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'Opportunities and challenges of the 2011 Census'
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Transcript of 'Opportunities and challenges of the 2011 Census'
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'Opportunities and challenges of the 2011 Census'
Jake AbbasDeputy Director
Yorkshire and Humber Public health ObservatoryYorkshire and Humber Quality Observatory
Health Sector
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Contents
• Background and context• Using the Census in the health sector• Some of our outputs • Live issues and challenges• Looking ahead
Contents
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Public Health England structure – from April 2013
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NHS Commissioning Board Structure
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Health Intelligence functions from April 2013 (public sector only)
• Local Authorities (incl. PH)• Clinical Commissioning
Groups (CCGs)• NHS Providers• Commissioning Support
Services• NHSCB – national, regional,
local• PHE Evidence and
intelligence teams (PHOs, HPA, Cancer registries, NTA, NDTMS, QARCs)
NHSCB National
office
PHE Centre
PHE National
Office
PHE Region
NHSCB Local Area Team
NHSCB Regional
office
PHE E&I Team
LA CCG CSS
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Using the Census in the health sector - JSNA
• Profiling and mapping local populations• Population counts – e.g. populations of interest – older
people, young children etc., rates such as all deaths per 100,000 population
• Population changes and future needs• Wider determinants of health• Health specific questions• Ethnic groups (including gypsy and traveller pops)• Language (supporting health service engagement work at
local level)• Carers
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Using the Census in the health sector - Disease prevalence modelling, synthetic estimation, risk stratification
• Synthetic estimates – e.g. smoking, binge drinking, obesity, consumption of 5+ portions per day of fruit and vegetables
• Disease prevalence modelling• Using prevalence estimates from
Surveys e.g. Health Survey for England, research, primary care data
• Plus – population data, age, gender, deprivation, ethnicity etc
• Modelling current prevalence and future trends (e.g .POPPI)
• Risk stratification tools – mainly GP list but can be population based too
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Examples of products….Health Profiles, Local health
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Health specific questions in the Census
How is your health in general?’
‘Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?’
• Self-reported health status – healthy life expectancy (Public Health Outcomes Framework)
• Limiting long-term illness – disability-free life expectancy
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Estimated CCG based on practice dominant in any LSOA
Current LSOA based CCG boundary from the Commissioning board website
Practices
Practices allotted to this CCG
Bradford City CCG
Live issues…Mapping CCG boundaries – registered and resident populations
Clinical Commissioning Groups (CCGs)Northern England, CCGs
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Number of people (ONS mid year estimate)
ONS mid year estimates 2001 to 2010
0
2,000
4,000
6,000
8,000
10,000
12,000
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
084A
055D
063A
<1000 >3000
North East 16 9North West 18 21Yorkshire and the Humber 10 21East Midlands 8 26West Midlands 6 18East of England 2 33London 17 20South East 9 43South West 3 23Wales 15 10England and Wales 104 224
Number of LSOAs that are outside the suggested limits based on 2010 population estimates
Live issues…Why LSOA boundary changes are important
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Live issues…Implications of boundary changes
• Definitions of CCG boundaries• Small-area datasets may be affected, especially time-
series data• Any calculations that rely on LSOA data will be
affected, which include the index of deprivation. This will have a knock-on effect for calculation of indicators that use the index of deprivation such as the slope indices of deprivation.
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Looking ahead
• National products through PHE• Other local partners – e.g. provider Trusts
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Looking ahead – profiling acute trust catchments
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Looking ahead
• National products through PHE• Other local partners – e.g. provider Trusts• Opportunities for more joined up local intelligence
and analysis support?
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'Opportunities and challenges of the 2011 Census'
Jake AbbasDeputy Director
Yorkshire and Humber Public health ObservatoryYorkshire and Humber Quality Observatory
Health Sector