SWPHO's Helen Cooke delivers a training session on online resources to help inform understanding about Public Health issues and to aid decision making.
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. • 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. 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
• http://www.apho.org.uk/default.aspx?RID=49802
11. 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
15. 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
• www.lho.org.uk/LHO_Topics/Analytic_Tools/HealthInequalitiesAllAreas2008.aspx
16. Breakdown of life expectancy gap between the Most Deprived
Quintile (MDQ) of Penwith and England average by cause of death
17. 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.
18. Local Tobacco Control Profiles for
England
/lhostaging.hyperspheric.com/LHO_Topics/Analytic_Tools/TobaccoControlProfiles/default.aspx
20. JSNA interactive mapping tool
• Many JSNA indicators for all Local Authorities
in England
http://www.swpho.nhs.uk/tools/35106/atlas.swf
http://www.swpho.nhs.uk/tools/35106/atlas.swf
22. Slope index of inequality
http://www.apho.org.uk/resource/item.aspx?RID=75019
23. 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'.
http://www.yhpho.org.uk/resource/view.aspx?RID=49488
28. Learning Tools and Resources
Health Knowledge
LSHTM – Introductory Epidemiology Course
CAST – Computer Assisted Statistical Teaching
29. Health Knowledge
Public Health Textbook
E Learning Modules
Interactive Learning
Teaching
www.healthknowledge.org.uk/interactivelearning/index.asp
30. LSHTM – Introductory Epidemiology Course
Internet based application
Costs £60 (three months)
Interactive content
Self assessment exercises
Certificate upon completion
http://www.lshtm.ac.uk/prospectus/cpd/fundamentals_epi.html
31. 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 http://cast.massey.ac.nz
Notas del editor
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.