27th February 2014. HIA Workshop: Sheffield

Public Health England (PHE)andHIA GatewayHealth Impact Assessment Workshop, Sheffield, 27th February 2014Sue WrightKnowledge & Evidence Manager (Higher Level) HIAKnowledge & Intelligence Team (West Midlands)Public Health EnglandEmail: sue.wright@phe.gov.ukTel.No.: 0121 214 9128

HIA Gateway: www.hiagateway.org.uk

27th February 2014. HIA Workshop: Sheffield

What is Public Health England?• PHE is the expert national public health agency with a statutory duty to:

protect health

address inequalities

promote health and wellbeing

• A new approach to public health outlined in Healthy Lives, Healthy People White paper (2010); local health improvement returned to Local Authorities in April 2013

• The Health and Social Care Act 2012 led to the creation of PHE as an operationally autonomous executive agency of the Department of Health

• Came into being in April 2013

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PHE is made up of organisationsMore than 70 organisations came together to form one public health service, some of these are:

• Health Protection Agency

• National Treatment Agency

• Department of Health

• Strategic Health Authorities

• Primary Care Trusts

• Public Health Observatories

• Cancer registries

• National Cancer Intelligence Network

• Quality assurance reference centres (QARCS)

• Specialist dental commissioners

• Specialist commissioners

• NHS cancer screening programme

• UK national screening programmes (non-cancer)

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PHE priorities for 2013/14

5 priorities:

• Help people to live longer and more healthy lives with special focus on smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol

• Reducing the burden of disease and disability with special focus on dementia, anxiety, depression and drug dependency

• Protect the country from infectious diseases and environmental hazards

• Support families to give children and young people the best start in life

• Improve health in the workplace

27 key actions to achieve these. More detail available in this leaflet: https://www.gov.uk/government/publications/public-health-englands-priorities-for-2013-to-2014

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2 further PHE priorities

• Promote place based public health systems

• Developing our own capacity and capability

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How will PHE work?• Engage in discussions and advise government

• Support action by Local Government, NHS and other organisations and people

• Support the public - protect and improve health

• Protect the nations health - systems and services in place and prepare for emergencies

• Share information and expertise with others

• Research, collect and analyse data

• Report on improvements to health

• Help develop public health systems and workforce

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4 Regions, 15 Centres

8 Knowledge and Intelligence Teams• London• South West• South East• West Midlands• East Midlands• North West• Northern and Yorkshire• East

Other local presence• 10 microbiology laboratories• field epidemiology teams

Additional supportLocal teams can also draw on national scientific expertise based at: • Colindale• Porton Down• Chilton

Local presence

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Knowledge & Intelligence TeamsKITs support: Local Authorities, DsPH and Public Health Teams; CCGs (through LA core offer); Strategic Clinical Networks; NHS Commissioning Board Local Area Teams; PHE Centres; and PHE Regions

• Access to national products and services - indicators, profiles, tools and reports, access to evidence reviews (many accessible by a single portal: datagateway.phe.org.uk) e.g. Health Profiles

• Support for local use of national products (e.g. local interpretation/application)

• Education, training and professional/development support (e.g. facilitating local/regional intelligence networks) e.g. PH Information training scheme

• Access to public health intelligence expertise across national K&I service e.g. Lead Areas, NW KIT Police and violence

• Responsive ad hoc intelligence service (e.g. bespoke analyses to answer local questions) e.g. enquiry service via KITs

• Access to library services (under discussion)

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PHE KIT North and Yorkshire: 2 PHE Centres (North East, and Yorkshire and Humber) • Provide as outlined above• Relevant local public health intelligence: useful for community baselines in HIA and

identification of vulnerable groups • A lead for each Local Authority together with the Centre to provide PH intelligence• If there is demand can develop a HIA network to share best practice and provide HIA

support

PHE Contacts

North East PHE Centre: Tel.: 0844 225 3550

Yorkshire and Humber PHE Centre: Tel.: 0113 386 0400

North and Yorkshire PHE Knowledge & Intelligence Team: Tel.: 01904 567740

Local focus: Knowledge & Intelligence Teams (North & Yorkshire)

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Data and knowledge gateway

Cancer

Child and maternal health

Comparison, practice and performance

Drugs, alcohol and tobacco

End of life care

General health profiles

Health impact assessment

Health inequalities

Injuries and violence

Learning disabilities

Long term conditions

Mental health

Obesity, diet and physical activity

Screening

Sexual health

Social care, adults and older people

A single point of access to data and analysis tools from across Public Health England: http://datagateway.phe.org.uk/

27th February 2014. HIA Workshop: Sheffield

Public Health Outcomes FrameworkFrom Healthy lives, healthy people: Improving outcomes and supporting transparency (2012) came the Public Health Outcomes Framework which set 2 main outcomes:

To improve and protect the nation’s health and wellbeing and improve the health of the poorest, fastest

Outcome 1)Increased healthy life expectancy – taking into account health quality as well as length of life

Outcome 2)Reduced differences in life expectancy betweencommunities (through greater improvements in more disadvantaged communities)

27th February 2014. HIA Workshop: Sheffield

Public Health Outcomes Framework

Produced a series of key indicators within 4 domains: http://www.phoutcomes.info/.

12

Improving the wider determinants of health

1

19 indicators, including:

• Children in poverty• People with mental

illness or disability in settled accommodation

• Sickness absence rate• Statutory

homelessness• Fuel poverty

Health improvement2

24 indicators, including:

• Excess weight• Smoking prevalence• Alcohol-related

admissions to hospital• Cancer screening

coverage• Recorded diabetes• Self-reported wellbeing

Health protection3

7 indicators, including:

• Air pollution• Population vaccination

coverage• People presenting

with HIV at a late stage of infection

• Treatment completion for tuberculosis

Healthcare and publichealth preventingpremature mortality

4

16 indicators, including:

• Infant mortality• Mortality from causes

considered preventable• Mortality from cancer• Suicide• Preventable sight loss• Excess winter deaths

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HIA Gateway Service from PHE• Managing online resource: HIA Gateway

• Support, guidance and signposting

• Support for Capacity building in HIA

This is a national service (the HIA Gateway is also international) provided by the PHE Knowledge & Intelligence Team (West Midlands)

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HIA GatewayA website operated by PHE to provide access to a wide range of resources, documents and information on Health Impact Assessment and health in other Impact Assessments (e.g. MWIA, SEA,IIA) to:

• People well versed in HIA

• People wanting to learn to do HIA

• People who commission / use HIAs

Give easy access to information sources

Give notice of events & new developments

Share examples of practice (e.g. reports)

27th February 2014. HIA Workshop: Sheffield

Access to the HIA Gateway• www.hiagateway.org.uk

• http://www.apho.org.uk/default.aspx?QN=P_HIA

• Through the PHE data portal: http://datagateway.phe.org.uk/

• Find “Health Impact Assessment” on the list of tools and this will take you to the HIA Gateway

• From PHE website: www.gov.uk/phe

• Use Search engines: HIA Gateway

• Or Contact Sue Wright: sue.wright@phe.gov.uk

Tel.: 0121 214 2128

27th February 2014. HIA Workshop: Sheffield

Brief History1999 - HIA introduced in Saving Lives, Our Healthier Nation

2001 - Health Development Agency (HDA) developed website, support from Department of Health

2005 - HDA and NICE merged, NICE continued to host the site

2006 - NICE terminated contract

2007 - Temporary home at OXINET

2008 - APHO/WMPHO took on site

2008 - Site re-launched June, Sue in post September

2013- “Lifted and Shifted” to PHE, managed by KIT (West Midlands)

Note: first UK HIA completed 1994: proposed second runway at Manchester airport: http://www.apho.org.uk/resource/item.aspx?RID=125334

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HIA Gateway was set up like a library:

Access to a wide range of resources:• Not peer reviewed• Quality is variable• Standards ?

Largest repository of HIA reports

27th February 2014. HIA Workshop: Sheffield

What can you find on the HIA GAteway

27th February 2014. HIA Workshop: Sheffield

Home Page• Register with the HIA Gateway: receive monthly resource updates

• News: current events, applications for grants, jobs, recent newsletters

• International HIA conferences: access to previous conference presentations

• Recent additions: 6-8 recently added resources: HIAs, evidence reports etc.

• Conferences and events: details

• HIA Bibliography: updated twice a year-published journal papers on HIA and related to HIA

• Training Courses: HIA and MWIA

• Online training courses: some free

• Discussion Forums: HIA (JISMAIL); MWIA via LGA Knowledge Hub; RTPI Health and Planning Linkedin Group

27th February 2014. HIA Workshop: Sheffield

Structure and content

Provides a quick overview of HIA:• What is it• Why do it• HIA process• Prediction in HIA• Participation in HIA• About HIA Gateway• How to get started• Integrated Impact Assessment

27th February 2014. HIA Workshop: Sheffield

Structure and content

Overview of Mental Wellbeing Impact Assessment (MWIA):• What is MWIA?• MWIA Toolkit & outcomes• Policy Support• Health in MWIA• MWIA Process• MWIA on the HIA Gateway• More about MWIA

27th February 2014. HIA Workshop: Sheffield

Structure and content

Overview of Strategic Environmental Assessment (SEA):• What is SEA?• Application of SEA• Health in SEA• SEA Process• Links with other Assessment

Tools• SEA Materials: online Health in

SEA course (2010):

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Structure and content

Type of report: HIA, MWIA, SEA

Level: Policy, Strategy, Project

Topic: e.g. transport, housing, regeneration etc.

Location: country and England areas

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Guides on how to do HIA

Use of HIA

Theory reports and published papers

How do we evaluate HIA ?

Checklists and Tools for doing HIA

Logic diagrams

27th February 2014. HIA Workshop: Sheffield

References to Articles on HIA

Books on HIA and chapters in books

Terms used in HIA and English local government

Evidence on causal connections

useful for HIA

Policy documents relevant to HIA

Archived resources-pre 2001

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Contact details for people interested in HIA who wish their names to be known

Contact details for HIA Firms

Dates and details of HIA events/conferences

Dates and details of HIA training courses

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27th February 2014. HIA Workshop: Sheffield

National support for HIA

•HIA Gateway

•PHE: set of indicators for neighbourhood profiles

•Support and Guidance: contact Sue-may sign post you to others in your area

•Capacity Building: possible short “Introductions to HIA”, may work with others

•PHE HIA Practice Standards (not another Guide)

•PHE Briefing outlining differences between HIA, Health in SEA/EIA etc.

27th February 2014. HIA Workshop: Sheffield

PHE Healthy People Healthy Places Programme

To ensure that health and health inequalities are considered and addressed in planning and development of the built environment. Evidence reviews being planned on housing, transport and other determinants of health. Four themes:

• Leadership, advocacy and influence

• Partnerships and networks

• Evidence base, information and tools: e.g. obesity and built environment briefings

• Capacity building through learning, training and development

Link to national event November 2013: https://www.phe-events.org.uk/hpa/frontend/reg/thome.csp?pageID=98673&eventID=233&eventID=233

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How can PHE support your work in HIA?