Publications - Type - All Publications

2010 Health Profiles

Local health profiles describe the health of the local population and enable the comparison of indicators describing health and determinants of health at local, regional and national levels. The 2010 health profiles can be accessed via the Health Profiles website: http://www.healthprofiles.info/. Previous years profiles can also be accessed through this link, together with underlying indicator data.

2010 Regional Health Profiles

Regional Health Profiles show the data used in the 2010 local authority and county health profiles at a regional level and present further information for each region.

A Guide to the European Union, the EU Public Health Programme and Opportunities for the Regions

The purpose of this dossier is to provide an introductory guide to health and related policies and activities of the European Union (E.U.).

A Rapid Health Impact Assessment of the Draft Regional Economic Strategy (June 2005)

The North East PHO has published its report of a rapid appraisal health impact assessment carried out as part of the the formal consultation on the North East's revised Regional Economic Strategy

A review of alcohol services for offenders in the North East region

A review of current provision for alcohol users within the criminal justice system in the North East region was commissioned by the Health and Social Care in Criminal Justice (NE) as part of a wider piece of regional work that explores the alcohol offender pathways within the North East region. The aim of the review was to map and explore the provision that is currently in place for offenders within the 12 localities. The mapping exercise also explored the pathways and partnership working between agencies, which are a key aspect of delivering a seamless journey for the offender and delivering a continuum of care. This report provides a ‘snapshot’ of the work currently being undertaken within the region and also provides an overview of some of the work that is currently in development. The overarching aims of the review included developing an understanding of the key strengths of the provision available and its situation within the overall care pathway. In addition consideration was given to those areas of weaknesses, which if strengthened would improve the outcomes for service users.

A Screening Health Impact Assessment for the provisional second County Durham Local Transport Plan

This report describes a screening Health Impact Assessment done on the the provisional second County Durham Local Transport Plan

A Short Guide to Europe

This document is intended to serve as a helpful reference and guide for those who are seeking to understand the European Union (EU) institutions especially in relation to public health.

A systematic review of nutrition, diet and dietary change on learning, education and performance of school children

The evidence base to support clear associations in this area were confused and lacked cohesion. It was therefore recommended that the UK Government ‘be encouraged to undertake an assessment into the links between good nutrition and educational performance’.

About SHAPE

Provides a brief introduction to the SHAPE toolkit

Alcohol and Health in the North East of England 2006

This report provides a useful overview of what data are available regarding alcohol related harm and how the North East compares with other regions as well as patterns within the region.

Alcohol in the North East 2003

Alcohol consumption across the UK by GOR and sex, analysing drinking patterns, hospital admissions and death rates related to alcohol.

APHO Technical Briefing 5 - Geodemographic Segmentation

In this briefing we take a summary overview of segmentation and then focus on one approach to segmentation using geodemographic methods. We then compare the most commonly available geodemographic segmentation tools, highlighting the possible applications within the health sector and discussing some of the factors that should be considered when looking to invest in a system.

APHO Technical Briefing 8: Prevalence modelling

This is the eighth in a series of technical briefings produced by the Association of Public Health Observatories (APHO), designed to support public health practitioners and analysts and to promote the use of public health intelligence in decision making. Tis briefing discusses the need for prevalence modelling and provides an overview of various methods of generating estimates of the prevalence of diseases or risk factors in local populations. Some of the most common methods for assessing the accuracy and robustness of models are summarised and some of the challenges in developing and using prevalence estimates are considered.

APHO Technical Briefing 9: Measuring Sustainable Development

This briefing looks at sustainable development and carbon reduction measurement: the metrics and tools already available, future developments and the wider political and ethical context. The NHS context provides examples, but most of the principles apply to public sector and other institutions generally.

Audit of Local Safeguarding Children's Boards in the North East - Parental Substance Misuse

This regional report is a follow-on from a national piece of work which was commissioned by the Department for Children, Schools & Families and the National Treatment Agency. The national work was an audit of all LSCBs across the UK, specifically exploring their work around parental substance misuse.

Bariatric Surgery in the North East of England: A Regional Briefing Paper

This paper assesses the use of surgical procedures to address obesity in the North East over the last four years, to assist:

  1. Health service commissioners: we aim to review the surgery rates, types and variations across the North East in order to provide evidence to improve future commissioning decisions.
  2. Obesity specialists, particularly those involved in bariatric surgery: the paper compares different surgical procedures over time in terms of average patient weight loss and cost, which may support the decision making process for individual patient pathways.
  3. Policy makers: evaluation of changes relating to "Better Health, Fairer Health" should enable policy makers to assess the effectiveness of the strategy and review as necessary.

Better health, lower crime: a briefing for the NHS

Crime is a health issue. It affects the health of our communities and individuals within them directly and indirectly.

Better information, better decisions, better health

The Health Service Journal published a supplement looking at ten years of public health observatories.

Briefing: Life expectancy 2008-2010

The Office for National Statistics produced updated life expectancy figures on 19th October 2011 (for further information http://www.ons.gov.uk/ons/taxonomy/index.html?nscl=Population). This briefing provides a summary of the results for the North East.

Cancer Peer Review Report

This report should be read as an overall assessment of the Registry and its functions as they were at the time of the Peer Review visit. There are two main parts to the report section, a quantitative representation of compliance with the Measures and a qualitative commentary which addresses wider issues and identifies concerns and risks, issues for further consideration and examples of good practice. We are grateful for provision

Cancer Reform Strategy

The Cancer Reform Strategy builds on the progress made since the publication of the NHS Cancer Plan in 2000 and sets a clear direction for cancer services for the next five years. It shows how by 2012 our cancer services can and should become among the best in the world.

Cancer Reform Strategy 2007

The Cancer Reform Strategy builds on the progress made since the publication of the NHS Cancer Plan in 2000 and sets a clear direction for cancer services for the next five years. It shows how by 2012 our cancer services can and should become among the best in the world.

Cataract Surgery in the North East of England

Cataract is a common and important cause of visual impairment with no proven preventive or medical treatments. The only effective way to restore or maintain vision is surgical removal of the clouded part of the lens (cataract surgery). Cataract surgery is the most common surgical operation carried out in England and is frequently performed on older people since most cataracts are age-related. The benefits of cataract procedures are immense; loss of vision threatens independence and long periods with impaired vision and impaired quality of life increase the likelihood of deterioration in general health.

In this report we use Hospital Episode Statistics (HES) data to compare the performance of hospital trusts and primary care trusts (PCTs) in the North of England against recommendations in Action on Cataracts and averages for the North East and England.

Child Dental Health in the North East of England 2003/2004

Since 2002, the dental health of children in the North East of England has continued to improve. However, there is still evidence of inequality on both dental health and access to dental health care.

Childhood obesity in the North East

This report provides an overview of provisional PCT level obesity prevalence and response rates from 2005/06.

Childhood Obesity in the North East 2006/07 National Child Measurement Programme

The National Child Measurement Programme (NCMP), formerly known as the National Childhood Obesity Dataset, was established in 2005 and aims to annually weigh and measure all children from Reception (ages 4-5 years) and Year 6 (ages 10-11 years) in maintained schools across England

Childhood Obesity in the North East of England: Findings from the 2009/10 NCMP

This resource provides an overview of the National Child Measurement Programme North East findings for the 2009/10 school year.

Children with long term disability

This important piece of work highlights the information issues surrounding the monitoring of health of children with disabilities. It describes a number of deficiencies in the current information systems, which need to be addressed.

Chronic Obstructive Pulmonary Disease in the North East of England

Chronic Obstructive Pulmonary Disease (COPD) is linked to smoking, occupational dust and pollution, and is particularly prevalent in the North East of England. This paper reviews prevalence estimates and highlights the fact that over 32,000 people in the North East are living with undiagnosed COPD. COPD costs the NHS an estimated £491million every year and this paper highlights emergency admission rates for COPD. Mortality rates from COPD in the North East are higher than in England (accounting for 6% of all deaths), and the inequality gap appears to be increasing.

Communicable Diseases in the North East

Infectious (communicable) diseases is an area of public health which is ignored at one's peril.

Crime in England and Wales 2007/08

Findings from the British Crime Survey and police recorded crime. Home Office Statistical Bulletin.

Deaths from Alzheimer's disease, dementia and senility in England

Care homes will face particular challenges in responding to the inevitable rise in dementia, including Alzheimer's, a report suggests today.

The report, Deaths from Alzheimer's disease, dementia and senility in England, published by the National End of Life Care Intelligence Network (NEoLCIN), says commissioners and providers across adult health and social care will be faced with meeting the needs of more people dying with these conditions as the population ages. It confirms that, unlike other conditions, most people with dementia, including Alzheimer's, die in care homes.

Deaths in Older Adults in England

This report, the fourth published by the National End of Life Care Intelligence Network, highlights the importance of understanding the differing needs of older adults at the end of life.

Delivering health improvement in County Durham and Darlington 2005/06

This shared annual report is a contribution to the NHS Local Delivery Plan for the County Durham and Darlington NHS "cluster". This report is based on the national priorities identified in Choosing Health, and The NHS in England: the operating framework for 2006/7, emphasising the specific needs of the population of County Durham and Darlington.

Delivering Heatlh Improvement in County Durham and Darlington: Derwentside supplement

Major changes are underway in the NHS and it is vital that the focus on improving health and tackling inequalities in health is maintained during the transition period.

As the Directors of Public Health of the six current PCTs in County Durham and Darlington, we are determined that the partnership work to improve health and tackle health inequalities, developed and delivered in the last four years, is taken forward in the new organisational arrangements.

Dying to Know

A briefing produced by the Association of Public Health Observatories (APHO) on how to interpret and investigate hospital mortality measures.

Feedback Form

Feedback form for completion for NEPHO publications.

Final Report of the PHGEN Project

The Public Health Genomics European Network (PHGEN) was selected for funding by the European Commission in 2005 and started in 2006 as a networking exercise 1 to identify key experts on Public Health Genomics (PHG) in all EU member states, applicant countries, and EFTA-EEA countries 2 to provide an inventory of PHG issues and priorities in Europe 3 to contribute to the co-operation and exchange of information in order to enhance coherence and disseminate best practice 4. to identify legal diversities and barriers in a cross-border market 5. to promote and stimulate the countries’ efforts in this emerging field by developing PHGEN and by supporting effective net-working in order to reach sustainability. Thus, in the long run PHGEN aims to serve the European Commission as an “early detection unit” for horizon scanning, fact finding, and monitoring of the integration of genomebased knowledge and technologies into public health.

Guidelines on Access to Data held by the Northern RMSO

Data access information for the RMSO.

Health and Lifestyle Survey

Health and lifestyle questionnaire surveys are a recognised part of the assessment of health at larger population levels. Such surveys are best used to collect information on the wider aspects of health and wellbeing rather than information about the use of health services.

Health Indicators in the European Regions - ISARE II.

Most comparisons of health data in Europe take place at the national level. However, there is increased interest in looking at health data at a sub-national level. This is because of the increased importance in many European countries, of regions and devolved powers to them. This study aimed to establish the availability of health data at a regional level and to construct an experimental database.

Health indicators in the European regions: Expanding regional comparisons to the new countries of the European Union - ISARE III

Most comparisons of health in Europe take place at the national level. However, there is increased interest in looking at health data at a sub-national level. This study aimed to establish the availability of health data at a regional level and to develop a methodology for the comparisons of health indicators at a sub-national level. In previous work on indicators at a regional level in the European Union, the authors recommended the development of such indicators. This paper takes into account the expansion of the European Union which took place in 2004.

Health Inequalities Intervention Tool

We have pleasure in presenting the "Health Inequalities Intervention Tool" developed by the Association of Public Health Observatories and the Department of Health.

Health Needs Assessment for Long Term Neurological Conditions in North East England

A health needs assessment (HNA) for Long Term Neurological Conditions (LTNC) has been carried out by the North East Public Health Observatory (NEPHO) on behalf of the Regional Neuroscience Commissioning Network. The HNA has been developed in parallel with the North East Strategic Commissioning Plan for Neurosciences. The key policy document underpinning this HNA is the National Service Framework (NSF) for Long-term Conditions.

Health statistics - Atlas on mortality in the European Union

Health statistics - Atlas on mortality in the European Union describes the situation regarding mortality in the Member States of the European Union. It is an update of an earlier publication published by Eurostat in 2002, based on data for the years 1994-1996. Since then the number of European countries included has increased considerably. The atlas includes 2002-2004 mortality data from National Statistical Authorities in the 27 Member States of the European Union plus Norway, Iceland, Switzerland and Croatia, broken down by age and gender, by main causes of death and by 272 European regions. In addition, the selection of causes of death and the selection of indicators for inclusion in this atlas have been revised, and differences in risk factors as a potential basis for differences of mortality profiles are described.

HES Seminar

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Housing for health? A screening Health Impact Assessment of the consultation draft of the Regional Housing Strategy

The North East Assembly, as the lead partner for the North East Regional Housing Board is developing an updated Regional Housing Strategy (RHS) to replace the existing strategy produced in 2005. A group of individuals with a range of skills and backgrounds, including public health and housing screened the consultation draft of the Strategy for potential health and inequality impact in March 2007.

How to edit the website

Guidance for editing the NEPHO website

I2SARE Newsletter October 2009

The October 2009 newsletter for I2SARE (Health Inequalities Indicators in Regions of Europe), containing content written by John Wilkinson and Gillian Bryant of NEPHO.

I2SARE Regional Health Profiles

The European project I2SARE (Health Inequalities Indicators in the Regions of Europe) was established to produce a health profile for each region of the European Union, to create a typology of those regions of Europe and a typology of sub-regional territories in selected countries and regions. These new tools produced by I2SARE will give European, national, regional and local decision makers a quick and concentrated overview about the health situation in region in comparison with other European regions.

Improving Access to Psychological Therapies - Year One Sites Data Review

A review of the first years work of the first wave of roll-out sites. The report covers the characteristics of people referred and receiving treatment, patterns of treatment and outcomes. It gives both overall and site-by-site analyses (although individual sites are not identified.

Including migrant populations in Joint Strategic Needs Assessment: a guide

This guide is to assist those involved in JSNAs of migrant populations. It provides practical techniques, sources of data and lists of helpful resources as well as examples of innovative practcce.

Indications of Public Health in the English Regions - No. 3 Lifestyle and its Impact on Health

The Association of Public Health Observatories has published this report aimed at supporting all those engaged in implementing the Public Health White Paper - and improving the health of the population - by bringing together summary information on seven risk factors and four diseases which are key causes of ill health and death in England.

Indications of Public Health in the English Regions - No. 8: Alcohol 2007

The North East has some of the greatest problems in the country because of links between many drink-related problems and deprivation, according to figures published today

Indications of Public Health in the English Regions 10: Drug Use - May 2009

This tenth in a series of national reports produced for the Chief Medical Officer (CMO) by the Association of Public Health Observatories (APHO) is on drug use. The report contains 46 different indicators of drug use relating to the individual, community and population across all nine English regions; with additional analysis of sub-regional inequalities where possible.

Indications of Public Health in the English Regions 5 - Child Health

The Association of Public Health Observatories has published its fifth report in the Indications series, presenting 22 indicators relating to the health and wellbeing of children and young people.

Indications of Public Health In the English Regions 7 - Mental Health

This report is the seventh in the series "Indications of Public Health in the English Regions" commissioned by the Chief Medical Officer. It has been produced by the Association of Public Health Observatories, led by the North East Public Health Observatory.

Indications of Public Health in the English Regions 7: Mental Health North East Regional Summary

This regional summary outlines the main findings of the national report, Indications of Public Health in the English Regions 7: Mental Health and compares the North East's position to that of England across the full set of indicators

Indications of Public Health in the English Regions No 6: Sexual Health

The most comprehensive picture of the sexual health of people in England was published by the Association of Public Health Observatories and the Health Protection Agency on 20 November 2006. Accompanying the report is a summary of key messages for the North East region, prepared by the North East PHO and HPA North East.

Indicators of Public Health in the English Regions: Older People

This Indications of Public Health in the English Regions report on older people aims to describe the health and quality of life of older people living in Britain.

Information about Mental Health Service Use in England

Detailed intelligence about the prevalence of mental illness, the provision of services, the treatment given and its outcomes is needed now as never before.

Information for intelligent commissioning in NHS North East (Information bulletin #1)

A flyer to promote the types of resources and analyses that are available within NEPHO to support commissioning in the North East. This flyer is the first in what will be a series of such material. This flyer focuses on the QIPP agenda uses the examples of day case surgery rates, length of stay and multiple emergency admissions to quantify the financial impact that could be realised if there was a reduction in variation across NHS North East.

Informing Healthier Choices: information and intelligence for healthy populations

One of the commitments given in the Choosing Health white paper was to develop and implement a comprehensive public health information and intelligence strategy. This work was led by a specially constituted Task Force and informed by extensive public and professional consultation conducted in 2006.

Interactive Atlas of Mortality in England

This tool shows how mortality rates vary and the extent to which the variation in mortality rates between areas is due to chance.

Knowledge Transfer within the offender health pathway in the North East

Evidence-based healthcare is important in any setting. This report uses a literature review and interviews to explore knowledge transfer in prison Healthcare and other offender health settings. There is general agreement about the importance of knowledge transfer and an acknowledgement of the particular challenges in prison settings. A number of interesting examples of knowledge transfer practices and initiatives are being undertaken (including knowledge transfer between professionals, locally commissioned research and reviews, training and educational opportunities). But the current knowledge transfer practices are inconsistent so there is a need to develop an evidence base for a model that is appropriate to each setting.

Local Tobacco Control Profiles for England

These profiles provide a snapshot of the extent of tobacco use, tobacco related harm, and measures being taken to reduce this harm at a local level. These profiles have been designed to help local government and health services to assess the effect of tobacco use on their local populations. They will inform commissioning and planning decisions to tackle tobacco use and improve the health of local communities.

Link: Local Tobacco Control Profiles for England

Lung resection rates across the North of England Cancer Network

A report to give a summary of resection rates for lung cancer across the North of England Cancer Network. This report analyses the audit data and compares surgery rates with HYCCN and YCN and then the report also looks at performance within the network. The validity and completeness of the audit data is also discussed.

Mapping Physical Activity in the North East Region

Physical activity has a significant role to play in contributing to the health and well being of communities. Physical activity cuts across a range of different policy areas and drivers so consequently, no single agency or organisation has taken a primary role or responsibility for coordinating the planning and delivery of physical activity.

Maternal Obesity & Pregnancy Outcome Project Information Sheet

Information on obesity project (now completed).

Mental Health Care Funding in England

This report sets out total and mental health allocations for each health authority from 1999/2000 to 2002/3 and for each primary care trust in 2003/4.

Mental Health Observatory Brief 3 - Estimating the Future Numbers of Demetia

People with dementia require substantial amounts of care, particularly social care.

Mental Health Observatory Brief 4 - Estimating the Prevalence of Common Mental health Problems

Planning for the new Department of Health programme to improve access to psychological therapies requires information about the numbers of people requiring its services. The national psychiatric morbidity survey programme provides information about the prevalence of relevant disorders. This Brief outlines a method to apply these findings locally. It is accompanied by a spreadsheet setting out the results of the analysis for PCTs and local authorities in England. Not all those with these disorders need, would accept psychological therapies. The morbidity survey provides further evidence about how prevalent case numbers relate to treatment requirements.

Mental Wellbeing Atlas and prototype work on an index

This page contains a set of reports about mental wellbeing. There is an atlas of regional and local authority level maps of factors that influence mental health and wellbeing to help to inform Joint Strategic Needs Assessments. There is a report of short project to develop a prototype index of factors influencing mental wellbeing together with the underlying data in a spreadsheet. Finally there is a presentation of maps using regional data.

Migrant Health in North East England

North East England is the smallest and least culturally and ethnically diverse of the nine English regions. Between 1999 and 2008 it received more than ten thousand asylum seekers, several thousand migrant workers and growing numbers of overseas students. The North East Public Health Observatory (NEPHO) produced reports on migrant health in 2002 and 2008.

Monitoring maternal and child health in the North East and North Cumbria

The Regional Maternity Office (RMSO) manages a number of linked surveys relating to pregnancy and child health for the North East and North Cumbria.

National Drug Treatment Monitoring System Young People's Annual Report 2008-09

Whilst alcohol data had been officially collected since NDTMS was established in 2004-05, 2008-09 was the first year alcohol data was included and available for analysis in the dataset received by the North East National Drug Treatment Monitoring System Team (NDTMS) from the National Treatment Agency (NTA) for Substance Misuse. This report is a historical look at the NDTMS data for young people during 2008-09. It does not reflect the current national picture for young people accessing substance misuse services in the North East for 2011 or, the 2010 national drug strategy.

National Quality and Outcomes Framework Statistics for England 2007/08

The national Quality and Outcomes Framework (QOF) was introduced as part of the new General Medical Services (GMS) contract on 1 April 2004.

NDTMS Annual Report 2006

The National Drug Treatment Monitoring System (NDTMS) is a system that collects data on problem drug users in treatment and is designed predominantly to monitor services. This paper reports on information held in the NDTMS database for the years 2004/05 and 2005/06. During 2005/06 about 9000 people were treated in about 125 agencies.

NDTMS North East Region Annual Report 2008 using data from 06/07

The North East of England has a population 2.6 million and around 16,000 problem drugs users. There are 12 Drug Action team areas and 147 agencies providing structured drug treatment. Data for the region from NDTMS for 2006-07 show:

NDTMS North East Regional Annual Report 2010 using data from 2008-09

This annual report is a historical look at the NDTMS data for adults in substance misuse treatment during 2008-09. It does not reflect the current national picture for young people’s substance misuse treatment in the North East for 2011 or, the 2010 national drug strategy. It reflects the first year in the National Drug strategy for 2008-2018 “Drugs: protecting families and communities, 2008”.

NECCPS Newsletter July 2011

NORTH OF ENGLAND COLLABORATIVE CEREBRAL PALSY SURVEY - JULY 2011

NEPHO Annual Report 2007

NEPHO's Annual Report which details our activity and outputs for 2007

NEPHO Information Governance Policy

This NEPHO Information Govemance Policy replaces the NEPHO Security and Confidentiality Policy which was last fully revised in August 2004. There had been a series of updates and interim guidance and it was clear a more radical overhaul was necessary. The scope has been broadened to cover all aspects of Information Governance such as information sharing and freedom of information not just Security and Confidentiality. It takes account of recent changes in law and guidance although this is a rapidly changing field and will still require constant updating. The opportunity has been taken to restructure so that more background information can go into the appendices in order to focus on practical guidance.

NEPHO Newsletter

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NEPHO Physical Activity Report

This report was prepared to provide an overview of physical activity in the North East, through the use of national, regional and local sources of physical activity data.

NEPHO Publications

Table showing list of planned NEPHO reports and publications.

NEPHO work register guide

A guide to help NEPHO staff update their work register

New arrivals in North East England: mapping migrant health and NHS delivery

North East England is the smallest and least diverse of the nine English regions. Since 1999 it has received more than ten thousand asylum seekers, several thousand migrant workers; and growing numbers of overseas students. This report describes who the North East's new arrivals are, the numbers that have arrived since the late 1990s, the areas in which they are living and the regional infrastructure there to support them. It considers their health needs, current service provision and commissioning arrangements.

NORTH EAST DANCE & HEALTH PROJECT: An evaluation of a creative dance programme in preschool children: findings from a 10 week pilot controlled trial examining physical activity and mental well being outcomes

A short report reviewing the findings from a 10 week trial dance programme to increase mental well being and activity levels in preschool children.

North East Health Profile - 2008

This profile gives a snapshot of health in the North East region. With other regional and local information, this Health Profile has been designed to support action by local government and primary care trusts to tackle health inequalities and improve the health of the population.

North East Maternal Obesity Community Services: A Questionnaire Audit and Qualitative Study

The aim of this study was to identify current community based initiatives relating to maternal obesity in the North East of England. The specific objectives were to: 1) Develop a better understanding of community based initiatives relating to maternal obesity in the North East 2) Gain practitioner views on services directed towards obesity and pregnancy, and their perceived role in the management and prevention of maternal obesity.

North East Obesity Service Mapping Report

As part of broader regional strategy to tackle obesity, the obesity service mapping questionnaire was developed to map a baseline of existing obesity services, identify gaps/service needs and highlight emerging good practice.

North East Obesity Service Mapping Report

This is the third annual obesity service audit for the North East. The aim of this report is to provide an overview of all North East obesity interventions (service level tiers 1-4).

North East Pilot BMI study report

This report describes research on the National Child Measurement Programme (NCMP).

North East Public Health Observatory Annual Report 2009

This report aims to account to our stakeholders for the use of our resources in 2008 and to show the significant part the North East Public Health Observatory plays in contributing towards improving health and reducing health inequalities within the North East region. It provides an overview of our key activities and outputs.

North East Public Health Observatory: Pilot Peer Review: April 2009

All PHOs in England are undergoing a process of peer review. The North East Public Health Observatory had its peer review in April 2009. Following the peer review all PHOs have produced an action plan to implement the recommendations.

North East summary of Annual Health Check 2005/2006

The Healthcare Commission - the independent inspection body for the NHS - published the results of its annual health check for 2005/2006 on 12th October 2006. A summary of the results in the North East region has been prepared by the North East PHO.

Northern Diabetes in Pregnancy Survey (NorDIP): Regional and unit-based audit analysis 2005-2007

The Northern Diabetes in Pregnancy Survey (NorDIP) is an on-going survey of all pregnancies in women with pre-gestational diabetes within the Northern region (Northumberland, Tyne & Wear, County Durham, Tees Valley and the northern part of Cumbria). The aim of the survey is to monitor outcomes of pregnancy and to compare care against agreed standards. Details of NorDIP and the standards of care used for this audit are available at www.nepho.org.uk/rmso

Northern RMSO Annual Report 2002

With final 2001 and provisional 2002 data.

Northern RMSO Annual Report 2003

With final 2002 and provisional 2003 data.

Northern RMSO Annual Report 2004

With final 2003 and provisional 2004 data.

Northumberland Care Trust Director of Public Health Annual Report 2005-2006

In the Annual Report for 2005-2006, Mike Lavender describes the importance of partnership working for the improvement of health. He uses examples of working with young people, older people, clinical networks, disease prevention and working through Local Area Agreements (LAAs) to illustrate this for 2005-2006.

Obesity Prescribing Trends in the North East - July 2009

Summary

  • Obesity is a serious, growing public health problem in the North East.
  • National and regional guidance support the use of pharmaceutical interventions where appropriate.
  • The number of obesity prescriptions has grown over time.
  • Whilst differences exist between weighted prescribing rates across the North East, these are not statistically significant.
  • Orlistat is the most commonly prescribed obesity drug in the North East, and prescribing rates for this drug are the highest in England per head of population.

Obesity Service Mapping Questionnaire: Summary Report 2009

This is the second year of obesity services audit for the North East [4]. Annual collection of this data is important to: 1) understand differences in service provision across the region; 2) disseminate emerging good practice; and 3) ensure capacity is meeting needs. As part of a broader regional strategy to tackle obesity, the obesity service mapping audit was developed to provide a baseline of existing obesity services, identify gaps/service needs and highlight emerging good practice. This year, the questionnaire was also tailored to capture use of the national Standard Evaluation Framework (SEF) (http://www.noo.org.uk/sef) which is being advocated across the region.

Occasional Paper 02 - Scoping Study of Mental Health Data: Key Messages

This paper provides a summary of key messages from the scoping study undertaken by the Centre for Public Mental Health, University of Durham for the North East PHO.

Occasional Paper 05 - Implementation of the Renal NSF in the North East and Cumbria

This report provides a summary of a study that was set up in 2002 by the North East PHO to examine the implications of implementing the Renal NSF.

Occasional Paper 06 - Pregnancy and Infant Health in the North East & North Cumbria

This occasional paper provides information about the surveys managed by the RMSO and highlights services available to clinicians, Directors of Public Health and researchers. The data insert covers North Cumbria.

Occasional Paper 06 - Pregnancy and Infant Health in the North East & North Cumbria

This occasional paper provides information about the surveys managed by the RMSO and highlights services available to clinicians, Directors of Public Health and researchers.

Occasional Paper 07 - Census 2001 - Health and the North East

This occasional paper provides a summary of health variables from the 2001 Census for Primary Care Organisations (PCOs) in the North East of England.

Occasional Paper 09 - Census 2001 - Housing and the North East

This occasional paper describes the households and housing of the North East, focussing on the links between housing and deprivation and housing and health

Occasional Paper 10 - Obesity and overweight in Europe and lessons from France and Finland

The rise of obesity is widely accepted as a major public health problem in the UK. In this paper we aimed to investigate the scale of the problem in the rest of Europe, and whether any lessons can be learned from the study of other countries.

Occasional Paper 12 - Comparison of Health in Moravia Silesia (Moravskoslezsky) in the Czech Republic and the North East Region of England

The North East Assembly signed an agreement with the region of Moravia Silesia to enable the sharing of experiences and facilitate learning. The region in the Czech Republic was identified in a separate piece of work to identify comparable regions with the North East. In November 2004, the PHO was asked to undertake a comparative analysis of the available health data in the two regions.

Occasional Paper 14 - Using the National Drug Treatment Monitoring System (NDTMS) data in the North East 2004

Drug misuse in the UK is now a serious cause of morbidity and mortality. In response to an increase in the prevalence of drug misuse the Government created The National Treatment Agency for Substance Misuse (NTA) in 2001 to improve the availability, capacity and effectiveness of treatment for drug misuse in England as part of its National Drug Strategy. In April 2001 responsibility for NDTMS moved from the Department of Health to the NTA. In the North East region, the most significant recent change was the development of the North East regional NDTMS team in April 2004, under the management of the North East PHO.

Occasional Paper 18 - Life Expectancy in Hartlepool

This paper summarises key findings from the North East PHO's analysis of life expectancy in Hartlepool

Occasional Paper 23: The prevalence of smoking in the North East

This report was commissioned by Smoke Free North East (SFNE) to provide support for service commissioners and providers in tobacco control. It has been replaced by occasional paper 30

Occasional Paper 44 - Count-Me-In Census of Inmates of the Prison Service October 2009: Wales

This report covers the censuses of in-patients in mental illness and learning disabilities specialties. This was introduced as one of the building blocks of the last UK government's plan to tackle inequalities in access and outcomes for mental health service users from black and minority ethnic (BME) groups.

Occasional Paper No 11 - Revascularisation Surgery in the North East of England

In this paper, we use HES data, deprivation data and mortality data to assess to what extent hospital trusts and primary care organisations in the North East of England are meeting the targets set out in National Service Frameworks: Coronary Heart Disease

Occasional Paper No 16 - The Health Needs of Prisoners

The purpose of this paper is to highlight the health needs of prisoners.

Occasional Paper No 17 - Total Hip Replacements in the North East

In this paper we aim to use Hospital Episode Statistics (HES) to explore variation in provision and outcome following a total hip replacement in the North East of England.

Occasional Paper No 19: Northern Diabetes in Pregnancy Survey - Audit of Units against Standards of Care

This report looks at progress made by units in implementing the regional standards of care of diabetes in pregnancy and provides simple outcome measures at unit level (anonymous).

Occasional Paper No 19: Northern Diabetes in Pregnancy Survey - Audit of Units against Standards of Care

The North East PHO and the Northern RMSO have published this report of an audit of unit performance against the agreed regional service standards for the care of women with diabetes in pregnancy and their babies.

Occasional Paper No 21 - Alcohol and Health in North East England 2006

The consumption of alcohol is a complex public health issue.

Occasional Paper No 25 - Drug Related Deaths (Post Event) 2006

DRDs increased between 2003 and 2004 in the North East against a national falling trend. However, the North East has not been highlighted by np-SAD as having amongst the highest death rates nationally.

Occasional Paper No 29 - Migrant Health in North East England

North East England is the smallest and least diverse of the nine English regions. Since 1999 it has received more than ten thousand asylum seekers, several thousand migrant workers; and growing numbers of overseas students.

Occasional Paper No. 24 - The Mental Health Minimum Data Set: A First Sight of the Data

This occasional paper uses the year end returns for 2004/05 to identify the challenges involved in readying this new data source for full national use and to provide an introduction to the key issues in assessing MHMDS data quality and the challenges involved in improving it.

Occasional Paper No. 26 - A Monitoring Framework for Regional Tobacco Control in the North East

The framework is de-signed to be used as a routine mechanism for monitoring and evaluating the work of SFNE.

Occasional Paper No. 30: The Prevalence of Smoking in the North East

This report updates and replaces Occasional Paper 23 as the measures of the smoking prevalence have moved on significantly since its publication, particularly with the advent of the new national Integrated Household Survey. Its purpose is to describe the data sources that SFNE should use as official figures and to provide support for service commissioners and providers in tobacco control.

Occasional Paper No. 31: Using European Health Data for Commissioning

The concept of World Class Commissioning means that commissioners will have to assess the outcomes of commissioning, not only against England benchmarks, but also those further afield. This report examines comparable data from Europe to gain a better understanding of health.

Occasional Paper No. 36 December 2009: Surveillance of infant mortality and its determinants: a feasibility study of the use of maternity unit data

Summary

Infant mortality is an important indicator of population health.

Reducing inequalities in infant mortality is a key national target to reduce inequalities in health outcomes. This study explored the potential value of electronic birth records held by maternity units for the surveillance of determinants of infant mortality.

The study population included all live births between 2003 and 2005 in five maternity units in the North of England.

Electronic maternity unit data could provide a valuable data source for monitoring progress towards reducing risk factors for infant mortality.

On the State of Public Health: Annual Report of the Chief Medical Officer 2005

The Chief Medical Officer, Professor Sir Liam Donaldson, has published his Annual Report for 2005. The report highlights the health challenges facing the UK and outlines progress made against key actions identified in his Annual Report 2004.

On the state of the public health: Annual report of the Chief Medical Officer 2004

The Chief Medical Officer's Annual Report 2004 identifies major health challenges requiring immediate action, and describes progress in addressing issues featured in previous reports.

OP1 - An Overview of Health Impact Assessment

This paper, published in May 2001, provides a brief summary of the literature on Health Impact Assessment (HIA), outlines the benefits and constraints of undertaking HIA at local level, identifies resources/toolkits to support HIA and specifies roles for the Public Health Observatory and the Health Development Agency.

OP22: Maternal Obesity and Pregnancy Outcome: A Scoping Study

Maternal obesity is becoming a serious problem. This study looks at some of the issues which are an issue when dealing with obesity in pregnant women.

PHO Handbook of Health Inequalities

This new APHO handbook primarily focuses on the measurement and interpretation of health inequalities. It provides a comprehensive collection of material for those concerned to document and understand health inequalities.

Premature mortality from smoking in the North East of England

Smoking kills over 1,700 people every year in the North East before they reach the age of 70, accounting for 29% of premature deaths in the region compared with 26% of all premature deaths in England. Premature mortality from smoking in the North East is higher for men than for women and the highest rates are seen in Middlesbrough and Newcastle. The majority of these smoking-attributable deaths are from cancer, although smoking also accounts for 82% of the premature deaths from COPD and 32% of the premature deaths from cerebrovascular diseases.

Progress and Prospects 2004/05

This document describes the work of Public Health Observatories (PHOs). Including support of the English Public Health White Paper 'Choosing Health', supporting effective public health practice and helping to build regional public health intelligence, and how APHO embraces the UK and Ireland and is developing strong links with Europe

Progress in Revascularisations in the North East of England

This paper describes the progress made by NHS Trusts providing cardiovascular services and commissioning Primary Care Trusts (PCTs) in the North East of England in improving revascularisation since 2003/04.

Reducing Early Mortality from Cancer across the North East of England

Summary

  • Early mortality rates for all cancers have fallen across England, the North East SHA and every regional PCT since 1995-1997.
  • There is a more varied picture across the North East for under 75 mortality rates for colorectal cancer and breast cancer.
  • There have been reductions across all areas in the rate of early deaths from lung cancer. Under 75 mortality rates for prostate cancer have risen across the North East since the baseline; this is reflected in many of the PCTs.
  • Many of the current early mortality rates are not significantly different than the 2010 target suggesting many of the PCTs will perform successfully against the 2010 target at the outturn.

Regional Maternity Survey Office Newsletter - January 2006

Topical issues from the RMSO are included in the January 2006 newsletter.

RMSO 2005 Annual Report

Provisional data for 2005 and final data for 2004.

RMSO Annual Report

This is the twenty-sixth annual report produced by the RMSO. It presents data from 2007 (the most recent data available) and reports on activities for 2008.

RMSO Annual Report

This is the twenty-seventh annual report produced by the RMSO. It presents data from 2008 (the most recent data available) along with partial activity information for 2009.

RMSO Annual Report 2006

With final 2005 and provisional 2006 data.

RMSO Leaflet

This leaflet describes the role of the RMSO in measuring health problems of mothers, babies and children in Northern England.

RMSO Newsletter - February 2007

Topical information about the Regional Maternity Survey Office.

RMSO Newsletter - September 2009

A newsletter outlining events, publications and changes to staff at the RMSO.

Sexual Health in England: An Updated Guide to National and Local Surveillance and Monitoring Data

This is an updated guide to local and national quantitative data that can be used for planning and monitoring sexual health services and health promotion activities.

SPARCLE North of England Report

This report is about 8-12 year old children with cerebral palsy in the North of England. Researchers visited the 116 children and their families that joined the study. The visits were part of a larger study, the Study of Participation of Children with Cerebral Palsy Living in Europe (SPARCLE), which visited 818 children with cerebral palsy across Europe.

Specialist Alcohol Treatment April to June 2008

Since 1st April 2008 all providers of specialist alcohol treatment (defined in Models of Care for Alcohol Misusers1) have been obliged to submit data to the National Drug Treatment Monitoring System (NDTMS) on all patients receiving specialist treatment for their alcohol misuse. The data collection supports the Government’s National Alcohol Strategy and provides information for the National Treatment Agency for Substance Misuse (NTA) and for commissioners on the provision of specialist alcohol treatment services at a local level.

Specialist Alcohol Treatment April to June 2008

Since 1st April 2008 all providers of specialist alcohol treatment have been submitting data to the National Drug Treatment Monitoring System (NDTMS). This interim reports shows that as at 30th June 2008, there were 146 adult and young people treatment providers in the North East, actively reporting to NDTMS for either drug or alcohol specialist treatment provision, of which 117 were providing specialised alcohol treatment. There were 4,269 people in treatment provided in the 12 North East DAT/PCT areas during the first quarter of 2008/09. Overall treatment rates in the North East are close to the national average, but there is an apparent fourfold variation in service provision across the region which is explored in the report.

Specialist Alcohol Treatment in the North East 2008

This paper describes the level of specialist alcohol treatment provision in the North East of England. Its purpose is to support Primary Care Trusts (the commissioners of services) and others in understanding patterns of care and to signal the availability of this information for future use. The data come from the National Drug Treatment Monitoring System (NDTMS) and is for the first two quarters of 2008/09 and updates an earlier report.¹

Surveillance of infant mortality and its determinants: a feasibility study of the use of maternity unit data

1.1.1 Definitions

Infant death is defined as the death of a live born baby in the first year of life. The infant mortality rate is the number of infant deaths per 1000 live births. The infant mortality rate consists of two components, neonatal deaths which occur during the first 28 days of life, and post-neonatal deaths which occur after 28 days and up to one year.

The Cervical Screening and Cancer e-Atlas

The Cervical Screening and Cancer e-Atlas is a new web-based analysis tool that gives instant access to current comparative cervical screening and cervical cancer data at local and national level.

The Development of Maternal Obesity Maternity Services in the North East of England: A Qualitative Study

The results of this follow up study have identified that there has been some significant development in maternal obesity services since the previous study conducted in 2005/2006.

The Effectiveness of Public Health Interventions for Increasing Physical Activity Among Adults: A Review of Reviews

This briefing presents the current evidence from selected good quality systematic reviews and meta-analyses published since 1996.

The Health Impact of the 2012 Games: a Screening Health Impact Assessment of the North East

The London Olympic Games and Paralympic Games 2012 ("The Games") could have a health benefit for the North East.

The Mental Health Minimum Data Set 2006/07 and 2007/08

The Mental Health Minimum Dataset (MHMDS) was introduced in April 2003, to collect detailed data on the mental health care received by individuals in England. Since that time, data have become available for secondary analysis in batches. Two years data, covering the NHS years 2006/7 and 2007/8 were made available to the Public Health Observatories in August 2009. An analysis of the substantive findings in these datasets was published by the NHS Information Centre. This paper provides an overview of a number of data quality issues emerging from the datasets. We reported on an overview of the data quality in the returns for 2004/5, here we review the issues in these more recent data.

The National Child Measurement Programme: 2007/08 Findings from the North East of England

The National Child Measurement Programme (NCMP) was established to annually weigh and measure all children from Reception and Year 6 in maintained schools across England. In 2007/08, National Child Measurement Programme data was collected by all 12 North East Primary Care Trusts, providing a total of 51,801 records and a participation rate of 93.3% for Reception and 90.3% for Year 6, an increase of 6% and 8% respectively from last year.

The National Child Measurement Programme: Findings from the North East of England for 2008/09

The report provides a detailed analysis of the National Child Measurement Programme data for all North East Primary Care Trusts and Local Authorities.

The Prevalence of Smoking in the North East

The report describes the sources of data to use for the monitoring and description of smoking prevalence at regional, local authority and small area neighbourhood geographies in the North East. The report also presents and comments on the data from each source to give advice on its use and robustness.

The advised data sources for smoking prevalence are:

  • General Lifestyle Survey (GLF) for national and regional level reporting
  • Integrated Household Survey for local authority and regional level data
  • Synthetic estimates of smoking prevalence for local areas

The Social Care Needs of Short-Sentence Prisoners

This review identified a range of needs among short-sentence (<1 year) prisoners; the presence of multiple needs was common. Needs included: Accommodation; Employment, Training and Education; Finance, Benefit and Debt; Drugs and Alcohol; Family, Relationships and Social Networks; Emotional Wellbeing; Mental Health; Disabilities including Learning Disabilities and Difficulties; and Thinking, Attitudes and Behaviour. Many screening tools are in use but screening and assessment processes are fragmented. The evaluations of a number of successful projects targeting short-sentence prisoners or similar groups are described together with recommendations fornext steps.

Trends in drug use in the North East

This paper describes the trends of problematic drug use as recorded in the National Drug Treatment Monitoring System (NDTMS) for patients resident in the North East at their first presentation for specialist drug treatment. Its purpose is to support the commissioners and providers of drug treatment, and provide intelligence to inform all concerned with the harms drug use can cause to both the individual and the community.

Use of mental health services by minority ethnic groups in England

Over the last decade, four new types of mental health care have been introduced in the English NHS. This study examines how far these have been used in the care of minority ethnic groups.