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Northern Ireland Context - RPA

EHSSB. NHSSB. SHSSB. WHSSB. Regional Public Health Agency. Regional Health and Social Care Board. Business Support Organisation. Northern Ireland Context - RPA. Regional Public Health Agency. New centre of public health expertise Focus on improving and protecting health and wellbeing

philip-madden
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Northern Ireland Context - RPA

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  1. EHSSB NHSSB SHSSB WHSSB Regional Public Health Agency Regional Health and Social Care Board Business Support Organisation Northern Ireland Context - RPA

  2. Regional Public Health Agency • New centre of public health expertise • Focus on improving and protecting health and wellbeing • Work in partnership with stakeholders, especially local government, to get right into the heart of communities to improve life chances for all

  3. Public Service Agreement Priorities for Action N Ireland Public Health Agenda • Life Expectancy – increase average life expectancy & decrease differential between most disadvantaged areas and NI average • Smoking – reduce proportion of adults/manual workers who smoke • Obesity – halt rise in obesity • Alcohol & Drug Misuse – reduce adult binge drinking & young people drinking and getting drunk & reduce young adults taking illegal drugs & reduce children at risk from parental dependency on alcohol/drug taking • Suicide – reduce suicide rate • Births to Teenage Mothers – reduce birth rate to mothers under 17 • Health screening – bowel/abdominal aortic aneurysm/foetal abnormalities

  4. Agency is Health Intelligence Driven • Institute of Public Health • Centre of Excellence • INIPHO • NISRA • DHSSPSNI • Universities

  5. What do we need to know?

  6. Evidence on Health Inequalities • Differences in mortality exist by social group and by area • Social and area differences are closely connected • Significant relationship between place, health and socio-economic status

  7. Emphasis on prevention of ill health • Care and resources need to be deployed more discerningly by targeting very specific population groups • Providing blanket solutions neither makes financial sense nor does it tackle inequalities • Need to identify the smallest pockets of deprivation and inequalities

  8. Smoking Prevalence Prevention Disease burden • Adults • Manual workers • Young people • Specialist smoking cessation services • Lung cancer • Cardiovascular disease • Primary Care Registers • (QOF)

  9. Pinpointing target populations in order to maximise resources and interventions Application of regional survey data; Confidentiality; Statistical significance; Data quality; Data protection Help!

  10. Prevalence Data Sources • Health and Social Wellbeing Survey (%age of adults who reported they currently smoke/have given up smoking/never smoked) • N Ireland Continuous Household Survey (attitudes to smoking, smoking status, history of quitting) • Young People’s Behaviour and Attitudes Survey (%age of teenagers who reported they currently smoke/have ever smoked) • Infant Feeding Survey (%age reporting smoking status before, during and after pregnancy)

  11. Specialist Smoking Cessation Data Source • Elite Database (web base recording system) – only covers people using specialist smoking cessation services. Other individuals may use Brief Intervention which is not currently monitored. Does not include people who quit by themselves. • DHSSPSNI Report

  12. Disease Burden Data Sources • Deaths by cause • Hospital admissions by cause • Cancer incidence • Quality & Outcomes Framework (QOF) – payment system to GPs for providing good care. QOF registers for clinical areas include coronary heart disease, hypertension, stroke.

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