Annual Director of Public Health Report
Directors of Public Health are required to produce an annual report which is their professional statement about the health of local communities based on sound epidemiological evidence and interpreted objectively. Here is the 2018/19 report from Wiltshire's Director of Public Health, Tracy Daszkiewicz,presented with former cabinet member for Adult Social Care, Public Health and Public Protection Cllr Jerry Wickham.
Public Health Intelligence
We need to use the best available health intelligence to be able to provide public health functions. Public health intelligence supports the provision of public health practice by providing data, information and evidence from a diverse number of sources. This includes data regarding numbers of births and deaths, hospital admission figures, public health service outcome figures and national and local surveys. The work contributes to joint strategic needs assessments (JSNAs) and the Health and Wellbeing Joint Strategic Needs Assessment.
This function concerns the management of knowledge needed to inform action including: analysis of data and statistics; learning from practical experience and sharing best practice; and implementing new knowledge gathered through research. This uses a wide range of skills, spanning analysis, statistics and epidemiology (the study of the patterns, causes, and effects of health and disease conditions in populations), alongside knowledge management, library and information services, as well as interpretation and evaluation.
Most of the data sets do not contain personal information. When personal information is included in the data sets used by Wiltshire Council’s Public Health team the information is not disclosed unless there is a legal requirement to do so or if you have given consent for the information to be shared with a particular third party. With some datasets it is possible to exclude an individual if they wish to opt out of analysis. If you wish to not take part in analysis that will lead to an improvement in public health outcomes please contact email@example.com.
The old Wiltshire Intelligence Network was developed in response to the ever-growing demand for local information, be it for developing local strategies, funding applications or assisting local decision making. The network consisted of a number of key organisations in Wiltshire who are involved in the collection and analysis of local data. It is often difficult to know what information exists or who can supply it. The site aims to improve access to information in Wiltshire by providing a 'one-stop shop' for key local data and reports, presented in a consistent format that are easy to understand and use.
The new Wiltshire Intelligence site will improve upon the design created by the old Wiltshire Intelligence Network and will include relevant health related reports from the old website
Joint Strategic Needs Assessments (JSNAs) support commissioning decisions and the development of strategies and local community plans. Public Health lead on the Community Area Joint Strategic Assessment , which provides information surrounding 9 themes including housing, the economy, children and young people and the environment for each of the Community Areas.
Public Health also produces the Health and Wellbeing Joint Strategic Needs Assessment which describes the current and future health, wellbeing and care needs of the Wiltshire population and the strategic direction of service delivery to help meet those needs.Close
Public Health England (PHE) publishes health profiles for local authority areas. The profile for Wiltshire presents comparative information for Wiltshire on deprivation, mortality, communities, children and young people’s health, adults’ health and lifestyle, disease and poor health and life expectancy and causes of death. The latest profile and more information is available from the Local Authority Public Health profiles page of PHE's profile suite
The public health outcomes framework, sets out the desired outcomes for public health and how they will be measured. The framework concentrates on two high-level outcomes
- increasing healthy life expectancy
- reducing differences in life expectancy and healthy life expectancy between communities
The set of supporting public health indicators help focus understanding of progress year by year nationally and locally on the things that matter most to public health.Close
Pharmaceutical Needs Assessment (PNA)
As of 1 April 2013 the Wiltshire Health and Wellbeing Board became responsible for the development and publication of the Pharmaceutical Needs Assessment (PNA). A statement of the needs for community pharmaceutical services of the population in its area. There are a number of different areas within a PNA which a health and wellbeing board has considerd. This includes but are not limited to:
- The demography of the area
- Different needs within localities
- Whether there is sufficient choice with regard to obtaining pharmaceutical services and likely future needs
A PNA enables NHS England to commission pharmaceutical services that meet the diverse pharmaceutical needs of people within a health and wellbeing board’s area. In 2017/18 the most recent PNA was developed which will take affect on the 1st of April 2018.
Feedback for Health Needs Assessment - Male and trans/gender non-conforming sex workers
A Health Needs Assessment of male and trans/gender non-conforming sex workers was conducted in Wiltshire. This document aimed to identify the health needs of this group, and how our services provide for them currently. If you would like to view this document please visit the downloads section at the bottom of this page.
If you would like to provide feedback on the document, please do so on the online survey.
Gypsy and Traveller strategy consultation survey
The current Wiltshire Gypsy, Roma, Traveller and Boater (GRT&B) strategy is due to finish in 2020. A new strategy has been developed for 2020-2025, based on evidence from the Health Needs Assessment for Gypsy, Traveller and Boater Populations Living in Wiltshire (published July 2019). Wiltshire Council is seeking feedback and input from a wide range of organisations, and members of the public, to ensure this new strategy reflects the experience and needs of Wiltshire residents. The draft strategy document is available to view below.
The online short survey provides an opportunity to provide feedback on all sections of the strategy. This will close on 12 March 2020 at 5pm, and all comments will be reviewed and considered as part of the strategy development.
Public health data privacy notices
All local authorities have a duty to improve the health of the population they serve. To help us do this, we use data and information from a range of sources including the Office for National Statistics, NHS Digital, Clinical Commissioning Groups, and hospitals to understand more about the nature and causes of disease and ill health in Wiltshire.
Privacy notice - Mortality Records
This notice provides details of how Wiltshire Council collects and uses information about deaths from the Primary Care Mortality Database.
Personal information about deaths within the Wiltshire Council area is supplied by NHS Digital and contains mortality data provided at the time of registration of death along with additional GP details, geographic information and coroner details where applicable. Wiltshire Council has a Data Access Agreement with the NHS Digital and data are supplied under section Section 42(4) of the SRSA (2007) as amended by section 287 of the Health and Social Care Act (2012) and Regulation 3 of the Health Service (Control of Patient Information) Regulations 2002. Information held includes date of birth, date of death, place of death, address of deceased, causes of death, age, sex, GP and practice, occupation and place of birth.
The Public Health Intelligence Team in Wiltshire Council.
Some of the datasets that are shared with Wiltshire Council contain personal data. Most of the datasets that contain personal data are provided either anonymised or pseudonymised. Anonymisation is the removal of certain personal identifiers in many cases this will include the removal of names, house number and NHS number. Pseudonymisation is the replacement of certain personal identifying fields with codes a simple example would be male and female being coded as 1 and 2.
This information is used for the purposes of statistical analysis, the monitoring of population health and demographic change in the county, and the planning and commissioning of health services.
This information is used specifically to identify patterns and trends in mortality rates, life expectancy and premature death, highlighting differences between geographic areas, age, sex and other characteristics. Often the data is linked to geographic information including the indices of deprivation dataset to support investigations into inequalities. It is also used to identify differences between areas and inform the planning and targeting of health, care and public health services. This information is used in many products including the Community Area Joint strategic assessment and Health and Wellbeing Joint strategic assessment as well as for the monitoring of seasonal patterns, population projections and the monitoring of trends for particular causes of death.
No personal-identifiable information is published, and numbers and rates in published reports based on counts fewer than five are removed to further protect confidentiality and anonymity.Close
Wiltshire Council is bound by a number of information sharing agreements which are drawn up to ensure information is received from and shared with these organisations in a way that complies with relevant legislation.
This information is held securely and will not be disclosed to anyone other than those stated above without your permission, unless there is a legal reason to do so, for example disclosure is necessary to protect a person from suffering significant harm or necessary for crime prevention or detection purposes.
This information is used to ensure that health, social care and public health services are designed to address local health needs and are focused on reducing health inequalities, with specific reference to life expectancy and mortality rates. We also use information from this dataset for work on suicide and accident prevention to identify specific hotspots and risk factors locally.
This dataset will not be disclosed to anyone other than those stated above without permission, unless we have a legal reason to do so, for example disclosure is necessary to protect a person from suffering significant harm or necessary for crime prevention or detection purposes.
Information is held in a secure database only accessible to analytical staff within the Wiltshire Public Health Intelligence Team. The database is on a secure network protected by AES 256 encryption when remote access is used.
Data will be held be for deaths registered from 1996 onwards consistent with the data access agreement between the NHS Digital, the Office for National Statistics and Wiltshire Council.Close
The registration of births and deaths is a legal requirement, and the data are processed by Wiltshire Council through a data access agreement with NHS Digital. You have the right to request a copy of the information we hold about you, can object to the use of your data and can ask to opt-out of any of the datasets. If an objection request is approved this may cause delays or prevent us delivering a service to you. Where possible we will seek to comply with your request but we may need to hold or process information in connection with one or more of the Council’s legal functions. The process for opting out will depend on the specific data is and what programme it relates to.
For more information about how Wiltshire Council will use your Public Health information, contact the Public Health Intelligence team at firstname.lastname@example.org or telephone 0300 0034566. To obtain a copy of your personal information, please write to Wiltshire Council, Information Governance Team, County Hall, Trowbridge, Bythesea Road BA14 8JN.
For National information and advice regarding information rights please visit www.ico.org.ukClose
For more information about how Wiltshire Council will use your Public Health information, contact the Public Health Intelligence team at Intelligence@wiltshire.gov.uk or telephone 0300 0034566. You have the right to request a copy of the information we hold about you. To obtain a copy of your personal information, please write to Wiltshire Council, Information Governance Team, County Hall, Trowbridge, Bythesea Road BA14 8JN.