Public Health tools to aid decision making - Helen Cooke


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SWPHO's Helen Cooke delivers a training session on online resources to help inform understanding about Public Health issues and to aid decision making.

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  • We have already looked at some primary data sources, and some very simple prepared data. Over the last few years many more tools have appeared which (in theory at least) cut out some of the tedium from our jobs and allow us to do more thinking
    This is a quick tour of the major tools
  • Although produced by SWPHO, it contains data for every local authority in England. Also on HES website is HES data similarly mapped, but for the South West only.
    Other Observatories have similar interactive websites.
  • Why do we need prevalence moodels instead of relying on RECORDS OF TREATMENT (MORTALITY, HES, QOF)
    Prevalence models
    Comparisons of national prevalence data from the Health Survey for England (HSE) and recorded prevalence from the Quality & Outcomes Framework (QOF) suggest that there is considerable under-diagnosis (in terms of IT system recording) of risk factors and diseases. This is probably due to under-recording of cases already known to practices, and lack of information in a proportion of cases, where patients may have been diagnosed previously by other practices or hospital consultants.
  • Public Health tools to aid decision making - Helen Cooke

    1. 1. Tools to aid decision making Helen Cooke SWPHO
    2. 2. Useful skills to acquire (if you haven’t already • Understand the principles of a spine chart • Understand how to use Instant Atlas tools
    3. 3. • Health Profiles • APHO Inequalities Toolkits – Internal inequalities in all Local Authorities • Tools for JSNA and others • Prevalence models (commissioning toolkits) • Slope Index of inequality • Programme budgeting tool
    4. 4. Health Profiles • One of the most valuable resources – separate session • Compact 4-page document or electronic • Local Authority level • Trends • Ethnicity • 30 indicators on wider determinants • Interpretation provided • Also visualised through Instant Atlas •
    5. 5. Sexual Health Balanced Scorecard
    6. 6. Bournemouth and Poole has the highest rates of HIV in the South West
    7. 7.
    8. 8.
    9. 9. Outcomes versus Expenditure Tool - Maternity and Newborn Total expenditure on maternity services per birth compared to percentage of women smoking at delivery, 2008/09 12.7
    10. 10. Local Alcohol Profiles for England
    11. 11. Selection from Torbay profile
    12. 12.
    13. 13. APHO inequalities tool for all areas Models the life expectancy gap between the most deprived quintile of any Local Authority and: • The local authority as a whole • The least deprived quintile in the local authority • The remainder of the local authority (ie the local authority without the most deprived quintile) • England as a whole • England's least deprived quintile you can then model interventions either across the most deprived quintile or the authority as a whole •
    14. 14. Breakdown of life expectancy gap between the Most Deprived Quintile (MDQ) of Penwith and England average by cause of death
    15. 15. Life expectancy years gained if the Most Deprived Quintile (MDQ) of Penwith CD had the same mortality rate as the England average for each cause of death.
    16. 16. Local Tobacco Control Profiles for England /
    17. 17. tobacco control regional profile
    18. 18. JSNA interactive mapping tool • Many JSNA indicators for all Local Authorities in England
    19. 19. Future developments • Awaiting APHO tool with national data
    20. 20. Slope index of inequality
    21. 21. PCT Spend and Outcome Factsheets and Tool (SPOT) • Programme Budgeting is a well-established technique for assessing investment in programmes of care rather than services. • Allows easy identification of those areas which require priority attention, where relative potential shifts in investment opportunities will optimise local health gains and increase quality. • The ability to link expenditure and outcome is explicit in two of the World Class Commissioning competencies; '6 prioritise investment' and '11 make sound financial investments'.
    22. 22. Extract from CIOS programme budgeting report
    23. 23. APHO Disease prevalence models • • Cancer Chronic Kidney Disease Chronic Obstructive Pulmonary Disease Coronary Heart Disease • Dementia • Diabetes • Hypertension • Mental Illness • Stroke
    24. 24.
    25. 25. Learning Tools and Resources Health Knowledge LSHTM – Introductory Epidemiology Course CAST – Computer Assisted Statistical Teaching
    26. 26. Health Knowledge Public Health Textbook E Learning Modules Interactive Learning Teaching
    27. 27. LSHTM – Introductory Epidemiology Course Internet based application Costs £60 (three months) Interactive content Self assessment exercises Certificate upon completion
    28. 28. CAST – Computer Assisted Statistics Teaching Highly interactive statistics teaching tool Ranged from elementary to advanced Contains a biometric statistics set of modules Self assessment exercises Web based or downloadable Available from
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