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Public Health Wales Observatory

Public Health Wales Observatory. 10 th October 2011. Presentation to Board. Evidence-Informed Public Health :.

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Public Health Wales Observatory

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  1. Public Health Wales Observatory 10th October 2011 Presentation to Board Indicator workshop

  2. Evidence-Informed Public Health: • The process of distilling and disseminating the best available evidence (whether from research, practice or experience) and using that evidence to inform and improve public health policy and practice Ciliska, C., Thomas, H., Buffet, C. (2008). An introduction to evidence-informed public health and a compendium of critical appraisal tools for public health practice. Available at: http://www.nccmt.ca/pubs/eiph_backgrounder.pdf Public Health Wales Observatory

  3. Purpose of Observatory The Observatory will be the place where decision makers and the public can obtain useful public health information at the appropriate contextual level, based upon transformed data and evidence from other sources. Observatory Project 2008 Public Health Wales Observatory

  4. Health intelligence to: Key decision makers The public, primarily: Lay members of Boards CHCs The media Special interest / pressure groups Voluntary sector (General Public) • Welsh Government • Health Boards & DsPH • Public Health Wales • Policy groups • Local Government • Voluntary sector Public Health Wales Observatory

  5. Added value of Observatory • Provide clear focus for high quality public health intelligence • Observatory products • Signposting to other work • Strengthen fusion between specialist public health practice and expert health intelligence • Scoping • Information gathering and analysis • Appropriate dissemination Public Health Wales Observatory

  6. Director Consultant Business Manager Head of Analytical Team Head of Knowledge Management Service Analytical staff HIAT (NPHS) & HIIT (WCfH) Knowledge Management Staff Who we are Admin / project support Public Health Wales Observatory

  7. Working within a unified public health system Public Health Wales Health improvement Healthcare improvement Health protection, Includes CDSC Wales Local public health teams Cancer registry Congenital anomaly registry Screening services Stop Smoking Wales Directors of Public Health Local health Boards Observatory

  8. Current examples of work • Local • Health profiles • DsPHchartbooks & annual reports • Hanson cement, SAIL • National • Variations report • Indicator work • Child measurement programme Public Health Wales Observatory

  9. Current examples of work • Local • Health profiles • DsPHchartbooks & annual reports • Hanson cement, SAIL • National • Variations report • Indicator work • Child measurement programme Public Health Wales Observatory

  10. Demography Public Health Wales Observatory

  11. Lifestyle profiles • Wales, Health Board and Local Authority level • New – smoking attributable deaths • Data on eating, physical activity, obesity, smoking, drug misuse, sexual health, alcohol, dental health • Paper and web based

  12. Inequalities in mortality • November 2011 • Wales and L.A. Level • June 2011 • Health Board level • Links to: • Our Healthy Future, Fairer Health Outcomes for All, Quality Delivery Framework, Health Social Care & Well Being, CMO and DsPH annual reports Public Health Wales Observatory

  13. Inequalities in mortality • Life expectancy, Healthy Life Expectancy, Disability Free Life Expectancy • New at Health Board / LA level • All cause mortality • Specific cause mortality • Slope index approach Public Health Wales Observatory

  14. Inequalities in mortality Public Health Wales Observatory

  15. Inequalities in mortality Public Health Wales Observatory

  16. Current examples of work • Local • Health profiles • DsPHChartbooks & annual reports • Hanson cement, SAIL • National • Variations report • Indicator work • Child measurement programme Public Health Wales Observatory

  17. Chart book (low birth weight) Public Health Wales Observatory

  18. Diabetes: Welsh Health Survey Public Health Wales Observatory

  19. Diabetes: QOF Prevalence Public Health Wales Observatory

  20. Prevalence correlated with deprivation

  21. Current examples of work • Local • Health profiles • DsPHChartbooks • Hanson cement, SAIL • National • Variations report • Indicator work • Child measurement programme Public Health Wales Observatory

  22. Hanson (BCUHB): Focus on 7 MSOAs

  23. Deprivation Public Health Wales Observatory

  24. All cause mortality <75 years Public Health Wales Observatory

  25. All cancer incidence, all ages Public Health Wales Observatory

  26. Dr C Humphreys and Dr R Salmon

  27. Asthma Prevalence, SAILAll ages, Swansea EDs, 2007 Public Health Wales Observatory

  28. Using SAIL: COPD Public Health Wales Observatory

  29. COPD: community networks Public Health Wales Observatory

  30. Current examples of work • Local • Health profiles • DsPHChartbooks & annual reports • Hanson cement, SAIL • National • Variations report • Indicator work • Child measurement programme

  31. Dilatation and curettage

  32. New work on variations • Scoping now... • Link to English Atlas of Variation • Follow up on previous Welsh variations report • Spend and outcomes Public Health Wales Observatory

  33. Current examples of work • Local • Health profiles • DsPHChartbooks & annual reports • Hanson cement • National • Variations report • Indicator work • Child measurement programme Public Health Wales Observatory

  34. Indicator work • Bringing together existing work • Welsh Government (Quality Delivery Framework & FHOFA), • DsPH • Public Health Wales • Early work to develop indicator map • Initial indicators on 10 priority areas for ‘Our Health Future’ Public Health Wales Observatory

  35. Indicator workshop

  36. Parameters for indicators • Many and varied! • Three broad themes: • health status of persons / populations in given area • conditions having a more or less direct bearing on health status • health services and activities directed to the improvement of health (IISD 2010) Public Health Wales Observatory

  37. High level overall population health indicators • Healthy life expectancy • Healthy life expectancy as a % of total life expectancy • Deprivation gradient for healthy life expectancy….etc Health status / outcome indicators Stroke Sensory, eyes, ears and teeth Unscheduled Care Well being & self care Maternity & Early years Cardiac Cancer Mental health Health service /performance indicators Quality Delivery framework Health determinant indicators Lifestyle factors Environmental factors Social factors Economic factors Intrinsic factors Our Healthy Future & FHOFA

  38. APHO indicator criteria • Impact on health of the population • Supports appropriate agencies • Validity • Based on existing data • Available at appropriate local level • Amenable to meaningful comparison • Relevant for a wide audience Public Health Wales Observatory

  39. Our Healthy Future priority areas • Inequities in health (one of the key themes) • Mental well-being • Health in the workplace • Level of smoking • Physical activity • Unhealthy eating • Harm of alcohol and drugs • Teenage pregnancies • Accidents and injuries • Immunisation rates Public Health Wales Observatory

  40. Example indicators Children completing all scheduled vaccinations at age 4 Slope index of inequality in healthy life expectancy Specified in FHOFA Newly developed for Wales by PHWO Available through Welsh Health Survey (annual) Requires multiple years data at LA level • Newly proposed indicator • Avoids inappropriate focus on specific indicator • Makes use of population level data available • Could be available quarterly Public Health Wales Observatory

  41. Current examples of work • Local • Health profiles • DsPHChartbooks & annual reports • Hanson cement, SAIL • National • Variations report • Indicator work • Child measurement programme Public Health Wales Observatory

  42. Previous child measures height and weight Public Health Wales Observatory

  43. Feasibility study • Requirement • Local level information – population coverage • Piloting across specific Trusts • To inform standardised national programme Public Health Wales Observatory

  44. Height - normal distribution Reception Year 4 Weight - positively skewed distribution

  45. Our work: in summary • Planned and ad-hoc • Local, national and international • Numerical information and published evidence • Simple data table to complex reports • Focus on products, meeting stakeholder needs, innovation • Many challenges • Very demanding, very worthwhile! Public Health Wales Observatory

  46. Thank you Public Health Wales Observatory

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