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1. What do we do? Public Health Intelligence responsibilities

1. What do we do? Public Health Intelligence responsibilities 1. Information & knowledge management - data handling 2. Information & knowledge management - dissemination 3. Population needs assessment - JSNA 4. Population needs assessment - other than JSNA

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1. What do we do? Public Health Intelligence responsibilities

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  1. 1. What do we do? • Public Health Intelligence responsibilities • 1. Information & knowledge management - data handling • 2. Information & knowledge management - dissemination • 3. Population needs assessment - JSNA • 4. Population needs assessment - other than JSNA • 5. Intelligence collaboration, liaison and exchange • 6. Commissioning and contracting support • 7. Public Health leadership and group membership • 8. Public Health education, training and CPD • 9. Ad hoc requests for PH intelligence and information • Full details are listed on page 4 of handout Using Public Health Intelligence to prevent disease and improve health and wellbeing

  2. What do we do? • Examples of recent routine work (August-October 2013) • Joint Strategic Needs Assessment – establishing a maintenance and development programme • Director of Public Health Annual Reports – locality-specific inputs for each DPH • Excess winter deaths – presentation to Hartlepool Council Policy Committee on primary prevention • Child poverty – presentation of evidence at Stockton-on-Tees CouncilScrutiny Committee • Health of migrants and travellers – presentation to Middlesbrough Council conference • Children’s Centres – continuing to develop routine data to support frontline staff & managers • Sexual health – continuing to support needs assessment • Childhood injury prevention – chairing, leadership and development of Teeswide Steering Group • Collaboration with FUSE (the 5 universities in the North East) – discussion to improve using evidence • Developing & extending use of MOSAIC software – to improve application of segmentation methods • Public Health training programme – providing ad hoc support for Faculty Public Health Part A exam Using Public Health Intelligence to prevent disease and improve health and wellbeing

  3. What do we do? • Examples of recent ad hoc work • Source of request • Child oral health needs assessment Public Health England • Atrial fibrillation profile Clinical Commissioning Group • Analysis of childhood obesity data Locality PH team • Access to renal health services review Acute clinicians • Employment and health review Local authority staff • Maternal health needs assessment Locality PH team & others • Data for male-specific cancers Locality PH team & press • Electoral ward level indicators Locality PH team & LA staff • Advice/support for health visitor students Students (NHS) • Support for health improvement staff Locality PH team Using Public Health Intelligence to prevent disease and improve health and wellbeing

  4. 2. How do we do it? • Methods of epidemiological analysis • We use the WHO, WHAT, WHERE, WHEN, WHY & HOW epidemiological bible • We eliminate irrelevant data • We think across the lifecourse • We focus on population groups • We determine user needs and intentions • We assist with explanations of complexity • We help to shape Public Health policy and and health & care policy and actions • We also… Using Public Health Intelligence to prevent disease and improve health and wellbeing

  5. Using many disparate sources and methods we try to make appropriate efforts to explain and localise Public Health messages and implied actions Using Public Health Intelligence to prevent disease and improve health and wellbeing

  6. in Middlesbrough Using Public Health Intelligence to prevent disease and improve health and wellbeing

  7. …now appearing in Middlesbrough Joint Health & Wellbeing Strategy! Using Public Health Intelligence to prevent disease and improve health and wellbeing

  8. Sources of data, information & intelligence & organisations for intelligent partnership 3. Who do we work with? Communications and relationships S H Public Health D SS M R Using Public Health Intelligence to prevent disease and improve health and wellbeing

  9. Sources of data, information & intelligence & organisations for intelligent partnership GOVT Depts 3. Who do we work with? Communications and relationships DH ‘National’ NHSIC PHO PHO ONS NHS Reg Auth PHE PHO S H Public Health D SS M R Using Public Health Intelligence to prevent disease and improve health and wellbeing

  10. Sources of data, information & intelligence & organisations for intelligent partnership GOVT Depts 3. Who do we work with? Communications and relationships DH ‘National’ NHSIC PHO PHO ONS NHS Reg Auth PHE PHO S H Public Health ‘NHS’ NHS PCI NHS CCG D SS GPs NHS NECS M R Acute NEAS NHS Others MH Comm Using Public Health Intelligence to prevent disease and improve health and wellbeing

  11. Sources of data, information & intelligence & organisations for intelligent partnership GOVT Depts 3. Who do we work with? Communications and relationships DH ‘National’ NHSIC PHO PHO ONS NHS Reg Auth PHE PHO S H Public Health ‘NHS’ NHS PCI NHS CCG D SS GPs NHS NECS M R Acute NEAS NHS Others TEES TVU LA Dept MH FIRE LA Corporate POLICE LA Dept Comm Probation LA Dept LA Dept Emerg Planning Voluntary Orgns LA Dept Prisons LA Dept LA Dept ‘Wider determinants’ Using Public Health Intelligence to prevent disease and improve health and wellbeing

  12. Sources of data, information & intelligence & organisations for intelligent partnership GOVT Depts 3. Who do we work with? Communications and relationships DH ‘National’ NHSIC PHO Private sector NOMIS PHO ONS NHS Reg Auth PHE PHO S H UNIV Public Health ‘NHS’ FUSE UNIV NHS PCI NHS CCG D SS GPs NYCRIS UNIV NHS NECS M R UNIV UNIV Acute NEAS NHS Others TEES TVU ‘Academic’ LA Dept MH FIRE LA Corporate POLICE LA Dept Comm Probation LA Dept LA Dept Emerg Planning Voluntary Orgns LA Dept Prisons LA Dept LA Dept ‘Wider determinants’ Using Public Health Intelligence to prevent disease and improve health and wellbeing

  13. Sources of data, information & intelligence & organisations for intelligent partnership GOVT Depts DH ‘National’ NHSIC PHO Private sector NOMIS PHO ONS NHS Reg Auth PHE PHO S H UNIV Public Health ‘NHS’ FUSE UNIV NHS PCI NHS CCG D SS GPs NYCRIS UNIV NHS NECS M R UNIV UNIV Acute NEAS NHS Others TEES TVU ‘Academic’ LA Dept MH FIRE LA Corporate POLICE LA Dept Comm Probation LA Dept LA Dept Emerg Planning Voluntary Orgns LA Dept Prisons LA Dept LA Dept Range of needs or influences will vary depending on the topic ‘Wider determinants’ Using Public Health Intelligence to prevent disease and improve health and wellbeing

  14. 4. Where is intelligence stored? • Local Pubic Health principal resources • Tees Public Health website (established in 2003) • Contains • Tees Public Health intelligence resources and archive • Tees interactive electoral ward profiles • National interactive atlases (with local data) • National interactive disease profiles (with local data) • BBC health news ‘feed’ • Frequent Public Health news updates • Pharmaceutical Needs Assessments & JSNA archive Using Public Health Intelligence to prevent disease and improve health and wellbeing

  15. 4. Where is intelligence stored? • Local Pubic Health principal resources • Tees Public Health website (established in 2003) • Contains • Tees Public Health intelligence resources and archive • Tees interactive electoral ward profiles • National interactive atlases (with local data) • National interactive disease profiles (with local data) • BBC health news ‘feed’ • Frequent Public Health news updates • Pharmaceutical Needs Assessments & JSNA archive • Tees JSNA website (established in 2011) • Provides routine needs assessments as follows: • Covers 4 local authority populations • Includes 37 different health topics • Uses a ‘10-box’ standard profile for each topic • and also includes: • JSNA national guidance • Local demographic information • Benchmarking and segmentation toolkits Using Public Health Intelligence to prevent disease and improve health and wellbeing

  16. All of these details are summarised in the handout 1. What do we do? Public Health Intelligence responsibilities 2. How do we do it? Methods of epidemiological analysis 3. Who do we work with? Communications and relationships 4. Where is intelligence stored? Local Pubic Health principal resources James O’Donnell Leon Green Mark Reilly Using Public Health Intelligence to prevent disease and improve health and wellbeing

  17. 1. Public Health Shared Services can function effectively… • …we have evidence from the current arrangements (since April 2012)… • …and from the former County Durham & Tees Valley Public Health Network (2001-2007)… • 2. Public Health Shared Services can function more effectively… • By understanding and accommodating differences in perspective of the common aim. • By embedding appropriate means of communications • within Shared Service functions • between Shared Service functions • between Shared Service functions and Directors of Public Health • within LA PH teams • between Shared Service functions and LA PH teams • By applying the JFDI principle Using Public Health Intelligence to prevent disease and improve health and wellbeing

  18. The Blind Men and The Elephant by John Godfrey Saxe (1816-1887) …a pipe No, no, no, no… you’re all wrong it’s a brick wall! No it’s more like a rope It’s like a tree branch It’s like a pillar It’s a parasol

  19. The Blind Men and The Elephant by John Godfrey Saxe (1816-1887) …a pipe No, no, no, no… you’re all wrong it’s a brick wall! No it’s more like a rope It’s like a tree branch It’s like a pillar It’s a parasol

  20. Effective resource use! 1. PH SMT meeting agenda The agenda needs to be planned, structured and proactive. 2. Teeswide ‘lead’ issues The structure, processes & outcomes of issues that are Teeswide need to be discussed jointly and understood. 3. PH colleagues in training The workload for each colleague in the training programme should be made known to improve the quality of experience in the Directorate for all.

  21. Added comment • …Shared services can function effectively… • …we have evidence from the current arrangements… • …and from the former County Durham & Tees Valley • Public Health Network… • But we could all benefit from improvements that focus on: • Systematic business planning (whole Directorate and each function); • Improved communications especially for Teeswide ‘lead’ issues; and • Better understanding of needs and plans of colleagues in training. • Mark Reilly • 18th May 2012

  22. Short (max. 5min) presentation of each team • roles, responsibilities and tasks (see homework) • input required from other teams • what is working well • what is still missing • how could this be improved

  23. These slides were used for discussion of Public Health Intelligence issues in the context of Public Health shared services development. Mark Reilly NHS Tees Wolfosn Institute Stockton-on-Tees Friday 25th November 2013 Content: Slides 2-21 – overview of core resources Slides 22-36 – issues for shared services Slides 37-38 – suggestions for resource use

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