Data driven population health – using data to improve health outcomes

Chair: Dr Geraint LewisChief Data Officer, NHS England

Self care for parents and carers of children under five years old

Helen Fox

The challenge• Research shows that parents are becoming less confident about what do to about

their child’s health and are seeking more medical intervention earlier.• Children account for a high proportion of attendances but 60% of 0-4 years are

discharged with no treatment.• Attendances at Emergency

Departments for under 5s in the North East region is 763.6 per 1,000 population (England average is 540.5 per 1,000).

• A&E is seen as the safe choice with individuals being more likely to attend with a third party (particularly a child)

0 to 4 5 to 9 10 to 14

15 to 19

20 to 24

25 to 29

30 to 34

35 to 39

40 to 44

45 to 49

50 to 54

55 to 59

60 to 64

65 to 69

70 to 74

75 to 79

80 to 84

85+

0%

2%

4%

6%

8%

10%

12%

14%Proportion of A&E Attendances by Age

What has been done so far

• Solution: develop educational tool for parents and carers with children under five to give them advice and support.

• Mosaic segmentation was used to review and understand behaviour of attendees at A&E.• Family basics (Mosaic Group M) is the group that is overrepresented

• As a result - app and booklet developed as the educational tool.

What’s next

• Launch in September.• Supported by a marketing and communications

plan with focus on digital and social media.• Need to evaluate and measure success.

Data driven population health - using data to improve health outcomes

David Hodson

What we have achieved Partnership

working Linked Dataset

across health and social care

Pseudo at source tool implemented

Improved outcomes

What are the biggest challenges

• Information governance considerations. • Maintaining data flows.• Quality and timeliness of data.• Identifying the capability to develop new models.• Communication – particularly patients and GPs.

Next Steps

• Reducing ambulance responses• Reducing A&E attendances• Develop new risk models• Identifying gaps and overlaps in

service• Linking to primary care data

Find out more…

Come and speak to us afterwards

Visit our new website: www.enhertsvanguard.uk

Follow us on Twitter: @ENHertsccg

Data driven population health - using data to improve health outcomes

Dr Ruth Hussey CB, OBE

Prudent Health Care

• Outcome focussed – using patient activation and patient experience to create value. Collaboration with ICHOM.

• Osteoarthritis of knee – 25% wished not had surgery – new approach developed.

Contact: Dr Sally Lewis – Aneurin Bevan University Health Board

http://www.prudenthealthcare.org.uk

Integrated data

• Suite of privacy-protecting technologies – Multistage, multi-organisational encryption:

• unique anonymised numbers replace individual, household, and organisational identities

• Can track anonymised individuals, never knowing who they are or where they live

• Members of public on an independent panel scrutinise proposals and are often involved in research

– Setting up Prudent Healthcare Intelligence Unit for service analyses

SAIL System – www.saildatabank.com

Lyons, Ford, Moore, Rodgers. Using data linkage to measure the population health impact of non-healthcare interventions. The Lancet. http://www.ncbi.nlm.nih.gov/pubmed/24290768

Contact: Prof Ronan Lyons, Swansea University

Evidence into practice –Tackling health inequality

Contact: Prof Mark Bellis, Public Health Wales

Wellbeing of Future Generations Act

2015

Questions?

For further information about the new care models programme please visit www.england.nhs/vanguards