Public Health England (PHE) and HIA Gateway Health Impact Assessment Workshop, Sheffield, 27th February 2014 Sue Wright Knowledge & Evidence Manager (Higher Level) HIA Knowledge & Intelligence Team (West Midlands) Public Health England Email: sue.wright@phe.gov.uk Tel.No.: 0121 214 9128 HIA Gateway: www.hiagateway.org.uk

What is Public Health England? PHE is the expert national public health agency with a statutory duty to: protect health address inequalities promote health and wellbeing A new approach to public health outlined in Healthy Lives, Healthy People White paper (2010); local health improvement returned to Local Authorities in April 2013 The Health and Social Care Act 2012 led to the creation of PHE as an operationally autonomous executive agency of the Department of Health Came into being in April 2013 HP: infectious diseases; chemicals and poisons, radiation, emergency response, env hazards formation came as a result of reorganisation of the National Health Service (NHS) in England outlined in the Health and Social Care Act 2012. It While local authorities will be largely free to determine their own priorities and services, they will be required to provide a small number of mandatory services (sexual health services, NHS health checks, National Child Measurement Programme, providing public health advice to NHS Commissioners and ensuring plans are in place to protect the health of the public).

PHE is made up of organisations More than 70 organisations came together to form one public health service, some of these are: Health Protection Agency National Treatment Agency Department of Health Strategic Health Authorities Primary Care Trusts Public Health Observatories Cancer registries National Cancer Intelligence Network Quality assurance reference centres (QARCS) Specialist dental commissioners Specialist commissioners NHS cancer screening programme UK national screening programmes (non-cancer) Department of Health teams coming to PHE: DH health improvement and protection DH offender health DH clinical programmes DH communications DH regional public health groups

PHE priorities for 2013/14 5 priorities: Help people to live longer and more healthy lives with special focus on smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol Reducing the burden of disease and disability with special focus on dementia, anxiety, depression and drug dependency Protect the country from infectious diseases and environmental hazards Support families to give children and young people the best start in life Improve health in the workplace 27 key actions to achieve these. More detail available in this leaflet: https://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014

2 further PHE priorities Promote place based public health systems Developing our own capacity and capability

How will PHE work? Engage in discussions and advise government Support action by Local Government, NHS and other organisations and people Support the public - protect and improve health Protect the nations health - systems and services in place and prepare for emergencies Share information and expertise with others Research, collect and analyse data Report on improvements to health Help develop public health systems and workforce

Local presence 4 Regions, 15 Centres 8 Knowledge and Intelligence Teams London South West South East West Midlands East Midlands North West Northern and Yorkshire East Other local presence 10 microbiology laboratories field epidemiology teams Additional support Local teams can also draw on national scientific expertise based at: Colindale Porton Down Chilton

Knowledge & Intelligence Teams KITs support: Local Authorities, DsPH and Public Health Teams; CCGs (through LA core offer); Strategic Clinical Networks; NHS Commissioning Board Local Area Teams; PHE Centres; and PHE Regions Access to national products and services - indicators, profiles, tools and reports, access to evidence reviews (many accessible by a single portal: datagateway.phe.org.uk) e.g. Health Profiles Support for local use of national products (e.g. local interpretation/application) Education, training and professional/development support (e.g. facilitating local/regional intelligence networks) e.g. PH Information training scheme Access to public health intelligence expertise across national K&I service e.g. Lead Areas, NW KIT Police and violence Responsive ad hoc intelligence service (e.g. bespoke analyses to answer local questions) e.g. enquiry service via KITs Access to library services (under discussion) Generic profiling and surveillance products Health Profiles Local Health Mortality dashboard Public Health Outcomes Framework General Practice profiles NHS Atlas of Healthcare Variation Surveillance

Local focus: Knowledge & Intelligence Teams (North & Yorkshire) PHE KIT North and Yorkshire: 2 PHE Centres (North East, and Yorkshire and Humber) Provide as outlined above Relevant local public health intelligence: useful for community baselines in HIA and identification of vulnerable groups A lead for each Local Authority together with the Centre to provide PH intelligence If there is demand can develop a HIA network to share best practice and provide HIA support PHE Contacts North East PHE Centre: Tel.: 0844 225 3550 Yorkshire and Humber PHE Centre: Tel.: 0113 386 0400 North and Yorkshire PHE Knowledge & Intelligence Team: Tel.: 01904 567740

Data and knowledge gateway A single point of access to data and analysis tools from across Public Health England: http://datagateway.phe.org.uk/ Cancer Child and maternal health Comparison, practice and performance Drugs, alcohol and tobacco End of life care General health profiles Health impact assessment Health inequalities Injuries and violence Learning disabilities Long term conditions Mental health Obesity, diet and physical activity Screening Sexual health Social care, adults and older people

Public Health Outcomes Framework From Healthy lives, healthy people: Improving outcomes and supporting transparency (2012) came the Public Health Outcomes Framework which set 2 main outcomes: To improve and protect the nation’s health and wellbeing and improve the health of the poorest, fastest Outcome 1) Increased healthy life expectancy – taking into account health quality as well as length of life Outcome 2) Reduced differences in life expectancy between communities (through greater improvements in more disadvantaged communities)

Public Health Outcomes Framework Produced a series of key indicators within 4 domains: http://www.phoutcomes.info/. Improving the wider determinants of health 1 19 indicators, including: Children in poverty People with mental illness or disability in settled accommodation Sickness absence rate Statutory homelessness Fuel poverty Health improvement 2 24 indicators, including: Excess weight Smoking prevalence Alcohol-related admissions to hospital Cancer screening coverage Recorded diabetes Self-reported wellbeing Health protection 3 7 indicators, including: Air pollution Population vaccination coverage People presenting with HIV at a late stage of infection Treatment completion for tuberculosis Healthcare and public health preventing premature mortality 4 16 indicators, including: Infant mortality Mortality from causes considered preventable Mortality from cancer Suicide Preventable sight loss Excess winter deaths 1. Objective: Improvements against wider factors which affect health and wellbeing and health inequalities. 2. Objective: People are helped to live healthy lifestyles, make healthy choices and reduce health inequalities. 3. Objective: The population’s health is protected from major incidents and other threats, whilst reducing health inequalities. 4. Objective: Reduced numbers of people living with preventable illness and people dying prematurely, whilst reducing the gap between communities 12

HIA Gateway Service from PHE Managing online resource: HIA Gateway Support, guidance and signposting Support for Capacity building in HIA This is a national service (the HIA Gateway is also international) provided by the PHE Knowledge & Intelligence Team (West Midlands)

HIA Gateway A website operated by PHE to provide access to a wide range of resources, documents and information on Health Impact Assessment and health in other Impact Assessments (e.g. MWIA, SEA,IIA) to: People well versed in HIA People wanting to learn to do HIA People who commission / use HIAs Give easy access to information sources Give notice of events & new developments Share examples of practice (e.g. reports)

Access to the HIA Gateway www.hiagateway.org.uk http://www.apho.org.uk/default.aspx?QN=P_HIA Through the PHE data portal: http://datagateway.phe.org.uk/ Find “Health Impact Assessment” on the list of tools and this will take you to the HIA Gateway From PHE website: www.gov.uk/phe Use Search engines: HIA Gateway Or Contact Sue Wright: sue.wright@phe.gov.uk Tel.: 0121 214 2128

Brief History 1999 - HIA introduced in Saving Lives, Our Healthier Nation 2001 - Health Development Agency (HDA) developed website, support from Department of Health 2005 - HDA and NICE merged, NICE continued to host the site 2006 - NICE terminated contract 2007 - Temporary home at OXINET 2008 - APHO/WMPHO took on site 2008 - Site re-launched June, Sue in post September 2013- “Lifted and Shifted” to PHE, managed by KIT (West Midlands) Note: first UK HIA completed 1994: proposed second runway at Manchester airport: http://www.apho.org.uk/resource/item.aspx?RID=125334

HIA Gateway was set up like a library: Access to a wide range of resources: Not peer reviewed Quality is variable Standards ? Largest repository of HIA reports

What can you find on the HIA GAteway

Home Page Register with the HIA Gateway: receive monthly resource updates News: current events, applications for grants, jobs, recent newsletters International HIA conferences: access to previous conference presentations Recent additions: 6-8 recently added resources: HIAs, evidence reports etc. Conferences and events: details HIA Bibliography: updated twice a year-published journal papers on HIA and related to HIA Training Courses: HIA and MWIA Online training courses: some free Discussion Forums: HIA (JISMAIL); MWIA via LGA Knowledge Hub; RTPI Health and Planning Linkedin Group

Structure and content Provides a quick overview of HIA: What is it Why do it HIA process Prediction in HIA Participation in HIA About HIA Gateway How to get started Integrated Impact Assessment

Structure and content Overview of Mental Wellbeing Impact Assessment (MWIA): What is MWIA? MWIA Toolkit & outcomes Policy Support Health in MWIA MWIA Process MWIA on the HIA Gateway More about MWIA

Structure and content Overview of Strategic Environmental Assessment (SEA): What is SEA? Application of SEA Health in SEA SEA Process Links with other Assessment Tools SEA Materials: online Health in SEA course (2010):

Structure and content Type of report: HIA, MWIA, SEA Level: Policy, Strategy, Project Topic: e.g. transport, housing, regeneration etc. Location: country and England areas

Checklists and Tools for doing HIA Theory reports and published papers Guides on how to do HIA How do we evaluate HIA ? Checklists and Tools for doing HIA Logic diagrams Use of HIA Theory reports and published papers

Policy documents relevant to HIA Evidence on causal connections useful for HIA Terms used in HIA and English local government Books on HIA and chapters in books References to Articles on HIA Archived resources-pre 2001

Dates and details of HIA events/conferences Contact details for people interested in HIA who wish their names to be known Dates and details of HIA events/conferences Dates and details of HIA training courses Contact details for HIA Firms

National support for HIA HIA Gateway PHE: set of indicators for neighbourhood profiles Support and Guidance: contact Sue-may sign post you to others in your area Capacity Building: possible short “Introductions to HIA”, may work with others PHE HIA Practice Standards (not another Guide) PHE Briefing outlining differences between HIA, Health in SEA/EIA etc.

PHE Healthy People Healthy Places Programme To ensure that health and health inequalities are considered and addressed in planning and development of the built environment. Evidence reviews being planned on housing, transport and other determinants of health. Four themes: Leadership, advocacy and influence Partnerships and networks Evidence base, information and tools: e.g. obesity and built environment briefings Capacity building through learning, training and development Link to national event November 2013: https://www.phe-events.org.uk/hpa/frontend/reg/thome.csp?pageID=98673&eventID=233&eventID=233

How can PHE support your work in HIA?