Mike Kelly: NICE and Public Health England

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Mike Kelly, Director of the Centre for Public Health Excellence, discusses how NICE is providing the evidence base for better public health outcomes.

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Mike Kelly: NICE and Public Health England

  1. 1. NICE and Public Health England: providing the evidence base for better public health outcomes Public Health System Reform Summit: Getting the balance right Wednesday, 13 July 2011, The King’s Fund . Professor Mike Kelly, Director of the Centre for Public Health Excellence.
  2. 2. NICE <ul><li>NICE will provide to Public Health England authoritative independent advice on evidence of effectiveness and cost effectiveness for public health interventions on specific commissions from Public Health England. </li></ul>
  3. 3. Topics <ul><li>Mental health </li></ul><ul><li>Tobacco control </li></ul><ul><li>Obesity </li></ul><ul><li>Sexual health </li></ul><ul><li>Pandemic flu </li></ul><ul><li>Health protection </li></ul><ul><li>Emergency preparedness </li></ul><ul><li>Maternal and child health </li></ul><ul><li>Work </li></ul><ul><li>Alcohol </li></ul><ul><li>Physical activity </li></ul><ul><li>Adult behaviour </li></ul><ul><li>Drugs </li></ul><ul><li>Excess winter deaths </li></ul>
  4. 4. Outcomes <ul><li>Five domains: </li></ul><ul><ul><li>health protection and resilience </li></ul></ul><ul><ul><li>tackling the wider determinants </li></ul></ul><ul><ul><li>health improvement – promoting the adoption of healthy lifestyles </li></ul></ul><ul><ul><li>prevention of ill health – morbidity </li></ul></ul><ul><ul><li>healthy life expectancy and preventable mortality. </li></ul></ul>
  5. 5. The health gradient Health state Social status Hi Lo Lo Hi
  6. 6. The health gradient Health state Social status Hi Lo Lo Hi
  7. 7. The health gradient Health state Social status Hi Lo Lo Hi
  8. 8. Shifting the health gradient Health state Social status Hi Lo Lo Hi
  9. 9. Cost impact and return on investment <ul><li>Once established, Public Health England will develop intelligence about the relative cost effectiveness of different interventions to support DsPH in commissioning local services, building on the work already started by NICE. </li></ul><ul><li>‘ The National Institute for Health and Clinical Excellence has developed a way to conduct cost impact and return on investment calculations to accompany its public health and social care guidance and quality standards. This could provide the basis for decision making and priority setting at a local level by GP consortia and local authorities, enabling effective commissioning by Directors of Public Health.’ (fn106) </li></ul>
  10. 10. Return on investment <ul><li>We have developed a method to calculate return on investment. </li></ul><ul><li>We have demonstrated the feasibility of the method. </li></ul><ul><li>This could be used for priority setting at local level. </li></ul><ul><li>We will now move ahead with a pilot on tobacco. </li></ul>
  11. 11. Revisit the existing portfolio <ul><li>35 extant pieces of guidance </li></ul><ul><li>use life course approach </li></ul><ul><li>based on a model of the social determinants </li></ul><ul><li>need to be refashioned for local authority audiences </li></ul>
  12. 12. Going forward <ul><li>Continuous updating of the evidence base to develop guidance and advice. </li></ul><ul><li>Agree range of new outputs for local authorities, commissioners, public health workforce. </li></ul><ul><li>[email_address] </li></ul><ul><li>Reviewing back catalogue. </li></ul><ul><li>Public Health quality standards </li></ul><ul><li>Continuous delivery chain from evidence generation to locally usable advice. </li></ul>

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