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CTRPH Seminar 22nd October 2008
How NEPHO can help and some examples of recent work
Professor John Wilkinson – Director
Gillian Bryant – Health Information Analyst
Becky Lee – Health Information Analyst
CTRPH Seminar 22nd October 2008
Original remit of PHOs
– Monitoring health & disease trends & highlighting areas for action.
– Identifying gaps in health information.– Advising on methods for health equity audits &
health impact assessments.– Drawing together information from different
sources in new ways to improve health.– Carrying out projects to highlight particular
health issues.– Evaluating progress by local agencies in
improving health & cutting inequality. – Looking ahead to give early warning of future
public health problems
CTRPH Seminar 22nd October 2008
NEPHO - workstreams
• Core contract from Department of Health• Mental Health Observatory• National Drug Treatment Monitoring Service• Regional Maternity Survey Office• National Library for Public Health• PHINE – public health intelligence North East• HES service and SHAPE• Europe
– PIA-PHR– I2SARE– Genetics
CTRPH Seminar 22nd October 2008
Constraints
• Time• Resources• Data confidentiality and data protection
CTRPH Seminar 22nd October 2008
Some possibilities to consider
• Exploring datasets– HES (temporal trends, interesting admissions)– OP data and AE data– NDTMS– MHMDS– Mortality files
• Some research questions– Where have inequalities improved?– Has service provision widened inequalities?
CTRPH Seminar 22nd October 2008
Health Profiles
A starting point for understanding and tackling health inequalities
Gillian Bryant – Health Information Analyst
CTRPH Seminar 22nd October 2008
Health Profiles: Health Inequality Indicators
• The APHO Health Profile
– Background, development and purpose
• Health Inequalities within Health Profiles
– Presents information on Geographical, Socio-Economic and Gender inequalities using:
• Deprivation• Mortality and• Life Expectancy indicators
CTRPH Seminar 22nd October 2008
Deprivation: Geographical 1
CTRPH Seminar 22nd October 2008
Mortality: Geographical 2
CTRPH Seminar 22nd October 2008
Mortality: Geographical 3
CTRPH Seminar 22nd October 2008
Life Expectancy: Socio-Economic Group and Gender
CTRPH Seminar 22nd October 2008
Conclusion
• Use of Health Profiles in the investigation of health inequalities
– Use of other key indicators within the Health profile to add flavour to the discussion• Lifestyle: (smoking, physical activity and
obesity, diet and, alcohol) • Disease and poor health: (mental illness)• Communities: (GCSE achievement, Violent
Crime, Housing)
– High level indicators
– A starting point for investigation
CTRPH Seminar 22nd October 2008
Useful links
• APHO Health Profiles: http://www.healthprofiles.info
• The Good Indicators Guide: Understanding how to use and choose indicators http://www.apho.org.uk/resource/popular.aspx
• National Library for Public Health: http://www.library.nhs.uk/publichealth/
• Health Inequalities Intervention Tool: http://www.lho.org.uk/HEALTH_INEQUALITIES/Health_Inequalities_Tool.aspx
Defining Inequality A mental health perspective
Becky Lee
Create Flourishing, Connected CommunitiesA Public Mental Health Framework for
Developing Well-Being
Promote Meaning
and Purpose
Develop Sustainable, Connected Communities
Integrated Physical & Mental Health & Wellbeing
Build Resilience & a Safe, Secure Base
Ensure a Positive Start in Life
Reduce Risk Factors
PromoteProtective
Factors
Jo Nurse 2008
Promote Meaning
and Purpose
Develop Sustainable, Connected Communities
Integrated Physical & Mental Health & Wellbeing
Build Resilience & a Safe, Secure Base
Ensure a Positive Start in Life
Teen parent rate
Domestic abuse
Violent crime
Recorded crime
Incapacity benefit
Alcohol•Hazardous or harmful drinking•Hospital admissions•Binge drinking
Crime•Fear of crime•Re-offending rates
Not in education, employment or training
Access to psychological therapies•Adult service mapping•Children’s service mapping
Work sickness absence•Workplace employee relations survey•Annual population survey•Labour force survey
Children’s service mapping•School health and health visiting services•Child health promotion and immunisation•Staff engaged in targeted service provision
Insulated homes
Central heating/double glazing
Employment rate
Physical activity•School sports survey•Adult active people survey
Various national surveys•HSE•GHS
Access to green spaces
Social capital•Survey of English housing•GHS
Levels of volunteering•GHS•2001 Census
Proportion of mature students
CTRPH Seminar 22nd October 2008
•Direct/indirect data
•Geographic level
•Quality
The Considerations
CTRPH Seminar 22nd October 2008
•Census•Survey•Service mapping•Registers
Direct/Indirect Data
CTRPH Seminar 22nd October 2008
•National•Regional•LA/PCT/LIT•Casward/MSOA/LSOA•Postcode
Geographic Level
CTRPH Seminar 22nd October 2008
•Data completeness
•Data accuracy
•Appropriate for task
Quality
CTRPH Seminar 22nd October 2008
The End Result: 1
CTRPH Seminar 22nd October 2008
The End Result: 2
CTRPH Seminar 22nd October 2008
www.nepho.org.ukwww.library.nhs.ukwww.phine.org.uk
www.mentalhealthobservatory.org.uk
Contact details:
