Acute Specialities Mapping

26th June 2014

Mapping Acute Specialities

• Ireland-Northern Ireland Cross-Border Cooperation Observatory (INICCO) II

– Centre for Cross Border Studies (CCBC) – Cooperation and Working Together (CAWT) – AIRO, NUIM

• Mapping and analysis • Aims and Objectives:

– To address an information gap that constrains cross-border cooperation among health service providers

– To facilitate planning of shared acute health services on a border region and all-island basis;

• First Steps..... – Development of a mapping tool to view acute health specialities in the

cross-border area – Visual demonstration of access in both jurisdictions – Quantify number of people with good/bad access

Mapping Acute Specialities

• Phase 1 – Data collection and initial analysis – Ear, Nose & Throat (ENT) – Ophthalmology – Urology – Vascular

• In Patient • Out Patient • Day Patients

– Radiotherapy • 2014 and 2016

• Study Area – 40km either side of border

• Population 1.3m • 556k in RoI, 781 k in NI

– 0 to 14 Years: 288k – 15 to 64: 874k – 65plus: 174k

– Services from 35 Hospitals/Care Centres

All-Island Accessibility Mapping

• Methodology – Location of Acute Services, Residential Address data, Road Network – Accessibility scores developed for every residential address point in the study

area (550k) (2,695,923 in island of Ireland) – NAVTEC roads dataset

• Average speed (midway between Peak and Off-Peak) • +10% congestion charge for urban areas • +3 minutes delay added to each score

15 minutes

All-Island Accessibility Mapping

• Small Area boundaries in study area – Average drive-time based on weighted residential address scores

• 4,193 Small Areas (SAs) – 1,770 in NI – 2,423 in RoI

All-Island Accessibility Mapping

All-Island Accessibility Mapping

Mapping Acute Specialities

• Phase 1 – Analysis – Ear, Nose & Throat (ENT)

• In Patient • Out Patient • Day Patients

– Ophthalmology – Urology – Vascular – Radiotherapy

• 2014 and 2016

Mapping Acute Specialities – ENT (In)

Mapping Acute Specialities – ENT (Out)

Mapping Acute Specialities – ENT (Day)

Mapping Acute Specialities – Oph (Out)

Mapping Acute Specialities – Oph (Day)

Mapping Acute Specialities - Ur (In)

Mapping Acute Specialities - Ur (Out)

Mapping Acute Specialities - Ur (Day)

Mapping Acute Specialities – Vas (In)

Mapping Acute Specialities – Vas (Out)

Mapping Acute Specialities – Vas (Day)

Mapping Acute Specialities - Radiotherapy 2014

Mapping Acute Specialities - Radiotherapy 2016

Mapping Acute Specialities – All-Island View

Online Mapping Tool

http://airomaps.nuim.ie/flexviewer/?config=ASM.xml

Online Mapping Tool

LINK

Next Steps

• Move from mapping at case-study level to All-Island level • Much bigger data capture exercise (CAWT, HSE...) • Methodology in place. Re-run analysis and update mapping tool

• All Acute services: – A&E, Radiotherapy.......(diabetes, dermatology, cancer, mental health, orthopaedics – INTERREG V)

• Scenario analysis • Opening/closing services - how does this affect service provision? • Open or closed border? • Mapping actual commuters zone to hospitals (address data of patients)

• Development of fully functioning mapping system with integrated data visualisation tool – Add detailed information at SA level

• Travel times, nearest service RoI or NI, opening times – Embed within new AIRO site

• Integrate new data into AIRO ‘Data for Decisions’ training days – QGIS Open source workshops – InterTradeIreland, Border Regional Authority, Land and Property Services NI,

HSE?

Thanks

Questions?

w: www.airo.ie e: justin.gleeson@nuim.ie

twitter: airo_nuim