The PHO View John Wilkinson
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
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
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
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.
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
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
Example analyses NEPHO Life Expectancy reports Trend in life expectancy at birth for males in South Tyneside
Example analyses NEPHO Life Expectancy reports L.E. at birth for males in South Tyneside, projected against target
Example analyses NEPHO Life Expectancy reports Scenario modelling, males in South Tyneside
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
Interval between discharge and first clinical contact (Patients of all ages /6)
RMSO data
Europe “We want our region to perform best of all the regions in Europe” (SE Coast - Darzi Report) Source: ISARE Data Set
SHAPE
Local Provision Admissions to Trusts for PCT A (2004/05)
High Volume Emergency HRGs and ALOS HRG35HRG Label Nat ALOSTrust1Trust2Trust3Trust4Trust5 1E36Chest Pain <70 w/o cc F47General Abdominal Disorders <70 w/o cc P03Upper Respiratory Tract Disorders M09Threatened or Spontaneous Abortion S16Poisoning, Toxic, Environmental and Unspecified P13Other Gastrointestinal or Metabolic Disorders D40COPD or Bronchitis w/o cc E35Chest Pain >69 or w cc P06Minor Infections (including Immune Disorders) P26Infectious and Non-Infectious Gastroenteritis E12Acute Myocardial Infarction w/o cc D99Complex Elderly with a Respiratory System P.D F46General Abdominal Disorders >69 or w cc D41Unspecified Acute Lower Respiratory Infection E31Syncope or Collapse >69 or w cc E22Ischaemic Heart Disease without intervention P01Asthma or Wheezing E29Arrhythmia or Conduction Disorders >69 or w cc L09Kidney or Urinary Tract Infections >69 or w cc E23IHD without intervention <70 w/o cc
Future? PHINE PCT chief executives development group What support is needed? What could we do better? What could we do less of?