1. SEPHIG South East Public Health Information Group Tuesday 26th March 2013 Public Health England Local Contribution Jürgen Schmidt, Local Lead, Public Health Intelligence, PHE

2. A paradigm shift Changes in physical location – a new culture Changes in responsibilities – local authority public health functions Changes in partners – emerging commissioning landscape Changes in data management – joint working required Changes in information governance – perhaps biggest driver Jürgen Schmidt Public Health England/RSS meeting 14 March 20132

3. Changing structures: the role of PHE Public Health England responsible for provision of public health knowledge and intelligence to support the new public health system, both nationally and locally Will provide a range of knowledge and intelligence products and services, building on the work of the sender organisations Will develop multi-agency intelligence networks to improve the dissemination of disease/risk factor knowledge and intelligence Will provide a ‘local contribution’ service to Local Authority public health 3

4. Evidence and intelligence service Jürgen Schmidt Public Health England/RSS meeting 14 March 20134

5. CKO contribution – practical steps Customer needs/demands: Workshops Online survey Project PID/Advisory Board Submission to SMT Define WHO, WHAT, HOW Catalogue Related but separate, Central Clearinghouse function

6. Regional Knowledge and Intelligence workshops Intended audience: senior K&I Staff transferring into Local Authorities, Clinical Commissioning Groups, Commissioning Support Units, and Local Authority Much emphasis on needs arising from transition, rather than long-term development Strengthen communications to the local system Access to data, esp. PID, and role of CB/CSU/DMIC (incl. IG) Local commissioning landscape relationships Sharing of practice Support to the local integrated public health intelligence system by KIT Products and services Workforce development Knowledge management Defining the ‘core offer’ Working in a Local Authority environment

7. Customer needs A DPH’s view: 1.Keep us up to date 2.Help us doing research 3.Training and Development 4.Networks 5.Data and information 6.Tools 7.Profiles 8.Improving data quality 9.Communicable disease and environmental health

8. Customer needs Jürgen Schmidt Public Health England/RSS meeting 14 March 2013 8

9. Access to raw or analysed data at small area or individual level is a major need for local public health teams Jürgen Schmidt Public Health England/RSS meeting 14 March 20139

10. Local public health teams expect to require a variety of data sources for their work, at various levels of aggregation Jürgen Schmidt Public Health England/RSS meeting 14 March 201310

11. 11 Which structures will deliver local services?

12. Jürgen Schmidt Public Health England/RSS meeting 14 March 2013 Place-based approach to public health 12 Public health advice Health and wellbeing boards Local government CCGs PHE centre NHSCB area team EPPR Screening and immunisation Offender public health programmes Specialised commissioning Primary care public health programmes and population healthcare NHS and IS Providers Third sector providers People and communities

13. PHE knowledge and intelligence functions 1.Understand and meet the needs of local government and local NHS 2.Develop a web portal to report and provide access to knowledge and intelligence 3.Build and develop health intelligence networks 4.Work with others to build and manage linked data sets that are safe and available for use 5.Bridge the current gap in the translation of knowledge into action 6.Connect people to share experience 7.Extend the use of surveillance to inform health responses 8.Assess priorities for public health research, and support and conduct it Jürgen Schmidt Public Health England/RSS meeting 14 March 201313

14. CKO contribution project Specify the provision the Chief Knowledge Officer (CKO) directorate within Public Health England (PHE) will make for the local health and public health system; Describe how the local relationships between Knowledge and Intelligence (K&I) Teams, PHE Centres, Local Authorities and clinical networks might work and what products and services might be provided by the K&I service as a consequence; Build upon work some sender organisation such as Public Health Observatories (PHOs) have already started seeking to integrate with products on offer by other sender organisations (cancer registries, National Treatment Agency (NTA) etc.); Use the findings of other projects identifying customer needs (internal consultancy trial, and active knowledge management); Consider the longer-term requirements for ensuring the CKO contribution remains relevant to an evolving system; Contribute to the development of a business model for the CKO directorate including a tiered, priced contribution or ‘offer’ for different customers/needs, enabling different customers to access different levels of input from PHE as required. 14

15. PHE local contribution who? Local Authorities, DsPH and Public Health Teams CCGs (through LA core offer) Strategic Clinical Networks NHS Commissioning Board Local Area Teams PHE Centres PHE Regions Jürgen Schmidt Public Health England/RSS meeting 14 March 201315

16. PHE local contribution what? Developing the support that the PHE Chief Knowledge Officer Directorate will provide to the local health and public health system Opportunity to identify issues, challenges and ideas to influence the future vision for how public health intelligence can help improve health outcomes Specification being developed but will include: indicators, profiles and tools (eg. updated Local Health Profiles and Atlases of Variation) support for local use of national products education, training and professional support access to evidence resources via single portal responsive ad hoc intelligence service (potentially locally enhanced) multi-agency topic based intelligence networks Jürgen Schmidt Public Health England/RSS meeting 14 March 201316

17. The catalogue

18. PHE local contribution how? Be responsive to local needs within available resources (need for prioritisation process) In a way that maximises potential for PHE products to be useful (be visible, 2-way dialogue to disseminate/support products and feed back comments) In conjunction with PHE Centres (role for PHE Centres in helping to coordinate local priorities?) In partnership with other local players ( eg Local PH teams, NHSCB LAs, CSUs and AHSNs) Consistently across KITs (ie everywhere in the country should expect to have access to the same level of service from their local KIT) KITs need to provide access to PH intelligence from within PHE Jürgen Schmidt Public Health England/RSS meeting 14 March 201318

19. Next steps The Chief Knowledge Officer Senior Management Team has accepted the following recommendations: Agree to the proposed WHO, WHAT & HOW for PHE’s local intelligence contribution, as detailed in previous slides Agree that the project needs integrating with the “Going Live” work and comment on how this should be best achieved the “Going Live” project will describe the roles of the different parts of PHE and their working relationships with each other and with the wider health system. It is vital that this CKO local contribution work is fully integrated in to this wider work. David Meechan (Director designate, East Midlands KIT) and Brian Ferguson (Director designate, Northwest KIT) are working with two PHE Centre Directors (Greater Manchester and Yorkshire & Humber) to decide how the local CKO intelligence contribution should relate to PHE Centres and other parts of the PHE intelligence system. Jürgen Schmidt Public Health England/RSS meeting 14 March 201319

20. The new data management landscape Jürgen Schmidt Public Health England/RSS meeting 14 March 201320

21. Central Clearinghouse function Background: what’s the problem? –Local level will request from PHE a broad range of support, incl. data it no longer has access to and the IC/CB can’t/won’t provide –PHE through its sender organisations will host a range of datasets which need integrating The possible options are –Do nothing: huge reputational risk, while being forced nevertheless to deal with local requests –PHE data warehouse: fully fledged equivalent to a Data Management and Integration Centre for public health purposes –Intermediate solution: provide function not the structure Agreement: go for a light-touch, central clearinghouse function, based on following principles: –Local relationship management, incl. relationship management with provider org (e.g. IC for HES data) –Central allocation of tasks acc. to resources and expertise, on the basis of standard operating procedures and a clear communication to the local level The clearinghouse function would provide added value by allowing to identify main directions of enquiry, allocate queries to KITs according to expertise and therefore allow to build up capacity, automate response to FAQs, strategic oversight

22. Central clearinghouse – which datasets? Mortality data (J Freed) HES data (P Brown) Geospatial data (M Bull) Cancer registration data (J Rashbass) Infectious disease lab confirmations (AM O’Connell) Demographics data (TBC) NDTMS (Malcolm Roxburgh)

23. Some request form

24. 24 Central Clearinghouse LAPH Local query Requires routinely available data? Y N For Public Health Advice Service? Data access via local CSU? PHE Central Clearinghouse Regional KIT Log request Can be asnwered by regional KIT? Allocate to other KIS member Response completed ? Store answer Close Log Y Y Y Y N N N N To note: for a selected range of data only a flowchart QA in here somewhere

25. central oversight Using an online project management system to maintain oversight Assign designated users/contributors in each Knowledge and Intelligence Team, and possibly other locations (PHE centres?) Central team - a small team comprising: Coordination, team leader Principal Systems Specialist (not expected to be full-time) Data Development Officer/Senior Applications Developer Senior Information Analyst KIT - Each KIT to contribute to a total of xxx FTE data analysts Public health analyst ? 25

26. Discussion Over to you