International Health Intelligence Portal:Tool for the NHS Scotland Global Citizenship Programme

Prof Mahmood Adil Medical DirectorInformation Services Division (ISD) Scotland& Health Protection Scotland

Visiting Professor of International HealthStrathclyde University

Context

Empowering People to Make ChangeLocally and Internationally

Empowering People

• Knowledge

• Skills

• Resources

• Time

• Acknowledgement

Make Change

• Quantity

– Affordable universal coverage (serving more needy patients)

• Quality

– Safety

– Effectiveness

– Experience

• Key Principles:

– Universal coverage

– Free at the point of delivery

– Based on clinical needs

• To improve health

outcomes of the nation

National Health Service

5th July 1948

Scotland’s biggest knowledge assets

Health Data & Actionable Intelligence

LOCALLY

A&E

Maternity

BIRTH

DEATH

Child health surveillance

Immunisation

GP consultations

Outpatients Hospital Admissions

Mental Health

Prescribing Screening

Continuing care census

Cancer registry

Dental inspection

Scottish birth record Substance misuse

Clinical audits

Scotland has some of the best health service data in

the world

The data landscape

Every week in Scotland data are collected on around :

1,000 Births

15,000 Out of Hours attendances

20,000 Screened for cancer

30,000 Hospital discharges

30,000 A&E attendances

40,000 NHS eye exams & tests

90,000 NHS dental treatments

200,000 Outpatient clinic attendances

500,000 GP practice consultations

2,000,000 Drugs dispensed

ISD Scotland

• Producer of Scotland's official health statistics

• Responsible for over 200 national datasets

• 600 staff with over 50 clinicians

http://www.isdscotland.org/

We create value by transforming data into actionable intelligence

CHI

Linked health and social care data at individual service

user level

Integrated Data

A&E

DeathsInpatients

Day cases

Prescribing

Age/gender

Linked File

SPARRA

Social Care

SIMD Outpatients

Primary care

Clinical Outcome Indicators (Example)

Lung Cancer – 2013(Health Board of Residence View)

Burden of Disease in Scotland

Reality –18th September 2018

www.mydiabetesmyway.scot.nhs.uk

• 300,000 patients (5.3%)

• 10% of health budget

• Variation in clinical outcomes

International Health Intelligence Portal

Tool for Global Citizenship Programme

• WHO

• World Bank

• ?

• ?

• ?

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Malawi – Health Intelligence

• Burden of disease

• Health Services Structure

• Key policy challenges

• Who is involved

• Example of best

practice

Country Profile and Health IntelligenceNHS Global Citizenship website

Stethoscope to Datascope

@mahmoodadil

• Explore the local data – ask questions

– How many patients been seen at your ENT clinic?

– Do you keep record of procedure and outcomes?

– What resources being used per patient

• Raise the importance of health intelligence

• Offer Scottish solution and support to help the organisation and the country to build their health intelligence

During your visit

Prescription for Success

• Comprehensive data and health intelligence are essential for effective health care system and organisations.

• Being a professional leader is about having an insight (with data and intelligence) to make the biggest difference in patient and population health across the globe.

• You could champion the cause while being part of the Global Citizenship Programme

• Better data, better lives, better health care.

From Good to GreatScotland’s Impact on Global Health

@mahmoodadil

mahmood.adil@nhs.net

mailto:Mahmood.adil@nhs.net