How does partnership working benefit a Joint DPH?

Chris Packham

Joint DPH, Nottingham City

Role of the DPH

• Improve health– and lead the NHS response

• Health protection– Shared responsibility with HPA and LA

• Quality healthcare – And the hospitals role in the community

• Political

• Economic

• Social

• Technical

Technical

• Targeting services and improving effectiveness by use of risk stratification:

• Use an NHS tool to stratify population at risk of hospital admission – PARR (out-of-date hospital data)– Other real time (MIQUEST interrogated)

• Plot populations and individuals • Compare with LA data

High risk >65: PCT scoring

ASHH clients >65

So…..

• How do health and social care data map?

• Gaps may indicate unmet need - who doesn’t each statutory services know about?

• In the highest risk group, 80% were actually admitted within one year as predicted

• Need to establish cost-effectiveness of intervention strategies

Social

Domestic violence police Call-outs by MOSAIC group

•Data linkage •Individual level knowledge •Developing multiple risk profiles•Alcohol•Safeguarding

•Developing intervention strategies

Economic • Local teaching hospital group set up a company to source local food

• Net saving £3 million with further £3 million back into the local rural economy

• Saved 150,000 lorry miles annually

• Linked to local food group and supported roll-out to all LIFT buildings locally

• Potential for £400 million of savings nationally a year

Political…

Making it work

• Get the basics right – Agree what ‘Joint’ means– Who leads on health in the LA – Is health in your Community plan– Are LAA targets aligned – Do you really know what you are aiming for..– Share staff/information/advocacy/citizen

engagement

Making it work

• Add value (use it or loose it) • For your agreed actions:

– Quantify and predict effects – Use the tools available – Use evidence base – Deliver

• Lead, facilitate, make yourself useful!

What next?

• The health of the public: – Marmot– Sustainability

• What role specialist public health?

• Is it needed in the NHS?