Leading on Health Intelligence for London www.lho.org.uk The London Health Observatory Dr Jenny Mindell Deputy Director.
Download ReportTranscript Leading on Health Intelligence for London www.lho.org.uk The London Health Observatory Dr Jenny Mindell Deputy Director.
Leading on Health Intelligence for London www.lho.org.uk The London Health Observatory Dr Jenny Mindell Deputy Director The Role Of The Public Health Observatories (PHOs) • To work in partnership with researchers, regional and local health policymakers and practitioners; • To monitor trends in health and its determinants; • Highlight future health problems; • Assess the health impact of potential and past policies • Draw together information from different sources and to identify groups in formation Adapted from “Saving Lives - Our Healthier Nation” Aims of the London Health Observatory One stop access to information / data Query desk: Information and Data RESPONSIVE Tools and methods for data analysis Support Public Health and health intelligence networks Comparative analysis/interpretation of health related data/ Policy implementation Communication and advocacy for better public health information PRO-ACTIVE LHO Funding Streams Core funds (2004/5 position) • Department of Health • London PCTs • Research & Development • NTA (drugs) • HES safe haven TOTAL £322K £181K £135K £ 80K £ 80K £798K LHO Work Programmes 2004/5 WORK PROGRAMME Network Development & Communications Website Information & Development Access to Routine Data / Information SKIL & non-Routine Data / Information Access Drugs & Health Intelligence Programme PCT Intelligence Development programme Health Impact Assessment “Diversity Counts” – Ethnic Health Intelligence Programme Tackling Health Inequalities (LHO National Lead role) Mental Health R&D programme Rapid Response programme FUNDING Core DoH Core DoH Core DoH Core DoH National Treatment Agency (NTA) PCT London Core DoH and charges Core DoH Core DoH London Regional Development Centre for Mental Health R&D Core DoH LHO: Ways Of Working Website – Monthly email to all PCTs/SHAs and networks – Quarterly Bulletin – Major reports – Pan London events/workshops – Support SHA/PH Network/London Health Commission – LHO Board and Expert Advisory Council Web Hit Analysis Comparison Chart of Total Monthly Successful Requests (2001-2004) Requests 400,000 300,000 2001 2002 200,000 2003 2004 100,000 0 Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec 2001 23,195 44,562 62,532 65,309 64,970 62,374 75,034 67,877 65,237 178,764 121,631 75,169 2002 127,910 136,679 126,836 116,545 147,921 113,229 140,236 132,602 161,481 257,849 239,357 151,065 2003 225,926 226,294 244,619 219,704 222,539 190,623 214,553 214,553 224,945 304,928 289,147 187,276 2004 216,556 228,290 268,665 221,779 226,870 Month Analyst’s Role Hospital Episode Statistics Compendium of Clinical Health Indicators Others ( Surveys, Local Data etc ) + Census ( ONS Mid Year Estimates etc ) Exeter System ( GP Resident Populations etc ) x Formulae ( Standardisation, Life Expectancy etc ) = Product ( PCT Indicators, Health in London Report etc ) Enquiry Services Co-ordinator’s Role Process • • • • • • Enquiries received via e-mail, phone etc Dealt with according to Enquiry Services Policy Hospital Episode Statistics enquiries via HES team Replies catalogued on Access database ID Number used to catalogue enquiries by subject Audit of enquiries six-monthly Enquiries • Organisations: PCTs; Gov Depts; LAs; GLA; Academics; Media etc • Subjects: Health; Demography; Economics; Social etc • Enquirers: Analysts; PAs; MPs; Journalists; Students; Lecturers etc SKIL Sharing Knowledge & Information in London Data that are not routinely available: • Aspects of drug misuse • Private healthcare sector • London Ambulance Service • Voluntary sector • Grey literature • Preventable burden from tobacco use Standardised admission ratios for emergency admissions, ages under 75, persons, 2002/03 Source: HES, Analyses by LHO © Crown copyright All rights reserved [LHO,100042264,2004] Health impact assessment • HIA training courses • Supporting LHC eg HIAs of Draft Mayoral strategies • Supporting HIA practitioners • HIA R&D project Ethnicity Coding by acute trust of all admissions of London residents: - All Circulatory Diseases (I*) as first diagnosis - HES 2002/03 - ranked by completion of 2001 Census known ethnic categories (Trusts with < 50 admissions excluded) ACUTE TRUST & Number of Admissions All major London Acute Trusts 97,863 RAS HILLINGDON 2,219 RJ6 MAYDAY HEALTHCARE 3,783 RQM CHELSEA AND WESTMINSTER 2,177 RJ5 ST MARY'S 3,961 RAP NORTH MIDDLESEX UNIVERSITY 2,164 RP4 GREAT ORMOND STREET 125 RJ1 GUY'S AND ST THOMAS' 4,880 RQX HOMERTON UNIVERSITY 1,750 RFW WEST MIDDLESEX UNIVERSITY 1,940 RT3 ROYAL BROMPTON AND HAREFIELD RVR EPSOM AND ST HELIER 2,558 RNJ BARTS AND THE LONDON 8,326 RJ2 LEWISHAM 2,610 RV8 NORTH WEST LONDON 4,140 RC3 EALING 1,977 RQN HAMMERSMITH 5,337 RRV UNIVERSITY COLLEGE LONDON 3,333 RF4 BARKING, HAVERING AND REDBRIDGE RG3 BROMLEY 4,158 RJZ KING'S COLLEGE 4,532 RNH NEWHAM HEALTHCARE 1,921 RKE WHITTINGTON 1,912 RJ7 ST GEORGE'S HEALTHCARE 5,957 RAX KINGSTON 2,749 RG2 QUEEN ELIZABETH 3,085 RAL ROYAL FREE HAMPSTEAD 3,601 RGZ QUEEN MARY'S SIDCUP 1,853 RGC WHIPPS CROSS UNIVERSITY 3,063 RVL BARNET AND CHASE FARM 3,020 0% 20% 40% 60% 80% 100% % ETHNICITY CODING 2001 Known Ethnic Categories (codes A - S) 2001 Unknown (code Z - Not stated) 1991 Known Ethnic Groups (codes 0 - 8) 1991 Unknown (codes 9 - Not given, X - Not Known) National lead on health inequalities • Local Basket of Inequalities Indicators http://www.lho.org.uk/Health_Inequalities/Ba sket.htm – Report – Developing the basket – Data Distribution of Unadjusted Acute Bed Days Across London Enfield Barnet Harrow Brent Haring Redbr Havering Cam TH Ealing Wands Bexley Lew Bed days per 100K Merton Bromley Sutton Croydon 8000-15999 16000-23999 24000-31999 32000 plus Distribution of Adjusted Acute Bed Days Across London Enfield Barnet Harrow Brent Haring Redbr Havering Cam TH Ealing Wands Bexley Lew Bed days per 100K Merton Bromley Sutton Croydon 8000-15999 16000-23999 24000-31999 32000 plus LHO Recent Work: The Health In London Report 2004 LHO Recent Work: The Health In London Report 2004 LHO Recent Work: The London Health Forecast Local authorities in the “worst 20%” in London for each PPF target LHO Recent Work: The London Health Forecast 180 162.8 160 158.6 148.6 126.9 140 SMR 120 100 80 59.5 60 59.5 59.5 58 40 20 0 Original Scenario 1 Scenario 2 Scenario 3 Figure 1. Minimum and maximum CHD mortality rates < 75 for local authorities in London Min SMR Max SMR Looking Forward To The Future: PCT feedback • Feedback on the LHO’s work very positive overall. LHO data widely valued and being used in emerging annual Public Health reports and other work. • LHO’s ability to respond to rapidly to requests for work to be undertaken in-year is widely appreciated. • Comments on our draft programme have been varied and constructive and have come mainly from individuals, PCTs, SHAs and Sectors. Comments from within individual sectors have not always been similar. Looking Forward: Challenges Ahead • Responding to the White Paper requirements • Building an electronic Knowledge base with London’s Public health Networks • Building critical mass of analytical expertise to support PCTs and partners • Embedding public health within the London ICT strategy • Communicating clearly what you need know and making sure the intelligence is used! • Ensuring LHO’s future funding base! http://www.lho.org.uk