statistical users forum improving access to government datasets thursday 18 january 2007 royal...
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Statistical Users Forum
Improving Access to Government Datasets
Thursday 18 January 2007
Royal Statistical Society, 12 Errol Street, London EC1Y 8LX
Local Government Perspective:
Health & Social Care
Yong Lee
Kent County Council
Health Strategy & Policy Team - Adult Services
• Concept: DIKW
• Analogy: Clothing Industry
• Making Data Accessible: Business approach
• Health & Social Care Data: some analysis, - leading to ...
• Potential: Health & Social Care Index ?
Talk Structure
Health Strategy & Policy Team - Adult Services
Data > Information > Knowledge > Wisdom
Jonathan Hey:
The Data, Information, Knowledge, Wisdom Chain:The Metaphorical link
(UNESCO) December 2004
Concept: DIKW
Health Strategy & Policy Team - Adult Services
Data
Information
Knowledge
Wisdom
Understanding
Co
nte
xt
Researching Absorbing Doing Interacting Reflecting
Joining ofwholes
Formationof a whole
Connectionof parts
Gatheringof parts
Past
Future
Experience
Novelty
DIKW hierarchy: Clark 2004
Concept: DIKW
Health Strategy & Policy Team - Adult Services
KnowledgeManagement
ContentManagement
ComputersInformation Communication Technology
Concept: DIKW
Health Strategy & Policy Team - Adult Services
Concept: DIKW
Data
Information
Knowledge
Wisdom
Understanding
Co
nte
xt
Researching Absorbing Doing Interacting Reflecting
Joining ofwholes
Formationof a whole
Connectionof parts
Gatheringof parts
Past
Future
Experience
Novelty
DIKW hierarchy: Clark 2004
Health Strategy & Policy Team - Adult Services
From:
D&G to M & S
Analogy from clothing industry
Health Strategy & Policy Team - Adult Services
Analogy from clothing industry
H&S Fabricsor . . .
Health Strategy & Policy Team - Adult Services
Business approach - business case
• Meeting e-government agenda (by 2005)
• What are the Content Management issues?Not to replicate ONS (at national level) /
Regional Observatory / Partners / District Councils;
Keep issues focussed on local characteristics;
Need to be specific to customer needs (examine nature of enquiries).
Health Strategy & Policy Team - Adult Services
Business approach - enquiries database
• Monitors: Who contacted us (clients):
Classified into 16 groups (e.g. General Public, Members, Charities, District Councils, etc.)
Thus split internal / external clients
What asked for:
Write in and/or check-box of most popular products;
How enquiry processed (‘phone, email, etc.)
Health Strategy & Policy Team - Adult Services
Business approach - Enquiries database
Health Strategy & Policy Team - Adult Services
Business approach - analysis of clients
Public26%
Business /Consultants
24%
Academic9%
KentDistricts
6%
KCC - Social Services Directorate 6%
KCC - Economic Development 0%
Kent ParishCouncils
0%
Health Authorities1%
GovernmentDepartments
1%
Charitiable Institutions5%
KCC - Corporate Services 3%
KCC - Education & Libraries Directorate 3%
KCC - Members 1%
KCC - Others 3%
KCC - Strategic Planning Directorate 4%
Kent County Constabulary 3%
Other LocalAuthorities 2% Medway Towns
0%
Demographic Enquiries only
Total KCC(internal) = 22%
Health Strategy & Policy Team - Adult Services
Types of down-load able data
• Analogue Data Fixed format (e.g. pdf (with tables and maps pasted
as “pictures”)
Health Strategy & Policy Team - Adult Services
Business approach - KCC Intranet page
Health Strategy & Policy Team - Adult Services
Health Strategy & Policy Team - Adult Services
Types of down-load able data
• Analogue Data
• Digital Data data which can be manipulated (e.g. Excel spreadsheet)
Health Strategy & Policy Team - Adult Services
Business approach - Enquiries database
Health Strategy & Policy Team - Adult Services
Types of down-load able data
• Analogue Data
• Digital Data
• Interactive Digital Data (in a template) e.g. Clients chooses area or variable and the template
gets “populated” with data for chosen area / variable.
Health Strategy & Policy Team - Adult Services
Health Strategy & Policy Team - Adult Services
Health Strategy & Policy Team - Adult Services
Types of down-load able data
• Analogue Data
• Digital Data
• Interactive Digital Data (in a template) e.g. Clients chooses area or variable and the template
gets “populated” with data for chosen area / variable;
Kent View is mapped version
Health Strategy & Policy Team - Adult Services
Health Strategy & Policy Team - Adult Services
Business approach - KCC Internet
• Internet (www.kent.gov.uk/research) Easter 2003: data pages up loaded on internet
July 2003: 1,245 hits (74% for first time)
Homepage: 293 hits (23.5%)
Population: 213 hits (17.1%)
2001 Census: 88 hits (7.0%)
Most popular document (ward population estimates)
Population Estimates : downloaded 114 times
Busiest time:
Day: Tuesdays (26% of weekly traffic)
Time: between 11:00 to 11:59 (14% of daily traffic)
Health Strategy & Policy Team - Adult Services
“We are not tinkers who merely patch and mend what is broken…we must be watchmen, guardians of the life and the health of our generation, so that stronger and more able generations may come after.”
Dr Elizabeth Blackwell 1821-1910
Securing Good Health for the Whole Population - Feb 2004
Health & Social Care: the new Agenda
Health Strategy & Policy Team - Adult Services
Health & Social Care: the new Agenda
26
People aged 16 to 64in All Socio Economic Classification "Not in Good Health"
Ashford
1.4%1.8%
2.3%
4.1%
6.3%
7.4%
2.3%2.7%
4.2%
6.5%
7.7%
8.7%
2.7%
4.1%
5.9%
8.9%
9.9%
9.1%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
16 to 24 25 to 34 35 to 49 50 to 54 55 to 59 60 to 64
% o
f p
eo
ple
ag
ed
16
to
64
Professional, Managerial Occupations
Intermediate Occupations
Unskilled Occupations
Source: 2001 Census (Standard Table 23) Crown Copyright (Office for National Statistics)
Analysis: PPP Unit, Social Services, Kent County Council
Health & Social Care: the challenges
27
Age
People with
Dementia
80+ 1 in 570 to 79 1 in 2065 to 69 1 in 50
Source: Alzheimer’s Society
Health & Social Care: the challenges
Forecast Older Persons 65+Ashford to 2021
0
5,000
10,000
15,000
20,000
25,000
30,000
2006 2011 2016 2021
Per
son
s
85 +
75-- 84
65-- 74
+ 350
+ 510
+ 160
+ 50
+ 120
+ 300
+ 60
+ 50
+ 70
+ 460
+ 680
+ 520
Health & Social Care: the challenges
29
Source: PPP Unit, Kent County Social Services
Dementia: Projection by AgeAshford 2001 to 2021
100 100 100 100 100
400 400 400500
600
9001,000
1,100
1,200
1,300
0
500
1,000
1,500
2,000
2,500
2001 2006 2011 2016 2021
Per
son
s
80+
70-79
65-69
1,4001,500
1,600
1,800
2,000
Health & Social Care: the challenges
30
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Clinician's Interview-based Impression of Change
Severe Severe / Moderate MildModerate
Source: NICE (National Institute for
Clinical Excellence
Severe36%
Moderately Severe
14%
Moderate / Mild50%
Health & Social Care: the challenges
31
500 600800
200200
300700
800
1,100
0
500
1,000
1,500
2,000
2,500
2002 2011 2021
Moderate / Mild (50%)
Moderately Severe (14%)
Severe (36%)
Forecast of Dementia CasesAshford 2021
1,400
1,600
2,100
Source: PPP Unit, Kent County Social Services
Health & Social Care: the challenges
Health Strategy & Policy Team - Adult Services
33
Carers by Districts
11.3
%
11.5
%
11.7
%
11.8
%
12.1
%
12.3
%
12.3
%
12.3
%
12.6
%
12.8
%
12.8
%
13.5
%
13.6
%
14.1
%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
Med
way
Tunb
ridge
Well
s
Dartfo
rd
Tonb
ridge
and
Mall
ing
Swale
Maid
stone
Ashfo
rd
Grave
sham
Kent
Cante
rbur
y
Seven
oaks
Dover
Shepw
ay
Thane
t
Pro
po
rtio
n o
f P
op
ula
tio
n p
rov
ide
d U
np
aid
Ca
re
Source: 2001 Census Standard Table 26 (Crown Copyright) ONS
Health & Social Care: the challenges
34
Economic Activity of Carers:Ashford Wards
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
Charin
g
Wea
ld N
orth
Saxon
Sho
re
Wea
ld C
entra
l
Rolve
nden
and
Tent
erde
n W
est
Downs
Wes
t
Downs
Nor
th
Bidde
nden
St. M
ichae
ls
Wea
ld S
outh
Tent
erde
n Sou
th
Kennin
gton
Wea
ld E
ast
Bybro
okW
ye
North
Wille
sbor
ough
South
Wille
sbor
ough
Isle
of O
xney
Beave
r
Stanh
ope
Little
Bur
ton
Farm
Bockh
ange
r
Highf
ield
Norm
an
Victor
ia
Great
Cha
rt with
Sing
leton
Nor
th
Stour
Bough
ton A
luph
and
Eastw
ell
Godint
on
Tent
erde
n Nor
th
Was
hfor
d
Aylesf
ord
Green
Park
Farm
Nor
th
Single
ton
South
% C
are
rs
2 or more Carers1 Carer Economically Inactive1 Carer FT Student1 Carer UE1 carer working
Source: 2001 Census: Table ST027 (ONS) Crown Copyright
34
1
Health & Social Care: the challenges
35
Households with Persons with Limiting Long Term Illness: Ashford Wards
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
Charin
g
Beave
r
Stanh
ope
Aylesf
ord
Green
Bockh
ange
r
Downs
Wes
t
Tent
erde
n Sou
thW
ye
Tent
erde
n Nor
th
Bybro
ok
South
Wille
sbor
ough
Victor
ia
Wea
ld S
outh
Norm
an
Bidde
nden
St. M
ichae
ls
Isle
of O
xney
Wea
ld E
ast
Saxon
Sho
re
Stour
Little
Bur
ton
Farm
Downs
Nor
th
Wea
ld C
entra
l
Rolve
nden
and
Ten
terd
en W
est
North
Wille
sbor
ough
Bough
ton A
luph
and
Eastw
ell
Kennin
gton
Wea
ld N
orth
Godint
on
Was
hfor
d
Great
Cha
rt with
Sing
leton
Nor
th
Highf
ield
Single
ton
South
Park
Farm
Nor
th
% H
ou
se
ho
lds
HH with 2 or more persons with LLTI
HH with 1 person with LLTI
Source: 2001 Census: Table ST027 (ONS) Crown Copyright
34
1
Health & Social Care: the challenges
36
Measure of Social Capital?Ashford Wards
31
26
33
3032
2321
15
27
24 25
28
9
18
2
5
34
29
6
14
1
22
4
17
20 19
3
10
13
8
16
11 12
7
35
16
1315
10 11
8
2018
21
24
7
17
1
4
34
29
6
14
2
25
9
22
27 26
12
19
28
23
3230 31
33
-30
-20
-10
0
10
20
30
40A
yle
sfo
rd G
ree
n
Ten
terd
en
No
rth
Be
ave
r
Bo
ckh
an
ger
Sta
nh
op
e
Vic
tori
a
No
rma
n
Sto
ur
Wye
So
uth
Will
esb
oro
ug
h
Byb
roo
k
Ten
terd
en
So
uth
Bo
ug
hto
n A
lup
h a
nd
Ea
stw
ell
Isle
of O
xne
y
Sin
gle
ton
So
uth
Wa
shfo
rd
Ch
ari
ng
Do
wn
s W
est
Go
din
ton
Litt
le B
urt
on F
arm
Pa
rk F
arm
No
rth
We
ald
So
uth
Gre
at C
ha
rt w
ith S
ing
leto
n N
ort
h
We
ald
Ea
st
Bid
de
nd
en
St.
Mic
ha
els
Hig
hfie
ld
No
rth
Will
esb
oro
ug
h
Do
wn
s N
orth
Ke
nn
ing
ton
Sa
xon
Sh
ore
Ro
lve
nd
en
an
d T
en
terd
en
We
st
We
ald
Ce
ntra
l
We
ald
No
rth
SU
PP
LY (
Ca
rers
) m
inu
s N
EE
D (
LL
TI)
: R
an
kin
gs
(34
=h
igh
/ 1
=lo
w)
NEED
SUPPLY
SURPLUS
Ranking
Source: PPP Unit (Kent County Social Services) based on data from 2001 Census (ST027)
Health & Social Care: the challenges
Health Strategy & Policy Team - Adult Services
Health&
Social CareIndex
Chronic ConditionsDomain
Social CapitalDomain
Life StyleDomain
Care ServicesDomain
Health & Social Care Index?
Health Strategy & Policy Team - Adult Services
Health Strategy & Policy Team - Adult Services
Where is the Life we have lost in living?
Where is the wisdom we have lost in knowledge?
Where is the knowledge we have lost in information?
T.S. Elliot, “The Rock”, Faber & Faber 1934