Public Health Training at Imperial College Christopher Millett Senior Lecturer / Educational Supervisor School of Public Health

Clinical Programme in Interventional Public Health-NHS (Director: Josip Car; Director of Research: Elio Riboli) Epidemiology & Biostatistics (Paul Elliott) Cancer epi CVD epi Genetic Team. Biostatistics Occupational & environmental epi Primary Care & Public Health (Azeem Majeed) - Public Health - Health System Evaluation - Health Services Research - Health Improvement Infectious Disease Epidemiolog y (Neil Ferguson) - Molecular Epi. - Malaria - Evolutionary Biol. - HIV-STDs - Epid- Modelling - NTD MRC Centre Environment & Health P. Elliott MRC Centre Outbreak Infectious D. N. Ferguson Teaching: MPH, MSc in Epidemiology (Biotatistics, Environment & Health, Infectious D), MSc Metabolic Med, MSc in Global Health (2012), MBBS, BSc in Global Health, Genomics of Common Diseases (Philippe Froguel) Diabetes Obesity Cancer CVD Neurodegenerative D Clinical Trial Unit (Deborah Ashby, deputy) Phase 1, 2 and 3 trials. Population trials Post marketing follow-up Imperial College-Academic Health Science Centre-Faculty of Medicine School of Public Health (Elio Riboli)

Department of Primary Care & Public Health - Health Services Research Unit - Dr Foster unit - Global E health unit - Child health unit - WHO Collaborating Centre

Health Services Research Unit Research areas - Quality of chronic disease management in primary care - Impact of NHS Reforms on health care quality - Hospital performance metrics, CQUINS, PROMs - Evaluation of NW London Integrated Care Pilot - Evaluation of NHS Health Checks programme

Applied public health research (non health system) - Tobacco control - Active travel - Salt reduction

Methods Quantitative Cross-sectional, pre-post, time trends analysis Routine data: 1. Health service data (General Practice Research Database, Hospital Episode Statistics) 2. Health survey data (Health Survey for England) 3. Non-health data (National Travel Survey)

Projects undertaken by public health trainees Felix Greaves: role of patient online ratings on healthcare quality improvement Fiona Hamilton: impact of financial incentives on smoking cessation Eszter Vamos: impact of QOF on diabetes control by practice size Matthew Harris: evaluation of Family Health Programme in Brasil Dan Gibbons: impact of increasing legal age of purchase on smoking rates Sophie Coronini-Cronberg: impact of free bus pass on physical activity levels

Ratings compared to patient experience surveys NHS Choices Measure Survey question: Spearman Rho p value Proportion of patients recommending “Overall, how would you rate the quality of care you received” 0.40<0.001 Rating of being treated with dignity and respect “Overall, did you feel you were treated with dignity and respect while in hospital?” 0.33<0.001 Rating of staff working together “How well would rate how well the doctors and nurse worked together?” 0.32<0.001 Rating of cleanliness“How clean was the hospital ward or room you were in?” 0.48<0.001 There is a moderate, highly significant association between ratings online and large surveys of patient experience Greaves et al. BMJ Quality and Safety, 2012

Comparing cleanliness ratings with infection rates Greaves et al, 2012 Arch Int Med NHS Choices Measure Other variable Spearman Rho p value Patient perception of cleanliness Rate of MRSA bacteraemia (per 1,000 bed days) -0.30<0.001 There is a moderate, significant association between ratings of cleanliness online and infection rates

Mode of transport to work by location in India

Mode of transport to work and cardiovascular risk

Teaching opportunities Undergraduate medical course MPH / MSc Academic F2 supervision Short courses

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