Welcome to the PHN Forum Thursday 23rd April 2009 Thornbury Centre You can download the presentations from the PHN webs

3. Bradford Observatory Why do we need one? What it is and what it isn’t? What are the benefits for you? Questions

4. What is a Public Health Observatory? A place that collects, stores and shares data, information and intelligence Transforms information and data into meaningful health intelligence, and engages users Conducts needed analysis and research Mechanism for sharing data and intelligence to inform decision-making

6. Why do we need and Observatory? Jan–March 2008: Strategic and operational review of data and intelligence sharing between Bradford PCT, the Council and other partners Identified frustration with the time and effort required to locate and extract basic data Recommended formal mechanism for sharing data and intelligence.

7. What it is? The Bradford Observatory will be a ‘one-stop shop’ of information about the health and well being of the Bradford and Airedale population.

8. Aims Inform local decision making for reducing health and social inequality through needs assessment, service planning and community development. Provide a systematic and efficient approach to providing key data and conducting analysis.

9. What it isn’t Replacement for the Bradford District Public Health Network Duplication of existing information systems e.g. Children’s Integrated Service Improvement Framework (CISIF)), or national and specialist libraries (NICE) and data sources (ONS) Performance management tool Dumping ground for every document and every piece of data that has existed in Bradford ever.

10. Focus Key local intelligence and data related to local priorities (via the JSNA, Sustainable Communities Strategy, and Local Area Agreement etc...)

11. Health and well being priorities Reducing health inequalities Infant mortality CHD/stroke/cancer Tobacco Obesity (and malnutrition) Alcohol Drug misuse Sexual health and teenage pregnancy Mental health & well-being Access to services for disadvantaged groups Diagnosis/control of hyper tension Improving quality and access to Primary Care Dental and oral health and access to NHS dentists Children and Young People Emotional & Physical Well-being Tackling abuse and neglect Standards of educational attainment Access to further education Promote and celebrate achievement

14. Observatory Users Health Promotion Specialists Performance Managers Data Analysts Planners/decision makers/strategists Community / Neighbourhood teams Project coordinators Partnership Officers Elected members Public

17. Example

22. Highest teenage pregnancy rates in Tong, E Shipley and Eccleshill wards Highest teenage births in Tong, Wrose, Eccleshill Eccleshill 93.6 per 1000 – or 1 in 10 15-17 year olds Same areas despite boundary changes - areas of high deprivation and % white population. Births are lower particularly in areas with a high teenage abortion to birth ratio, but the pattern is the same on both graphs. Teenage parents are more likely to have low birth weight babies, higher risk of infant mortality, low income and low educational attainment. The Bradford rate been falling steadily since early 1990s (down 22% since 1998) Ward based analysis ONS have stated that ward level under-18 conception data for 2003-05 should be released around April 2008. These data have been considerably delayed as ONS have had to prioritise today’s release of LA 2006 conception statistics – the processing of which was held up due to problems with the on-line birth registration system in early 2006. TPU are obviously keen that the ward data are available as soon as possible and will work closely with ONS to ensure the release of these data are prioritised. I will inform co-ordinators as soon as a definite release date is known. ONS plan to release under-16 LA conception statistics for 2006 around September 2008 when conception data for 2006 are finalised. Again, I will inform co-ordinators as soon as I know a definite release date. Highest teenage pregnancy rates in Tong, E Shipley and Eccleshill wards Highest teenage births in Tong, Wrose, Eccleshill Eccleshill 93.6 per 1000 – or 1 in 10 15-17 year olds Same areas despite boundary changes - areas of high deprivation and % white population. Births are lower particularly in areas with a high teenage abortion to birth ratio, but the pattern is the same on both graphs. Teenage parents are more likely to have low birth weight babies, higher risk of infant mortality, low income and low educational attainment. The Bradford rate been falling steadily since early 1990s (down 22% since 1998) Ward based analysis ONS have stated that ward level under-18 conception data for 2003-05 should be released around April 2008. These data have been considerably delayed as ONS have had to prioritise today’s release of LA 2006 conception statistics – the processing of which was held up due to problems with the on-line birth registration system in early 2006. TPU are obviously keen that the ward data are available as soon as possible and will work closely with ONS to ensure the release of these data are prioritised. I will inform co-ordinators as soon as a definite release date is known. ONS plan to release under-16 LA conception statistics for 2006 around September 2008 when conception data for 2006 are finalised. Again, I will inform co-ordinators as soon as I know a definite release date.

26. Benefits To inform local decision making about where to target investment to reduce health inequalities Systematic approach to data and intelligence - less waste – collect once, re-use many times Practical – ‘one stop shop’ – day to day support Cross-agency evaluation (identify and fill gaps in knowledge) Timely information and analysis at a neighbourhood level (quantitative and qualitative?) – plan locally.

27. Timescales Observatory Steering and Technical Group – August 2008 Bradford Observatory Public Health Pages - Jan 2009 http://www.bradford.nhs.uk/observatory/ Multi-partner Observatory site evaluated March-April 09 Launch June 09 – interactive maps, graphs etc… Next steps Increased engagement with partners and strategic partnerships (devolved ownership) Research projects (e.g. population group)

28. Contact Duncan Cooper - Bradford and Airedale NHS duncan.cooper@bradford.nhs.uk Bradford Council - Erik Thomasson erik.thomasson@bradford.gov.uk

29. Questions What questions do you want to answer? (examples) What do you need? Local Data - Maps, graphs and charts Community profiles Public consultation / questionnaires / forums (blogs) Strategic/Policy Documents Signposts to other resources Advice (speak to a human) What are we missing?

47. Break

60. Information Updates

61. Tobacco Control Team Shifting the Norm to

63. Treatments Clients are 4 times more likely to quit sucesssfully with the right treatment plus support Joint first line treatments are: Nicotine Replacement Therapy Including Pre-Quit treatment & voucher scheme All Specialists issue vouchers &/or prescribe creating a easy access one-stop-shop for clients Bupropion Varenicline

64. Accredited Training Consistent message as updated PACE guidance: Ask Advise Act ‘30 seconds to save a life’ 1 hour tailored training for specific teams eg. At team meetings Including easy access online e-learning Half day training to equip Healthcare Professional’s to assess & signpost to local services 2 day training to enable them to support clients before during & after a quit attempt Regular educational & networking updates

65. Referral Pathways Primary Care To local practice-based service To Specialist Team for 1:1 or group sessions Local Pharmacists & Dentists Secondary Care In-patients have support to quit or treatments to minimise withdrawal symptoms within a smoke free environment plus follow-up post discharge Pre-admission or pre-surgery elective referrals via Choose & Book

66. Evidence shows that it: Protects everyone from the effects of second hand smoke Assists in smokers cutting down which often leads to quitting Supports a quit attempt and reduces the chance of relapse Discourages children from starting smoking

67. Accessibility Clients are seen in various venues across Bradford & Airedale & at times to suit including evening appointments More traditional venues ie Gp surgeries, Health Centres plus – Pharmacists & Dentists, Community Centres, Childrens’ Centres, Pubs, Drop-in sessions including Shipley & St Georges Hall They can be referred by any health professional or can self refer via Phone call Text service

68. Who we are? A diverse team of friendly & enthusiastic professionals who work across Bradford & Airedale in various setting What we do? Use all aspects of tobacco control to tackle health inequalities