Where are we with health
intelligence?
Dr Julian Flowers
Director of Knowledge and Intelligence (KIT East),
Public Health England
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Where are we with health intelligence?
Health intelligence…
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Data is the lifeblood of public health
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Evidence from data…
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Information for action
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Improving health with information
Flowers, J., & Ferguson, B. (2010). The future of health intelligence: challenges and
opportunities. Public Health, 124(5), 274–277.
“So, what could 2020 look like? There will be no shortage of data, but it will be
much more accessible in raw and aggregated forms produced directly from
clinical and administrative systems, and linked with other data from health
determinants to outcome. In short, there will be a ‘secondary uses service
plus’. We will value our data in the same way as we value diagnostic tests or
clinical procedures. More than this, we will have a more skilled workforce that is
better equipped to use data for decision making at all levels of the service, from
the front-line clinician to the policy maker. We need to do this to really
understand where the money goes and what it delivers in terms of health
improvement. We will definitely be working more collaboratively and collectively
for the good of our populations, and we will understand that patient data,
properly used, are a public good to be cherished. Here's to 2020.”
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There will be no shortage of data….
• The “Power of Information”
• Age of “big data”
• Care.data…
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…it will be much more accessible in raw and aggregated forms
produced directly from clinical and administrative systems, and
linked with other data from health determinants to outcome…
• HSCIC
• Potentially more linked datasets and new datasets e.g.
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Updated Mental Health Minimum Dataset
Diagnostics
HES - Mortality
HES – MHMDS
National Diabetes Audit
Child and maternal dataset
• Care.data….?
• But…
– Significantly disrupted data flows
– Worse access/ tightened guidelines/ unclear regulation
– Information governance
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We will value our data in the same way as we
value diagnostic tests or clinical procedures
• Ermmm…depends on perspective
• Our data or my data?
• Data as intervention – people think
publication of data IS and intervention
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…we will have a more skilled workforce that is better equipped
to use data for decision making at all levels of the service, from
the front-line clinician to the policy maker
• More fragmented
• Loss of skills
• Different skills needed
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We will definitely be working more collaboratively and collectively for the good of our
populations,
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we will understand that patient data, properly
used, are a public good to be cherished
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Transparency: “data is the new oil”
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“Data is the new oil,” declared Clive Humby, a Sheffield mathematician who with
his wife, Edwina Dunn, made £90m helping Tesco with its Clubcard system. The
Guardian Saturday, August 24, 2013
One of the UK's best known venture capitalists, Sherry Coutu, whose previous
investments have included Lovefilm, believes the world's first trillion-dollar
company will be in big data, and it will be British. The data it will use, says Coutu, is
produced by the National Health Service. "If we use algorithms to analyse how
patients get diseases, we will create a trillion-dollar company. I'm very optimistic
that company is going to come out of London."
Controversially, the NHS has recently made patient records available, in
anonymised form, to the private sector. Because the UK's health system is staterun, the information gathered by trusts is standardised, comparable and,
therefore, extremely valuable to pharmaceutical firms. This is not the case in
America, where healthcare is private and each hospital sorts data in a different
way.
http://www.theguardian.com/technology/2014/jun/22/technology-boom-britainlondon-apps-games-big-data
Transparency: “data is the new soil”
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Data science
“Big data” technologies
Data collection – sensors, mobiles
Public good
Knowledge strategy:
Harnessing the power
of information to
improve the public’s
health
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Key commitments
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Support openness and innovation
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Understand and meet public health requirements for knowledge
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Provide the tools for public health professionals to do their jobs
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Develop cross-system networks, tools and services to share intelligence,
expertise and experience
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Work with others efficiently
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Ensure everything we do has a positive impact and provides value for
money
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Here’s to the next 5 years?
THANK YOU
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