THE POWER OF DATA what analysis can do for you Dr Jane Rossini, Deputy Director of Public Health Eleanor Banister, Public Health Information Analyst September 2009

To gain insight: –Understand the current situation –Anticipate likely change –Prioritise areas for action –Manage performance –Evaluate services Data is a tool – not an end in itself Data is not enough – need analysis Why do we use data?

Public health use lots of data at the strategic, not patient, level Analyse trends in health outcomes, health care use and health behaviour But : –data available is not always as high quality or timely as that in primary care –data analysis of part of the system generates more questions of the rest of the system –without complete data we will reach incorrect conclusions Why do Public Health need more data?

Practice Based Commissioning –Service reform needs to be based on good quality data Improving outcomes for patients –Design pathways that meet needs Understanding complexities –Pathways need to be end to end –Understanding links between services What’s in analysis for GP Practices?

1)On average how long can a man in Stockport expect to live? Answer : 77.4 years 2)On average how long can a man in Brinnington expect to live? Answer : 70.2 years Did you know....? - Inequalities

Hypothesis that gap due to lifestyle factors Lifestyle survey data tells us lifestyles are worse in Brinnington: –but data is not real time so we can’t track changes –based on a limited sample so maybe biased Linking data on lifestyles to other health records –we could model how many more hospital admissions smokers have compared to non-smokers –work out the cost of smoking to NHS Stockport …but we don’t know - Inequalities

1)What proportion of Stockport residents use Stepping Hill A&E or Mastercall a year? Answer : 25% 2)What the total cost of A&E attendances and their associated admissions is? Answer : £63 million Did you know....? – Urgent Care

Data shows that: –older people are a major user of unscheduled care –mainly for LTCs & ACS conditions But we don’t know: –are these patients on QoF disease register? –are these patients high users of primary care too? –do these patients take up prevention services (eg flu)? –are these patients known to social services? –are A&E users the gap or the high demanders? …but we don’t know – Urgent Care

1)What is the trend for birth rates in Stockport? Answer : Increasing (up 10% since 2001) 2)What proportion of new mothers have an admission during pregnancy for general observation? Answer : 58% Did you know....? – Early years

Data shows that: –in affluent areas mothers are older –in deprived areas mothers are more likely to smoke and less likely to breastfeed –births are becoming more ethnically diverse But we don’t know which of the mothers: –are more likely to be obese (risk gestational diabetes) –are more likely to have LTCs –are less likely to attend post natal care …but we don’t know – Early Years

1)What do Stockport people say has the biggest impact on their health? Answer : Stress 2)How many adults in Stockport are on a primary care register for depression ? Answer : 27,600 Did you know....? – Mental Health

Data shows that: –we spend less than other PCTs on mental health But we don’t know: –are all patients on a QoF disease register being prescribed anti-depressants regularly? –are there areas of unmet need? If had this data could target IAPTs resources more effectively …but we don’t know – Mental health

Public Health analyst currently working with Brinnington Practices to pilot analysis of linked data sets Stockport Health Record could mean we could replicate successful parts of the pilot elsewhere Public Health will support primary care: –We can generate the questions –You need to design the pathways to implement change Ways Forward

Dr Jane Rossini Eleanor Banister Contact Details