Assault surveillance establishment of a local injury surveillance system
Download
1 / 35

ASSAULT SURVEILLANCE: ESTABLISHMENT OF A LOCAL INJURY SURVEILLANCE SYSTEM - PowerPoint PPT Presentation


  • 162 Views
  • Uploaded on
  • Presentation posted in: General

ASSAULT SURVEILLANCE: ESTABLISHMENT OF A LOCAL INJURY SURVEILLANCE SYSTEM. Zara Anderson and Linda Turner Thursday 8 th September 2005 11.30 – 12.15pm. Objectives. Trauma and Injury Intelligence Group Injury Surveillance System Assault Surveillance Barriers Benefits Summary.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'ASSAULT SURVEILLANCE: ESTABLISHMENT OF A LOCAL INJURY SURVEILLANCE SYSTEM ' - brian-russo


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Assault surveillance establishment of a local injury surveillance system

ASSAULT SURVEILLANCE: ESTABLISHMENT OF A LOCAL INJURY SURVEILLANCE SYSTEM

Zara Anderson and Linda Turner

Thursday 8th September 2005 11.30 – 12.15pm


Objectives
Objectives SURVEILLANCE SYSTEM

  • Trauma and Injury Intelligence Group

  • Injury Surveillance System

  • Assault Surveillance

  • Barriers

  • Benefits

  • Summary


What is the trauma and injury intelligence group tiig
What is the Trauma and Injury Intelligence Group (TIIG)? SURVEILLANCE SYSTEM

  • A partnership group across Cheshire and Merseyside with representation from PCT's, Academia, Fire Service, Police and Ambulance

  • Objectives include:

    • Informing and advising the local Public Health Network and Strategic Health Authority on injury intelligence

    • Advising and supporting injury information providers

    • Informing injury prevention strategies through needs assessment, monitoring and evaluation

    • Making available the best evidence

    • Collaborating with partners on related initiatives (e.g. robbery and violent crime)

  • The injury surveillance system is the primary mechanism for delivering objectives


Assault surveillance establishment of a local injury surveillance system

Why is an injury surveillance system needed? SURVEILLANCE SYSTEM

Injuries are a key public health issue

  • cause people to die prematurely

  • major cause of disability, impairment, poorer quality of life

  • links to the inequality agenda

    National drivers

  • Recommendation from BMA that:

    “injury surveillance centres should be established”

  • Report to Chief Medical Officer - Preventing Accidental Injury: Priorities for Action

    “Public Health Observatories, together with their counterparts in local government, should play a key role in the surveillance of accidental injury”

    Local drivers

  • Merseyside conference prioritised theme of improving information about injuries and those at risk


  • Assault surveillance establishment of a local injury surveillance system

    Defining the problem SURVEILLANCE SYSTEM

    Collecting the data

    Entering the data

    Evaluating the surveillance system

    Assessing the data

    Interpreting the data

    Using the results to plan prevention / treatment

    Reporting the results

    Other stakeholders

    Private sector and NGOs

    Health departments

    Other public service agencies

    Steps in a surveillance system

    Source: Injury surveillance guidelines centres for disease control and prevention


    Assault surveillance establishment of a local injury surveillance system

    What is the Merseyside and Cheshire model? SURVEILLANCE SYSTEM

    • Covers both intentional and unintentional injuries

    • Brings together a variety of data sources in one place

    • Sustainable surveillance system that is passive (data collected in the course of doing other routine tasks)

    • Consistent collection of data items by using core data sets with local flexibility

    • Wider coverage than other surveillance systems in UK and internationally

    • Regular reporting on aggregated data


    Injury datasets
    Injury datasets SURVEILLANCE SYSTEM


    Assaults uk perspective
    Assaults – SURVEILLANCE SYSTEMUK perspective


    Some key facts
    Some key facts SURVEILLANCE SYSTEM

    Estimated 2.7 million incidents of violence every year in England and Wales

    At peak times 70% of A&E admissions are due to alcohol

    • Costs of domestic violence per year

    • £23 billion (NHS £1.4 billion)

    • Costs of violent crime per year

    • £24.4 billion

    Crime and Disorder Reduction Partnerships – crime audits

    Impacts on services – health, local authority, criminal justice

    • Types of violence:

    • youth

    • intimate partner

    • child maltreatment

    • elder abuse

    • sexual violence

    Reporting of violent crime and assaults – as low as 12% of worst cases of serious sexual assault

    Impacts on health – injuries, long-term physical, mental and sexual health problems, death


    Assault surveillance establishment of a local injury surveillance system

    Police fear late licences will lead to chaos SURVEILLANCE SYSTEM

    Drinking free-for-all 'will take police off the beat'


    Assaults cheshire and merseyside uk
    Assaults – Cheshire and Merseyside, UK SURVEILLANCE SYSTEM

    • Hospital admissions

      • Cheshire and Merseyside

    • Accident and Emergency attendances

      • Arrowe Park

      • Royal Liverpool

    • Ambulance call outs

      • Cheshire and Merseyside


    Mortality and hospital admissions
    Mortality and hospital admissions SURVEILLANCE SYSTEM

    Cheshire and Merseyside: -

    • 2002:- 7 deaths directly associated with assault

    • 2002/2003: -2,978 assault-related hospital admissions

      • Leading cause of hospital admissions for males aged 15 -24 years

      • Second leading cause for males aged 25 – 34 years


    Assault surveillance establishment of a local injury surveillance system

    Assault A&E attendances by age group SURVEILLANCE SYSTEM

    April 2004 to March 2005

    Royal Liverpool – 4,314 (12%)

    Arrowe Park – 2,872 (7%)

    Over 70% of assault attendances were male



    Assault surveillance establishment of a local injury surveillance system

    Royal Liverpool A&E SURVEILLANCE SYSTEM

    • 91% attackers male

    • 70% attacked by a stranger

    • 51% not informed police

    • Type of attack: - 1,415 struck (e.g. fist), 212 blunt object, 206 bottled/glassed, 93 stabbed

      Arrowe Park A&E

    • Type of attack: - 2,213 struck, 341 Wound/cut, 32 stabbed, 23 bites, 20 falls, 19 glassed


    Assault attendances by location of incident royal liverpool a e
    Assault attendances by location SURVEILLANCE SYSTEMof incident, Royal Liverpool A&E

    Liverpool City Centre

    Bold Street

    Concert Square

    Slater Street


    Assault attendances by location of incident arrowe park a e
    Assault attendances by location SURVEILLANCE SYSTEMof incident, Arrowe Park A&E


    Assault surveillance establishment of a local injury surveillance system

    49% of assault attendances drank alcohol prior to their attack

    85% of assault attendances between 2am and 4am Saturday morning drank alcohol prior to their attack

    86% of assault attendances between 2am and 4am Sunday morning drank alcohol prior to their attack


    Mersey regional ambulance service
    Mersey Regional Ambulance Service attack

    • Cheshire and Merseyside

    • Patient demographics

    • Time/date

    • Hospital of attendance

    • Location of call out


    Assault rape call outs april to june 2005
    Assault/Rape call outs, April to June 2005 attack

    • 2,313 Assault/Rape call outs

    • 34% aged 15 – 29 years

    • 67% male

    • 50% taken to emergency room

      • -Royal Liverpool 22%, Arrowe Park 16%, Whiston 13%, Aintree 12%



    Assault surveillance establishment of a local injury surveillance system

    Violence against the person offences by Crime and Disorder Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004


    Data summary
    Data summary Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004

    • Victims: 15 – 29 years, male

    • Attackers: male

    • Peak times: weekend evenings

    • Peak location: night time environment

    • 49% victims drank alcohol prior to attack

    • Not all assaults reported to the police


    Data constraints
    Data Constraints Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004

    • Variations in data collection

    • Data quality

    • Resources/Targets

    • Accountability/Ownership

    • Training


    Implementation of a local injury surveillance system
    Implementation of a local Injury Surveillance System Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004


    Assault surveillance establishment of a local injury surveillance system

    What can be achieved? Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004

    • Data has potential to…..

    • Identify Hotspots

    • Identify Licensed Premises

    • Identify Vulnerable groups


    Assault surveillance establishment of a local injury surveillance system

    Police and other agency response: - Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004

    Short term

    • Targeted Deployment of Resources

      ( multi agency )

    • CCTV

    • Targeting Licensed Premises

      Longer term

    • Planning/license restrictions

    • Multi agency interventions e.g P.C.T re Binge Drinking

    • Parenting programmes etc.

    • Inform strategies/Evaluate interventions


    Benefits
    Benefits Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004

    Reduce:

    • Violent crime

      Reduce:

    • Ambulance call outs

    • A&E admissions

    • Hospital admissions

    Meet National Targets

    • Improve:

      • Improve health

      • Improve night time economy

      • Increase diversity

    • Free up resources

    • Facilitate information sharing and partnership working


    Summary
    Summary Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004

    • Violence is a health and criminal justice issue

    • Multiple data sources should be shared and used

    • Priority to improve data collection

    • Multi-agency approach


    Contact details
    Contact Reduction Partnership area, rate per 1,000 population, Cheshire and Merseyside, 2002/2003 to 2003/2004details

    Zara Anderson (TIIG analyst) (Data queries)

    Centre For Public Health

    Liverpool John Moores University

    Castle House North Street

    Liverpool, L3 2AY

    Tel: +44 (0)151 231 4505

    Email: z.a.anderson@livjm.ac.uk

    Linda Turner (TIIG Commissioner) (Strategic queries)

    South Sefton Primary Care Trust

    Burlington House

    Waterloo

    Liverpool, L22 0QB

    Tel: +44 (0)151 478 1262

    Email: linda.turner@southsefton-pct.nhs.uk

    Website: www.nwpho.org.uk/ait


    ad
  • Login