1. SEPHO is delivered by Solutions for Public Health Confidential & Proprietary, Copyright 2011, Solutions for Public Health Jo Watson, Alison Hill South East Public Health Observatory Overview of PHO web presentation workstream Thanks to Hannah Walford, Principal Analyst, ERPHO and Daniel Flint, Web Developer, ERPHO

2. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 2 Project Brief 2011/12 1.Develop a single database and web presentation platform bringing together erpho’s PHOLIO-based profile tools and the Compendium development 2.Review all PHO profiling outputs and establish a single portal to link them all 3.Increase efficiency of profile production by using common platforms

3. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 3 Jargon busting: PHOLIO & Fingertips PHOLIOis an SQL database designed by ERPHO to store indicator data, metadata and Fingertips configuration information Fingertipsis a software platform developed by ERPHO to drive web visualisations of almost any kind of indicator stored in PHOLIO using an array of display techniques and statistical methods.

4. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 4 Project deliverables 2011/12 General Practice Profiles delivered in Fingertips Developed and improved Fingertips platform and development environment Improvements to APHO website to aid discovery of all PHO profiles (imminent) Engaged with several PHO project teams to work towards Fingertips delivery

5. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 5 DRAFT project brief 2012/13 1.Continue to develop PHOLIO and Fingertips to efficiently deliver a growing suite of PHO profiles 2.Work with PHE partners to secure Fingertips as a future platform for product delivery 3.Establish future licensing options for Instant Atlas and develop ways to effectively use IA alongside Fingertips

6. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 6 Current activity (May 2012) Development environment Access to code and servers for PHO developers Standards for development, testing, deployment etc Data management module Access to PHOLIO for all PHO analysts Maps Migration of existing PHO tools Tobacco control profiles Sexual Health Balanced Scorecard New tool for publication of PHOF dataset

7. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 7 Benefits of Fingertips Efficiency Indicator data can be used in multiple outputs with no further calculation or QA required Consistency The same indicator is guaranteed to display the same data in all tools Dynamic updates Web tools are automatically updated when indicator data are refreshed Adaptability Indicators can be added or removed from tools using simple PHOLIO updates – no further web developer input required Speed Performance for users is faster than other web-based tools such as Instant Atlas

8. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 8 Fingertips - Charts Tartan Rug Funnel plot Bar chart with confidence intervals Spine chart Time series with RAG dots Time series with confidence intervals Time series with inequality gap Scatter plot Population pyramid Coming soon: Maps

9. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 9 Fingertips - Statistical Methods CIs overlapping reference value Overlapping CIs SPC for proportions (binomial) SPC for DSRs and crude rates (poisson) Coming soon: SPC time series runs SPC time series trends Time series trend

10. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 10 Fingertips - Comparators England Region/SHA 20% most deprived vs. rest (within area) Coming soon: ONS cluster for lower tier LAs and PCTs

11. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 11 Fingertips – tartan rug

12. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 12 Fingertips – spine chart

13. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 13 Fingertips – funnel plot

14. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 14 Fingertips – time trend

15. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 15 Fingertips – inequalities

16. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 16 Fingertips – metadata

17. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 17 Fingertips – Practice Profiles

18. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 18 Fingertips – user feedback really useful information it’s really brilliant! looks great impressed by the fingertips work, and hope to see this model of excellence in the holistic assessment informing every local JSNA and CCG commissioning decisions the most user- friendly way of finding out information about the population I have seen to date.

19. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 19 Links Web:www.erpho.org.uk http://fingertips.erpho.org.uk http://www.apho.org.uk/pracprof/ Further questions or feedback: jo.watson@sph.nhs.uk

20. SEPHO is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2011 20 Techie stuff All of the data is held in SQL (PHOLIO) Data is extracted and calculations carried out using C# (c- sharp) Resulting data array is passed to the web software in a JSON (Jason) array – JavaScript Object Notation Web visualisation is based on JavaScript and written using ASP.NET We use a JavaScript charting library called HighCharts June 8, 2016