Profiling the Health of Europes Regions How do we compare

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Profiling the Health of Europes Regions How do
we compare?
Neil RileyEuropean Project ManagerAssociation
of Public Health Observatories
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Who am I?

• Neil Riley, European Manager for the Association
  of Public Health Observatories (APHO)
• My job is to build an intelligence infrastructure
  around public health and European Regions.
• Contact me on neil.riley_at_rdd-phru.cam.ac.uk or
  44 (0)7976 133 175

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What is this all about?

• Who does YH relate to when comparing itself to
  Europe?
• What tools and evidence are available to us to
  enable comparison?
• What do regions mean in the context of Europe and
  why are they important to us?

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Europe of the regions

• What are the regions of Europe?
• Why do they matter?
• Where are they?

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Regions - More

• Regions are classified by EU system NUTS
  Nomenclature of Units of Territorial Statistics
• The NUTS favours institutional breakdowns
• The NUTS favours regional units of a general
  character.
• The NUTS is a three-level hierarchical
  classification
• In the 25 EU Countries there are 114 NUTs 1 level
  regions and 279 NUTs 2 level regions.
• Yorkshire and Humber is a NUTs 1 level region
  with 4 Nuts 2 regions within it.

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Regions - More

• This should be great news a logical system to
  compare regions.
• Data organised in this way by Eurostat!
• But its not!

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Regions even more

• The NUTs regions are not comparable on size or
  population.
• An example is Bremen in Germany is a NUTs 1
  region with 400 KM2 and 650,000 people and the
  country of Denmark with 43,000 KM2 and 5 Million
  people is a NUTs 2 level region
• So where do you begin?

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Getting the data

• Eurostat The European Statistical Agency keeps
  data on a number of issues for the European
  Union.
• The data is largely economic, demographic,
  agricultural and mining, with some social data as
  well.
• We can use this to try and assess where Yorkshire
  and Humber lies with relation to other places.

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So what does this mean?

• Lots of different measures.
• Concentrate on a few for meaningful impact.
• An example going to use Oost-Nederland in the
  Netherlands to compare in terms of health.
• Oost-Nederland is in the west of the Netherlands
  with the capital of the province being Arnhem.

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So what does this tell us?

• In some areas health is better in Yorks and
  Humber than other regions of Europe.
• Mens health seems relatively better than Womens
  health when compared with other European regions.
• This is just the data, we need further
  investigations to tell us the reasons.

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Limitations

• The data is not a complete set and cannot tell
  the whole story we still need to find out about
  socio-economic inequalities across Europe.
• The data is quite old and needs to be populated
  properly This is an ongoing story.
• We are working with other partners across Europe
  to make sure we are talking the same public
  health language.

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Taking it further

• This is a start, we can now begin to open
  dialogue with places that we know have the same,
  better or worse outcomes for some diseases.
• Its about looking outward and being receptive to
  people asking us questions.
• More data is becoming available, economic,
  demographic, socio-economic This will help
  focus our efforts.

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If you want to know more

• Talk to your local Public Health Observatory
  www.yhpho.org.uk or the national page
  www.apho.org.uk
• Further publications coming out about Europe
  APHO Indicators report on Child Health and one on
  Europe.
• Ask me questions.

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Contact details
Neil Riley European Project Manager Association
of Public Health Observatories 07976133175 Neil.r
iley_at_rdd-phru.cam.ac.uk