Transcript Document

HES User Consultation Day
Introduction to the day and overview of HES
Michael Goldacre, Scientific Director, SEPHO
SEPHO work on HES: Aim
To implement a Regional HES service for the South East
Region including HES ‘Safe Haven’ functions.
Structure of talk:
• Brief background to Public Health
Observatories
• Brief background to HES
• Introduction to the theme of what HES
services PHO’s should provide
Developing Public Health
Observatories in England
The functions of the
Observatories (established in the
national NHS Plan)
• Monitor health and disease and
highlight areas for action
• Draw together health-related
information from different sources
• Identify gaps in health information
• Look ahead to give early warning of
future public health problems
Background
Closure of Regional Health Authorities
and their intelligence functions; and
now the re-establishment of a ‘regional
tier’ of intelligence
Information revolution: processing,
storage, accessibility
Developing working relationships with
non-NHS organisations (e.g. Government
Offices, local authorities)
The organisation of the Observatories
• a “virtual” organisation
• emphasis on web-based data
• a small “central” unit
• network of partners and users
Users of observatories
health sector
other public sector
private sector
public
Development of Public Health
Observatories:
integrating old and new
information resources in England
Hospital statistics in England: a very brief
history and current stocktake
• Hospital In-patient Enquiry, 10% sample, 1949 to 1985
(national data in UHCE from 1968-1985)
• Hospital Activity Analysis, 100% coverage, mid-1960s to
1985 (former Oxford Region in UHCE, as linked data
1963 to 1999)
• Hospital Episode Statistics 1987 (in principle) to present
(national data in UHCE and in SEPHO)
• National linked HES and mortality data 1998 to 2002
(being developed in UHCE; intended for PHO’s (among
others))
• Local holdings and access: StHAs, PCTs, acute trusts
• NCHOD (for Compendium); Dr Foster; CHKS; CHAI; etc.
Use of HES to study variations:
interested organisations
DH Statistics
NHS Confederation
CHAI
DH Patient and Public
Involvement Team
APHO and individual PHO’s:
HES Safe Havens
Modernisation Agency
Royal College of Physicians
Royal College of Surgeons
Other Colleges and Faculties
Faculty of Public Health
Medicine
‘Dr Foster’
CHKS
ONS
DH Quality and Governance
DH Health Inequalities Unit
ODPM Social Exclusion Unit
Regional Government Offices
The PHOs’ HES National Management Group has identified the
main areas of analysis that each HES Regional HES service
should develop which are categorised under three broad
headings:
Level 1: analyses which are likely to be of interest to all PHOs and
could/should be done nationally, once for all.
Level 2: analyses of particular relevance to the South East, which
SEPHO will undertake proactively as part of the regional
public health intelligence service
Level 3: ‘ad hoc’ analyses which SEPHO will undertake for
organisations and people within the South East Region as
responses to requests for information from the SEPHO
Safe Haven datasets.
Programme Development (1)
•
provide advice and expertise about the contribution
that HES analysis can make to the understanding
of public health and health services issues in the
South East; and provide advice and expertise about
the strengths and weaknesses of the HES data,
and its interpretation.
•
pro-actively, to undertake analyses to advance
knowledge about the use of hospital care, and the
epidemiology of hospitalised disease, in the South
East region.
Programme Development (2)
- responsively, to undertake ‘ad-hoc’ analysis of HES
data on request and to develop approaches to
managing ‘ad-hoc’ demand.
- enhance other work on the analysis of HES undertaken
in the South East by the strategic health authorities,
primary care trusts, and acute trusts, and add to, and
coordinate with, work undertaken nationally on HES
by, for example, the Department of Health, CHAI,
NCHOD and the Modernisation Agency.
Service Management (1)
• establish a steering group to oversee implementation of
Regional HES service.
• undertake consultation with SEPHO’s users to
establish types of analysis required, level of demand
for HES analysis and review capacity/infrastructure
& resources.
• undertake inventory of HES data items.
Service Management (2)
• agree a workplan for implementation of HES service in
the South East.
• to train SEPHO analysis team in use of HES data and
HES2 system and appropriate data
management/analytical tools.
• develop methods for the dissemination of results from
HES analyses.
SEPHO will host a consultation workshop (July 6th 2004) with key
stakeholders and potential users in the South East region.
Specifically, the workshop will aim to determine:
•
common analyses and types of analysis required
•
format of reporting (e.g. web based or hard copy)
•
frequency of regular reporting
•
level of demand for ad-hoc requests
•
strategy for managing demand for HES services
(who should and shouldn’t access the service for
free?)
•
membership for the South East Regional HES
Service Steering group