Local Authority Health Profiles

Local Authority Health Profiles
PHE Updated November 2019

• The Local Authority Health Profiles provide an overview of health for each local authority in England. They pull together existing information in one place and contain data on a range of indicators for local populations, highlighting issues that can affect health in each locality. 
• As of November 2019 all data in the Local Authority profiles are sourced from the Public Health Outcomes Framework (PHOF)

Markets and modelling project

Markets and modelling project
LGA
The Markets and Modelling Project is designed to support councils, sub-regions and regions, to better understand the local care market. The CQC registered provider tool is available to all councils and can be downloaded from care homes and services in your home, along with the CQC tool user guide. This is an interactive map-based tool that provides quick and easy access for councils to help them analyse commissioning activity.

The project is part of Commissioning and market shaping resources from LGA. Other material include resources and case studies relating to commissioning and market shaping for adult social care; market shaping tools and guidance, resources around contingency planning and market sustainability.

NHS RightCare ‘Where to look’ packs

NHS RightCare ‘Where to look’ packs September 2019
NHS England 12 September 2019

• "Where to look" packs have been updated with 2017/18 data. Personalised for each CCG and STP, the packs cover the main NHS programme budgeting categories including cardiovascular disease, respiratory, mental health and cancer.
• Updates in CCG packs include
• Outpatient and long stay patients:
• Quality and outcome charts
• New pathways: Includes pathways for heart failure, influenza and groin hernia.
• Updates in STP packs include:
• CCG opportunity charts
• Outpatient and long stay patients:
• Quality and outcome charts
• New pathways: Includes pathways for heart failure, influenza and groin hernia.

CCG IAF returns 2018/19

CCG IAF annual assessment 2018/19
NHS England 11 July 2019

• Also available on MyNHS.

Data for CCG Improvement and Assessment Framework Indicator – Compliance with statutory guidance on patient and public participation in commissioning health and care
NHS England 16 July 2019

• These documents contain updated scores awarded across 5 domains and overall Red, Amber, Green, Green (RAGG) ratings for CCGs following a qualitative assessment for Indicators 50 and 57 of the CCG IAF.
• Also available on MyNHS

NHS RightCare Frailty Toolkit

NHS RightCare Frailty Toolkit
NHS RightCare June 2019

• Expert practical advice and guidance on how to commission and provide the best system wide care for people living with frailty. It provides opportunity to assess and benchmark current systems to find opportunities for improvement.

A chronological map of 308 physical and mental health conditions in the NHS

A chronological map of 308 physical and mental health conditions from 4 million individuals in the English National Health Service
Lancet Digital Health 2019; 1: e63–77, 1 June 2019

• This research aims to understand which sections of the population are susceptible to which health conditions and at which ages. It presents a lifecourse map of human health, charting the 50 most common conditions in each decade of life, and the median age at diagnosis for 308 conditions by sex and ethnicity. The results illustrate the varying dominance of different conditions through the passage of life.
•  Supplementary files include data tables of prevalence by age band, sex, and ethnicity across primary-care and secondary-care records in England.

LGA Research: Cohesion and Integration

LGA Research: Cohesion and Integration
LGA Research

• This series of LG Inform reports (one for each LA) has been compiled to highlight some indicators identified as important to community cohesion and integration, including English language proficiency, economic inactivity, residential segregation, and migration levels and to help build the evidence base needed to support local decisions. Importantly, the reports enable authorities to review and compare their profile with other authorities.

Ageing Better Measures Framework

Measuring ageing: An introduction to the Ageing Better Measures Framework
Centre for Ageing Better 31 January 2019

• This is a compendium of 63 measures, survey scales and their associated data sources looking at outcomes at the individual level related to ageing and later life.

Equality and Health Inequality NHS RightCare Packs

Equality and Health Inequality NHS RightCare Packs
NHS England December 2018

• The Equality and Health Inequalities RightCare Pack considers measures of health inequality and aims to support CCGs and health systems to identify areas of improvement in promoting equality and reducing health inequalities.
• Each pack contains data on a number of healthcare areas in a CCG to demonstrate where there are potential opportunities for addressing equality and tackling health inequalities.

Local authority area data profiles for people aged over 65yrs

Local authority area data profiles
CQC September 2018

• CQC have drawn together a range of national data to build a profile of the care pathway for people aged 65 or over in every local health and care system. The individual reports provide insight into the journey through health and social care for older people who use services - and could identify where there are gaps which mean that people experience fragmented or poor care, allowing comparison with similar local authority areas and against national performance.
• See related: Beyond barriers: how older people move between health and care in England

Society for Acute Medicine Benchmarking Audit 2018 Interim Report

SAMBA 2018 Interim Report
Society for Acute Medicine Benchmarking Audit 18 September 2018

• A snapshot of the care provided for acutely unwell medical patients in the United Kingdom over a 24-hour period on Thursday 28th June 2018.
• Acute medical teams from 127 Acute Medical Units across the UK collected data relating to operational performance, clinical quality indicators and standards from NHS Improvement. Data was collected from 6114 patients.

NHS social care interface dashboard

Local area performance metrics: Assessing the flow of patients across the boundary between the NHS and social care.
Ministry of Housing, Communities & Local Government, Department of Health and Social Care, updated 4 September 2018

• The NHS social care interface dashboard provides a set of measures indicating how health and social care partners in every local authority area in England are performing at the interface between health and social care. It presents 6 key metrics from across the sector and asseses local areas against their statistical nearest neighbours (CIPFA) and nationally.

National variation between CCGs in referral criteria for primary total hip replacement surgery

National variation between clinical commissioning groups in referral criteria for primary total hip replacement surgery
Annals of the Royal College of Surgeons v100 (6), p443-445, 6 July 2018

• "The referral criteria used by the UK CCGs for primary total hip replacement surgery appear inconsistent; the criteria rarely follow NICE criteria. With established guidelines available, it is unclear why the CCGs have referral criteria with less evidence base, without obviously addressing particular issues in their locality."

Sexual and reproductive health: Spend and Outcome Tool (SPOT)

Sexual and reproductive health: Spend and Outcome Tool (SPOT)
PHE 25 January 2018

• This guidance is a step by step guide on how to use Spend and Outcome Tool (SPOT) for Local Authorities to compare spend data on sexual and reproductive health with sexual and reproductive health outcomes.

National Audit of Intermediate Care Summary Report 2017 for England

National Audit of Intermediate Care (NAIC) Summary Report 2017 for England
NHS Benchmarking Network 24 November 2017

• An updated picture of what is happening within intermediate care services, which are delivering care and support largely, but not exclusively, to older people living with complex conditions including frailty, multi-morbidity and with reduced functional ability.
• The key themes from NAIC 2017 include Effectiveness of intermediate care, Service user experience, Integration, Investment and capacity.
• Includes Service category definitions.

National Clinical Audit Benchmarking (NCAB)

National Clinical Audit Benchmarking (NCAB) https://ncab.hqip.org.uk/ 
HQIP 20 November 2017

• A new initiative aimed at making it easier to access national clinical audit data. 
• Key metrics are either benchmarked against other providers or against national aspirational standards (based on NICE guidelines and recommendations from the national audit provider) to provide meaningful context to local performance information to help focus local quality improvement activity. 
• Currently include six audits:
• Intensive care (ICNARC)
• Bowel cancer (Royal College of Surgeons)
• Hip fracture (Royal College of Physicians)
• Lung cancer (Royal College of Physicians)
• Vascular (Royal College of Surgeons)
• Oesophago-gastric (stomach) cancer (Royal College of Surgeons) 

Testing the RightCare model

RightCare: wrong answers
Journal of Public Health, 03 November 2017 https://doi.org/10.1093/pubmed/fdx136

• The RightCare model of identifying opportunities for savings and quality improvements benchmarks CCGs against the "Best 5" of "Similar 10" CCGs. The author tests this model using public data on cancer mortality and concludes that the ‘Similar 10’ are inappropriate comparators and CCGs cannot expect to match the average performance of the RightCare ‘Best 5’.

CfV Where to look reports updated

Commissioning for Value: Where to Look pack updates
Right Care, updated January 2017

• Data for each CCG is compared to the 10 most demographically similar CCGs. 
• Headline opportunity areas are: potential lives saved per year, bed days, elective and non-elective spend, primary care prescribing, and includes opportunities for quality improvement and spend differences for a range of programme areas.
• The report includes a detailed look at 19 'Pathways on a page' with difference from the average of the 10 most similar CCGs.

Geographic variation in unplanned admissions

Using geographic variation in unplanned ambulatory care sensitive condition admission rates to identify commissioning priorities: an analysis of routine data from England
Journal of Health Services Research & Policy, 30 November 2016

Abstract
Objectives: To use geographic variation in unplanned ambulatory care sensitive condition admission rates to identify the clinical areas and patient subgroups where there is greatest potential to prevent admissions and improve the quality and efficiency of care.

Methods: We used English Hospital Episode Statistics data from 2011/2012 to describe the characteristics of patients admitted for ambulatory care sensitive condition care and estimated geographic variation in unplanned admission rates. We contrasted geographic variation across admissions with different lengths of stay which we used as a proxy for clinical severity. We estimated the number of bed days that could be saved under several scenarios.

Results: There were 1.8 million ambulatory care sensitive condition admissions during 2011/2012. Substantial geographic variation in ambulatory care sensitive condition admission rates was commonplace but mental health care and short-stay (less than 2 days) admissions were particularly variable. Reducing rates in the highest use areas could lead to savings of between 0.4 and 2.8 million bed days annually.

Conclusions: Widespread geographic variations in admission rates for conditions where admission is potentially avoidable should concern commissioners and could be symptomatic of inefficient care. Further work to explore the causes of these differences is required and should focus on mental health and short-stay admissions.

Challenging Health Inequalities - Support for CCGs

Challenging Health Inequalities: Support for CCGs
NHS England August 2016

• This guide aims to help CCGs identify areas of variation in access to, and outcomes from, emergency admissions based on levels of deprivation.
• The analysis is based on two indicators from the CCG Improvement and Assessment Framework: 
• 106a - Inequality in unplanned hospitalisation for chronic ambulatory care sensitive conditions and 
• 106b - Inequality in emergency admissions for urgent care sensitive conditions. 
• It includes a link to the CCG Inequality Indicators tool developed by the University of York, which provides comparative information about the 10 most similar CCGs for unplanned hospitalisation for chronic ambulatory care sensitive conditions. 
• See CCGs vary widely in how well they deliver healthcare, new measure shows. BMJ 2016;354:i4615 (NHS OpenAthens password required)