1. CTRPH Seminar 22 nd October 2008 How NEPHO can help and some examples of recent work Professor John Wilkinson – Director Gillian Bryant – Health Information Analyst Becky Lee – Health Information Analyst

2. CTRPH Seminar 22nd October 2008 Original remit of PHOs –Monitoring health & disease trends & highlighting areas for action. –Identifying gaps in health information. –Advising on methods for health equity audits & health impact assessments. –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 in improving health & cutting inequality. –Looking ahead to give early warning of future public health problems

3. CTRPH Seminar 22nd October 2008 NEPHO - workstreams Core contract from Department of Health Mental Health Observatory National Drug Treatment Monitoring Service Regional Maternity Survey Office National Library for Public Health PHINE – public health intelligence North EastPHINE HES service and SHAPESHAPE Europe –PIA-PHRPIA-PHR –I2SAREI2SARE –GeneticsGenetics

4. CTRPH Seminar 22nd October 2008 Constraints Time Resources Data confidentiality and data protection

5. CTRPH Seminar 22nd October 2008 Some possibilities to consider Exploring datasets –HES (temporal trends, interesting admissions) –OP data and AE data –NDTMS –MHMDS –Mortality files Some research questions –Where have inequalities improved? –Has service provision widened inequalities?

6. CTRPH Seminar 22 nd October 2008 Health Profiles A starting point for understanding and tackling health inequalities Gillian Bryant – Health Information Analyst

7. CTRPH Seminar 22nd October 2008 Health Profiles: Health Inequality Indicators The APHO Health Profile –Background, development and purpose Health Inequalities within Health Profiles –Presents information on Geographical, Socio- Economic and Gender inequalities using: Deprivation Mortality and Life Expectancy indicators

8. CTRPH Seminar 22nd October 2008 Deprivation: Geographical 1

9. CTRPH Seminar 22nd October 2008 Mortality: Geographical 2

10. CTRPH Seminar 22nd October 2008 Mortality: Geographical 3

11. CTRPH Seminar 22nd October 2008 Life Expectancy: Socio-Economic Group and Gender

12. CTRPH Seminar 22nd October 2008 Conclusion Use of Health Profiles in the investigation of health inequalities –Use of other key indicators within the Health profile to add flavour to the discussion Lifestyle: (smoking, physical activity and obesity, diet and, alcohol) Disease and poor health: (mental illness) Communities: (GCSE achievement, Violent Crime, Housing) –High level indicators –A starting point for investigation

13. CTRPH Seminar 22nd October 2008 Useful links APHO Health Profiles: http://www.healthprofiles.infohttp://www.healthprofiles.info The Good Indicators Guide: Understanding how to use and choose indicators http://www.apho.org.uk/resource/popular.aspx http://www.apho.org.uk/resource/popular.aspx National Library for Public Health: http://www.library.nhs.uk/publichealth/ http://www.library.nhs.uk/publichealth/ Health Inequalities Intervention Tool: http://www.lho.org.uk/HEALTH_INEQUALITIES/Health_Ineq ualities_Tool.aspx http://www.lho.org.uk/HEALTH_INEQUALITIES/Health_Ineq ualities_Tool.aspx

14. Defining Inequality A mental health perspective Becky Lee

15. Create Flourishing, Connected Communities A Public Mental Health Framework for Developing Well-Being Promote Meaning and Purpose Develop Sustainable, Connected Communities Integrated Physical & Mental Health & Wellbeing Build Resilience & a Safe, Secure Base Ensure a Positive Start in Life Reduce Risk Factors Promote Protective Factors Jo Nurse 2008

16. Promote Meaning and Purpose Develop Sustainable, Connected Communities Integrated Physical & Mental Health & Wellbeing Build Resilience & a Safe, Secure Base Ensure a Positive Start in Life Teen parent rate Domestic abuse Violent crime Recorded crime Incapacity benefit Alcohol Hazardous or harmful drinking Hospital admissions Binge drinking Crime Fear of crime Re-offending rates Not in education, employment or training Access to psychological therapies Adult service mapping Children’s service mapping Work sickness absence Workplace employee relations survey Annual population survey Labour force survey Children’s service mapping School health and health visiting services Child health promotion and immunisation Staff engaged in targeted service provision Insulated homes Central heating/ double glazing Employment rate Physical activity School sports survey Adult active people survey Various national surveys HSE GHS Access to green spaces Social capital Survey of English housing GHS Levels of volunteering GHS 2001 Census Proportion of mature students

17. CTRPH Seminar 22nd October 2008 Direct/indirect data Geographic level Quality The Considerations

18. CTRPH Seminar 22nd October 2008 Census Survey Service mapping Registers Direct/Indirect Data

19. CTRPH Seminar 22nd October 2008 National Regional LA/PCT/LIT Casward/MSOA/LSOA Postcode Geographic Level

20. CTRPH Seminar 22nd October 2008 Data completeness Data accuracy Appropriate for task Quality

21. CTRPH Seminar 22nd October 2008 The End Result: 1

22. CTRPH Seminar 22nd October 2008 The End Result: 2

23. CTRPH Seminar 22nd October 2008 www.nepho.org.uk www.library.nhs.uk www.phine.org.uk www.mentalhealthobservatory.org.uk Contact details: john.wilkinson@nepho.org.uk