1. South West Public Health Observatory Paul Brown Acting Director

2. South West Public Health Observatory Outline Aims/Sources of Data Work Program – In progress/Planned Examples of Output Behind the scenes…… Lead Areas - Sexual Health/Injury Emerging Public Health Issues ……………………………..On to the rest of the team

3. South West Public Health Observatory Outline – rest of the team Health Profiles - Mark Prostate Cancer - Sean Road Traffic Collisions – Kate Paediatric Cancer - Veronique National Drug Treatment Monitoring Service - Lynne Website - Helen

4. South West Public Health Observatory The South West Public Health Observatory created in 2005 –merger between the existing Public Health Observatory (Public Health Intelligence Team (PHIT))and the South West Cancer Intelligence Service (SWCIS). –It incorporates the Drug Treatment Monitoring System of the South West (NDTMS-SW) –academic partnership with the Department of Social Medicine,University of Bristol.

5. South West Public Health Observatory Merger – Why? The benefits of joint working relationship are already being felt and include: sharing of data sources across the public health and cancer intelligence functions; sharing of analytical skills and expertise between cancer and public health analysts; joint projects between cancer and public health intelligence analysts enabling production of new, important regional and national information; improved quality of reports and online resources as a result of shared access to IT and publications support functions. Larger organisation = increased staff retention and career opportunities

6. South West Public Health Observatory Aims, Roles & Responsibilities create and maintain a comprehensive,accurate,timely and accessible register of cancers; make it easier to access data and information about cancer and public health in the region; provide support and help to people wanting to use such information in appropriate ways; provide analysis in order to improve our understanding of health and the factors that influence health within the region; monitoring health and disease trends and highlighting areas for action; identifying gaps in health information;

7. South West Public Health Observatory drawing together information from different sources in new ways to improve health; carrying out projects to highlight particular health issues; evaluating progress by local agencies on improving health and cutting inequality; looking ahead to give early warning of future public health problems; planning and evaluating clinical management and treatment of cancer through clinical audit; research into causes of,and survival from,cancer; education of professionals and the public. Aims, Roles & Responsibilities (cont.)

8. South West Public Health Observatory Sources of our data

9. South West Public Health Observatory Cancer data base ~ 25, 000 new cases registered every year > 1 million records

10. South West Public Health Observatory Public Health Intelligence Health Data Office for National Statistics Department of Health Census National Surveys Hospital Episode Statistics Accident And Emergency Departments Ambulance Trusts Prescription data Health Protection Agency

11. South West Public Health Observatory Public Health Intelligence Non Health Data Home Office Police Department for Education and Skills Department for Environment and Rural affairs Census Voluntary Sector e.g. Domestic violence

12. South West Public Health Observatory National Drug Treatment Monitoring System NDTMS Data on all drug misusers in treatment from hospitals, clinics etc –Main drugs of misuse –Drug taking history –Treatment –Success –Death –Hepatitis status/vaccination

13. South West Public Health Observatory In Progress/Planned Reports/Bulletins Report on Road Traffic Collisions Diabetes Report Alcohol report Drug Related Death report Series of Child Health Bulletins: –Stikin’ out –morbidity & mortality, drugs & alcohol, physical activity and obesity to follow shortly Series of Bulletins providing data from NDTMS & highlighting Drug issues in the South West

14. South West Public Health Observatory In Progress/Planned Reports/Bulletins Evaluate the impact of RTCs on the NHS with Safety Camera Partnership and UWE Health Inequalities bulletin Series of health & crime bulletins –Domestic violence Series of Bulletins highlighting health issues for Older people –Second blooming –Mortality/morbidity to follow

15. South West Public Health Observatory In Progress/Planned Other Outputs Interactive map of regulated industry HES Indicators Calculation of Ward level Life expectancy

16. South West Public Health Observatory Examples of Outputs Life Expectancy

17. South West Public Health Observatory HES Examples of Outputs

18. South West Public Health Observatory HES Examples of Outputs

19. South West Public Health Observatory Cancer Data Examples of Outputs

20. South West Public Health Observatory Industry Mapping Examples of Outputs

21. South West Public Health Observatory South West PCTs: weekly spending per smoker on legal tobacco products 2003 Source: CACI 0 5 10 15 20 25 30 South and East Dorset South Hams and West Devon Poole North Somerset East Devon North and East Cornwall South Gloucestershire Cotswold and Vale Teignbridge North Devon North Dorset West Gloucestershire Mid Devon Cheltenham and Tewkesbury Bath and North East Somerset Central Cornwall West Wiltshire West of Cornwall South Wiltshire Somerset Coast Kennet and North Wiltshire Torbay Swindon South Somerset Mendip Bournemouth Taunton Deane South West Dorset Bristol North Exeter Plymouth Bristol South and West South West £ per smoker per week Examples of Outputs

22. South West Public Health Observatory South West has high fatality rates from road traffic collisions. Road Traffic Collisions: Rural/Urban differences In 2002, road fatality rate was traffic-lighted as ‘significantly above average’ in Association of Public Health Observatories report Examples of Outputs

23. South West Public Health Observatory Road Traffic Collisions: Rural/Urban differences Examples of Outputs

24. South West Public Health Observatory Road Traffic Collisions: Rural/Urban differences Examples of Outputs

25. South West Public Health Observatory Examples of Output Capacity Building: GIS Training SWINPHO Professional assessment framework for PH information specialists PH intelligence training course Agenda for Change

26. South West Public Health Observatory Examples of Output Analytical support: Childhood height & weight data Approaches from PCTs to provide Public Health analytical service New NHS – relationship with SHA & RPHG

27. South West Public Health Observatory Lead Areas Sexual Health Regional indicators report on Sexual Health –STIs –Lifestyle –Conceptions –Teenage Pregnancy –Other issues Will include sub regional dataset

28. South West Public Health Observatory Lead Areas Injury surveillance Mortality Hospital Episodes Tip of the Iceberg Getting some success in campaign to mandate A&E data – now need to improve on quality

29. South West Public Health Observatory Admissions (spells) to Bristol providers for phlebitis/thrombophlebitis, as primary cause, in drug-misusers, 1998-2004 Drug-Misusers in Bristol Emerging Public Health Issues

30. South West Public Health Observatory Admissions (spells) to Bristol providers for cellulitis, as primary cause, in drug- misusers, 1998-2004 Drug-Misusers in Bristol Emerging Public Health Issues

31. South West Public Health Observatory www.swpho.nhs.uk paul.brown@swpho.nhs.uk