Presentation on the AIRO Acute Specialities Mapping project for cross border health care provision in Ireland

1. Acute Specialities Mapping
26th June 2014

2. Mapping Acute Specialities
• Ireland-Northern Ireland Cross-Border Cooperation Observatory
(INICCO) II
– Centre for Cross Border Studies (CCBC)
– Cooperation and Working Together (CAWT)
– AIRO, NUIM
• Mapping and analysis
• Aims and Objectives:
– To address an information gap that constrains cross-border cooperation
among health service providers
– To facilitate planning of shared acute health services on a border region and
all-island basis;
• First Steps.....
– Development of a mapping tool to view acute health specialities in the
cross-border area
– Visual demonstration of access in both jurisdictions
– Quantify number of people with good/bad access

3. Mapping Acute Specialities
• Phase 1 – Data collection and initial analysis
– Ear, Nose & Throat (ENT)
– Ophthalmology
– Urology
– Vascular
• In Patient
• Out Patient
• Day Patients
– Radiotherapy
• 2014 and 2016
• Study Area
– 40km either side of border
• Population 1.3m
• 556k in RoI, 781 k in NI
– 0 to 14 Years: 288k
– 15 to 64: 874k
– 65plus: 174k
– Services from 35 Hospitals/Care Centres

4. All-Island Accessibility Mapping
• Methodology
– Location of Acute Services, Residential Address data, Road Network
– Accessibility scores developed for every residential address point in the study
area (550k) (2,695,923 in island of Ireland)
– NAVTEC roads dataset
• Average speed (midway between Peak and Off-Peak)
• +10% congestion charge for urban areas
• +3 minutes delay added to each score
15 minutes

5. All-Island Accessibility Mapping
• Small Area boundaries in study area
– Average drive-time based on weighted residential address scores
• 4,193 Small Areas (SAs)
– 1,770 in NI
– 2,423 in RoI

6. All-Island Accessibility Mapping

7. All-Island Accessibility Mapping

8. Mapping Acute Specialities
• Phase 1 – Analysis
– Ear, Nose & Throat (ENT)
• In Patient
• Out Patient
• Day Patients
– Ophthalmology
– Urology
– Vascular
– Radiotherapy
• 2014 and 2016

9. Mapping Acute Specialities – ENT (In)

10. Mapping Acute Specialities – ENT (Out)

11. Mapping Acute Specialities – ENT (Day)

12. Mapping Acute Specialities – Oph (Out)

13. Mapping Acute Specialities – Oph (Day)

14. Mapping Acute Specialities - Ur (In)

15. Mapping Acute Specialities - Ur (Out)

16. Mapping Acute Specialities - Ur (Day)

17. Mapping Acute Specialities – Vas (In)

18. Mapping Acute Specialities – Vas (Out)

19. Mapping Acute Specialities – Vas (Day)

20. Mapping Acute Specialities - Radiotherapy 2014

21. Mapping Acute Specialities - Radiotherapy 2016

22. Mapping Acute Specialities – All-Island View

23. Online Mapping Tool
http://airomaps.nuim.ie/flexviewer/?config=ASM.xml

24. Online Mapping Tool
LINK

25. Next Steps
• Move from mapping at case-study level to All-Island level
• Much bigger data capture exercise (CAWT, HSE...)
• Methodology in place. Re-run analysis and update mapping tool
• All Acute services: – A&E, Radiotherapy.......(diabetes, dermatology, cancer, mental
health, orthopaedics – INTERREG V)
• Scenario analysis
• Opening/closing services - how does this affect service provision?
• Open or closed border?
• Mapping actual commuters zone to hospitals (address data of patients)
• Development of fully functioning mapping system with integrated data visualisation
tool
– Add detailed information at SA level
• Travel times, nearest service RoI or NI, opening times
– Embed within new AIRO site
• Integrate new data into AIRO ‘Data for Decisions’ training days
– QGIS Open source workshops
– InterTradeIreland, Border Regional Authority, Land and Property Services NI,
HSE?

26. Thanks
Questions?
w: www.airo.ie
e: justin.gleeson@nuim.ie
twitter: airo_nuim