Date post: | 28-Mar-2015 |
Category: |
Documents |
Upload: | diana-sullivan |
View: | 218 times |
Download: | 0 times |
Introducing the LHO
Dr Bobbie Jacobson
Director
www.lho.org.uk
LHO lead areas:Health inequalitiesEthnicitySmokingNICE
APHO: The Observatory Network and Lead Areas
LHO –What do we do?• We work in partnership to turn health data into
intelligence to support decision-making on commissioning health and health care
• We monitor, forecast and assess the impacts of health policy in London
• We are a hub for signposting health intelligence and develop innovative methods for sharing/managing that knowledge.
• We work with APHO and researchers to produce national e-tools, reports and advice to support local action
• We help build analytic capacity in London’s workforce
Collating/ Processing Data
Turning Data into Health
Intelligence
Collecting Data/ Information
Using Health Intelligence To
Improve Health & Care
Other Agencies
Public Health Observatory role
Role of PHOs in health intelligence
Travelling east from Westminster, each tube stop represents nearly one year of life expectancy lost
Westminster
Waterloo
Southwark
London Bridge
BermondseyCanada
Water
CanaryWharf
NorthGreenwich
Canning Town
London Underground Jubilee Line
Differences in Life Expectancy within a small area in London
Electoral wards just a few miles apart geographically have lifeexpectancy spans varying by years. For instance, there are eight stops between Westminster and Canning Townon the Jubilee Line – so as one travels east, each stop, onaverage, marks nearly a year of shortened lifespan. 1
River Thames
1 Source: Analysis by London Health Observatory using Office for National Statistics data. Diagram produced by Department of Health
Male Life Expectancy71.6 (CI 69.9-73.3)
Female Life Expectancy 80.6 (CI 78.7-82.5)
Male LifeExpectancy77.7 (CI 75.6-79.7)
Female Life Expectancy84.2 (CI 81.7-86.6)
What Range of work does LHO do?
One stop Query desk/freeweb access to intelligence
Tools and methods
Supporting Health PractitionersInequalities Intervention toolPractice profilesBasket of Indicators
Comparative
analysis/interpretation
Public Health Advocacy
RESPONSIVE PRO-ACTIVE
-Monitoring Public health Performance-community health profiles-Commissioning for Equity Series
The LHO rolling business plan 2008/9:
– Core programme• Strategic health intelligence projects to support
local decision-making in London • Responsive enquiry service • Health intelligence support to APHO National
Programmes
– Externally commissioned programme• Bespoke health intelligence projects
commissioned directly from LHO by local and national agencies
Examples of Recent LHO Work
• Local authority health Profiles 2008
• The Health Inequalities Intervention Tool
• World Class Healthcare in London Briefings (“Stroke” and “Mind the Gap!”)
Local authority Health profiles 2008
• 32 indicators profiling comparative health in 386 English local authorities
• Produced by APHO annually for DH• Easily accessible via an interactive
webtool www.healthprofiles.info• Information on trends, health
inequalities, benchmarking at LA level and below.
Barking and Dagenham’s Health Profile
Barking and Dagenham’s Health Profile
What is the Health Inequalities intervention tool?
• Planning tool to help PCTs and LAs with local delivery planning and commissioning to reduce inequalities in life expectancy
• Commissioned by Department of Health and produced by LHO and YHPHO for APHO
What does the tool do?• Quantifies the current life expectancy gap
at birth within local authority areas, and between spearhead local authorities and England
• Quantifies the diseases contributing to the life expectancy gap
• Model the effect of four high impact interventions on closing the life expectancy gap
Why use the tool?• There are inequalities in life expectancy within all local areas – spearhead and non-spearhead
• Examples of life expectancy gap between Most Deprived Quintile and Local Authority as a whole in London:– Bromley (non-spearhead) – 4 year difference, 5% gap
(males)– Lewisham (spearhead) – 3 year difference, 4.5% gap
(males)
Understanding the gap• Variation in the main diseases which make up the within LA
gap across the country• Key diseases making up the gap in males in two egs (Most
Deprived Quintile compared to Least Deprived Quintile):
Bromley (non-spearhead)
Lewisham (spearhead)
CHD (coronary heart disease) CHD
Lung cancer Stroke
COPD (chronic obstructive pulmonary disease)
Other CVD
Other CVD (cardiovascular disease)
Other cancers
If females in the most deprived quintile had the same mortality rate from stroke as females in the least deprived quintile, they would live 0.5 years longer
Applying evidence- based measures to show impact on the gap
• Interventions included:• Increasing smoking quitters• Improving blood pressure control in people without
diagnosed CVD• Improving blood cholesterol control in people without
diagnosed CVD• Reducing infant mortality
• Modelling of two scenarios:• Applying the interventions across the LA as a whole• Focusing the interventions in the MDQ(Most Deprived
Quintile)
Applying the interventions in the Most Deprived Qunitile(MDQ)
• Chart shows the reduction in the within area life expectancy gap in males in Lewisham if the following interventions are applied
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
2000 smoking quitters Smoking quitters + 2000hypertensives treated
Smoking quitters + 2000hypertensives treated + with
statin
1 intervention Combination of interventions
% r
educ
tion
in li
fe e
xpec
tanc
y ga
p
Want to know more?
www.lho.org.uk
• Local health profiles: www.healthprofiles.info
• Health inequalities intervention tool: http://www.lho.org.uk/HEALTH_INEQUALITIES/Health_Inequalities_Tool.aspx