Transcript Northern Ireland Context - Institute of Public Health in Ireland

Northern Ireland Context - RPA
EHSSB
NHSSB
SHSSB
WHSSB
Regional Public Health Agency
Regional Health and Social Care Board
Business Support Organisation
Regional Public Health Agency
• New centre of public health expertise
• Focus on improving and protecting health
and wellbeing
• Work in partnership with stakeholders,
especially local government, to get right
into the heart of communities to improve
life chances for all
N Ireland Public Health Agenda
Public Service Agreement
Priorities for Action
• Life Expectancy – increase average life expectancy & decrease
differential between most disadvantaged areas and NI average
• Smoking – reduce proportion of adults/manual workers who smoke
• Obesity – halt rise in obesity
• Alcohol & Drug Misuse – reduce adult binge drinking & young
people drinking and getting drunk & reduce young adults taking
illegal drugs & reduce children at risk from parental dependency on
alcohol/drug taking
• Suicide – reduce suicide rate
• Births to Teenage Mothers – reduce birth rate to mothers under 17
• Health screening – bowel/abdominal aortic aneurysm/foetal
abnormalities
Agency is Health Intelligence
Driven
• Institute of Public Health
• Centre of Excellence
• INIPHO
• NISRA
• DHSSPSNI
• Universities
What do we need to know?
Evidence on Health Inequalities
• Differences in mortality exist by social
group and by area
• Social and area differences are closely
connected
• Significant relationship between place,
health and socio-economic status
Emphasis on prevention of ill health
• Care and resources need to be deployed
more discerningly by targeting very
specific population groups
• Providing blanket solutions neither makes
financial sense nor does it tackle
inequalities
• Need to identify the smallest pockets of
deprivation and inequalities
Smoking
Prevalence
Prevention
Disease burden
•Adults
•Manual workers
•Young people
•Specialist
smoking
cessation
services
•Lung cancer
•Cardiovascular disease
•Primary Care Registers
(QOF)
Help!
Application of
regional survey
data;
Confidentiality;
Statistical
significance;
Data quality;
Data protection
Pinpointing
target
populations
in order to
maximise
resources
and
interventions
Prevalence Data Sources
• Health and Social Wellbeing Survey (%age of
adults who reported they currently smoke/have
given up smoking/never smoked)
• N Ireland Continuous Household Survey
(attitudes to smoking, smoking status, history of
quitting)
• Young People’s Behaviour and Attitudes Survey
(%age of teenagers who reported they currently
smoke/have ever smoked)
• Infant Feeding Survey (%age reporting smoking
status before, during and after pregnancy)
Specialist Smoking Cessation Data
Source
• Elite Database (web base recording
system) – only covers people using
specialist smoking cessation services.
Other individuals may use Brief
Intervention which is not currently
monitored. Does not include people who
quit by themselves.
• DHSSPSNI Report
Disease Burden Data Sources
•
•
•
•
Deaths by cause
Hospital admissions by cause
Cancer incidence
Quality & Outcomes Framework (QOF) –
payment system to GPs for providing good
care. QOF registers for clinical areas
include coronary heart disease,
hypertension, stroke.