APMS

The APMS Data will be used by the Local Authority in fulfilment of its public health function, specifically to support and improve:

1. the local responsiveness, targeting and value for money of commissioned public health services;

2. the statutory 'core offer' public health advice and support provided to local NHS commissioners;

3. the local specificity and relevance of the Joint Strategic Needs Assessments and Health and Wellbeing Strategies produced in collaboration with NHS and voluntary sector partners on the Health and Wellbeing Board;

4. the local focus, responsiveness and timeliness of health impact assessments; and, among other benefits

5. the capability of the local public health intelligence service to undertake comparative longitudinal analyses of patterns of and variations in:

a) the incidence and prevalence of disease and risks to public health;

b) demand for and access to treatment and preventative care services;

c) variations in health outcomes between groups in the population;

d) the local associations between causal risk factors and health status and outcomes.

The main statutory duties and wider public health responsibilities supporting these processing objectives are as follows:

1. Statutory public health duties that the data will be used to support:

a) Duty to improve public health: Analyses of the data will be used to support the duty of the Local Authority under Section 12 of the Health and Social Care Act 2012 to take appropriate steps to improve the health of the population, for example by providing information and advice, services and facilities, and incentives and assistance to encourage and enable people to lead healthier lives;

b) Duty to support Health and Wellbeing Boards: Analyses of the data will be used to support the duty of the Local Authority and the Clinical Commissioning Group (CCG)-led Health and Wellbeing Board under Section 194 of the 2012 Act to improve health and wellbeing, reduce health inequalities, and promote the integration of health and care services; the data will also be used to support the statutory duty of Health and Wellbeing Boards under Section 206 of the 2012 Act to undertake Pharmaceutical Needs Assessments;

c) Duty to produce Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWBs): Analyses of the data will be used to support the duty of the Local Authority under Sections 192 and 193 of the 2012 Act to consult on and publish JSNAs and JHWSs that assess the current and future health and wellbeing needs of the local population;

d) Duty to commission specific public health services: Analyses of the data will be used to support the Local Authority to discharge its duty under the Local Authorities Regulations 2013 to plan and provide NHS Health Check assessments, the

National Child Measurement Programme, and open access sexual health services;

e) Duty to provide public health advice to NHS commissioners: Analyses of the data will be used by Local Authorities to discharge its duty under the 2013 Regulations to provide a public health advice service to NHS commissioners;

f) Duty to publish an annual public health report: Analyses of the data will be used by Directors of Public Health to support their duty to prepare and publish an annual report on the health of the local population under Section 31 the 2012 Act;

2. Wider public health responsibilities supported by analysis of the data:

a) Health impact assessments and equity audits: Analyses of the data will be used to assess the potential impacts on health and the wider social economic and environmental determinants of health of Local Authority strategic plans, policies and services;

b) Local health profiles: Analyses of the data will be used to support the production of locally-commissioned health profiles to improve understand of the health priorities of local areas and guide strategic commissioning plans by focusing, for example, on:

i. bespoke local geographies (based on the non-standard aggregation of LSOAs);

ii. specific demographic, geographic, ethnic and socio-economic groups in the population;

iii. inequalities in health status, access to treatment and treatment outcomes;

c) Surveillance of trends in health status and health outcomes: Analyses of the data will be used for the longitudinal monitoring of trends in the incidence, prevalence, treatment and outcomes for a wide range of diseases and other risks to public health;

d) Responsive and timely local health intelligence service: Analyses of the data will be used to respond to ad hoc internal and external requests for information and intelligence on the health status and outcomes of the local population generated and received by the Director of Public Health and their team.

These lists of the statutory duties and wider public health responsibilities of the Local Authority are not exhaustive but set the broad parameters for how the data will be used by the Local Authority to help improve and protect public health, and reduce health inequalities. All such use would be in fulfilment of the public health function of the Local Authority.

The analyses of the data will be carried out in accordance with Article 6(1)(e) and 9(2)(j) of the GDPR - the processing is necessary to perform a task in the public interest. In order to fulfil the aims as listed in this agreement.

Ethics approval is not required for secondary analysis of pseudonymised epidemiological datasets.

Wakefield Council are sole data controller with sole autonomy for determining the purposes for processing the APMS data and the manner of processing. No other organisation will process the data.

The APMS dataset will be received in a pseudonymised form so there will be no storage of directly identifiable data at any point. The data, in the form received by the authority, will not leave the organisation, indeed nor the Public Health Intelligence team who receive it. Reports, summaries and website content communicating the summary of the analysis performed by the Public Health Intelligence Team will be shared with partner organisations, in line with the purposes and outputs produced. Following completion of the analysis the record level data will be securely destroyed.

The data will only be processed by Local Authority employees in fulfilment of their public health function, and will not be transferred, shared, or otherwise made available to any third party, including any organisations processing data on behalf of the Local Authority or in connection with their legal function.

The Local Authority will use the data to produce a range of quantitative measures (counts, crude and standardised rates and ratios) that will form the basis for a range of statistical analyses of the fields contained in the supplied data. Typical uses will include:

1. Analyses of disease incidence, prevalence and trends: The age, sex, LSOA, ethnic group, Indices of Deprivation and diagnosis fields typically will be used to produce depression prevalence estimates for the Local Authority, and for appropriate benchmark and comparator areas. Confidence intervals will then be produced for these rates, and the rates analysed using statistical process control methods, to determine whether there are any significant variations in the prevalence of depression with the Local Authority.

2. The results of these analyses will then be used to inform the production of local health profiles, JSNAs and JHWSs; support the ‘core offer’ public health advice provided by the Director of Public Health to NHS commissioners; and advise any enquiries into health inequalities requested by the Health and Wellbeing Board.

UK Data Service are the Supplier; Wakefield Council will process the data received from the UK Data Service (UKDS)

The file received from UKDS will be downloaded to a secure folder on the Wakefield Council drive, from there the survey in its entirety will be uploaded to Public Health SQL Server. This will facilitate the imputation need to make the variable on the coded survey data. Analysis will be performed on the product of the imputation, in SPSS, RStats and Excel.

There are no linkages to be performed as part of this analysis.

The Local Authority will make no attempt to identify the data, and follow the UK Stats Authority, DH and NHS Guidance methods of suppression to mitigate the risk of re identification in any publications.

Public Health only has substantive team members and as part of corporate policy undergoes annual Data Protection train, which now forms part of the NHS IG toolkit submission evidence.

The Public health SQL server has restricted access to the Public Health Intelligence team and named ICT colleagues who support with the processing.

All organisations party to this agreement must comply with the Data Sharing Framework Contract requirements, including those regarding the use (and purposes of that use) by “Personnel” (as defined within the Data Sharing Framework Contract i.e.: employees, agents and contractors of the Data Recipient who may have access to that data).

In order to protect patient confidentiality in publications resulting from analysis of APMS data, researchers will:

•guarantee that any outputs made available to anyone other than those with whom this agreement is made, will meet required standards, including the guarantee, methods and standards contained in the Code of Practice for Official Statistics and the ONS Statistical Disclosure Control for tables produced from surveys;

•apply methods and standards specified in the Microdata Handling and Security Guide to Good Practice for disclosure control for statistical outputs.

The team’s intention is to develop various outputs including:

1. Reports

2. Presentation

3. Info-graphics

4. Website content (www.wakefieldjsna.co.uk )

5. Dashboards

These topics will have the analysis performed by the Public Health Intelligence team, where appropriate suppression and aggregation will be applied to the information source by the Public Health Team. Given that the data is a survey, much of the analysis will be to test the determinants of the diagnosed mental health conditions, their distribution across the demographic of the participation. Having the national data-set will allow the comparison of local analysis to custom geographies of similar Local Authorities.

The outputs will be communicated again in a mixture of ways. The routine analysis that will include the elements of population level need will support the JSNA. This will held infographics or narrative statements as shown http://www.wakefieldjsna.co.uk/adults-2/health-factors/mental-health/common-mental-health-disorders/

Bespoke reports supporting the partnership Mental Health Alliance locally with insight to shape commissioning activity.

Overall the audience for the outputs is the Wakefield Integrated Care Partnership members.

These topics are on a forward plan for the coming financial year covering the following topics;

Work status

Migration (29)

Education Level

Debt

Poverty

Sensory impairments

Learning impairments

Medication use

Long Term Conditions

Sleep and fatigue

Perceptions of community

Neighbourhood

Social contact

Isolation and loneliness

Green space

Smoking

Alcohol

Drugs

Domestic/partner violence

Childhood abuse and neglect

Substance use services

Psycho-social Counselling

Inpatient admittance

The authority recognised this an extensive list is likely to require the authority to refresh this application in a years’ time. At this point there will be demonstrable outputs from this data source, available in multiple spheres across the Wakefield ICP. All outputs will only contain data that is aggregated in line with NHS Digital guidelines.

The APMS data-set will assist Local Mental Health Alliance to keep better informed of local needs/emerging issues. Work on self-harm has come sharply into focus in the local area, comparison of the determinants people experience who go on to commit self-harm will be invaluable.

The Health and Care Integrated Partnership, called locally the ICP, will gain greater insight into local need for mental health services and the determinants that cause a need for mental health services. This will lead to greater service provision in the district and support the roll out of imminent enhanced IAPT services. This will provide evidence for expanding capacity in existing and new services to meet the population need.

Where appropriate this information will be available to the public in the likely form of dashboard and Info-graphics along with narrative about need in the Wakefield community via the Wakefield Joint Strategic Needs Assessment. This will help inform the public and third sector organisation when bidding for contracts.

Yielded Benefits is not a requirement for new applications.