EMPHO regional support to JSNA

James Hollinshead EMPHO

28th May 09

Aims

• Outline EMPHO support to JSNA locally

• What we have done so far

• What we intend to do

• Reflections on where PHOs can add value

Background

• Commissioning framework for health and wellbeing (March 2007)

• Annex A introduced JSNA

• EMPHO/CSIP coordinated a regional event (for health and social care July 2007)

• Action plan resulted

Main principles

• Provision of data for the initial core dataset

• Sharing approaches regionally

• Signposting toolkits

• Practical guidance on methodology

EMPHO

• Formulated a work plan to address the points from the regional event

• In conjunction with the JSNA regional planning group

• Set up web pages

• Provide a JSNA lead to respond to queries

Data provision

• The EMPHO JSNA Toolkit

• Excel toolkit based on the core dataset

• The toolkit included demographic, health and lifestyle data

• Information at PCT, LA and when available Ward and Super Output Area level

• A good start but replaced by other toolkits (SWPHO)

Sharing approaches

• The regional PH intelligence network EMPHIN leads agenda (standing item)

• EMPHIN forum (sharing of approaches, and information needs etc.)

• Website links (links to all the local JSNAs)

Signposting toolkits

Methodology and guidance

Methodology and guidance

• APHO resource pack (measuring health inequalities, sharing data, statistical validity)

• Development of the projections methodology

• Projection methods, EMPHIN forum teaching session

The future

• Agreed work programme with Public Health Intelligence Network

• SLAs with PCTs (what would be useful region wide)

• General principles– Region wide work to reduce replication– Provision of small area data– Signposting– Sharing approaches

Region wide HES analysis

• SLA request for analysis of admissions for common diseases

• Segmentation

• Projections

• Benchmarking

• Ask the PCTs what other analysis is useful

HES analysis: admission rate by deprivation quintiles

HES analysis: Admission rate by people and places classification

HES analysis: forecasting

Small area database

• Provision of region wide data at low geographical levels (LSOA, ward)

• Mortality, teenage pregnancy, model based lifestyle estimates

• Region wide analysis more efficient

• Benchmarking and comparators

Signposting and evaluating health intelligence resources

• Continue to identify and signpost toolkits useful for JSNA

• Briefings and critiques of resources and tools e.g. SHAPE, forecast pro

• Signposting increasing in scope to include tools which will contribute to WCC competencies

Sharing approaches

• Continue to keep JSNA on the regional PH intelligence network agenda

• Sharing of approaches through the regional JSNA group

• Another event is under consideration– Health and social care representatives

Conclusion

EMPHO JSNA work included:– Close liaison with the information teams and

PCTs (through PH information networks)– Region wide analysis (SLAs can guide this)– Signposting– Sharing approaches

• Where else can PHOs add value?

Any comments or ideas please email:james.hollinshead@empho.nhs.uk