how does partnership working benefit a joint dph? chris packham joint dph, nottingham city
TRANSCRIPT
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• Use an NHS tool to stratify population at risk of hospital admission – PARR (out-of-date hospital data)– Other real time (MIQUEST interrogated)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?