Commissioning for diversity: where are we now? Dr Sandra Husbands for Dr Bobbie Jacobson Director www.lho.org.uk.

Slides:

Advertisements

Similar presentations

1 ESA/STAT/AC.219/8 Region-wide Programme to Improve Vital Statistics and Civil Registration Systems prepared by: Margarita F Guerrero, Ph D Regional Adviser.

Advertisements

Introducing the LHO Dr Bobbie Jacobson Director

1 Oxfordshire PCT Ambitious about improving the health and wellbeing of local people. Developing the PCT Strategy Local Medical Committee October 18th.

Integrated Intelligence in Kent Dr Abraham P George Consultant / Asst Dir in Public Health

About us Leading mental health and community services provider Cover 1.3m population covering Bury, Oldham, Rochdale, Stockport, Tameside and Glossop.

Addressing health inequalities in Sheffield Jeremy Wight, Director of Public Health Cath Roff, Director of Adults’ Services.

Welcome Monday 15 December 2008 Sunley Management Centre.

“Our Health, Our Care, Our Future” NHS Lothian Draft Strategic Plan

Using routinely collected data Dr Colin Fischbacher Information Services Division NHS National Services, Scotland.

LYBRA: The Challenge 2.5 million people Life expectancy 4.5 years lower than UK average; ↑infant mortality; ↑drug abuse, smoking and binge drinking. NHS.

Public Health contribution towards LTC Year of Care Commissioning Model Dr Abraham P. George Consultant / Asst Director in Public Health Kent County Council.

Effective public health intelligence for London Justine Fitzpatrick, Allan Baker London Health Observatory.

Ethnic Monitoring in Health in areas with small ethnic populations Wolfson Research Institute Monday 26 th March 2006 Dr David Chappel Assistant Director,

Clinical Commissioning June Introduction Major shift in government policy, transferring responsibility for commissioning care to GPs Ongoing political.

National Standards for Safer Better Healthcare

DIY HEALTH CHECK… ARE YOU READY FOR THE NEW HORIZON? Linda Hayes, Managing Director, Corporate Synergies Australia 1.

Measuring health improvement – lessons from Nottingham’s LAA Dr. Jeanelle de Gruchy, Health Equality Directorate, Nottingham City PCT EMPHO Public Intelligence.

PUBLIC HEALTH WORKFORCE LINCOLNSHIRE GOVERNMENT Isabel Perez, Consultant in Public Health 17 th June 2014.

FUTURE COMMISSIONING North Kesteven – Provider Forum Thursday 25 th September 2008 Ken Fairbairn Head of Commissioning Provider Relationships & Contracts.

Department of Health The Role of the DPH and Joint Strategic Needs Assessment George Leahy Head of Public Health Development Department of Health PUBLIC.

Ethnicity data in health: why measurability matters Giovanna Maria Polato Dr Veena S Raleigh Informatics Healthcare Commission 26 March 2007.

The New Public Health System

Using Equity Audit in NHS Lothian Dr Margaret Douglas Public Health Consultant Sheila Wilson Senior Health Policy Officer.

Penny Emerit Acting Director of London Programmes May 2010 Polysystems: how do they support tackling health inequalities in Sectors and PCTs?

Commissioning Self Analysis and Planning Exercise activity sheets.

ARE THERE ANY LESSONS FOR US FROM A ‘CARE TRUST PLUS’? ‘Making Partnerships Work in Health & Local Government’ Peter Melton PEC Chair, North East Lincolnshire.

Health, Wellbeing and Social Care Scrutiny Committee.

ELSA ELSA datasets and documentation available from the archive or by special arrangement Kate Cox National Centre for Social.

The PHO View John Wilkinson. APHO Mental Health Observatory Core Funding Health Profiles Occasional Papers Website Drug & alcohol monitoring Maternal.

The Tactical Information Service Supporting Practice Based Commissioning Paul Davies Programme Manager.

The Leeds Joint Health and Wellbeing Strategy Explaining the approach to creating the refreshed Joint Health and Wellbeing Strategy for Leeds and.

Reducing Inequalities in Primary Care – Where are we? Dr Bobbie Jacobson Director

Constructing and de-constructing the Nation’s Joint Strategic Needs Assessments (JSNAs) Dr Grace Hurford University of Cumbria 15 th July 2009.

Grand Designs? Location Location? Tim Hind Adviser LGA.

The Work of the Public Health Observatories Dr Bobbie Jacobson Director, London Health Observatory

Access to data for local authority public health AGW Public Health Network Training Event: Public Health Data, Information and Intelligence 11 th November.

Health – a big priority Helen Mycock Valuing People Support Team.

Joint Strategic Needs Assessment (JSNA) May 2011 Alison Wynn, Assistant Director of Knowledge Management.

Lizanne Conway NHS Health Scotland SURF OPEN FORUM 25 January 2007 Community-Led Supporting and Developing Healthy Communities Task Group HEALTHY COMMUNITIES:

School Nursing Review Stakeholder Event: Shirley Brierley Consultant in Public Health, Jeanette Crabbe Senior Public Health Manager, & Public Health Team.

4 Countries Project: Modernising Learning Disability Nursing Dr Ben Thomas Director of Mental Health & Learning Disability Nursing 16 December, 2011.

Commissioning and the Third Sector Health Network Skyers-Poorman Research and Consulting.

The role of an All-Ireland obesity observatory Kevin P Balanda Informing efforts to tackle obesity.

What data are available, and how are they accessed?

The London Health Observatory: monitoring health and health care in the capital, supporting practitioners and informing decision-makers Born Equal? Inequalities.

Find out more online: Principles of Equality, Diversity and Human Rights Kulvinder Hira Equality and Diversity Lead.

Ethnic Monitoring: Improving Service Delivery? Dr Bobbie Jacobson Monitoring health and health care in the capital, supporting practitioners.

Public Health Intelligence in the new world Alison Hill Public Health England Health Statistics User Group: 1 st July 2013.

Analytics and Public Health Commissioning NHS England (London ) 6 th June 2013.

Using Public Health Tools for change Dr Bobbie Jacobson & Dr Jenny Mindell London Health observatory Monitoring health and health care in the capital,

“Tackling Health Inequalities in London: How the LHO is supporting the NHS” Dr Bobbie Jacobson Director

Ethnic inequalities in men’s health in London Justine Fitzpatrick London Health Observatory Making men’s health matter, 9 th March 2006.

A ssociation of Public Health Observatories Health Profiles Health Profiles Team.

South West Public Health Observatory South West Regional Public Health Group Joint Strategic Needs Assessment Paul Brown Deputy Director South West Public.

South West Public Health Observatory The Public Health Observatories: an introduction Presentation to Health Statistics User Group Liz Rolfe 25 March 2011.

Diversity Counts! Tools for tackling ethnic inequalities in health Diversity Counts! Tackling ethnic differentials in Health Implementing the Race Relations.

Dr Lynne Livsey, Health Partnership Coordinator National Housing Federation Presentation to NE Housing LIN Meeting Middlesbrough, 15 th April 2015 The.

Tools for displaying public health information Based on presentation created by Helen Cooke SWPHO Delivered by Isobel Perry, Senior Public Health Intelligence.

What data are available, and how are they accessed?

South West Public Health Observatory South West Regional Public Health Group Identifying health and wellbeing needs Paul Brown Deputy Director South West.

APHO’s Technical Work Paul Fryers Deputy Director – East Midlands PHO Technical Advisor – APHO.

South West Public Health Observatory Ethnicity & health – “Realities & Rationales” Alice Walsh

Health Equity Audit SEPHIG Meeting May 2004 Liz Rolfe Sarah McBeath South East Public Health Observatory.

The London Health Observatory: monitoring health and health care in the capital, supporting practitioners and informing decision-makers Health equity audit-

A national perspective on health inequalities Dr Bobbie Jacobson Monitoring health and health care in the capital, supporting practitioners.

THE STRATEGY RESPONSE Hilary Samson-Barry Programme Director Children Families and Maternity.

Understanding Diversity & Inequality In Healthcare Dr Bobbie Jacobson Director London Health Observatory The London Health Observatory: monitoring health.

Running a Regional HES Service for London Neeraj Malhotra, Data Specialist Justine Fitzpatrick, Lead Analyst

Analysing ethnicity data Tools and methods Martin Bardsley Assistant Director. Office for Information on Health Care Performance.

World Class Commission – Impact on Informatics. Setting the scene... WCC Assurance System World class commissioning –Organisational competencies –1. Locally.

Presentation transcript:

Commissioning for diversity: where are we now? Dr Sandra Husbands for Dr Bobbie Jacobson Director

APHO and the Regional Public Health Observatories LHO lead areas: Health inequalities Ethnicity Smoking NEPHO NWPHO YHPHO EMPHO WMPHO SWPHO SEPHO EEPHO SCOTPHO INIsPHO WCH

POLITICAL ENVIRONMENT GOOD DATA NHS CULTURE KNOWLEDGE BASE ANALYTICAL CAPACITY INVISIBLE ETHNIC INEQUALITIESINVISIBLE ETHNIC INEQUALITIES Pre-Requisites for Tackling Ethnic Differentials in Health & Health Care EFFECTIVE COMMUNICATION

Political Environment Legislative National Health Priorities Local Political Commitment

TargetGeographyAgeGenderSEGEthnicityDisabilitySex. Orientation Life Expectancy XX Infant Mortality X CancersX CHD/StrokeX Teenage Pregnancy XX SmokingX Mental Health DRE X National Health Policy: Which Dimensions of Inequality are covered?

NHS Cultures Input vs outcome cultures Demographic factors

Commissioning a Patient-led NHS Fitness for Purpose: highlighted the need for NHS organisations to be information- led New commissioning environment –PbR & PBC –Value for money, e.g. Save to Invest –Financial balance Smart commissioning needs good intelligence

Good Data: what is needed? Strategic approach to ethnic monitoring with key health datasets outside the acute sector with mandatory ethnicity recording 90% + complete recording of census 16 groups High quality ethnicity recording based on self assessment

Data Access Issues: The London Story Ethnicity Coding Completeness in London: 2005/06 Source: Hospital Episode Statistics (HES), The Information Centre for health and social care. 2005/06 HES data provisional. Analysed by LHO.

Ethnicity Coding Completeness in London: The Big Improvers Source: Hospital Episode Statistics (HES), The Information Centre for health and social care. 2005/06 HES data provisional. Analysed by LHO.

Knowledge Issues The Limited Evidence Base Understanding Differences in relation to need for Health Care Translation of knowledge into commissioning decisions

Using the Knowledge Base: The Example of CHD - 1

Using the Knowledge Base: The Example of CHD - 2

Using the Knowledge Base: The Example of Breast Cancer

Analytical Capacity & Expertise: Ethnic Differentials in Health & Health Care & the Workforce

Summary: Where are we? Ethnicity recording completeness in hospital inpatient data has improved greatly, but mandatory recording still unstrategic and of questionable quality Relationship between Equalities Legislation and Health Policy still unclear The biggest challenge is now to move on from recording and use the data we have wisely to inform commissioning.

LHO Resources on Ethnicity & Health National Full Report. Indications of Public Health in the English Regions. No.4: Ethnicity and health Ethnic disparities in health and health care: a focused review of the evidence and selected examples of good practice: Full Report How to Analyse Ethnic Differentials in Health – Toolkit and Q&A Equal Access, Equal Care? Can London Deliver the Race Equality Action Plan for Mental Health Ethnic Disparities in Health & Health Care: A focused review of the evidence Missing Record: The case for recording ethnicity at birth & death registration Search You can find all PHO resources via this site.