Supporting NHS England

Supporting NHS England Area Teams

Transcript

1. GIS Support for NHS England Area Teams Trevor Foster GIS & Primary Care Manager South, Central and West Commissioning Support
2. South, Central & West Commissioning Support (SCWCS) GIS and Mapping Service • What is GIS? • About us • How GIS is used in healthcare - Example analysis and maps • Case study examples • Demonstration - HealthGIS Maps (online mapping portal) – GP Finder – BNSSSG CCGs project – MapCat (map catalogue)
3. What is GIS? • Geographic Information System (Wikipedia): – “GIS is the merging of cartography, statistical analysis, and database technology” – “integrates, stores, analyses and displays geographic information for informing decision making” • Data management and preparation – maps and health data • Geocoding/georeferencing • Analysis – statistical, spatial • Thematic styling • Layers; Admin boundaries, road network, sites, people
4. Helps support business decision making Support around: Using: • Contract management • Performance monitoring • Service review/development • Public Health • Commissioning • Estate planning & facilities • Emergency planning • Travel & Access analysis • Ordnance Survey digital data/maps • Population statistics • Patient distribution • GP and Hospital activity data ------------------------------ • MapInfo Professional • RouteFinder • BaseMap TRACC • Cadcorp SIS “Everything happens somewhere” “80% of data has a geographical component”
5. SWCS - GIS and Mapping Service • Formerly Avon IM&T Consortium – 2013 moved to South West CSU – 2015 moved to South, Central and West CSU • Supporting HA/PCTs/CCGs and others for 20 years • Ordnance Survey licensing - OpenData & PSMA (2010/11) • OS Multi-Client Contractor License (2011) • Growth in demand from wider NHS • Developed team of specialised GIS analysts/developers • Traditional GIS analysis and mapping • HealthGIS Maps (on-line mapping portal) • Licensed partner with Ordnance Survey (2014)
6. South, Central and West CSU
7. • Bristol, North Somerset, South Glos, Somerset CCGs • NHS England Area Teams – BNSSSG, East Anglia (Serco), Shropshire & Staffs, BGSW, Devon & Cornwall, Kent & Medway • Strategic Clinical Senates – South West, Wessex, Thames Valley • Public Health depts in Local Authorities – Avon, Wiltshire, Dorset • Community Health – Bristol, North Somerset, South Gloucestershire, Sirona Care & Health • PCC (Primary Care Commissioning), Soar Beyond – PNA support • NHS Property Services (BNSSSG) • Mental Health Trust (NW London) • Royal College of Midwives (National project) • Ad-hocs; Hospital Trusts, BBC Children in Need, NHS Scotland Customers
8. Examples of GIS work
9. Contract management • GP contract map • Where GIS started in Avon – mid 90’s • Patient details from ‘Exeter System’ registration database • Postcodes • Graduated symbols thematic • Options to include age/sex
10. • 2012 DH initiative • Surgery location • Contractual area • Registered patients • Drive-time areas (peak-time) for (10, 15 minutes) • No. & % patients in each area GP Outer Areas
11. • Final map • Contractual area • Registered patients • Outer Area boundary • Proposal by practice • No. & % patients in each area GP Outer Areas
12. Service development (GP) • Number of overlapping practice areas across area • Aim is to provide choice of at least 2 practices to patients
13. Service development (GP) • Planned housing development areas • Information from Local Authority • 5,700 + 2,400 houses (approx 19,000 patients) over 20 years
14. Service development (GP) • Residential housing development • Option for proposed District Centre (GP surgery) • Walking access times to nearest GP surgeries
15. Service development (GP) • Second option for proposed District Centre (GP surgery) • Walking access times to nearest GP surgeries • Clearly better access with this option
16. Service development (GP) • GP practice mergers • Boundaries and registered patients
17. Equality Impact Assessment • Maps and information to support assessments • Area and registered patients • Deprivation • Travel access (drive, walk, PT) • Practice coverage • Profile reports
18. Pharmacy Control of Entry • Pharmacy application maps • e.g. Boots, Lloyds, independents • Informs CCG board • Proposed location • 1.6km buffer area • Pharmacies • GP Practices • Registered population (dispensing, non-disp) • Distance measurement • Terrain, slope gradients
19. Pharmacy Control of Entry • Distance and time measurement between locations • Walking • Driving • Cycling
20. Pharmacy Control of Entry • Terrain, slope gradients • Distance and time measurement between locations
21. Pharmaceutical Needs Assessment (PNA) • Mandatory HWB/CCG requirement • Annual refresh & publish • Supports HWB, CCG, PH planning and development • Maps – Pharmacy contractors – 1.6km buffers – Travel access; drive-times (average, peak, off-peak), public transport, walking. Population numbers by travel time zones – Opening times and availability – Demographic maps; deprivation, population density, ethnicity – Lifestyle maps; obesity (adults, children), smoking prevalence
22. PNA
23. Dispensing List Validation • Pharmacies and dispensing GP practices • 1.6km exclusion zones • Plus Non-Controlled Locality areas
24. Dispensing List Validation • Dispensing practice map • Dispensing patients plotted • Patient numbers and details (list) inside/outside areas
25. Reserved Locations • Parish boundary • Road distances • Population counts
26. Reserved Locations • Controlled localities • Rural/Urban classification • Pharmacies, GP surgeries
27. Dental Monitoring Reports • All practices accepting/not accepting NHS patients • Target – Everyone to have access to a dentist within 3 miles (deprived areas), 5 miles (urban) • Combined buffer generated from all practices Dental Access
28. • Quarterly/monthly performance monitoring reports • Child Vaccinations & Immunisations, Cancer screening • RAG (Red, Amber, Green) traffic lights for targets achievement Performance monitoring
29. • CQUIN (Commissioning for Quality & Innovation) scheme – Equity of Access • Ambulance response times “A8” performance by division • Top 10 through to Bottom 10 performing divisions • “identify 10 rural areas with significant variance against the performance in the urban centres” Performance monitoring
30. • Somerset GP Out of Hours • Service provider sites • No. calls by type • Deprivation • Population density Commissioning Services
31. • Wessex Paediatric Services Review • Service provider sites • GP Surgeries Commissioning Services
32. • Wessex Paediatric Services Review • Admissions by GP practice • Patients aged 0-4 Commissioning Services
33. • Further information? • Contact us at - trevor.foster@swcsu.nhs.uk GIS.Team@swcsu.nhs.uk • Telephone: 0117 9002490 • Visit our website: http://www.healthgis.nhs.uk http://nww.healthgis.nhs.uk (NHS staff only)