Health Intelligence

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Driving improvements in quality relies on high quality, timely data. Y&H Public Health Observatory (YHPHO) is an NHS organisation providing high-quality health intelligence to improve planning and decision-making in the NHS, local and regional government sectors.

Health Intelligence Yorkshire and the Humber – ‘HIYAH’

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The fourteen PCTs in the region have agreed to support a step change in the capacity of the health intelligence function at regional and local level. YHPHO is co-ordinating this work on their behalf. A HIYAH Commissioning Board and a PCT Health Intelligence Leads Group have been established to oversee this work. An initial set of project briefs have been agreed including the development of a regional training programme for health intelligence analysts.

A number of YHPHO and HIYAH workstreams have been developed to support the recommendations made in Healthy Ambitions. Examples of the support the PHO plan to offer for the delivery of each clinical pathway include:

Staying Healthy

  • Gathering of cost-effectiveness evidence relating to healthy weight, alcohol and smoking cessation as part of the development of the National Public Health Library
  • Analysing the National Child Measurement Programme data, providing data on the weight and measurement of children in Reception (4-5 years) and Year 6 (aged 10-11 years) to assess overweight and obesity level
  • Populating the key indicators within the alcohol performance tracking process led by NHS Yorkshire and Humber/Regional Public Health Group, Government Office
  • Developing the use of geo-demographic data to support social marketing
  • Providing a learning network for practitioners working to support their local population to improve their mental health, be more physically active and to eat more healthily.

Maternity and Newborn

  • Ongoing analysis of progress against the national infant mortality targets, with supporting briefing material where appropriate
  • Establishing ChiMat to provide wide-ranging, authoritative data, evidence and practice related to children’s, young people’s and maternal health. A regional programme will be developed to support the Healthy Ambitions workstream.

Long Term Conditions

  • Developing prevalence modelling tools such as the PBS Diabetes Prevalence model
  • Developing diabetes community health profiles, providing downloadable PDFs with a summary of diabetes related data for all PCTs in England to allow appropriate benchmarking
  • Undertaking analysis of ketoacidosis admissions in collaboration with the University College London
  • Working with national partners to develop the National Diabetes Information Service (NDIS) to improve access to high quality diabetes data and information
  • Developing LTC indicators within the practice level profiles already available in order to identify potential variances in approach to care and management. Particular reference will be made to prescribing and outcome measures within primary care
  • Supporting the development of tools and guidance through the Association of PHOs with regard to Joint Strategic Needs Assessment (JSNA).

Children’s Services

  • Active involvement in the work currently being led by the National Clinical Director for Diabetes together with the Royal College of Paediatrics to assess the number of children with diabetes in England
  • Continuing to establish a national theme based observatory CHiMat to provide wide-ranging, authoritative data, evidence and practice related to children’s, young people’s and maternal health. A regional programme will be developed to support Healthy Ambitions
  • Developing a health needs assessment template for children with diabetes through ChiMat for use by commissioners.

Planned Care

  • Providing access to high-level HES analysis support to underpin service review planning and reconfiguration planning
  • Continuing to act as a source of regional expertise on primary care profiling in relation to quality and access to primary care services.

Acute Care

  • Leading on the development of a cardiac/stroke commissioning e-Toolkit to support the work of the three cardiac/stroke networks in the region.

Mental Health

  • Providing access to the data from the Mental Health Minimum Dataset in order to support joint mental health needs assessment across the region.

End of Life Care Pathway Group

  • Exploring the practical use of existing indicators of end of life care including analyses on place of death data and deaths in hospital within 72 hrs of admission in people known to have a terminal illness.

Primary Care

  • The health intelligence practice profiles provide practice level information on a range of quality and access measures. PCTs will consider how this information can be made accessible to their populations to help support choice of general practice.

YHPHO will continue to work closely with the SHA and PCTs (through HIYAH) to identify opportunities where high-quality health intelligence can help develop services in line with Healthy Ambitions recommendations and regional priorities.