Find out what we are doing to improve public health in North Yorkshire.
We are responsible for improving public health in North Yorkshire. A health and wellbeing board has been set up to implement this work and as part of this, a health and wellbeing strategy has been created.
Health and wellbeing board
The health and wellbeing board works to improve public health in North Yorkshire through effective integrated working between commissioners of health, public health and social care services.
Read more about the health and wellbeing board on the North Yorkshire partnerships website.
Joint health and wellbeing strategy
The joint health and wellbeing strategy is produced by the health and wellbeing board. It explains what health and wellbeing priorities the board has set, in order to tackle the needs identified in the joint strategic needs assessment (see below). It is not about taking action on everything at once, but about setting priorities for joint action and making a real impact on people's lives.
Read more about the joint health and wellbeing strategy on the North Yorkshire partnerships website.
The director of public health report highlights some of our key priority areas. It provides a snapshot of where we are now and celebrates the wide variety of actions currently being carried out to improve the health of the population in North Yorkshire. It also contains recommendations to guide efforts over the next year to improve the health of people in North Yorkshire and reduce health inequalities between communities.
You can see more information as well as download the full report from the director of public health report page on the North Yorkshire partnerships website.
The joint strategic needs assessment is produced by the health and wellbeing board. A joint strategic needs assessment brings together local authorities, the community and voluntary sector service users and NHS partners to research and agree local health and wellbeing needs. It also supports and encourages organisations to work together when developing services.
Our joint strategic needs assessment looks at what we know about the people of North Yorkshire and their current and future health and wellbeing needs. It does not look at the particular needs of individual people; it looks at the 'big picture' of people's needs in North Yorkshire and where needs are not being met as well as they could be.
You can see more information as well as download the full report from the joint strategic needs assessment page on the North Yorkshire partnerships website.
We have responsibility for delivering a range of public health services. There are many services we can provide without using personal information / data and we do this as much as we can. However, there are some services which require us to use information about individuals in order to deliver the service.
The term 'personal data' means data relating to a living individual who is or can be identified either from the data or from the data in conjunction with other information that is in, or is likely to come into, the possession of the data controller. See this Information Commissioner's Office guide for more details.
Local authority public health responsibilities are set out in the Health and Social Care Act 2012. In order to fulfil these statutory responsibilities we have a legal basis to process personal confidential data for certain public health purposes under Section 42(4) of the SRSA (2007) as amended by section 287 of the Health and Social Care Act (2012) and Regulation 3 of the Health Service (Control of Patient Information) Regulations 2002. The UK Parliament website contains more information about local authorities' public health responsibilities in England.
What information we hold and use
We collect and hold information for public health purposes about:
- Residents of North Yorkshire;
- People receiving health and care services in North Yorkshire; and
- People who work or attend school in North Yorkshire.
We have a public health duty of care to all these people.
Personal information about births in North Yorkshire is supplied to local authorities by NHS Digital. This contains data provided at the time of registration of birth, along with additional geographic information. This includes the date of birth and NHS number of the child, place and postcode of birth, and address and postcode of usual residence of mother.
Personal information about deaths in North Yorkshire is supplied to local authorities by NHS Digital. This contains mortality data provided at the time of registration of death along with additional GP details, geographic information and coroner details where applicable. This includes date of birth, date of death, cause of death, place and postcode of death, usual address and postcode of the deceased, their NHS number and maiden name, name of certifier, and name of coroner (where relevant).
For both birth and mortality records, we have a data access agreement with NHS Digital and data are supplied under Section 42(4) of the SRSA (2007) as amended by section 287 of the Health and Social Care Act (2012) and Regulation 3 of the Health Service (Control of Patient Information) Regulations 2002.
Hospital episode statistics (HES) data
Information about hospital activity is supplied to local authorities by NHS Digital. This contains data collected when someone is admitted to a hospital bed, attends as an inpatient, outpatient, or attends an urgent care centre. We have a data access agreement with NHS Digital and data are supplied in accordance with section 261 of the Health and Social Care Act 2012, and Regulation 3 of the Health Service (Control of Patient Information) Regulations 2002. Data supplied are pseudonymised, a process by which information within a data record that may identify an individual are replaced by artificial identifiers, or pseudonyms which means that individuals are no longer identifiable. Information held includes age, method of admission, source of admission, diagnosis codes, procedure and investigation codes, area of residence, hospital attended, date of attendance, and GP practice of patient. More information on this NHS Digital dataset can be found here.
How we collect the information
This information is provided to the council either direct from the public or by national organisations like NHS Digital, the Office for National Statistics or NHS organisations such as hospitals, GP practices, clinical commissioning groups and local authorities.
What we use the information for
We use this information to deliver our public health functions. This includes:
- Statistical analysis;
- Control of infection;
- Managements of risks to public health;
- To inform planning and commissioning (buying) of health services;
- Organising the National Child Measurement Programme;
- Organising the NHS Health Check Programme;
- Organising and supporting the 0-19 health service and school nursing services; and
- Public health surveillance.
To achieve these functions we:
- Produce assessments of the health and care needs of the population, in particular to support the statutory responsibilities of the:
- Identify priorities for action;
- Inform decisions on the design and commissioning of services;
- To assess the performance of the local health and care system and to evaluate and develop them;
- Births information is used to identify patterns and trends in birth and fertility rates, low birth weight, and still births;
- Mortality information is used to identify patterns and trends in mortality rates, life expectancy and premature death. Differences by geographic areas, and by other characteristics, including age, sex and deprivation, are highlighted;
- The information is used to monitor seasonal patterns, and for population projections;
- To report summary statistics to national organisations;
- Undertake equity analysis of trends, particular for vulnerable groups; and
- To support clinical audits.
We publish a range of statistics in relation to public health. However, we will never publish public health information that identifies a group of fewer than five individuals, in order to protect the identities of individuals.
How we protect and share your data
Data is provided to the public health service either direct by the public or by national and local NHS and local authority data services and organisations and shared with public health in accordance with the Data Protection Act 1998 principles. All data is stored securely in North Yorkshire County Council systems and is managed using the principles of medical confidentiality and data protection. The number of staff handling such data is limited to key professionals, all who undertake regular training about data protection and managing personal information.
Confidential public health data will only be shared with other local NHS partners like clinical commissioning groups, local authorities or care organisations with the permission of the public health Caldecott guardian, once the necessary legal basis has been established and data protection safeguards have been verified, so that the data is managed and used under the same restrictions. Anyone who receives information from North Yorkshire County Council public health is also under a legal duty to keep it confidential.
Information is held by the public health team at the council and is not shared with any other departments.
We will not be disclose any public health information to anyone without appropriate permission, unless we have a legal reason to do so. For example disclosure may be necessary to protect a person from suffering significant harm or to prevent or detect crime. Such requests are allowed only from a senior police officer and above ranks.
Your rights to opt out
You have the right to opt out of North Yorkshire County Council public health receiving or holding your personally identifiable information. There are occasions where service providers will have a legal duty to share personal data, for example for safeguarding or criminal issues.
The process for opting out will depend on what the specific data is and what programme it relates to. For further information, please contact the head of public health intelligence via firstname.lastname@example.org.
Where to find more information
If you have any queries about the way the council has / is processing your personal information or you would like to request a copy of the information we hold about you, please contact the information governance team at:
Information Governance Officer
North Yorkshire County Council
Telephone: 01609 532526
See our data protection page for more information about the way we handle personal information.
If you are unhappy with the way in which an organisation has processed your information or handled a request for information, you can ask for a review by the Information Commissioner. You can do this by writing to:
Information Commissioner's Office