Susan Crane, Children, Young people and Maternal health Programme Manager, UCLPartners

Dougal Hargreaves, UCL Institute of Child Health

UCLPartners child health data platform

3 March 2015

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Overview

• Those responsible for commissioning children’s services often lack the capacity, time or opportunity to find the data necessary to make the most informed commissioning decisions

• UCLPartners aims to develop a child health data platform that will move beyond data capture to the interpretation and presentation of those data in a meaningful, relevant way to inform LAs/CCGs on how to provide the best care for children

• Key challenges are to:

o identify the key indicators

o support development and interpretation of minimum datasets

o provide guidance on where resources will have the greatest impact

o support a co-ordinated approach to delivering the early years agenda in the London Health Commission report

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Purpose of this session

• Present examples from the UCLPartners mental health platform

• Consult on how this approach can most usefully be applied/adapted to support commissioning for CYP health

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Admissions for mental disorders per 100,000 population aged 0-17 years, by LA area

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% and number of children classified as overweight and obese by LA area

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% patients with new diagnosis of depression who had assessment of severity at time of diagnosis (QOF DEP06)

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Total PCT spend (£) for Child and Adolescent mental disorder per 100,000 population

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Net Savings (£M) after 2-11 years if all parents of children with conduct disorder received parenting interventions

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Recommendations for intervention

• Starting well

• Developing well

• Living well

• Working well

• Ageing well

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Context of commissioning for CYP health

• Data access, analysis and recommendations across all needs of a population

• Relative focus/attention on CYP in JSNAs and other commissioning documents

• Existing data availability (www.chimat.org.uk)

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Consistent/common

• Analysis of demographic data

• Detailed data on major public health concerns and healthcare activity for CYP

• Marmot report

• Focus on early years

Variable

• Data linkage (eg: between health and education, primary/secondary)

• Size of area for analysis

• Clear strategy to address social determinants ‘effect of welfare reforms on the health and well-being of CYP’

Review of CYP content in JSNAs/commissioning intention documents

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Possible contribution of the child health platform

• Developing new informatics tools

• Health economics modelling

• Streamlining data analysis/presentation process

• Options analysis for interventions

• Evaluation of existing interventions

Feedback very welcome!