1. Overview and feedback from the Public Health England Knowledge Transfer programme AGW Public Health Network Training Event: Public Health Data, Information and Intelligence 11 November 2015 Nicola Bowtell Mia Moilanen

2. The Knowledge and Intelligence Service (South West)

3. CKO: Knowledge and Intelligence Local Service Public Health Data Service Epidemiology & Surveillance Risk factors Intelligence Health Economics, Health Intelligence networks and workforce Clinical Epidemiology 3Overview and feedback from the Public Health England Knowledge Translation programme

4. SW Knowledge and Intelligence Service: Five Key functions Knowledge Transfer Ad – Hoc Enquiries Locally defined analytical work programme Facilitation of regional intelligence networks Workforce development 4Overview and feedback from the Public Health England Knowledge Translation programme

5. What is Knowledge Transfer?

6. Knowledge transfer – long definition ‘the exchange, synthesis, and ethically-sound application of knowledge – with a complex system of interactions among researchers and users – to accelerate the capture of the benefits of research for [the people we serve] through improved health, more effective services and products, and strengthened healthcare system.’ Canadian Institute for Health Research 6Overview and feedback from the Public Health England Knowledge Translation programme

7. Knowledge transfer -short definition Evidence into policy/practice; policy/practice into evidence 7Overview and feedback from the Public Health England Knowledge Translation programme Evidence Policy bridging the ‘know-do’ gap

8. Reasons for the know-do gap in health intelligence Don’t know - that the information exists Don’t understand – the information is too scientific and it is difficult to decipher what it means and why it is important Don’t care – see the information as irrelevant, not beneficial to their agenda, or not in a format that they can readily act on Don’t agree – think the information is misguided or false. 8Overview and feedback from the Public Health England Knowledge Translation programme

9. Knowledge transfer terms 9Overview and feedback from the Public Health England Knowledge Translation programme Knowledge translation Knowledge mobilisation Knowledge dissemination Evidence based practice Source: Knowledge Translation: Introduction to Models, Strategies, and Measures. P Sudswad http://ktdrr.org/ktlibrary/articles_pubs/ktmodels/index.html Knowledge exchange Knowledge brokering

10. PHE Knowledge transfer service PHE priority to take a proactive knowledge transfer role Work with local partners to support the local use of nationally produced knowledge and intelligence outputs Achieved through active dissemination of tools and outputs Helping with local interpretation and application of national outputs Facilitating the feedback process 10Overview and feedback from the Public Health England Knowledge Translation programme

11. The SW knowledge transfer service South West Knowledge Transfer Service Nicola.Bowtell@phe.gov.uk Principal Knowledge Transfer Facilitator Mia.Moilanen@phe.gov.uk Senior Knowledge Transfer Facilitator Development of bespoke SW products with other KIS and PHE Centre colleagues Dashboards and reports Targeted dissemination Workshops One-to-one Teleconference Webinars Mass diffusion of key product updates Newsletters Emails Stakeholder Engagement Feeding SW views into development of PHE intelligence products Signposting service 11Overview and feedback from the Public Health England Knowledge Translation programme

12. Who can use the South West knowledge transfer service Other PHE colleagues in the South West Public health colleagues working in local authorities Colleagues working in NHS England Strategic Clinical Networks and Clinical Senate Health and Wellbeing Boards Voluntary sector Academics 12Overview and feedback from the Public Health England Knowledge Translation programme

13. What types of knowledge will be included in the SW Knowledge Transfer Service? Combined sources of knowledge are powerful Data tools Data Evidence reviews Case studies Policy statements Guidelines 13Overview and feedback from the Public Health England Knowledge Translation programme

14. KTS(SW) – Thematic Leads Health intelligence networks (HINs) ChiMat ‘Best Start in Life’NB Mental health dementia and neurology intelligence network MM Cardiovascular Intelligence Network (CVDIN) NB End of life Care (EoLCIN)NB National Cancer Intelligence Network (NCIN) VP (NB) 14Overview and feedback from the Public Health England Knowledge Translation programme Public Health Healthcare CVDNB DiabetesNB Health ChecksNB Mental HealthMM DementiaMM NHS agenda (emergency admissions, primary care etc) NB LiverMM Learning DisabilitiesMM Long Term ConditionsNB ScreeningNB Social CareNB & MM Cross cutting themes Health EconomicsNB & MM Practice & PerformanceNB & MMWider DeterminantsNB &MM General Health ProfilesNB & MMHealth InequalitiesNB & MM Health Improvement DrugsMM AlcoholMM Sexual HealthMM TobaccoMM ObesityNB Physical ActivityNB Injuries & ViolenceNB Health Protection GeneralNB & MM TBMM HIVMM HepatitisMM

15. Knowledge Transfer in the South West Examples of products and services

16. South West webinar series Future Webinars: Liver Alcohol Best start in life Sexual health Dementia Wider determinants Comorbidities Adult obesity 16Overview and feedback from the Public Health England Knowledge Translation programme Previous webinars available from: www.swpho.nhs.uk/resource/browse.asp x?RID=116744

17. Local authority workshops Jointly designed workshops Themes are locally determined and tailored to local public work priorities & programmes Offer applies to all LAs in the South West 17Overview and feedback from the Public Health England Knowledge Translation programme

18. The South West Early Years Resources 18Overview and feedback from the Public Health England Knowledge Translation programme Available from: www.swpho.nhs.uk/resource/browse.aspx?RID=110834

19. Local update South West Knowledge and Intelligence Service newsletter moves on to a monthly update 19Overview and feedback from the Public Health England Knowledge Translation programme

20. An overview data tools and products (Abridged)

21. Overarching (PHOF, Longer Lives, Health Profiles, Local Profiles, GP Profiles) National Intelligence Networks (Cancer, CVD, Child and Maternal Health, Mental Health, Dementia and Neurology and End of Life Intelligence Networks) Lifestyle and risk factors (Alcohol, Drugs, Obesity, Physical Activity, Sexual Health and Reproduction, Smoking) Wider Determinants (Crime and Violence, Education and Employment, Environment, Health Inequalities, Population and Demographics) Health Protection (Health Protection Profiles, Health Checks) Other Health Needs (Dental, Learning Disability, Liver Disease, Long Term Conditions, Older People, Respiratory Disease, Trauma and Injury) Tools and products by group 21Overview and feedback from the Public Health England Knowledge Translation programme Overarching (PHOF, Longer Lives, Health Profiles, Local Profiles, GP Profiles) National Intelligence Networks (Cancer, CVD, Child and Maternal Health, Mental Health, Dementia and Neurology and End of Life Intelligence Networks) Lifestyle and risk factors (Alcohol, Drugs, Obesity, Physical Activity, Sexual Health and Reproduction, Smoking) Wider Determinants (Crime and Violence, Education and Employment, Environment, Health Inequalities, Population and Demographics) Health Protection (Health Protection Profiles, Health Checks) Other Health Needs (Dental, Learning Disability, Liver Disease, Long Term Conditions, Older People, Respiratory Disease, Trauma and Injury)

22. Data and Knowledge Gateway Specific conditions Lifestyle factors Wider determinants of health Health protection Different population groups 22Overview and feedback from the Public Health England Knowledge Translation programme Available from: www.gov.uk/guidance/phe-data-and-analysis-tools

23. Fingertips Overarching: PHOF (Public Health Outcomes Framework) Longer Lives National General Practice Profiles Health Profiles Adult Social Care Health Protection 23Overview and feedback from the Public Health England Knowledge Translation programme Condition/risk factor specific: Mental Health, Dementia, & Neurology Diabetes Learning Disability Liver Local Alcohol Profiles Local Tobacco Control Profiles NCMP (National child measurement programme) NHS Health Checks Sexual & Reproductive Health Profiles TB monitoring Indicators Inhale – Interactive health atlas of lung conditions in England Available from: fingertips.phe.org.uk

24. 24Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk

25. 25Overview and feedback from the Public Health England Knowledge Translation programme

26. 26Overview and feedback from the Public Health England Knowledge Translation programme

27. 27Overview and feedback from the Public Health England Knowledge Translation programme

28. 28Overview and feedback from the Public Health England Knowledge Translation programme

29. 29Overview and feedback from the Public Health England Knowledge Translation programme

30. Reports and data downloads 30Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile-group/mental-health

31. Overarching tools Public Health Outcomes Framework (PHOF) Longer Lives Health Profiles Local Health

32. PHOF Main public health source of data divided into: Overarching indicators Wider determinants Health improvement Health protection Health care public health and preventing premature mortality 32Overview and feedback from the Public Health England Knowledge Translation programme Available from: phoutcomes.org.uk

33. PHOF: Inequalities view 33Overview and feedback from the Public Health England Knowledge Translation programme

34. Longer Lives 34Overview and feedback from the Public Health England Knowledge Translation programme

35. Longer Lives 35Overview and feedback from the Public Health England Knowledge Translation programme Available from: healthierlives.phe.org.uk

36. Health profiles 36Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile/health-profiles

37. 37Overview and feedback from the Public Health England Knowledge Translation programme Available from: www.localhealth.org.uk

38. 38Overview and feedback from the Public Health England Knowledge Translation programme Available from: www.localhealth.org.uk

39. 39Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile/general-practice

40. GP profiles: indicators 40Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile/general-practice

41. Intelligence Networks National Cancer Intelligence Network (NCIN) National Cardiovascular Disease Intelligence Network (NCVIN) National Child and Maternal Health Intelligence Network (CHIMAT) National Mental Health Dementia & Neurology Intelligence Network (NMHDNIN) National End of Life Care Intelligence Network (NEOLCIN)

42. NCIN National Cancer Intelligence Network  Cancer statistics  Recent reports on cancer survival and routes to diagnosis  Commissioning toolkit  Understanding cancer e-learning 42Overview and feedback from the Public Health England Knowledge Translation programme Available from: www.ncin.org.uk

43. NCVIN 43Overview and feedback from the Public Health England Knowledge Translation programme Available from: http://www.yhpho.org.uk/default.aspx?RID=182342 Covers family of diseases with a common set of risk factors: CHD, Stroke, Diabetes, hypertension, kidney disease Creates links between national and local audits and registries e.g. Vascular Database, National Diabetes Audit Key resources CVD Commissioning for Value Focus Packs Outcomes versus expenditure tools (Diabetes Tool Cardiovascular Tool) Diabetes prevalence model for LAs and CCGs

44. 44Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile/cardiovascular

45. CHIMAT National Child and Maternal Intelligence Network 45Overview and feedback from the Public Health England Knowledge Translation programme Available from: www.chimat.org.uk

46. Child Health Profiles Early Years Profile Infant Mortality Profiles Breastfeeding Profiles School-age Children’s Profiles CHIMAT tools and data 46Overview and feedback from the Public Health England Knowledge Translation programme Available from: www.chimat.org.uk

47. NMHDNIN National Mental Health Dementia & Neurology Intelligence Network 47Overview and feedback from the Public Health England Knowledge Translation programme Available from: http://www.yhpho.org.uk/default.aspx?RID=191242

48. MHDNIN profiles 48Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile-group/mental-health

49. 49Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile-group/mental-health/profile/suicide

50. NEOLCIN National End of Life Care Intelligence Network 50Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile/end-of-life

51. 51Overview and feedback from the Public Health England Knowledge Translation programme Available from: fingertips.phe.org.uk/profile/end-of-life

52. Conclusions

53. Combing evidence and data tools powerful 53Overview and feedback from the Public Health England Knowledge Translation programme

54. How to get in touch nicola.bowtell@phe.gov.uk or phone 0117 9069015 mia.moilanen@phe.gov.uk or phone 0117 9069036 54Overview and feedback from the Public Health England Knowledge Translation programme Follow PHE South West on Twitter@PHE_SouthWest Follow PHE on Twitter@PHE_uk www.phe.gov

55. Appendix – other tools and resources

56. Lifestyle and risk factors

57. Lifestyle and risk factor resources 57Overview and feedback from the Public Health England Knowledge Translation programme AreaProductLinkNotes AlcoholLocal Alcohol Profiles http://www.lape.org.uk/index.htmlInteractive tool on a range of alcohol related indicators by LA Alcohol Return on Investment Tool http://www.nice.org.uk/about/what-we- do/into-practice/return-on-investment- tools/alcohol-return-on-investment-tool Tool to help decision making on interventions and strategies to prevent and reduce alcohol use at local and sub- national levels DrugsNational Drug Treatment Monitoring Systems (NDTMS) https://www.ndtms.net/default.aspxNeed to register for some areas of access Obesity Various tools/products http://www.noo.org.ukRange of products and tools looking at different aspects of obesity created by NOO (National Obesity Observatory) National Child Measurement Programme (NCMP) http://fingertips.phe.org.uk/profile/natio nal-child-measurement-programmefingertips.phe.org.uk/profile/natio nal-child-measurement-programme Fingertips tools with indicators looking at height and weight of children aged 4-5 and 10-11 years Physical Activity Active people interactive http://activepeople.sportengland.org/Active People Survey analysis tool

58. Lifestyle and risk factor resources (cont) 58Overview and feedback from the Public Health England Knowledge Translation programme AreaProductLinkNotes Physical Activity Active people interactive http://activepeople.sportengland.org/Active People Survey analysis tool Return on Investment Tool – Physical Activity http://www.nice.org.uk/about/what-we- do/into-practice/return-on-investment- tools/physical-activity-return-on- investment-tool The physical activity return on investment tool has been developed to help decision making in physical activity programme planning at local and sub-national levels Sexual Health and Reproduction Sexual and Reproductive Health Profiles http://fingertips.phe.org.uk/profile/sexual health Interactive fingertips tool on a range of sexual health related indicators by LA Teenage Pregnancy Atlas http://www.apho.org.uk/resource/view.as px?RID=116357 Interactive maps on teenage pregnancy by local authority SmokingLocal Tobacco Profiles http://www.tobaccoprofiles.info/Interactive fingertips tool on a range of tobacco related indicators by LA Return on Investment Tool - Smoking http://www.nice.org.uk/about/what-we- do/into-practice/return-on-investment- tools/tobacco-return-on-investment-tool Tool to help decision making in tobacco control at local and sub- national levels

59. Wider determinants

60. Wider determinants resources 60Overview and feedback from the Public Health England Knowledge Translation programme AreaProductLinkNotes Education and Employment Local authority interactive tool (LAIT) https://www.gov.uk/government/ publications/local-authority- interactive-tool-lait Interactive tool including indicators on schools School-age profiles http://atlas.chimat.org.uk/IAS/dat aviews/healthyschoolsprofile Interactive atlas profiles on indicators for children of school-age Environment Environmental Health Atlas http://www.envhealthatlas.co.uk/ homepage/ interactive maps of geographical variations for a range of health conditions and environmental agents at a neighbourhood (small-area) scale in England and Wales. Strategic Health Asset Planning and Evaluation (SHAPE) https://shape.phe.org.uk/Online GIS (Geographical Information Systems) application that supports the strategic planning of services and physical assets across a whole health economy Links national health related datasets and demographic data with estates performance and facilities location. Registration and license agreement is required. Excess Winter Deaths (EWD) in England http://www.wmpho.org.uk/excess winterdeathsinEnglandatlas/ Interactive atlas

61. Wider determinants resources (cont) 61Overview and feedback from the Public Health England Knowledge Translation programme AreaProductLinkNotes Health Inequalities Marmot Indicatorshttp://www.instituteofhealthequity. org/projects/marmot-indicators- 2014 Profiles by local authority (updated Sept 2014) Health Inequalities gap measurement tool http://www.sepho.org.uk/gap_intr o.aspx Detailed information on the nature and extent of health inequalities across England Health inequalities intervention toolkit http://www.lho.org.uk/LHO_Topics /Analytic_Tools/HealthInequalities InterventionToolkit.aspx Tool focusing on improving life expectancy and infant mortality rates, especially in disadvantaged areas Segment Toolhttp://www.lho.org.uk/LHO_Topics /Analytic_Tools/Segment/TheSeg mentTool.aspxhttp://www.lho.org.uk/LHO_Topics /Analytic_Tools/Segment/TheSeg mentTool.aspx? The Segment Tool provides information on the causes of death that are driving inequalities in life expectancy at local area level. Population and demographics Projecting Older People Population Information (POPPI) http://www.poppi.org.uk/Tool designed to help explore the possible impact that demography and certain conditions may have on populations aged 65 and over Projecting Adult Needs and Service Information (PANSI) http://www.pansi.org.uk/Tool designed to help explore the possible impact that demography and certain conditions may have on populations aged 18 to 64

62. Other health needs

63. AreaProductLinkNotes DentalDental Health Surveyshttp://www.nwph.net/dentalhealt h/ Survey results from a range of dental surveys carried out Learning Disability Learning Disability Profiles http://www.improvinghealthandli ves.org.uk/profiles/ Interactive and pdf profiles for areas of LAs with Adult Social Services Liver Disease Atlas of Variation – Liver Disease http://www.rightcare.nhs.uk/inde x.php/atlas/liver-disease-nhs- atlas-of-variation-in-healthcare- for-people-with-liver-disease Report on national variation of liver disease Long term conditions Long term conditions dashboard http://ccgtools.england.nhs.uk/lt cdashboard/flash/atlas.html Interactive dashboard by CCG Older People Older People’s Health and Wellbeing Atlas http://www.wmpho.org.uk/olderp eopleatlas/default.aspx Instant atlas profiles on older people indicators Respiratory Disease Interactive Health Atlas for Lung Conditions in England (INHALE) http://www.erpho.org.uk/inhale.a spx COPD and Asthma interactive atlas, charts, profiles and pdf reports Atlas of Variation – Respiratory Disease http://www.rightcare.nhs.uk/inde x.php/atlas/respiratorydisease/ Report on national variation of respiratory disease Trauma and Injuries Injury Profileshttp://www.apho.org.uk/injurypro files Interactive charts and maps for 40 injury related indicators by local authority Other health needs 63Overview and feedback from the Public Health England Knowledge Translation programme