1. Bath and North East Somerset – The place to live, work and visit An introduction to Public Health How do we know things in Public Health? Monday, 14 th March 2016 11:45 to 12:05 @ Fry’s Conference Centre, Keynsham ------------------------------------------------------------------- Joe Prince, Senior Public Heath Research and Intelligence Officer, Bath and North East Somerset Council

2. Bath and North East Somerset – The place to live, work and visit What is Public Health intelligence? (…epidemiology) Why we need Public Health intelligence? What Public Health intelligence can (and cannot) answer? What Public Health intelligence resources are available? Aims

3. Bath and North East Somerset – The place to live, work and visit …comes from the Greek words: epi – "on or upon” demos – "people” logos – "the study of” i.e. has roots in the study of what befalls a population. Epidemiology

4. Bath and North East Somerset – The place to live, work and visit Epidemiology “The study of the occurrence and distribution of health-related events, states, and processes in specified populations, including the study of the determinants influencing such processes, and the application of this knowledge to control relevant health problems.” Source: Porta, M. (2014), Dictionary of epidemiology, 6th ed., New York: Oxford University Press, p. 95.

5. Bath and North East Somerset – The place to live, work and visit Epidemiology Measuring health Identifying the causes of ill health Intervening to improve health

6. Bath and North East Somerset – The place to live, work and visit Epidemiology in Action Source: http://www.nhs.uk/news/2010/06Jun e/Pages/Legionnaires-risk-from-wiper- water.aspx http://www.nhs.uk/news/2010/06Jun e/Pages/Legionnaires-risk-from-wiper- water.aspx

7. Bath and North East Somerset – The place to live, work and visit

8. What is Public Health Intelligence? Assessing, measuring and describing health and wellbeing, as well as health risks, health needs and health outcomes of different populations. Analysts are responsible for the collation, management, analysis, synthesis, interpretation and dissemination of data and information from a wide range of primary and secondary health, social, economic and demographic data sources. Source: Public Health online resource for careers, skills and training: http://www.phorcast.org.uk/page.php?page_id=36

9. Bath and North East Somerset – The place to live, work and visit What is Public Health Intelligence? This supports the planning and development of more accessible, sensitive and responsive health services and public health initiatives to meet the needs of the local population, including making contributions to health needs assessment, health equity audit, health impact assessment, research and evaluation projects and the annual public health report. Public health intelligence may also include the production of performance indicator data related to public health. Source: Public Health online resource for careers, skills and training: http://www.phorcast.org.uk/page.php?page_id=36

10. Bath and North East Somerset – The place to live, work and visit Why do we need Public Health intelligence? Surveillance Forecasting/predicting Setting and monitoring health improvement targets Benchmarking – seeing how we compare with elsewhere “Needs Assessments” o what are the health problems in our area? o where are these health problems worse? o what services are available and how good are they? o where is the unmet need or overcapacity?

11. Bath and North East Somerset – The place to live, work and visit Why do we need Public Health intelligence? Planning interventions o where shall we concentrate our resources? o what capacity will be required? Evaluating interventions o did we make a difference?

12. Bath and North East Somerset – The place to live, work and visit ONS Census; local authority data (e.g. Adult Social Care); Deprivation Indices; surveys Primary Care Mortality Data (PCMD); Vital Statistics; Compendium of Population Health Indicators births data; Vital Statistics; Compendium of Population Health Indicators hospital patient data (e.g. Hospital Episode Statistics); GP data; Community Information Data Set immunisations uptake data; maternity data; Health Visitor data, National Child Measurement Programme (NCMP) data Data through our lives

13. Bath and North East Somerset – The place to live, work and visit Think of some typical questions public health intelligence could answer?

14. Bath and North East Somerset – The place to live, work and visit Resources to Aid Decision Making

15. Bath and North East Somerset – The place to live, work and visit Section 192 of the Health and Social Care Act 2012 amended section 116 of the Local Government and Public Involvement in Health Act 2007 to introduce duties and powers for Health and Wellbeing Boards in relation to Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWSs).

16. Bath and North East Somerset – The place to live, work and visit B&NES JSNA wiki

17. Bath and North East Somerset – The place to live, work and visit What does the data say? (Understanding the differences between and within communities) What does the community say? (Listening to our communities) What can we practically do/ change? ( Enabling Communities – being realistic) Are we currently meeting the needs? (Performance & Quality)

18. Bath and North East Somerset – The place to live, work and visit Local Communities o Promote conversations about what’s important in local areas, attract external funding People who make decisions o Understand & identify local priorities People who spend money and plan resources o Explains local demand, the nature of the market & how different people need different services The Audience

19. Bath and North East Somerset – The place to live, work and visit Bath and North East Somerset: http://www.bathnes.gov.uk/services/your-council-and- democracy/local-research-and-statistics http://www.bathnes.gov.uk/services/your-council-and- democracy/local-research-and-statistics Bristol: https://www.bristol.gov.uk/policies-plans- strategies/joint-strategic-needs-assessment-jsnahttps://www.bristol.gov.uk/policies-plans- strategies/joint-strategic-needs-assessment-jsna North Somerset: http://www.n-somerset.gov.uk/my- council/statistics-data/jsna/joint-strategic-needs-assessment/http://www.n-somerset.gov.uk/my- council/statistics-data/jsna/joint-strategic-needs-assessment/ South Gloucestershire: http://www.southglos.gov.uk/community-and-living/stronger- communities/community-strategy/joint-strategic-needs- assessment-jsna/ http://www.southglos.gov.uk/community-and-living/stronger- communities/community-strategy/joint-strategic-needs- assessment-jsna/ Web-links to WoE JSNA’s

20. Bath and North East Somerset – The place to live, work and visit http://fingertips.phe.org.uk

21. Bath and North East Somerset – The place to live, work and visit Source: http://www.apho.org.uk/default.aspx?QN=P_HEALTH_PROFILEShttp://www.apho.org.uk/default.aspx?QN=P_HEALTH_PROFILES

22. Bath and North East Somerset – The place to live, work and visit Comprehending ReadingInterpreting What does it show -Marks and attributes -Where is Big, medium or small? -How do things compare What does it mean -Is it good or bad? -Meaningful for insignificant? -Unusual or unexpected What does it mean to me? -Main messages? -What have I learnt? -What actions to take? Adapted from Kirk, A 2015 – Data Visualisation Literacy http://seeingdata.org

23. Bath and North East Somerset – The place to live, work and visit Contact Joe Prince Senior Public Heath Research and Intelligence Officer Bath and North East Somerset Council e-mail [1]: research@bathnes.gov.ukresearch@bathnes.gov.uk e-mail [2]: joseph_prince@bathnes.gov.ukjoseph_prince@bathnes.gov.uk e-mail [3]: josephprince@nhs.netjosephprince@nhs.net Tel. No.: 01225- 394070