PHE National Priorities and the Chief Knowledge Officer’s directorate London Public Health Knowledge & Intelligence Network Alison Hill 6 th June 2013

Public Health England’s Mission 2 “To protect and improve the nation’s health and to address inequalities, working with national and local government, the NHS, industry, academia, the public and the voluntary and community sector.”

Our priorities for 2013/14 3 –Sets out Public Health England’s priorities and actions for the first year of our existence –Five outcome-focused priorities – what we want to achieve –Two supporting priorities – how we will achieve it –27 key actions to take now –The start of the conversation – a three-year corporate plan will follow

What we do 4 Public Health England: –works transparently, proactively providing government, local government, the NHS, MPs, industry, public health professionals and the public with evidence- based professional, scientific and delivery expertise and advice –ensures there are effective arrangements in place nationally and locally for preparing, planning and responding to health protection concerns and emergencies, including the future impact of climate change –supports local authorities, and through them clinical commissioning groups, by providing evidence and knowledge on local health needs, alongside practical and professional advice on what to do to improve health, and by taking action nationally where it makes sense to do so

Outcome-focused priorities 5 1.Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol 2.Reducing the burden of disease and disability in life by focusing on preventing and recovering from the conditions with the greatest impact, including dementia, anxiety, depression and drug dependency 3.Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics 4.Supporting families to give children and young people the best start in life, through working with health visiting and school nursing, family nurse partnerships and the Troubled Families programme 5.Improving health in the workplace by encouraging employers to support their staff, and those moving into and out of the workforce, to lead healthier lives

Supporting priorities 6 6.Promoting the development of place-based public health systems 7.Developing our own capacity and capability to provide professional, scientific and delivery expertise to our partners

Global Burden of Disease

CKO Outline Business Plan 5th March 2013 Our responsibilities Data & Information Research & Evidence Networks & Experience Developing Knowledge Analysis Modelling Evidence Translation Building Intelligence Surveillance Outcomes Evidence of what works Spread and dissemination Local support Improving health and reducing inequalities

Five divisions - a distributed network National Disease Registration (Cancer registration and NDTMS) - 1x national office and 8x distributed teams Knowledge and Intelligence (K&I) 1x national office and 8x distributed teams National Cancer Intelligence Network (NCIN) 1x national office Research and Development (R&D) 1x national office Business, Planning and Commercial Development (BPCD) 1x national office CKO Outline Business Plan 5th March 2013 c500 staff5 divisions£c43m budget20+ sender orgs What is the CKO?

Our local contribution: Who do the PHE K&I local services support? Local Authorities, DsPH and Public Health Teams CCGs (through LA core offer) Strategic Clinical Networks NHS Commissioning Board Local Area Teams PHE Centres PHE Regions 10

Our local contribution Eight knowledge and intelligence teams across England supporting 15 Public Health England Centres 11

What local services should be provided by KITs? Access to national products and services - indicators, profiles, tools and reports, etc (catalogue in production) Support for local use of national products (active dissemination, local interpretation/application, expert support, feed-back loop) Education, training and professional/ development support (e.g. facilitating local/regional intelligence networks) Access to public health intelligence expertise across national K&I service Access to evidence resources via single portal Responsive ad hoc intelligence service (e.g. bespoke analyses to answer local questions) –need to decide how much can be provided as part of the core-funded service Access to individual-level data (where needed, legal basis and not available elsewhere) Access to library services Locally-negotiated enhanced service for a fee West Midlands CKO Directorate Team Visit

How should the local service be provided? Be responsive to local needs within available resources (need for prioritisation process) In a way that maximises potential for PHE products to be useful (be visible, 2-way dialogue to disseminate/support products and feed back comments) In conjunction with PHE Centres –role for PHE Centres in helping to coordinate local priorities? In partnership with other local players (e.g. Local PH teams, NHSCB LATs, CSUs and AHSNs) Consistently across KITs (i.e. everywhere in the country should expect to have access to the same level of service from their local KIT)

Our knowledge and intelligence resources Generic profiling and surveillance products Health Profiles Local Health Mortality dashboard Public Health Outcomes Framework General Practice profiles NHS Atlas of Healthcare Variation Surveillance Longer Lives 14

Major killers/ diseases/ conditions CVD HIN Cancer HIN Mental health and wellbeing HIN Respiratory disease Injuries Liver disease MSK Risk factors Obesity Physical Activity Nutrition Tobacco Alcohol Drugs Violence Sexual health Health protection Communicable disease Immunisation Screening Environmental hazards Extreme events Wider determinants Inequalities Sustainable development Employment /worklessness Transport Housing Population groups Maternity and child HIN Working age Older people Learning disabled Offenders End of life 15 Developing knowledge and building intelligence in all priority areas to improve health and reduce inequalities Bringing together experts from within PHE and beyond Coordinating and collaborating to provide world class expertise Our thematic programmes

Thematic programmes – what products? Data mapping and signposting Analysis and analytical reports Evidence reviews Tools (atlases, profiles, cost effectiveness, return on investment models, surveillance dashboard) Evaluation tools Research 16

National support for local systems Data management – Disease registration (cancers, congenital anomalies, rare diseases) Information management – Indicator development, storage, visualisation Standardisation of methods and operating procedures (working with HSCIC, NHS England) Advocacy with data and knowledge providers (ONS, HSCIC, NICE) 17

Workforce and organisational development Identifying current workforce and the current vacancies Identifying skills in the current workforce Determining the workforce requirements for the future in the light of the workplan Developing matrix management Deploying our talents in the most effective way Providing personal and organisational development 18