Updates from EMPHO, APHO, TrCR, HPA

1. Updates from EMPHO, APHO, TrCR, HPA

2. Compendium of Population Health Indicators (COPHI) • APHO Practice Profiles • Derbyshire JSNA profiles • Child Health Profiles and ChiJSNA • EMPHO work programme update • Cervical Screening and Cancer e-Atlas • TCR Clinical Information Analysis reports • Profile of Cervical Cancer in England • HPA HIV & STI annual report • APHO smoking profiles • APHO JSNA dataset • European Health Profiles • Health Inequality Indicators for Local Authorities

3. Compendium of Population Health Indicators (COPHI) • APHO contracted to produce new website to replace nchod • Beta test website live since late 2010. It is more flexible, and will enable users to save favourite indicators. • Currently contains some test data – note the warning to use old site for data. • Website includes a survey for your comments to be taken into account before full launch.

4. APHO Practice Profiles • “Soft” launch late 2010 • Currently in beta testing. Idea is to get as many primary care colleagues to see them before full launch in February /March – please share with as many primary care / commissioner / GP colleagues as you can • Website includes a survey – please complete • There are 158 practice level indicators • However, all rates are crude – bear this in mind when interpreting • Includes feature to create clusters and cluster profiles, along with being able to compare a practice to its cluster • http://www.apho.org.uk/pracprof/

5. Derbyshire JSNA profiles • EMPHO were asked as part of the SLA with Derbyshire County PCT to produce area profiles for their JSNA • A profile was produced for each local authority in the county, using consistent data for the “life course” page and then locally selected sub-LA data presented for local priorities

6. ChiMat Child Health Profiles • 4 page health profiles similar to the APHO local authority profiles • Spine charts, key messages, etc • Drafts currently with leads for children in local PH teams • Finalise ?end Jan and onto ChiMat website as part of their v. extensive set of comparative data on child and maternal health • http://www.chimat.org.uk/ • Support to CYP JSNA • To promote good practice in the use of information and research in CYP JSNA • To identify appropriate feeder information sources • To assist local teams in sharing approaches and avoiding duplication • Outputs • A web-based resource pack of guidance/tools to inform CYP JSNA. • CPD events and/or a support service re the above.

7. EMPHO Work Programme Jan-March • Core funding • Analysis and advice to regional alc, tobacco, obesity leads • QIPP – e.g. dementia, tobacco, CVD (modelling NHS health checks), Rt.Care • HES query service • Training courses for PH intelligence users • Healthy workplaces (needs assessment tools) • Cross-APHO work – e.g. Health Profiles, Tech Briefings, inequalities indicators, Compendium development • Additional funding • Alcohol - e.g. pub density maps, segmentation analysis using TGI/HF data • Obesity - e.g. NCMP analysis, infant feeding data, evaluation support to EM Platform member organisations • NHS Kidney Care, Notts PCT, Derbyshire PCT, EM Cardiac and Stroke Network, NOO, ChiMat • Beyond March • Transition to “One-APHO” • Maintaining income streams/marketing to attract new business

8. Trent Cancer Registry3 Minute UpdatesPresentation for EMPHIN FORUMWednesday 12th January Rebecca Elleray Senior Cancer Intelligence Analyst Trent Cancer Registry

9. Trent Cancer Registry First up …. The Cervical Screening and Cancer e-Atlas • Commissioned by the Cervical Screening Programme • Brings together registry data and screening data • UK Cancer Intelligence Service • Information Centre’s annual cervical screening bulletin

10. Data Available • Coverage 3.5 and 5 year intervals; 1997/98 to 2009/10 for 25-64 target age groups • Timeliness of results; % of women tested with test available to PCO within 2 and 4 weeks of test; 2005-06 • Results; percentage of tested women with either a negative, mild borderline cell changes and moderate to severe cell changes – 1997/98-2009/10

11. Data Available • Incidence and mortality data for various age break downs relating to screening target age groups; 1995-2008 • Relative Survival – 1 year – 1995-1997 to 2005-2007; 5 year – 1990-1992 to 2001-2003; at SHA level • On the double map, option to plot deprivation measure – income score at PCT level – with the different statistics.

12. Data collection

13. Main sources of incoming data

14. Future • Lots of positive feedback for the e-Atlas • Exploring the possibility of including ethnicity data • Also, laboratory or Trust level data • Funnel plots Can be found at http://www.empho.org.uk/tcr/cervicalEatlas.aspx

15. Profile of Cervical Cancer in England: Incidence, Mortality and Survival • Commissioned by the cervical screening programme • Data from the UK Cancer Intelligence Service • National trends over time – incidence halved and mortality reduced by almost two thirds since the Cervical Screening Programme began in 1989 • Comparisons at SHA and Cancer Network level

16. Presents time trends and variations across age and deprivation groups • Shows some interesting results ….

17. Crude Incidence Rate of Cervical Cancer in under 35’s

18. Profile report and NCIN briefing • Out for final comment at the moment • To be published w/c 24th of January to fall in line with the Cervical Cancer Awareness Week • Should create some media interest

19. Clinical Information Analysis Reports • Not in the public domain • Six reports – Breast, Colorectal, Gynae, Lung, Upper GI and Urological cancers for the PCTs and Cancer Networks within our region • Pulls data together from a wide variety of data source and presented to reflect patient pathway • Referrals, Incidence, Stage, Surgery, Radiotherapy, Chemotherapy, patient flow maps, Survival (some sites), Place of death • 2008/09 reports – Survival analysis for more sites. Survival by stage. Post op mortality

20. Useful for commissioners, shows at PCT and Cancer Network level where resources are being used. • Presents variations across the region in workload and how patients are being treated or referred. • Presents information to clinicians on outcomes for their patients; survival, survival by stage and post op mortality

21. Attending the site specific groups meetings in the cancer networks to gain feedback and comment on the reports • Future versions will reflect this feedback and evolve to meet the needs of NHS health professionals

22. James HollinsheadEMPHIN Forum12th Jan 2011 APHO JSNA small area dataset

23. APHO JSNA small area datasets • Originally developed for JSNA purposes • They cover a range of health profiling and can be used for other needs assessment activities. • Data produced at the smallest level consistent with reliability, robustness, completeness, and confidentiality.

24. JSNA datasets: geographical coverage • The smallest geographical area used in the datasets is the MSOA • The indicators are also provided for the following higher geographies: • Lower tier LA/ UA • Counties • Primary Care Trust (PCT) • Region/SHA • England

25. APHO JSNA datasets Currently available • Population / Demography (6 indicators) • Lifestyle/behaviour (4 indicators) • Mortality/Life Expectancy (12 indicators) • Hospitalisation / Service Utilisation (4 indicators) • Coming soon • Socioeconomic indicators (3 indicators) • Births (2 indicators)

26. APHO JSNA small area datasets Available at: http://www.apho.org.uk/jsna

27. Any questions or comments please email james.hollinshead@empho.nhs.uk

28. European Health Profiles • Produced as part of the I2SARE project (Health Inequalities Indicators in the Regions of Europe) – coordinated by the French Regional Health Observatories in collaboration with partners in each EU country • Profile produced for every region in the EU • Profiles were initially published on 14.12.10. However, errors were identified in a number of English regions so were withdrawn. • Updated profiles due January 2011. • http://www.i2sare.eu/

29. Health Inequality Indicators for Local Authorities • APHO are reproducing the Slope Index of Inequality indicator that was previously used as the WCC Inequality indicator. • The indicator has now been produced for all local authorities in England (District, County, UA) for 2005-09 data • These have been published 12.01.11 (today!) • PCT data for 2005-09 to follow, along with LA data for previous years 2001-05 onwards. • http://www.apho.org.uk/default.aspx?RID=96930