1. University of St Andrews The Health Poverty Index How can we use it as a lever for change?

2. University of St Andrews “….to reinforce the need for action on health inequalities, the determinants of those inequalities and the services and support to reduce their impacts, at the local level” NHS plan, 2000

3. University of St Andrews Consultation workshops 10 events in all 8 health regions Widest range of potential user community targeted 500 participants registered to attend Small focus-group style discussion with facilitator and scribe

4. University of St Andrews What was learnt from the consultation exercise? Enthusiasm for hpi concept Frustration about the gaps in data and the lack of joined up approaches Single number index vs domain based Wide definition of health Different groups (age, gender, soc class)

5. University of St Andrews Intervening factors Root causes Situation of health Macro effects Individual Intermediate context Conceptual Framework

6. University of St Andrews HPI typology Root causesIntervening factors Situation of health Regional prospects Local conditions Resourcing to support health Healthy areas Resourcing for health & social care Appropriate care Individual & household conditions Behaviours & environments Health status Macro Intermediate Individual

7. University of St Andrews HPI 26 indicators, 9 domains Main group LAD as at April 2001 Comparative areas based on ONS area classification scheme Web based interface (www.hpi.org.uk)www.hpi.org.uk Indicators presented in two ways: Default scaled – zero best, 1 worst Option to show ranks

8. University of St Andrews Presentation format Main presentational format - Spider chart Also: Bar charts Table of scores for each indicator Excel spreadsheet of scores to download Indicator definitions can be viewed & downloaded

9. University of St Andrews Current position & next steps… Official launch earlier this week Update with another years data – 2003/04 Data for sub-groups, age, gender, ethnicity, social class Sub-LA maps / spearhead PCT Case-studies of use

10. University of St Andrews Live demonstration…

11. University of St Andrews Group work 1.Look at the profile for your chosen area compared with England 2.Describe differences and try to explain what you have found 3.How might you use this tool locally as a lever for change? 4.Feedback and general discussion