Early Implementer Programme, First National Workshop

1
Understanding the data

• Early Implementer Programme, First National
  Workshop
• 28 November 2008
• Chris Gibbins, Health Improvement Analytical Team

2
Content

• Refresh
• what has changed and why
• what is the effect
• how might you need to react
• Release schedule
• data
• supporting material

3
Refresh what has changed and why

• Definition of indicator revised for Vital Signs
  and LAAs
• Option to refresh plans for 2008/09 2010/11
• Original indicator based on interim conditions
  and fractions (Nov 2007)
• Final conditions and fractions published July
  2008
• eg, stomach cancer excluded
• Opportunity to adopt other improvements -
  including
• Finished in-year admissions -gt Finished
  admissions
• Cut-off of 0.2 dropped
• Under 1s included

4
Refresh what is the effect

• At national level
• rate for 2006/07 reduced from 1400 to 1384
  (-1.2)
• number reduced from 811 thousand to 799 thousand
  (-1.5)

5
Refresh what is the effect

• Trend slightly dampened
• Figures for 2002/03 have gone up by 8 not
  because of definitional change, but because of
  missing records in the HES extract that we
  received

6
Refresh what is the effect

• Figures for 2006/07 At local level
• Rate fell by gt2 in 38 areas and by gt1 in 76
  areas
• Rate increased by gt2 in 8 areas and by gt1 in 17
  areas

7
Refresh what is the effect

• Example North Lincolnshire

8
Refresh what is the effect

• Example North Lincolnshire

9
Refresh what is the effect

• Example North Lincolnshire

10
Refresh what is the effect

• Example North Lincolnshire

11
Refresh what is the effect

• Example North Lincolnshire

12
Release schedule - data

• 2002/03-2006/07 released on Unify2 at point
  Operating Framework published (w/c 8 Dec?)
• NWPHO Local Alcohol Profiles site (date tbc)
• LAA Data Hub (18 Dec?)
• At request of regional colleagues, includes
• comparison between revised and previous rates
• projections based on linear regression
• Final 2007/08 HES data released by IC on 17 Dec
• Extraction, processing, checking, formatting and
  dissemination by 23 Dec

13
Release schedule - data

• Availability of more detailed information to
  inform delivery
• Provision of micro-data files
• Further breakdowns eg age, sex, condition,
  method of admission
• Availability of more frequent and timely
  information
• IC restrictions on what can make publicly
  available to be relaxed?
• Quality of existing provisional data sets
• Missing diagnosis fields
• Transposed diagnosis fields
• Incomplete coding of diagnoses
• Assessment of what is possible, working with IC

14
Release schedule supporting material

• Updating and expanding existing material on Local
  Alcohol Profiles site
• Technical information on how the indicator was
  created
• including details of changes and HES query
• Guidance on understanding the data set
• FAQs
• Guidance on data issues around planning to
  supplement existing planning tool
• eg effects of improvements in coding

15
What else would you find useful?
16
Refresh what is the effect

• Trend at local level
• Estimate of growth p.a. in rate of admission fell
  by gt20 admissions per 100,000 population in one
  third of areas
• National growth p.a. 119 admissions per 100,000
  population