The Use of Surveys in Public Health Intelligence

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The Use of Surveys in Public Health Intelligence

• Carol Davies, EMPHO
• September 2009

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Learning Objectives

• To increase awareness of the use of surveys in
  Public Health Intelligence
• To increase awareness of large national surveys
  and mandatory local surveys

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Surveys in public health intelligence work

• National surveys
• most-used surveys
• new developments
• accessing the reports
• national and local applications
• accessing and using the raw data
• Mandatory local surveys
• Place Survey
• NHS Patient Surveys
• TellUs

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Some relevant national surveys

• Health Survey for England/Health and Social Care
  Survey for England
• General Household Survey/Integrated Household
  Survey
• Psychiatric Morbidity Surveys
• ONS Omnibus Survey
• National Surveys of NHS Patients
• Adult Dental Health
• Infant Feeding Survey
• Food Expenditure Survey
• National Diet Nutrition Survey
• National Survey of Sexual Attitudes Lifestyles
  (NATSAL)
• Drug use, Smoking and Drinking among Young People
  in England
• Active People Survey
• Taking Part Survey
• Citizenship Survey

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Health Survey for England

• Annual since 1991
• Adults age gt16 living in private households
• Childrens data from 1995 onwards
• Approx. 16,000 people interviewed annually
• Clinical examination - height, weight, BP, blood
  sample - as well as self report data
• Special topic-based reports well researched
• Regional breakdowns - rarely anything sub-region

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Health Survey for England 2001-2007Focus Topics

• 2001 Respiratory, accidents, disability
• 2002 Respiratory, accidents, physical activity
• 2003 CVD, physical activity
• 2004 CVD, physical activity, respiratory
• 2005 CVD, disability, falls, physical function,
  chronic diseases, health care
• 2006 CVD, physical activity
• 2007 Knowledge and attitudes

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Health Survey for England 2001-2007Population
Boosts

• 2001
• 2002 Young people, mothers of infants
• 2003
• 2004 Minority ethnic groups
• 2005 Older people
• 2006 Children
• 2007 Children

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Health Survey for England 2008

• Focus on Physical activity and fitness
• Update on core topics
• Report writing currently in progress
• Publication due December 2009

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Health Survey for England 2009

• Focus on kidney disease (prevalence of CKD)
• Smaller sample 4,000 adults 4,000 children
• Fieldwork progressing well
• Currently 68 household response rate (and 85
  individual co-operation rate)

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Health Survey for England 2010

• Focus on kidney disease, respiratory disease
  (links to NSF), wellbeing and dental health
• Core sample 8,000 adults 2,000 children
• Boost sample 4,000 children
• Cognitive testing of drinking diary completed
• Fieldwork to commence January 2010

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Accessing HSE reports

• http//www.ic.nhs.uk/statistics-and-data-collectio
  ns/health-and-lifestyles-related-surveys/health-su
  rvey-for-england
• Health Survey for England 2007 Healthy
  lifestyles knowledge, attitudes and behaviour
• Health Survey for England 2007 Latest Trends
• Health Survey for England 2006 CVD and risk
  factors adults, obesity and risk factors children
• Health Survey for England 2005 Health of Older
  People

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New developments ..Health and Social Care
Survey

• From 2011 HSE will become HSCS
• Core sample 8,000 adults 2,000 children
• ( possible child boost)
• Continuity with existing measures but review of
  core content
• New social care element
• Final survey content to be agreed March 2010

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General Household Survey - Living in Britain

• multi-purpose continuous survey since 1971
• face to face interviews
• all adults in 13,000 addresses annually (average
  70 response)
• regular health-related lifestyle topics
• smoking prevalence, consumption, dependency
• drinking - amount frequency
• occasional lifestyle topics
• e.g. sport leisure
• extensive socio-economic data
• household composition, education, employment,
  housing tenure

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Accessing GHS reports

• http//www.statistics.gov.uk/StatBase/Product.asp?
  vlnk5756
• GHS 2007 Overview Report
• Smoking and drinking among adults, 2007

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New developments .ONS Integrated Household
Survey (IHS)

• GHS, Labour Force Survey, Expenditure Food
  Survey, English Housing Survey, Omnibus Surveys
• Phased in from 2008
• Move from cross sectional to longitudinal/rolling
  programme
• n154,000 households (240,000 respondents in
  2009)
• PCT level estimates
• Core includes general health, limiting long term
  illness, smoking status

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ONS Omnibus Survey (Opinions Survey)

• Multi-purpose survey for non-profit organisations
• 3000 private households per month in GB
• Adults gt16 interviewed
• From January 2008 Opinions became a part of the
  IHS.
• The survey is useful for
• providing quick answers to questions of immediate
  policy interest
• measuring the efficiency of publicity campaigns
• measuring public awareness of new policies

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ONS Omnibus Survey (Opinions Survey)

• The range of topics covered by the Opinions
  Survey is diverse.
• In 2007-08 around 30 different subjects were
  covered e.g.
• disability monitoring (Department for Work and
  Pensions)
• cancer awareness (University College of London)
• climate change (Department of Transport)
• eye care (Information Centre - NHS)
• census testing (Office for National Statistics)
• stigma (Royal College of Psychiatrists)
• charitable giving (National Council for Voluntary
  Organisations)
• contraception (Department of Health)
• public confidence in official statistics (Office
  for National Statistics)
• smoking (Department of Health)
• working conditions (Health and Safety Executive)

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ONS Omnibus Survey (Opinions Survey)
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Some other national surveys .

• Psychiatric Morbidity Survey
• Infant Feeding Survey
• Drug use, Smoking and Drinking among Young People
  in England
• Active People Survey
• See reference list provided

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Accessing and using raw data

• UK Data Archive
• http//www.data-archive.ac.uk
• holds all of
• Health Survey for England, General Household
  Survey, Psychiatric Morbidity Surveys, ONS
  Omnibus Survey, National Survey of NHS Patients,
  Adult Dental Health, Infant Feeding Survey, Food
  Expenditure Survey, National Diet Nutrition
  Survey, National Survey of Sexual Attitudes
  Lifestyles (NATSAL), Drug use, Smoking and
  Drinking among Young People in England, Active
  People Survey ... and more!
• time lag between survey and access

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Mandatory Local Surveys

• Place Survey
• NHS Patient Surveys (GP Access, GP Choice,
  Patient Experience etc)
• TellUs

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Place Survey 2008

• Replacement for Best Value survey
• Department of Communities and Local Government
• Local Authority led
• Support new National Indicator set
• Fieldwork September 2008, then bi-annual

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Place Survey 2008

• Views, experiences and perceptions of local
  people on
• Perceptions of local area
• Satisfaction with local public services
• Local decision making
• Getting involved
• Respect
• Safety
• Demography
• Census LLI question
• Plus very limited scope for local additional
  questions

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Place Survey 2008

• Postal questionnaire, target n1,100 per LA
• 543,713 completed responses nationwide
• BUT . response rate variable (lt20 in some
  areas)
• Local level data, national/regional benchmarks
• Headline results at http//www.communities.gov.uk/
  publications/corporate/statistics/placesurvey2008

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PCT Survey of Local Health Services

• purpose
• the in-house option
• the standard methodology
• core and optional questions

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PCT Survey of Local Health Services (2008)

• Experience of process of NHS care but also
  includes questions on
• Weight
• Diet
• Exercise
• Smoking
• Alcohol
• Long term conditions
• http//www.nhssurveys.org/Filestore/documents/PCT0
  8_key_findings.pdf

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TellUs

• National survey to gather views of children and
  young people
• School years 6, 8 and 10 (ages 10 15)
• Measures progress against Every Child Matters
  outcomes Be healthy, Stay safe, Enjoy and
  achieve, Make positive contribution, Achieve
  economic well-being
• Tellus2 (2007) and Tellus3 (2008) led by Ofsted
• Tellus4 (2009) led by DCSF

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• TellUs3
• Fieldwork Spring 2008
• n 148,988 individual responses from children
  and young people across 145 local authorities
• http//www.ofstedgov.com/Ofsted-home/Publications-
  and-research/Browse-all-by/Documents-by-type/Stati
  stics/TellUs3-National-Report
• TellUs4
• Fieldwork from October 2009
• Survey personalisation allowed
• Top line results due Jan 2010, LA data by March
  2010

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Learning Objectives ..

• To increase awareness of the use of surveys in
  Public Health Intelligence
• To increase awareness of large national surveys
  and mandatory local surveys