Updates from EMPHO, APHO, TrCR, HPA

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Updates from EMPHO, APHO, TrCR, HPA. Compendium of Population Health Indicators (COPHI) APHO Practice Profiles Derbyshire JSNA profiles Child Health Profiles and ChiJSNA EMPHO work programme update Cervical Screening and Cancer e-Atlas TCR Clinical Information Analysis reports - PowerPoint PPT Presentation

Text of Updates from EMPHO, APHO, TrCR, HPA

  • Updates from EMPHO, APHO, TrCR, HPA

  • Compendium of Population Health Indicators (COPHI) APHO Practice Profiles Derbyshire JSNA profiles Child Health Profiles and ChiJSNA EMPHO work programme update Cervical Screening and Cancer e-Atlas TCR Clinical Information Analysis reports Profile of Cervical Cancer in England HPA HIV & STI annual report APHO smoking profiles APHO JSNA dataset European Health Profiles Health Inequality Indicators for Local Authorities

  • Compendium of Population Health Indicators (COPHI) APHO contracted to produce new website to replace nchodBeta test website live since late 2010. It is more flexible, and will enable users to save favourite indicators.Currently contains some test data note the warning to use old site for data.Website includes a survey for your comments to be taken into account before full launch.

  • APHO Practice Profiles

    Soft launch late 2010Currently in beta testing. Idea is to get as many primary care colleagues to see them before full launch in February /March please share with as many primary care / commissioner / GP colleagues as you canWebsite includes a survey please completeThere are 158 practice level indicatorsHowever, all rates are crude bear this in mind when interpretingIncludes feature to create clusters and cluster profiles, along with being able to compare a practice to its clusterhttp://www.apho.org.uk/pracprof/

  • Derbyshire JSNA profiles EMPHO were asked as part of the SLA with Derbyshire County PCT to produce area profiles for their JSNA A profile was produced for each local authority in the county, using consistent data for the life course page and then locally selected sub-LA data presented for local priorities

  • ChiMat Child Health Profiles

    4 page health profiles similar to the APHO local authority profilesSpine charts, key messages, etcDrafts currently with leads for children in local PH teamsFinalise ?end Jan and onto ChiMat website as part of their v. extensive set of comparative data on child and maternal healthhttp://www.chimat.org.uk/

    Support to CYP JSNA

    To promote good practice in the use of information and research in CYP JSNATo identify appropriate feeder information sourcesTo assist local teams in sharing approaches and avoiding duplication OutputsA web-based resource pack of guidance/tools to inform CYP JSNA.CPD events and/or a support service re the above.

  • EMPHO Work Programme Jan-March

    Core fundingAnalysis and advice to regional alc, tobacco, obesity leadsQIPP e.g. dementia, tobacco, CVD (modelling NHS health checks), Rt.CareHES query serviceTraining courses for PH intelligence usersHealthy workplaces (needs assessment tools)Cross-APHO work e.g. Health Profiles, Tech Briefings, inequalities indicators, Compendium development

    Additional fundingAlcohol - e.g. pub density maps, segmentation analysis using TGI/HF dataObesity - e.g. NCMP analysis, infant feeding data, evaluation support to EM Platform member organisationsNHS Kidney Care, Notts PCT, Derbyshire PCT, EM Cardiac and Stroke Network, NOO, ChiMat

    Beyond MarchTransition to One-APHOMaintaining income streams/marketing to attract new business

  • Trent Cancer Registry3 Minute UpdatesPresentation for EMPHIN FORUMWednesday 12th January

    Rebecca ElleraySenior Cancer Intelligence AnalystTrent Cancer Registry

  • Trent Cancer RegistryFirst up . The Cervical Screening and Cancer e-AtlasCommissioned by the Cervical Screening ProgrammeBrings together registry data and screening dataUK Cancer Intelligence ServiceInformation Centres annual cervical screening bulletin

  • Data AvailableCoverage 3.5 and 5 year intervals; 1997/98 to 2009/10 for 25-64 target age groupsTimeliness of results; % of women tested with test available to PCO within 2 and 4 weeks of test; 2005-06Results; percentage of tested women with either a negative, mild borderline cell changes and moderate to severe cell changes 1997/98-2009/10

  • Data AvailableIncidence and mortality data for various age break downs relating to screening target age groups; 1995-2008Relative Survival 1 year 1995-1997 to 2005-2007; 5 year 1990-1992 to 2001-2003; at SHA levelOn the double map, option to plot deprivation measure income score at PCT level with the different statistics.

  • Data collection

  • Main sources of incoming data

  • Future

    Lots of positive feedback for the e-AtlasExploring the possibility of including ethnicity dataAlso, laboratory or Trust level data Funnel plots

    Can be found at http://www.empho.org.uk/tcr/cervicalEatlas.aspx

  • Profile of Cervical Cancer in England: Incidence, Mortality and Survival Commissioned by the cervical screening programmeData from the UK Cancer Intelligence ServiceNational trends over time incidence halved and mortality reduced by almost two thirds since the Cervical Screening Programme began in 1989 Comparisons at SHA and Cancer Network level

  • Presents time trends and variations across age and deprivation groupsShows some interesting results .

  • Crude Incidence Rate of Cervical Cancer in under 35s

  • Profile report and NCIN briefingOut for final comment at the moment To be published w/c 24th of January to fall in line with the Cervical Cancer Awareness WeekShould create some media interest

  • Clinical Information Analysis ReportsNot in the public domainSix reports Breast, Colorectal, Gynae, Lung, Upper GI and Urological cancers for the PCTs and Cancer Networks within our regionPulls data together from a wide variety of data source and presented to reflect patient pathwayReferrals, Incidence, Stage, Surgery, Radiotherapy, Chemotherapy, patient flow maps, Survival (some sites), Place of death2008/09 reports Survival analysis for more sites. Survival by stage. Post op mortality

  • Useful for commissioners, shows at PCT and Cancer Network level where resources are being used. Presents variations across the region in workload and how patients are being treated or referred. Presents information to clinicians on outcomes for their patients; survival, survival by stage and post op mortality

  • Attending the site specific groups meetings in the cancer networks to gain feedback and comment on the reportsFuture versions will reflect this feedback and evolve to meet the needs of NHS health professionals

  • APHO JSNA small area datasetJames Hollinshead EMPHIN Forum 12th Jan 2011

  • APHO JSNA small area datasets

    Originally developed for JSNA purposesThey cover a range of health profiling and can be used for other needs assessment activities. Data produced at the smallest level consistent with reliability, robustness, completeness, and confidentiality.

  • JSNA datasets: geographical coverageThe smallest geographical area used in the datasets is the MSOAThe indicators are also provided for the following higher geographies: Lower tier LA/ UACountiesPrimary Care Trust (PCT)Region/SHAEngland

  • APHO JSNA datasetsCurrently availablePopulation / Demography (6 indicators)Lifestyle/behaviour (4 indicators)Mortality/Life Expectancy (12 indicators)Hospitalisation / Service Utilisation (4 indicators)Coming soonSocioeconomic indicators (3 indicators)Births (2 indicators)

  • APHO JSNA small area datasetsAvailable at: http://www.apho.org.uk/jsna

  • Any questions or comments please email james.hollinshead@empho.nhs.uk

  • European Health ProfilesProduced as part of the I2SARE project (Health Inequalities Indicators in the Regions of Europe) coordinated by the French Regional Health Observatories in collaboration with partners in each EU country Profile produced for every region in the EU Profiles were initially published on 14.12.10. However, errors were identified in a number of English regions so were withdrawn.Updated profiles due January 2011.http://www.i2sare.eu/

  • Health Inequality Indicators for Local Authorities APHO are reproducing the Slope Index of Inequality indicator that was previously used as the WCC Inequality indicator.The indicator has now been produced for all local authorities in England (District, County, UA) for 2005-09 dataThese have been published 12.01.11 (today!)PCT data for 2005-09 to follow, along with LA data for previous years 2001-05 onwards.http://www.apho.org.uk/default.aspx?RID=96930

    ****On tool show: how to see a profile, the population tab, mention that you can download a pdf of the profile/raw data fro practice.You might want to explain how spine chart works indicators are best to worse not high to low (though this might change I think it should)Mention : that you can see data by each topic, and that it is very easy to define a new cluster Clusters can be formed of any practice in any pct in any sha in england (as long as they are in the 975 of practices in tool)After saving a cluster it is added to the list of PCTsClusters are saved in your cookiesClusters have a unique web address to sharing the address will enable others to see your clusterAlso show that there is a link for documentation and meta dataLink to email feedback/bug reportingLink to survey to give feed back!

    PLEASE give feed back in order to improve the tool!

    ********************Chart on p10.

    Less variation in NTCN than EMCN.

    Overall referral rate stat signif higher in Doncaster than Sheffield and Barnsley

    Should unknown referrals bee coded as routine?Chart on p10.

    Less variation in NTCN than EMCN.

    Overall referral rate stat signif higher in Doncaster than Sheffield and Barnsley

    Should unknown referrals bee coded as routine?****Population / DemographyPopulation - TotalPopulation aged under 16Population aged 16 - 24Population age