Manira joined NHS National Service Scotland in May 2015, and was appointed to lead the deployment of Local Intelligence across Health and Social Care. Within the first year the Local Intelligence Support (LIST) were embedded across all Integration Authorities in Scotland and resulted in co-designing linked data across multiple care sectors to support improved decision making.
In 2016 Manira’s remit increased, providing analytical expertise deployed across Scottish Government. From 2017 Manira has been accountable for developing the intelligence and informatics offering across Primary Care to support the newly formed GP Clusters, whilst co-designing a “whole system”. In addition, from 2018 Manira is been leading the data and intelligence design for Regional Planning across Scotland.
3. 14 ‘territorial’ NHS Boards and 8
‘special’ Boards
NHS Education for Scotland
NHS Health Scotland
NHS National Waiting Times Centre
NHS24
Scottish Ambulance Service
State Hospitals Board for Scotland
NHS Healthcare Improvement Scotland
NHS National Services Scotland
6. The data landscape
Every week in Scotland data are collected on around :
1,000 Births
15,000 Out of Hours attendances
20,000 Screened for cancer
30,000 Hospital admissions
30,000 A&E attendances
40,000 NHS eye exams & tests
90,000 NHS dental treatments
200,000 Outpatient clinic attendances
500,000 GP practice consultations
2,000,000 Drugs dispensed
9. Understanding the wider
determinants of health
Contributions of health outcomes
We have to concentrate action on all fronts
Health
Behaviours 30%
Socioeconomic
Factors 40%
Clincal Care
20%
Built Environment
10%
Smoking 10% Education 10%
Employment 10%
Income 10%
Family/Social Support
5%
Community Safety 5%
Diet/Exercise 10%
Alcohol use 5%
Poor sexual health 5%
Access to care 10%
Quality of care 10%
Environmental Quality
5%
Built Environment 5%
18. LIST
Local Deployed
Support
• Resource Based Locally
• Access to Specialist
Skills
• Enabling access to
national resource and
support
• Support Local Priorities
• Facilitate Local
Discussions
• Sharing Best Practice
• Share Skills, Knowledge
and Expertise
HSCP
GP
Clusters
CPPs
Third
Sector
Supporting Health &
Social Care Integration
LIST
Local
Intelligence
Support
Team
21. Local Focus
East
North
ISD
Specialist
Teams
West West East
North
North
Centre
Local
Local
Local
Local
West
Centre
Local
Local
Local
Local
East
Centre
Local
Local
Local
Local
ISD
Specialist
Teams
Local
Local
Local
Present
In the past
22. What have we been doing
Diabetes
Prevalence
Demand and
Capacity
ACP
And
Frailty
Risk
Prediction
Chronic Pain
Management
Cancer
Pathways
Appointments
Prescribing
Home
Visits
Admissions
and re-
admissions
23. What have we been doing
Prisoner
&
Homelessness
Child
Health
Substance
Misuse,
Poverty &
Impact on
Children
Play & Early
Intervention
Services
Perth & Kinross
Association of
Voluntary
Services Erskine
Hospital ANP
service
evaluation
Leuchie
House –
Respite Care
Services
ALLIANCE
on
Dementia
Resonate
Social
Enterprise
Organisation
Custodial
Medical Care &
Medical
Forensic
Services
30. Solutions for Scotland
Four major programmes:
Health and Social Care
integration
“Optimising and joining up
balanced health and care
services, whether provided by
NHS Scotland, local
government or the third and
independent sectors”
The National Clinical
Strategy
“Strengthen primary and
community care, improve
secondary and acute care
focus on realistic medicine”
Public Health Improvement
“Create a clear set of national
public health priorities for
Scotland as a whole and
streamline the current public
health landscape”
NHS Board Review
“Review the functions of
existing national NHS Boards
to explore the scope for more
effective and consistent
delivery of national services
and the support provided to
local health and social care
systems for service delivery at
regional level”
31. NHS Forth Valley
Practice Profiles
Performance Reports
Pharmacy Information
A&E Frequent Attendees LIST
Data collection
and Linkage
Local Deployed
Support
Policy Context
32. A&E
Maternity
BIRTH
DEATH
Child health surveillance
Immunisation
GP consultations
Outpatients Hospital Admissions
Mental Health
Prescribing Screening
Continuing care census
Cancer registry
Dental inspection
Scottish birth record Substance misuse
Clinical audits
Most of our data sets offer 100% coverage
Community Health Index – CHI seeded
33. A&E
Maternity
BIRTH
DEATH
Child health surveillance
Immunisation
GP consultations
Outpatients Hospital Admissions
Mental Health
Prescribing Screening
Continuing care census
Cancer registry
Dental inspection
Scottish birth record Substance misuse
Clinical audits
new data!
social care, local data, etc
Most of our data sets offer 100% coverage
Community Health Index – CHI seeded