1. How does partnership working benefit a Joint DPH? Chris Packham Joint DPH, Nottingham City

2. Role of the DPH Improve health –and lead the NHS response Health protection –Shared responsibility with HPA and LA Quality healthcare –And the hospitals role in the community

3. Political Economic Social Technical

4. Targeting services and improving effectiveness by use of risk stratification: Use an NHS tool to stratify population at risk of hospital admission –PARR (out-of-date hospital data) –Other real time (MIQUEST interrogated) Plot populations and individuals Compare with LA data

5. High risk >65: PCT scoring ASHH clients >65

6. So….. How do health and social care data map? Gaps may indicate unmet need - who doesn’t each statutory services know about? In the highest risk group, 80% were actually admitted within one year as predicted Need to establish cost-effectiveness of intervention strategies

7. Social Domestic violence police Call-outs by MOSAIC group Data linkage Individual level knowledge Developing multiple risk profiles Alcohol Safeguarding Developing intervention strategies

8. Economic Local teaching hospital group set up a company to source local food Net saving £3 million with further £3 million back into the local rural economy Saved 150,000 lorry miles annually Linked to local food group and supported roll-out to all LIFT buildings locally Potential for £400 million of savings nationally a year

9. Political…

10. Making it work Get the basics right –Agree what ‘Joint’ means –Who leads on health in the LA –Is health in your Community plan –Are LAA targets aligned –Do you really know what you are aiming for.. –Share staff/information/advocacy/citizen engagement

11. Making it work Add value (use it or loose it) For your agreed actions: –Quantify and predict effects –Use the tools available –Use evidence base –Deliver Lead, facilitate, make yourself useful!

12. What next? The health of the public: –Marmot –Sustainability What role specialist public health? Is it needed in the NHS?