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 informationFull details are listed on page 4 of

handout

Using Public Health Intelligence to prevent disease and improve health and wellbeing

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 Council Scrutiny 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

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 teamUsing Public Health Intelligence to prevent disease and improve health and wellbeing

2. How do we do it?Methods of epidemiological analysis

1. We use the WHO, WHAT, WHERE, WHEN, WHY & HOW epidemiological bible

2. We eliminate irrelevant data

3. We think across the lifecourse

4. We focus on population groups

5. We determine user needs and intentions

6. We assist with explanations of complexity

7. We help to shape Public Health policy and and health & care policy and actions

8. We also…

Using Public Health Intelligence to prevent disease and improve health and wellbeing

Using Public Health Intelligence to prevent disease and improve health and wellbeing

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

in Middlesbrough

Using Public Health Intelligence to prevent disease and improve health and wellbeing

…now appearing in MiddlesbroughJoint Health & Wellbeing Strategy!

PublicHealth

Sources of data, information & intelligence& organisations for intelligent partnership

D

S H

M R

SS

Using Public Health Intelligence to prevent disease and improve health and wellbeing

3. Who do we work with?Communications and relationships

ONS

PublicHealth

GOVTDepts

DHPHO

PHO

PHONHSIC

NHSReg Auth

Sources of data, information & intelligence& organisations for intelligent partnership

PHE

‘National’

D

S H

M R

SS

Using Public Health Intelligence to prevent disease and improve health and wellbeing

3. Who do we work with?Communications and relationships

NHSCCG

ONS

NHSPCI

NHSOthers

NHSNECS

PublicHealth

GOVTDepts

DHPHO

PHO

PHO

NEAS

NHSIC

NHSReg Auth

Acute

GPs

MH

Comm

Sources of data, information & intelligence& organisations for intelligent partnership

PHE

‘NHS’

‘National’

D

S H

M R

SS

Using Public Health Intelligence to prevent disease and improve health and wellbeing

3. Who do we work with?Communications and relationships

NHSCCG

ONS

LACorporate

NHSPCI

NHSOthers

NHSNECS

PublicHealth

GOVTDepts

LADept

LADept

TEESTVU

DH

LADept

LADept

LADept

LADept

LADept

PHO

PHO

PHO

POLICEFIRE

NEAS

NHSIC

NHSReg Auth

VoluntaryOrgns

Acute

GPs

MH

Comm

Sources of data, information & intelligence& organisations for intelligent partnership

PHE

EmergPlanning

Prisons

Probation

‘Wider determinants’

‘NHS’

‘National’

D

S H

M R

SS

Using Public Health Intelligence to prevent disease and improve health and wellbeing

3. Who do we work with?Communications and relationships

NHSCCG

ONS

LACorporate

NHSPCI

NHSOthers

NHSNECS

FUSEPublicHealth

GOVTDepts

LADept

LADept

TEESTVU

DH

LADept

LADept

LADept

LADept

NOMIS

LADept

PHO

PHO

PHO

UNIVNYCRIS

UNIV

UNIV

UNIV

UNIV

POLICEFIRE

NEAS

NHSIC

NHSReg Auth

VoluntaryOrgns

Acute

GPs

MH

Comm

Sources of data, information & intelligence& organisations for intelligent partnership

PHE

Privatesector

EmergPlanning

Prisons

Probation

‘Wider determinants’

‘NHS’

‘National’

‘Academic’

D

S H

M R

SS

Using Public Health Intelligence to prevent disease and improve health and wellbeing

3. Who do we work with?Communications and relationships

NHSCCG

ONS

LACorporate

NHSPCI

NHSOthers

NHSNECS

FUSEPublicHealth

GOVTDepts

LADept

LADept

TEESTVU

DH

LADept

LADept

LADept

LADept

NOMIS

LADept

PHO

PHO

PHO

UNIVNYCRIS

UNIV

UNIV

UNIV

UNIV

POLICEFIRE

NEAS

NHSIC

NHSReg Auth

VoluntaryOrgns

Acute

GPs

MH

Comm

Sources of data, information & intelligence& organisations for intelligent partnership

PHE

EmergPlanning

Prisons

Probation

‘Wider determinants’

‘NHS’

‘National’

‘Academic’

D

S H

M R

SS

Range of needsor influences will vary depending on the topic

Using Public Health Intelligence to prevent disease and improve health and wellbeing

Privatesector

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

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

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

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

The Blind Men and The Elephantby John Godfrey Saxe (1816-1887)

It’s like a pillar

Noit’s more

like a rope

It’s like a tree branch

It’s a parasol

No, no, no, no…you’re all wrongit’s a brick wall!

…a pipe

The Blind Men and The Elephantby John Godfrey Saxe (1816-1887)

It’s like a pillar

Noit’s more

like a rope

It’s like a tree branch

It’s a parasol

No, no, no, no…you’re all wrongit’s a brick wall!

…a pipe

Effective resource use!

1. PH SMT meeting agendaThe agenda needs to be planned, structured and proactive.

2. Teeswide ‘lead’ issuesThe structure, processes & outcomesof issues that are Teeswide need tobe discussed jointly and understood.

3. PH colleagues in trainingThe workload for each colleaguein the training programme should bemade known to improve the quality of experience in the Directorate for all.

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:

1. Systematic business planning (whole Directorate and each function);

2. Improved communications especially for Teeswide ‘lead’ issues; and

3. Better understanding of needs and plans of colleagues in training.

Mark Reilly18th May 2012

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

These slides were used for discussionof Public Health Intelligence issues

in the context of Public Health shared services development.

Mark ReillyNHS Tees

Wolfosn InstituteStockton-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