Overview and feedback from the Public Health England Knowledge Transfer programme AGW Public Health...

Overview and feedback from the Public Health England Knowledge Transfer programme

AGW Public Health Network Training Event: Public Health Data, Information and Intelligence 11 November 2015

Nicola BowtellMia Moilanen

The Knowledge and Intelligence Service (South West)

CKO: Knowledge and Intelligence

• Local Service

• Public Health Data Service

• Epidemiology & Surveillance

• Risk factors Intelligence

• Health Economics, Health Intelligence networks and workforce

• Clinical Epidemiology

3 Overview and feedback from the Public Health England Knowledge Translation programme

Overview and feedback from the Public Health England Knowledge Translation programme

SW Knowledge and Intelligence Service: Five Key functions

Knowledge Transfer

Ad – Hoc Enquiries

Locally defined analytical work

programme

Facilitation of regional

intelligence networks

Workforce development

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What is Knowledge Transfer?


Knowledge transfer – long definition

‘the exchange, synthesis, and ethically-sound application of knowledge – with a complex system of interactions among researchers and users – to accelerate the capture of the benefits of research for [the people we serve] through improved health, more effective services and products, and strengthened healthcare system.’

Canadian Institute for Health Research

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Knowledge transfer -short definition

Evidence into policy/practice; policy/practice into evidence

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Evidence Policybridging the ‘know-do’

gap


Reasons for the know-do gap in health intelligence

• Don’t know - that the information exists

• Don’t understand – the information is too scientific and it is difficult to decipher what it means and why it is important

• Don’t care – see the information as irrelevant, not beneficial to their agenda, or not in a format that they can readily act on

• Don’t agree – think the information is misguided or false.

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Knowledge transfer terms

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Knowledge translation

Knowledge mobilisation

Knowledge dissemination

Evidence based practice

Source: Knowledge Translation: Introduction to Models, Strategies, and Measures. P Sudswad http://ktdrr.org/ktlibrary/articles_pubs/ktmodels/index.html

Knowledge exchange

Knowledge brokering


PHE Knowledge transfer service• PHE priority to take a proactive knowledge transfer role

• Work with local partners to support the local use of nationally produced knowledge and intelligence outputs

• Achieved through active dissemination of tools and outputs

• Helping with local interpretation and application of national outputs

• Facilitating the feedback process

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The SW knowledge transfer service

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Who can use the South West knowledge transfer service

• Other PHE colleagues in the South West

• Public health colleagues working in local authorities

• Colleagues working in NHS England

• Strategic Clinical Networks and Clinical Senate

• Health and Wellbeing Boards

• Voluntary sector

• Academics

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What types of knowledge will be included in the SW Knowledge Transfer Service?

Combined sources of knowledge are powerful

• Data tools

• Data

• Evidence reviews

• Case studies

• Policy statements

• Guidelines

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KTS(SW) – Thematic Leads Health intelligence networks (HINs)

ChiMat ‘Best Start in Life’ NBMental health dementia and neurology intelligence network

MM

Cardiovascular Intelligence Network (CVDIN)

NB

End of life Care (EoLCIN) NBNational Cancer Intelligence Network (NCIN)

VP (NB)

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Public Health Healthcare

CVD NBDiabetes NBHealth Checks NBMental Health MMDementia MMNHS agenda (emergency admissions, primary care etc)

NB

Liver MMLearning Disabilities MMLong Term Conditions NBScreening NBSocial Care NB & MM

Cross cutting themes

Health Economics NB & MM

Practice & Performance NB & MM Wider Determinants NB &MMGeneral Health Profiles NB & MM Health Inequalities NB & MM

Health Improvement

Drugs MMAlcohol MMSexual Health MMTobacco MMObesity NBPhysical Activity NBInjuries & Violence NB

Health ProtectionGeneral NB & MMTB MMHIV MMHepatitis MM

Knowledge Transfer in the South West Examples of products and services


South West webinar seriesFuture Webinars:• Liver

• Alcohol

• Best start in life

• Sexual health

• Dementia

• Wider determinants

• Comorbidities

• Adult obesity

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Previous webinars available from:www.swpho.nhs.uk/resource/browse.aspx?RID=116744


Local authority workshops• Jointly

designed workshops

• Themes are locally determined and tailored to local public work priorities & programmes

• Offer applies to all LAs in the South West

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The South West Early Years Resources

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Available from: www.swpho.nhs.uk/resource/browse.aspx?RID=110834


Local updateSouth West Knowledge and Intelligence Service newsletter moves on to a monthly update

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An overview data tools and products (Abridged)


• Overarching (PHOF, Longer Lives, Health Profiles, Local Profiles, GP Profiles)

• National Intelligence Networks (Cancer, CVD, Child and Maternal Health, Mental Health, Dementia and Neurology and End of Life Intelligence Networks)

• Lifestyle and risk factors (Alcohol, Drugs, Obesity, Physical Activity, Sexual Health and Reproduction, Smoking)

• Wider Determinants (Crime and Violence, Education and Employment, Environment, Health Inequalities, Population and Demographics)

• Health Protection (Health Protection Profiles, Health Checks)

• Other Health Needs (Dental, Learning Disability, Liver Disease, Long Term Conditions, Older People, Respiratory Disease, Trauma and Injury)

Tools and products by group

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• Overarching (PHOF, Longer Lives, Health Profiles, Local Profiles, GP Profiles)

• National Intelligence Networks (Cancer, CVD, Child and Maternal Health, Mental Health, Dementia and Neurology and End of Life Intelligence Networks)

• Lifestyle and risk factors (Alcohol, Drugs, Obesity, Physical Activity, Sexual Health and Reproduction, Smoking)

• Wider Determinants (Crime and Violence, Education and Employment, Environment, Health Inequalities, Population and Demographics)

• Health Protection (Health Protection Profiles, Health Checks)

• Other Health Needs (Dental, Learning Disability, Liver Disease, Long Term Conditions, Older People, Respiratory Disease, Trauma and Injury)


Data and Knowledge Gateway• Specific conditions

• Lifestyle factors

• Wider determinants of health

• Health protection

• Different population groups

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Available from: www.gov.uk/guidance/phe-data-and-analysis-tools


Fingertips

Overarching: • PHOF (Public Health

Outcomes Framework)• Longer Lives• National General

Practice Profiles• Health Profiles• Adult Social Care• Health Protection

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Condition/risk factor specific:• Mental Health, Dementia, & Neurology• Diabetes• Learning Disability• Liver• Local Alcohol Profiles• Local Tobacco Control Profiles• NCMP (National child measurement

programme)• NHS Health Checks• Sexual & Reproductive Health Profiles• TB monitoring Indicators• Inhale – Interactive health atlas of lung

conditions in England

Available from: fingertips.phe.org.uk


Available from: fingertips.phe.org.uk


Reports and data downloads

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Available from: fingertips.phe.org.uk/profile-group/mental-health

Overarching toolsPublic Health Outcomes Framework (PHOF)Longer LivesHealth ProfilesLocal Health


PHOF

Main public health source of data divided into:

• Overarching indicators

• Wider determinants

• Health improvement

• Health protection

• Health care public health and preventing premature mortality

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Available from: phoutcomes.org.uk

Available from: phoutcomes.org.uk

PHOF: Inequalities view



Longer Lives

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Longer Lives

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Available from: healthierlives.phe.org.uk


Health profiles

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Available from: fingertips.phe.org.uk/profile/health-profiles


Available from: www.localhealth.org.uk

Overview and feedback from the Public Health England Knowledge Translation programme 39

Available from: fingertips.phe.org.uk/profile/general-practice


GP profiles: indicators

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Available from: fingertips.phe.org.uk/profile/general-practice

Intelligence Networks

National Cancer Intelligence Network (NCIN)National Cardiovascular Disease Intelligence Network (NCVIN)National Child and Maternal Health Intelligence Network (CHIMAT)National Mental Health Dementia & Neurology Intelligence Network (NMHDNIN) National End of Life Care Intelligence Network (NEOLCIN)


NCINNational Cancer Intelligence Network

Cancer statistics

Recent reports on cancer survival and routes to diagnosis

Commissioning toolkit

Understanding cancer e-learning

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Available from: www.ncin.org.uk


NCVIN

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Available from: http://www.yhpho.org.uk/default.aspx?RID=182342

• Covers family of diseases with a common set of risk factors: CHD, Stroke, Diabetes, hypertension, kidney disease

• Creates links between national and local audits and registries e.g. Vascular Database, National Diabetes Audit

Key resources

• CVD Commissioning for Value Focus Packs

• Outcomes versus expenditure tools (Diabetes Tool Cardiovascular Tool)

• Diabetes prevalence model for LAs and CCGs

Overview and feedback from the Public Health England Knowledge Translation programme 44

Available from: fingertips.phe.org.uk/profile/cardiovascular

CHIMATNational Child and Maternal Intelligence Network


Available from: www.chimat.org.uk

http://www.chimat.org.uk/

• Child Health Profiles

• Early Years Profile

• Infant Mortality Profiles

• Breastfeeding Profiles

• School-age Children’s Profiles

CHIMATtools and data


Available from: www.chimat.org.uk


NMHDNIN

National Mental Health Dementia & Neurology Intelligence Network

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Available from: http://www.yhpho.org.uk/default.aspx?RID=191242


MHDNIN profiles

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Available from: fingertips.phe.org.uk/profile-group/mental-health


Available from: fingertips.phe.org.uk/profile-group/mental-health/profile/suicide


NEOLCINNational End of Life Care Intelligence Network

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Available from: fingertips.phe.org.uk/profile/end-of-life


Available from: fingertips.phe.org.uk/profile/end-of-life

Conclusions


Data tools Research Evidence of best practise

Existing policy Resident input0%

20%

40%

60%

80%

100%

120%

Likelyhood of making good decisions and local policy

Combing evidence and data tools powerful

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http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61842-5/abstract

http://www.ncsct.co.uk/

http://www.tobaccoprofiles.info/profile/tobacco-control/data


How to get in touch

[email protected] or phone 0117 [email protected] or phone 0117 9069036

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Follow PHE South West on Twitter@PHE_SouthWest

Follow PHE on Twitter@PHE_uk

www.phe.gov

Appendix – other tools and resources

Lifestyle and risk factors

Lifestyle and risk factor resources


Area Product Link NotesAlcohol Local Alcohol

Profileshttp://www.lape.org.uk/index.html Interactive tool on a range of alcohol

related indicators by LA

Alcohol Return on Investment Tool

http://www.nice.org.uk/about/what-we-do/into-practice/return-on-investment-tools/alcohol-return-on-investment-tool

Tool to help decision making on interventions and strategies to prevent and reduce alcohol use at local and sub-national levels

Drugs National Drug Treatment Monitoring Systems (NDTMS)

https://www.ndtms.net/default.aspx Need to register for some areas of access

Obesity Various tools/products

http://www.noo.org.uk Range of products and tools looking at different aspects of obesity created by NOO (National Obesity Observatory)

National Child Measurement Programme (NCMP)

http://fingertips.phe.org.uk/profile/national-child-measurement-programme

Fingertips tools with indicators looking at height and weight of children aged 4-5 and 10-11 years

Physical Activity

Active people interactive

http://activepeople.sportengland.org/ Active People Survey analysis tool

http://www.lape.org.uk/index.html




https://www.ndtms.net/default.aspx

http://www.noo.org.uk/



http://activepeople.sportengland.org/


Lifestyle and risk factor resources (cont)

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Area Product Link NotesPhysical Activity

Active people interactive

http://activepeople.sportengland.org/ Active People Survey analysis tool

Return on Investment Tool – Physical Activity

http://www.nice.org.uk/about/what-we-do/into-practice/return-on-investment-tools/physical-activity-return-on-investment-tool

The physical activity return on investment tool has been developed to help decision making in physical activity programme planning at local and sub-national levels

Sexual Health and Reproduction

Sexual and Reproductive Health Profiles

http://fingertips.phe.org.uk/profile/sexualhealth

Interactive fingertips tool on a range of sexual health related indicators by LA

Teenage Pregnancy Atlas

http://www.apho.org.uk/resource/view.aspx?RID=116357

Interactive maps on teenage pregnancy by local authority

Smoking Local Tobacco Profiles

http://www.tobaccoprofiles.info/ Interactive fingertips tool on a range of tobacco related indicators by LA

Return on Investment Tool - Smoking

http://www.nice.org.uk/about/what-we-do/into-practice/return-on-investment-tools/tobacco-return-on-investment-tool

Tool to help decision making in tobacco control at local and sub-national levels

http://activepeople.sportengland.org/









http://www.tobaccoprofiles.info/




Wider determinants

Wider determinants resources


Area Product Link NotesEducation and Employment

Local authority interactive tool (LAIT)

https://www.gov.uk/government/publications/local-authority-interactive-tool-lait

Interactive tool including indicators on schools

School-age profiles

http://atlas.chimat.org.uk/IAS/dataviews/healthyschoolsprofile

Interactive atlas profiles on indicators for children of school-age

Environment Environmental Health Atlas

http://www.envhealthatlas.co.uk/homepage/

interactive maps of geographical variations for a range of health conditions and environmental agents at a neighbourhood (small-area) scale in England and Wales.

Strategic Health Asset Planning and Evaluation (SHAPE)

https://shape.phe.org.uk/ Online GIS (Geographical Information Systems) application that supports the strategic planning of services and physical assets across a whole health economy Links national health related datasets and demographic data with estates performance and facilities location. Registration and license agreement is required.

Excess Winter Deaths (EWD) in England

http://www.wmpho.org.uk/excesswinterdeathsinEnglandatlas/

Interactive atlas








https://shape.phe.org.uk/




Wider determinants resources (cont)

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Area Product Link NotesHealth Inequalities

Marmot Indicators http://www.instituteofhealthequity.org/projects/marmot-indicators-2014

Profiles by local authority (updated Sept 2014)

Health Inequalities gap measurement tool

http://www.sepho.org.uk/gap_intro.aspx

Detailed information on the nature and extent of health inequalities across England

Health inequalities intervention toolkit

http://www.lho.org.uk/LHO_Topics/Analytic_Tools/HealthInequalitiesInterventionToolkit.aspx

Tool focusing on improving life expectancy and infant mortality rates, especially in disadvantaged areas

Segment Tool http://www.lho.org.uk/LHO_Topics/Analytic_Tools/Segment/TheSegmentTool.aspx?

The Segment Tool provides information on the causes of death that are driving inequalities in life expectancy at local area level.

Population and demographics

Projecting Older People Population Information (POPPI)

http://www.poppi.org.uk/ Tool designed to help explore the possible impact that demography and certain conditions may have on populations aged 65 and over

Projecting Adult Needs and Service Information (PANSI)

http://www.pansi.org.uk/ Tool designed to help explore the possible impact that demography and certain conditions may have on populations aged 18 to 64

http://www.instituteofhealthequity.org/projects/marmot-indicators-2014








http://www.lho.org.uk/LHO_Topics/Analytic_Tools/Segment/TheSegmentTool.aspx



http://www.poppi.org.uk/

http://www.pansi.org.uk/

Other health needs

Area Product Link NotesDental Dental Health Surveys http://www.nwph.net/dentalhealt

h/Survey results from a range of dental surveys carried out

Learning Disability

Learning Disability Profiles

http://www.improvinghealthandlives.org.uk/profiles/

Interactive and pdf profiles for areas of LAs with Adult Social Services

Liver Disease

Atlas of Variation – Liver Disease

http://www.rightcare.nhs.uk/index.php/atlas/liver-disease-nhs-atlas-of-variation-in-healthcare-for-people-with-liver-disease

Report on national variation of liver disease

Long term conditions

Long term conditions dashboard

http://ccgtools.england.nhs.uk/ltcdashboard/flash/atlas.html

Interactive dashboard by CCG

Older People

Older People’s Health and Wellbeing Atlas

http://www.wmpho.org.uk/olderpeopleatlas/default.aspx

Instant atlas profiles on older people indicators

Respiratory Disease

Interactive Health Atlas for Lung Conditions in England (INHALE)

http://www.erpho.org.uk/inhale.aspx

COPD and Asthma interactive atlas, charts, profiles and pdf reports

Atlas of Variation – Respiratory Disease

http://www.rightcare.nhs.uk/index.php/atlas/respiratorydisease/

Report on national variation of respiratory disease

Trauma and Injuries

Injury Profiles http://www.apho.org.uk/injuryprofiles

Interactive charts and maps for 40 injury related indicators by local authority

Other health needs


http://www.nwph.net/dentalhealth/

http://www.nwph.net/dentalhealth/















http://www.apho.org.uk/injuryprofiles

http://www.apho.org.uk/injuryprofiles

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