1. The Health Poverty Index - a tool for interrogating data Jo Watson South East Public Health Observatory

2. Overview  The NHS Plan – background to the hpi  The scoping study  Development of an hpi

3. Overview  The NHS Plan – background to the hpi  The scoping study  Development of an hpi

4. NHS plan, 2000 To underpin: ‘work on cutting inequalities’ (NHS plan, 2000)

5. “….to reinforce the need for action on health inequalities, the determinants of those inequalities and the services and support to reduce their impacts, at the local level” “…has the potential to provide a regular single reminder of the current position” NHS plan, 2000

6. Combines data on: 1.Health status 2.Access to health services 3.Uptake of preventative services 4.Opportunities to pursue and maintain good health + DH add: community descriptors, other factors important to health NHS plan, 2000

7. Overview  The NHS Plan – background to the hpi  The scoping study  Development of an hpi

8. Consultation workshops 10 events in all 8 health regions Widest range of potential user community targeted 500 participants registered to attend Small focus-group style discussion with facilitator and scribe

9. What was learnt from the consultation exercise? (1) Enthusiasm about having better data Frustrated about the gaps in data and the lack of joined up approaches No group has already done the necessary work

10. What was learnt from the consultation exercise? (2) Index should encompass a wide definition of health, and be presented as separate domains Subsets of indicators for key groups such as children or older people Single national number might be useful But also analyses to be available at local level to support action.

11. Overview  The NHS Plan – background to the hpi  The scoping study  Development of an hpi

12. Development of an hpi Summary of position - equity Interactive Prototype produce in December

13. Individual and household conditions Local conditions Regional prospects Behaviours and environments Health status Physical morbidity Psychological morbidity Healthy places Adequate care hpi typology Resourcing Resourcing of health and social care Situation of health Intervening factors Root causes IndividualLocal areaRegional and policy

14. Methodological issues Scaling Weights

15. Themes Resources Healthy environments Healthy behaviours Health and social care Health Status

17. Drinking Smoking Morbidity Depression Premature mortality Lung cancer survival Breast cancer survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care Drinking Smoking Morbidity Depression Premature mortality Lung cancer survival Breast cancer survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care Drinking Smoking Morbidity Depression Premature mortality Lung cancer survival Breast cancer survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care Drinking Smoking Morbidity Depression Premature mortality Lung cancer survival Breast cancer survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care

18. Liverpool High Qualifications Low poverty Skilled work Low burglary Social support Fruit Drinking Smoking Morbidity Depression Premature mortality Lung Cancer Survival Breast Cancer Survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care Manchester High Qualifications Low poverty Skilled work Low burglary Social support Fruit Drinking Smoking Morbidity Depression Premature mortality Lung Cancer Survival Breast Cancer Survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care Drinking Smoking Morbidity Depression Premature mortality Lung Cancer Survival Breast Cancer Survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care Drinking Smoking Morbidity Depression Premature mortality Lung Cancer Survival Breast Cancer Survival Emergency admission rate Ratio of GPs Qualified nurses etc. Resources Healthy environment Healthy behaviour Health Health and social care

19. Drinking Smoking Morbidity Depression Premature mortality Lung Cancer Survival Breast Cancer Survival Emergency admission rate Ratio of GPs Qualified nurses etc. Wiltshire Northumberland Resources Healthy environment Healthy behaviour Health Health and social care

20. High Qualifications Low poverty Skilled work Low burglary Social support Fruit Drinking Smoking Morbidity Depression Premature mortality Lung Cancer Survival Breast Cancer Survival Emergency admission rate Ratio of GPs Qualified nurses etc. 19941999 Resources Healthy environment Healthy behaviour Health Health and social care England - different time periods

21. Resources Healthy environment Healthy environment Healthy behaviour Healthy behaviour Health Health and social care Health and social care 4. 1. 2. 3. 6. 5. 7. 8. 9 10. 11. 12. White Caribbean

22. Web based interface www.hpi.org.uk