Tools to aid decision making

Helen Cooke SWPHO

Useful skills to acquire (if you haven’t already

• Understand the principles of a spine chart• Understand how to use Instant Atlas tools

• Health Profiles • APHO Inequalities Toolkits

– Internal inequalities in all Local Authorities

• Tools for JSNA and others• Prevalence models (commissioning toolkits)• Slope Index of inequality• Programme budgeting tool

Health Profiles

• One of the most valuable resources – separate session

• Compact 4-page document or electronic• Local Authority level• Trends• Ethnicity• 30 indicators on wider determinants • Interpretation provided• Also visualised through Instant Atlas• http://www.apho.org.uk/default.aspx?RID=49802

Sexual Health Balanced Scorecard

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

Bournemouth and Poole has the highest rates of HIV in the South West

http://www.injuryobservatory.net/

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

Outcomes versus Expenditure Tool - Maternity and Newborn Total expenditure on maternity services per birth compared to percentage of women smoking at delivery, 2008/09

12.7

http://www.nwph.net/alcohol/lape/

Local Alcohol Profiles for England

Selection from Torbay profile

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

APHO inequalities tool for all areas

Models the life expectancy gap between the most deprived quintile of any Local Authority and:

• The local authority as a whole • The least deprived quintile in the local authority • The remainder of the local authority (ie the local authority without the most

deprived quintile) • England as a whole • England's least deprived quintile

you can then model interventions either across the most deprived quintile or the authority as a whole

• www.lho.org.uk/LHO_Topics/Analytic_Tools/HealthInequalitiesAllAreas2008.aspx

Breakdown of life expectancy gap between the Most Deprived Quintile (MDQ) of Penwith and England average by cause of death

Life expectancy years gained if the Most Deprived Quintile (MDQ) of Penwith CD had the same mortality rate as the England average for each cause of death.

Local Tobacco Control Profiles for England

/lhostaging.hyperspheric.com/LHO_Topics/Analytic_Tools/TobaccoControlProfiles/default.aspx

tobacco control regional profile

JSNA interactive mapping tool

• Many JSNA indicators for all Local Authorities in England

http://www.swpho.nhs.uk/tools/35106/atlas.swf

http://www.swpho.nhs.uk/tools/35106/atlas.swf

Future developments

• Awaiting APHO tool with national data

Slope index of inequality

http://www.apho.org.uk/resource/item.aspx?RID=75019

PCT Spend and Outcome Factsheets and Tool (SPOT)• Programme Budgeting is a well-established technique for

assessing investment in programmes of care rather than services. • Allows easy identification of those areas which require priority

attention, where relative potential shifts in investment opportunities will optimise local health gains and increase quality.

• The ability to link expenditure and outcome is explicit in two of the World Class Commissioning competencies; '6 prioritise investment' and '11 make sound financial investments'.

http://www.yhpho.org.uk/resource/view.aspx?RID=49488

Extract from CIOS programme budgeting report

APHO Disease prevalence models• http://www.apho.org.uk/resource/view.aspx?RID=48308

• CancerChronic Kidney DiseaseChronic Obstructive Pulmonary DiseaseCoronary Heart Disease

• Dementia• Diabetes • Hypertension• Mental Illness• Stroke

https://www.cancertoolkit.co.uk/PublicPages

Learning Tools and Resources

Health Knowledge

LSHTM – Introductory Epidemiology Course

CAST – Computer Assisted Statistical Teaching

Health Knowledge

Public Health Textbook

E Learning Modules

Interactive Learning

Teaching

www.healthknowledge.org.uk/interactivelearning/index.asp

LSHTM – Introductory Epidemiology Course

Internet based application

Costs £60 (three months)

Interactive content

Self assessment exercises

Certificate upon completion

http://www.lshtm.ac.uk/prospectus/cpd/fundamentals_epi.html

CAST – Computer Assisted Statistics Teaching

Highly interactive statistics teaching tool

Ranged from elementary to advanced

Contains a biometric statistics set of modules

Self assessment exercises

Web based or downloadable

Available from http://cast.massey.ac.nz