Information for Strategy

North West London
Start Date: 1 Jan 2014

Project aim

Provide support on healthcare data for the population of North West London to inform our delivery themes and responsive funding, commissioners and providers in the sector.

The delivery of high quality, evidence-based health care, particularly in community based settings, has been shown to improve population health and reduce health inequalities. A key role of public health practice is to support clinicians and health managers improve the quality, efficiency and responsiveness of health services, ensuring they meet local health needs and reduce inequalities in health outcomes. Public reporting of routine NHS data has been widely deployed over the past decade to identify areas of suboptimal care and drive quality improvement. However, the recently published Francis Report highlighted how health intelligence from a variety of sources consistently indicated major quality failings at the Trust but was not acted upon. This project will support each Delivery theme to embed a culture of responsiveness to publicly reported data and other quality reporting to support improvements in care.

Outcome & Impact statement

Please provide a narrative about the significance of your outputs and impact

The PHII theme has built capacity and capability through contact with project teams, contribution to CLP with workshop and teaching sessions, and running data workshops for analysts, the latter resulting in the appointment of a senior analyst for QI work in a north west London trust.  Hospital trust data are being interrogated for health outcomes with two major trusts covering 7 Boroughs.   Temporal and spatial variation in data will be investigated in conjunction with analyses for impact of delivery theme intervention, and a suite of data analyses pertaining to patient flow are being co-developed with a Trust information analyst, to build capacity in a sustainable manner.  National data set analyses have been conducted pertaining to the Frailty Theme. A health economic (HE) group has formed, and has a proposed method for integration of HE and QI, with an initial focus likely in the Medications Optimisation project of the Frailty Theme. 

What happened next?

The PHII theme has had a number of papers published within the reporting period,  detailed above. Working with the Improvement Science and Quality Improvement theme (ISQI) regarding the development of the action effect method (Reed et al., 2014). The PHII theme presented at ISQUA2014 on production of a frailty model in a national data set, and the development of consensus definition; and presented on our methodology for data usage at the Scottish Patient Safety Programme.  PHII was involved with ISQI in the development and design of the Long Term Success Tool interface and outputs.

Dr Thomas Woodcock