Using data to improve health outcomes Dr Geraint Lewis, NHS England Day Two, Pop-up University 1, 12.00

1. Data driven population health – using
data to improve health outcomes
Chair: Dr Geraint Lewis
Chief Data Officer, NHS England

2. Self care for parents and carers of
children under five years old
Helen Fox

3. The challenge
• Research shows that parents are becoming less confident about what do to about
their child’s health and are seeking more medical intervention earlier.
• Children account for a high proportion of attendances but 60% of 0-4 years are
discharged with no treatment.
• Attendances at Emergency
Departments for under 5s
in the North East region is
763.6 per 1,000 population
(England average is 540.5
per 1,000).
• A&E is seen as the safe choice
with individuals being more likely to attend with a third party (particularly a child)
0%
2%
4%
6%
8%
10%
12%
14%
0 to 4 5 to 9 10 to
14
15 to
19
20 to
24
25 to
29
30 to
34
35 to
39
40 to
44
45 to
49
50 to
54
55 to
59
60 to
64
65 to
69
70 to
74
75 to
79
80 to
84
85+
Proportion of A&E Attendances by Age

4. What has been done
so far
• Solution: develop educational tool for parents and carers with children under five to give
them advice and support.
• Mosaic segmentation was used to review and understand behaviour of attendees at A&E.
• Family basics (Mosaic Group M) is the group that is overrepresented
• As a result - app and booklet developed as the educational tool.

5. What’s next
• Launch in September.
• Supported by a marketing and communications
plan with focus on digital and social media.
• Need to evaluate and measure success.

6. Data driven population health -
using data to improve health outcomes
David Hodson

7. What we have achieved
 Partnership
working
 Linked Dataset
across health
and social care
 Pseudo at
source tool
implemented
 Improved
outcomes

8. What are the biggest challenges
• Information governance considerations.
• Maintaining data flows.
• Quality and timeliness of data.
• Identifying the capability to develop new models.
• Communication – particularly patients and GPs.

9. Next Steps
• Reducing ambulance
responses
• Reducing A&E attendances
• Develop new risk models
• Identifying gaps and overlaps in
service
• Linking to primary care data

10. Find out more…
Come and speak to us afterwards
Visit our new website: www.enhertsvanguard.uk
Follow us on Twitter: @ENHertsccg

11. Data driven population health - using
data to improve health outcomes
Dr Ruth Hussey CB, OBE

12. Prudent Health Care
• Outcome focussed – using patient activation and patient experience to
create value. Collaboration with ICHOM.
• Osteoarthritis of knee – 25% wished not had surgery – new approach
developed.
Contact: Dr Sally Lewis – Aneurin Bevan University Health Board
http://www.prudenthealthcare.org.uk

13. Integrated data
• Suite of privacy-protecting technologies
– Multistage, multi-organisational
encryption:
• unique anonymised numbers replace
individual, household, and
organisational identities
• Can track anonymised individuals,
never knowing who they are or
where they live
• Members of public on an
independent panel scrutinise
proposals and are often involved in
research
– Setting up Prudent Healthcare Intelligence
Unit for service analyses
SAIL System – www.saildatabank.com
Lyons, Ford, Moore, Rodgers. Using
data linkage to measure the
population health impact of non-
healthcare interventions. The Lancet.
http://www.ncbi.nlm.nih.gov/pubmed/24290768
Contact: Prof Ronan Lyons, Swansea University

14. Evidence into practice –
Tackling health inequality
Contact: Prof Mark Bellis, Public Health Wales
Wellbeing of Future
Generations Act
2015

15. Questions?
For further information about the new care models programme please visit
www.england.nhs/vanguards