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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

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Page 1: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 2: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 3: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 4: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 5: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

KnowledgeManagement

ContentManagement

ComputersInformation Communication Technology

Concept: DIKW

Page 6: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 7: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

From:

D&G to M & S

Analogy from clothing industry

Page 8: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Analogy from clothing industry

H&S Fabricsor . . .

Page 9: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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).

Page 10: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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.)

Page 11: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Business approach - Enquiries database

Page 12: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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%

Page 13: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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”)

Page 14: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Business approach - KCC Intranet page

Page 15: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Page 16: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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)

Page 17: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Business approach - Enquiries database

Page 18: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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.

Page 19: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Page 20: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Page 21: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 22: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Page 23: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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)

Page 24: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 25: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Health & Social Care: the new Agenda

Page 26: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 27: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 28: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 29: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 30: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 31: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 32: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Page 33: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 34: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 35: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 36: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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

Page 37: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Health&

Social CareIndex

Chronic ConditionsDomain

Social CapitalDomain

Life StyleDomain

Care ServicesDomain

Health & Social Care Index?

Page 38: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

Health Strategy & Policy Team - Adult Services

Page 39: Statistical Users Forum Improving Access to Government Datasets Thursday 18 January 2007 Royal Statistical Society, 12 Errol Street, London EC1Y 8LX Local

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