commissioners to link expenditure and outcome.

South West Public Health Observatory PCT Spend and Outcome Factsheets and Tool (SPOT)

South West Public Health Observatory Director of Public Health How do I identify key health areas for action in comparison to other areas in England?

South West Public Health Observatory Health inequalities intervention tool It provides for all areas: –The life expectancy in each local authority, and in the most deprived quintile. –The gap in life expectancy. –An analysis of the contribution of causes of death to the gap. It allows local authorities to estimate the effect on their life expectancy if certain interventions are increased, specifically: –To reduce infant mortality (in local authorities with a large number of infant deaths) –Smoking cessation –Antihypertensive prescribing (new cases) –Statin prescribing (new cases) Users can investigate two scenarios: –an intervention applied across the local authority –And applied only in the most deprived quintile.

South West Public Health Observatory Health inequalities intervention tool Life expectancy years gained if the Most Deprived Quintile (MDQ) of Penwith CD had the same mortality rate as the England average for each cause of death.

South West Public Health Observatory Health inequalities intervention tool Breakdown of life expectancy gap between the Most Deprived Quintile (MDQ) of Penwith CD and the England average by cause of death

South West Public Health Observatory Health analyst How do I identify health inequalities within my area?

South West Public Health Observatory Small area indicators for Joint Strategic Needs Assessment (JSNA) Health orientated indicators at Middle Level Super Output Area (MSOA) and higher geographies. The datasets are focused on the underlying determinants of health and conditions which account for substantial numbers of preventable diseases and deaths. They have been divided into domains covering different aspects of health needs: Population / Demography Socio-economic indicators Lifestyle / Behaviour Mortality / Life Expectancy Hospitalisation / Service Utilisation

South West Public Health Observatory Small area indicators for Joint Strategic Needs Assessment (JSNA)

South West Public Health Observatory Small area indicators for Joint Strategic Needs Assessment (JSNA)

South West Public Health Observatory Public Health analyst How can I develop the skills I need for my role?

South West Public Health Observatory Training and networks Public Health Intelligence training courses Regional analyst networks Trainee public health analyst schemes

South West Public Health Observatory Technical briefs and tools

South West Public Health Observatory Technical briefs and tools Analytical Tools for Public Health: Commonly used public health statistics and their confidence intervals

South West Public Health Observatory The future? Transition year 2011/12 Functions to transfer to Public Health England