1. Public Health England (PHE) and HIA Gateway Health Impact Assessment Workshop, Sheffield, 27th February 2014
Sue Wright
Knowledge & Evidence Manager (Higher Level) HIA
Knowledge & Intelligence Team (West Midlands)
Public Health England
Tel.No.:
HIA Gateway:

2. What is Public Health England?
PHE is the expert national public health agency with a statutory duty to:
protect health
address inequalities
promote health and wellbeing
A new approach to public health outlined in Healthy Lives, Healthy People White paper (2010); local health improvement returned to Local Authorities in April 2013
The Health and Social Care Act 2012 led to the creation of PHE as an operationally autonomous executive agency of the Department of Health
Came into being in April 2013
HP: infectious diseases; chemicals and poisons, radiation, emergency response, env hazards
formation came as a result of reorganisation of the National Health Service (NHS) in England outlined in the Health and Social Care Act It While local authorities will be largely free to determine their own priorities and services, they will be required to provide a small number of mandatory services (sexual health services, NHS health checks, National Child Measurement Programme, providing public health advice to NHS Commissioners and ensuring plans are in place to protect the health of the public).

3. PHE is made up of organisations
More than 70 organisations came together to form one public health service, some of these are:
Health Protection Agency
National Treatment Agency
Department of Health
Strategic Health Authorities
Primary Care Trusts
Public Health Observatories
Cancer registries
National Cancer Intelligence Network
Quality assurance reference centres (QARCS)
Specialist dental commissioners
Specialist commissioners
NHS cancer screening programme
UK national screening programmes (non-cancer)
Department of Health teams coming to PHE:
DH health improvement and protection
DH offender health
DH clinical programmes
DH communications
DH regional public health groups

4. PHE priorities for 2013/14 5 priorities:
Help people to live longer and more healthy lives with special focus on smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol
Reducing the burden of disease and disability with special focus on dementia, anxiety, depression and drug dependency
Protect the country from infectious diseases and environmental hazards
Support families to give children and young people the best start in life
Improve health in the workplace
27 key actions to achieve these. More detail available in this leaflet:

5. 2 further PHE priorities
Promote place based public health systems
Developing our own capacity and capability

6. How will PHE work? Engage in discussions and advise government
Support action by Local Government, NHS and other organisations and people
Support the public - protect and improve health
Protect the nations health - systems and services in place and prepare for emergencies
Share information and expertise with others
Research, collect and analyse data
Report on improvements to health
Help develop public health systems and workforce

7. Local presence 4 Regions, 15 Centres
8 Knowledge and Intelligence Teams
London
South West
South East
West Midlands
East Midlands
North West
Northern and Yorkshire
East
Other local presence
10 microbiology laboratories
field epidemiology teams
Additional support
Local teams can also draw on national scientific expertise based at:
Colindale
Porton Down
Chilton

8. Knowledge & Intelligence Teams
KITs support: Local Authorities, DsPH and Public Health Teams; CCGs (through LA core offer); Strategic Clinical Networks; NHS Commissioning Board Local Area Teams; PHE Centres; and PHE Regions
Access to national products and services - indicators, profiles, tools and reports, access to evidence reviews (many accessible by a single portal: datagateway.phe.org.uk) e.g. Health Profiles
Support for local use of national products (e.g. local interpretation/application)
Education, training and professional/development support (e.g. facilitating local/regional intelligence networks) e.g. PH Information training scheme
Access to public health intelligence expertise across national K&I service e.g. Lead Areas, NW KIT Police and violence
Responsive ad hoc intelligence service (e.g. bespoke analyses to answer local questions) e.g. enquiry service via KITs
Access to library services (under discussion)
Generic profiling and surveillance products
Health Profiles
Local Health
Mortality dashboard
Public Health Outcomes Framework
General Practice profiles
NHS Atlas of Healthcare Variation
Surveillance

9. Local focus: Knowledge & Intelligence Teams (North & Yorkshire)
PHE KIT North and Yorkshire: 2 PHE Centres (North East, and Yorkshire and Humber)
Provide as outlined above
Relevant local public health intelligence: useful for community baselines in HIA and identification of vulnerable groups
A lead for each Local Authority together with the Centre to provide PH intelligence
If there is demand can develop a HIA network to share best practice and provide HIA support
PHE Contacts
North East PHE Centre: Tel.:
Yorkshire and Humber PHE Centre: Tel.:
North and Yorkshire PHE Knowledge & Intelligence Team: Tel.:

10. Data and knowledge gateway
A single point of access to data and analysis tools from across Public Health England:
Cancer Child and maternal health Comparison, practice and performance Drugs, alcohol and tobacco End of life care General health profiles Health impact assessment Health inequalities Injuries and violence Learning disabilities Long term conditions Mental health Obesity, diet and physical activity Screening Sexual health Social care, adults and older people

11. Public Health Outcomes Framework
From Healthy lives, healthy people: Improving outcomes and supporting transparency (2012) came the Public Health Outcomes Framework which set 2 main outcomes:
To improve and protect the nation’s health and wellbeing and improve the health of the poorest, fastest
Outcome 1)
Increased healthy life expectancy – taking into account health quality as well as length of life
Outcome 2)
Reduced differences in life expectancy between
communities (through greater improvements in more disadvantaged communities)

12. Public Health Outcomes Framework Produced a series of key indicators within 4 domains:
Improving the wider
determinants of health 1
19 indicators, including:
Children in poverty
People with mental illness or disability in settled accommodation
Sickness absence rate
Statutory homelessness
Fuel poverty
Health improvement 2
24 indicators, including:
Excess weight
Smoking prevalence
Alcohol-related admissions to hospital
Cancer screening coverage
Recorded diabetes
Self-reported wellbeing
Health protection 3
7 indicators, including:
Air pollution
Population vaccination coverage
People presenting with HIV at a late stage of infection
Treatment completion for tuberculosis
Healthcare and public
health preventing
premature mortality 4
16 indicators, including:
Infant mortality
Mortality from causes considered preventable
Mortality from cancer
Suicide
Preventable sight loss
Excess winter deaths
1. Objective:
Improvements against wider factors which affect health and wellbeing and health inequalities.
2. Objective:
People are helped to live healthy lifestyles, make healthy choices and reduce health inequalities.
3. Objective:
The population’s health is protected from major incidents and other threats, whilst reducing health inequalities.
4. Objective:
Reduced numbers of people living with preventable illness and people dying prematurely, whilst reducing the gap between communities 12

13. HIA Gateway Service from PHE
Managing online resource: HIA Gateway
Support, guidance and signposting
Support for Capacity building in HIA
This is a national service (the HIA Gateway is also international) provided by the PHE Knowledge & Intelligence Team (West Midlands)

14. HIA Gateway
A website operated by PHE to provide access to a wide range of resources, documents and information on Health Impact Assessment and health in other Impact Assessments (e.g. MWIA, SEA,IIA) to:
People well versed in HIA
People wanting to learn to do HIA
People who commission / use HIAs
Give easy access to information sources
Give notice of events & new developments
Share examples of practice (e.g. reports)

15. Access to the HIA Gateway
Through the PHE data portal:
Find “Health Impact Assessment” on the list of tools and this will take you to the HIA Gateway
From PHE website:
Use Search engines: HIA Gateway
Or Contact Sue Wright:
Tel.:

16. Brief History
HIA introduced in Saving Lives, Our Healthier Nation Health Development Agency (HDA) developed website, support from Department of Health HDA and NICE merged, NICE continued to host the site NICE terminated contract Temporary home at OXINET APHO/WMPHO took on site Site re-launched June, Sue in post September “Lifted and Shifted” to PHE, managed by KIT (West Midlands) Note: first UK HIA completed 1994: proposed second runway at Manchester airport:

17. HIA Gateway was set up like a library:
Access to a wide range of resources:
Not peer reviewed
Quality is variable
Standards ?
Largest repository of HIA reports

18. What can you find on the HIA GAteway

19. Home Page
Register with the HIA Gateway: receive monthly resource updates
News: current events, applications for grants, jobs, recent newsletters
International HIA conferences: access to previous conference presentations
Recent additions: 6-8 recently added resources: HIAs, evidence reports etc.
Conferences and events: details
HIA Bibliography: updated twice a year-published journal papers on HIA and related to HIA
Training Courses: HIA and MWIA
Online training courses: some free
Discussion Forums: HIA (JISMAIL); MWIA via LGA Knowledge Hub; RTPI Health and Planning Linkedin Group

20. Structure and content Provides a quick overview of HIA: What is it
Why do it
HIA process
Prediction in HIA
Participation in HIA
About HIA Gateway
How to get started
Integrated Impact Assessment

21. Structure and content
Overview of Mental Wellbeing Impact Assessment (MWIA):
What is MWIA?
MWIA Toolkit & outcomes
Policy Support
Health in MWIA
MWIA Process
MWIA on the HIA Gateway
More about MWIA

22. Structure and content
Overview of Strategic Environmental Assessment (SEA):
What is SEA?
Application of SEA
Health in SEA
SEA Process
Links with other Assessment Tools
SEA Materials: online Health in SEA course (2010):

23. Structure and content Type of report: HIA, MWIA, SEA
Level: Policy, Strategy, Project
Topic: e.g. transport, housing,
regeneration etc.
Location: country and England areas

24. Checklists and Tools for doing HIA Theory reports and published papers
Guides on how to do HIA
How do we evaluate HIA ?
Checklists and Tools for doing HIA
Logic diagrams
Use of HIA
Theory reports and published papers

25. Policy documents relevant to HIA
Evidence on causal connections useful for HIA
Terms used in HIA and English local government
Books on HIA and chapters in books
References to Articles on HIA
Archived resources-pre 2001

26. Dates and details of HIA events/conferences
Contact details for people interested in HIA who wish their names to be known
Dates and details of HIA events/conferences
Dates and details of HIA training courses
Contact details for HIA Firms

28. National support for HIA
HIA Gateway
PHE: set of indicators for neighbourhood profiles
Support and Guidance: contact Sue-may sign post you to others in your area
Capacity Building: possible short “Introductions to HIA”, may work with others
PHE HIA Practice Standards (not another Guide)
PHE Briefing outlining differences between HIA, Health in SEA/EIA etc.

29. PHE Healthy People Healthy Places Programme
To ensure that health and health inequalities are considered and addressed in planning and development of the built environment. Evidence reviews being planned on housing, transport and other determinants of health. Four themes:
Leadership, advocacy and influence
Partnerships and networks
Evidence base, information and tools: e.g. obesity and built environment briefings
Capacity building through learning, training and development
Link to national event November 2013:

30. How can PHE support your work in HIA?