Criminal Justice Project Lead
areas of expertise
Karen joined the Public Health Institute (PHI) in 2006, and has worked with various monitoring and surveillance systems. When she began her public health career at PHI she joined the Criminal Justice Team as a Data Administrator for the Drug Interventions Programme (DIP). In 2009, Karen became a Prisons Data Quality Analyst for the team before spending a brief period of time with the North West Public Health Observatory. Karen returned to working with prisons’ data and had a leading role in the implementation of the National Drug Treatment Monitoring System (NDTMS) in prisons.
When the NDTMS team moved over to Public Health England in 2013, Karen chose to stay with PHI and joined the Trauma and Injury Intelligence Group (TIIG) as a Public Health Researcher/Analyst. In 2014 she became the TIIG Project Lead, managing the intentional and unintentional injury data collected routinely via the TIIG monitoring system.
In 2016 when Karen returned to work following maternity leave, she became the Criminal Justice Project Lead, responsible for the monitoring of DIP (where it is still in existence) and the criminal justice interventions delivered to drug using offenders across Merseyside. As part of an integrated Intelligence and Surveillance Team, Karen continues to be involved with the TIIG project.
Karen recently graduated with a distinction in MSc Public Health with PHI, and is currently writing a paper for publication on the work produced for the dissertation module (exploring the characteristics of child injury ambulance call-outs in the North West of England and identifying the utility of ambulance records in injury surveillance).
Falls in Lancashire: An Analysis of Emergency Department and Ambulance Data (October 2012 to September 2013)
This is the second in the series of pan-Lancashire Trauma and Injury Intelligence Group (TIIG) themed reports for 2013/14. The report provides an indication of the burden of falls on health services and residents of Lancashire over a twelve-month period, October 2012 to September 2013, drawing on data accessed from the North West Ambulance Service and from Accident and Emergency Departments across Lancashire.
Injury Attendances Across Lancashire Accident and Emergency Departments 2012/2013
On behalf the Trauma and Injury Intelligence Group (TIIG) Lancashire Project, this report provides an analysis of injury attendances to Accident and Emergency Departments (AEDs) across Lancashire, reporting on patient demography and incident levels between April 2012 and March 2013. An overview of the data collection processes at each AED is presented, including completion rates of data collected in relation to violence. The report concludes with data sharing practices with partner organisations for the purpose of injury prevention and community safety, including examples of data use in the county.
Merseyside Annual DIP Report: DIP Activity (April 2014 – March 2015)
This report complements the existing monthly performance reports by providing an annual snapshot of the criminal justice data provided by the treatment agencies for the Drug Interventions Programme across Merseyside. It aims to provide the Merseyside Criminal Justice teams and commissioners with summary information regarding the characteristics of the clients accessing treatment between April 2014 and March 2015, detailing the route of entry to DIP, the demographic information captured during the assessment process, as well as information around assessment outcomes. This information should be used to assist stakeholders in targeting resources more effectively, particularly in the current climate of diminishing funding and increasing levels of client engagement.
Road Traffic Collisions across Lancashire (January 2012 to December 2013)
This is the third report of the 2013/14 work programme for the Trauma and Injury Intelligence Group (TIIG) pan-Lancashire project. One of the Public Health Outcomes Framework indicators reported a rate of 54.1 casualties per 100,000 resident population killed or seriously injures on England’s roads across Lancashire in 2010-12. This is significantly worse when compared to the average for England (40.5 per 100,000 population).
Using data collected by Accident and Emergency Departments and the North West Ambulance Service, this report provides an indication on the burden of road traffic collisions on health services and residents of Lancashire during 2012 and 2013.
TIIG Cheshire and Merseyside Themed Report: The use of Accident and Emergency data in the Licensing Process April 2011 to March 2014
In the UK in 2013/14, 54% of violent incidents involving adults were alcohol related and many of these incidents occurred within context of the night-time economy. The Licensing Act 2003 aims to: target premises that may be selling alcohol irresponsibly; reduce crime, disorder and harm; and, improve public safety. The process of licensing, the application of conditions to licenses or the revoking of licenses relies on robust multi-agency working with multi-source intelligence. Since alcohol is responsible for 8% of all hospital admissions, Emergency Departments (EDs) can play a key role in contributing to licensing processes. The Trauma and Injury Intelligence Group (TIIG) are central to the intelligence gathering by local and regional EDs and the data sharing mechanisms which enable the data to be efficiently processed and presented to the appropriate local authorities. This TIIG themed report demonstrates the opportunity for real change in violence prevention based on intelligence gathering in Emergency Departments in Cheshire and Merseyside and the wider North West of England.
TIIG Cumbria Overview Report – Emergency Department Data Collection and Overview April 2012 to March 2015
Reducing intentional and unintentional injuries is a key objective of Cumbria County Council and public health professionals, service providers and other organisations that make up Community Safety Partnerships (CSPs) within Cumbria. Emergency Departments (EDs) can play a central and leading role, not only in providing rich and timely data, but in providing objective and informed recommendations for targeted prevention measures and interventions. This Trauma and Injury Intelligence Group (TIIG) Themed Report presents and overview of unintentional and intentional injuries in Cumbria primarily using ED recorded data between April 2012 and March 2015. Data are discussed within the context of demographic trends and socioeconomic factors, including levels of deprivation. While ED data collection is generally excellent in Cumbria, there are several areas where data collection and quality may be improved. This report discusses these key data issues with particular focus on injury groups and enhanced assault information.
TIIG Cumbria Themed Report – Deliberate Self-Harm across Cumbria (January to December 2013)
This is the second themed report produced on behalf of the Trauma and Injury Intelligence Group (TIIG) in Cumbria in 2013/14. Nationally, deliberate self-harm is a significant public and social health concern. Using emergency department data and ambulance call out data (provided by the North West Ambulance Service), this report provides an indication on the burden of deliberate self-harm on health services and residents of Cumbria during 2013. The purpose of this report is to inform local partners on the impact of deliberate self-harm and inform local area prevention activity.
TIIG Cumbria Themed Report: Road Traffic Collisions across Cumbria (2011/12 – 2013/14)
Road traffic collisions (RTCs) are a major contributor to avoidable deaths and many of those who die are young, often inexperienced, drivers. The rate of road deaths and injuries in Cumbria is higher than the national average; roughly 250 Cumbria residents are killed or seriously injured each year. Using data from the accident and emergency departments across Cumbria between 2011 and 2014, this themed report from the Trauma and Injury Intelligence Group highlights the burden of RTCs on Cumbria’s hospitals and provides valuable information to help reduce transport related deaths and injuries across the county.
TIIG Greater Manchester Themed Report: Injuries in Older People across Greater Manchester – April 2012 to March 2015
There are more people aged 65 years or older in the UK than ever before. Ageing populations, primarily due to increasing life-expectancy, are a success of the developed world but despite this success, ageing populations create various challenges, particularly in terms of health and social care. The avoidance of preventable injuries is an important component of the successful safeguarding of health and well-being among older people. Falls comprise the majority of injuries among older people and can cause bone fractures, head traumas and can increase the risk of early death. This Trauma and Injury Intelligence Group (TIIG) Themed Report presents injuries suffered by older people (aged 65 years and over) across Greater Manchester using ED recorded data between April 2012 and March 2015. This report contextualises ED data by providing an overview of the population, highlighting who is at increased risk of injury and describing the specific level of need in Greater Manchester. Additionally, this report provides detailed recommendations for local government and commissioners in terms of the efficient use of resources, and to health and social care providers in terms of delivering improved outcomes, with the overarching aim of enabling older people to live happy and healthy lives.
TIIG Lancashire Themed Report: Assaults in the home across Lancashire (2011/12 to 2013/14)
Not all incidents of domestic violence are reported to the police, though physical injuries are common. This themed report from the Trauma and Injury Intelligence Group uses data collected by the accident and emergency (A&E) departments across Lancashire to ascertain the levels of assault-related injuries sustained in the home between 2011/12 and 2013/14. This information collected by the A&Es can be used as a proxy measure for domestic violence occurring within Lancashire, providing a resource for local partners to inform prevention strategies and interventions.
TIIG Lancashire Themed Report: Identifying at-risk groups in Lancashire – April 2012 to March 2015
In England, in 2012/13 there were between 18.3 and 21.7 million Emergency Department (ED) attendances. Between April 2012 and March 2015 there 610,156 attendances by residents of Lancashire and estimates suggest that, from a clinical need perspective, one in four attendees don’t need to be there. Across the North West, the cost of these unnecessary ED attendances has been estimated at £79.25 million per year. This themed report from the Trauma and Injury Intelligence Group presents ED data between 2012 and 2015 with particular focus on attendances due to assaults, self-harm, road traffic accidents and falls. This report discusses groups at elevated risk of particular injuries by considering age, gender, geography and social inequality as predictive factors. This report also considers how ED data can be used to inform policy makers and to improve preventative interventions for those identified to be at elevated risk.
TIIG Lancashire Themed Report: Injuries in older people across Lancashire April 2012 to March 2015
There are more people aged 65 years or older in the UK than ever before and ageing populations create various challenges, particularly in terms of health and social care. The avoidance of preventable injuries is an important component of the successful safeguarding of health and well-being among older people. Falls comprise the majority of injuries among older people and can cause bone fractures, head traumas and can increase the risk of early death. This Trauma and Injury Intelligence Group (TIIG) Themed Report presents injuries suffered by older people (aged 65 years and over) across Lancashire using ED recorded data between April 2012 and March 2015. This report contextualises ED data by providing an overview of the population, highlighting who is at increased risk of injury and describing the specific level of need in Lancashire. Additionally, this report provides detailed recommendations for local government and commissioners in terms of the efficient use of resources, and to health and social care providers in terms of delivering improved outcomes, with the overarching aim of enabling older people to live happy and healthy lives.
TIIG Manchester Themed Report – Injuries in Young People across Greater Manchester April 2012 to March 2015
Across the United Kingdom there are approximately 11.5 million children and young people aged 14 years and under; representing around 18% of the whole population. Approximately 5% of this total (517,156) live in Greater Manchester. Unintentional injuries are the most common form of injury among children and young people and while they have declined across the UK over the past three decades, there has been no corresponding reduction in the rates of deaths following an intentional injury. Local authority profiles show that in some areas Greater Manchester are significantly worse than the average in England for child health. For hospital admissions caused by injuries in children aged 14 years and under, every Local authority with the exception of Trafford have significantly higher rates of admissions than the average in England. This Trauma and Injury Intelligence Group (TIIG) Themed Report presents injuries suffered by children and young people across Greater Manchester primarily using ED recorded data between April 2012 and March 2015. This report will contextualise ED data by providing an overview of the population, highlighting who is at increased risk of injury and describing the specific level of need in Greater Manchester.
TIIG Merseyside and Cheshire Themed Report: Winter Injuries across Merseyside and Cheshire (2011/12 to 2013/14)
Winter is often associated with a rise in patient numbers during the cold weather which has an impact on health services. The very young, chronically ill and the elderly are those among the most vulnerable during the winter months, which along with patients presenting to GPs and A&Es with cold and flu symptoms puts additional strain on these services. Using data from A&Es across the North West alongside data from NWAS (North West Ambulance Service), this TIIG report provides an indication of the burden of winter injuries on health services and residents of Merseyside and Cheshire between 2011 and 2014.
Trauma and Injury Intelligence in Cumbria: An analysis of injury attendances across Cumbria (2010/11 – 2012/13)
This report provides an overview of the Trauma and Injury Intelligence Group (TIIG) in Cumbria. The first section outlines TIIG’s aims and data collection and sharing processes for injury prevention, outlining the work conducted as part of TIIG’s Injury Surveillance System (ISS). The second section is an analysis of injury attendances to Emergency Departments (EDs) across Cumbria between 2010/11 and 2012/13.
Trauma- and injury-related ambulance call outs across the North West of England (2013)
The Trauma and Injury Intelligence Group (TIIG) Injury Surveillance System arehouses data from the North West Ambulance Service (NWAS). In this report, the extent, nature and outcome of trauma-and injury-related ambulance call outs across the North West of England during 2013 are explored. The purpose of the report is to provide local partners with an overview of the impact of injuries on the NWAS and inform local area assessments of injury prevention activity.
Unintentional and Deliberate Injuries in Children and Young People across Cumbria (2012/13)
On behalf of the Trauma and Injury Intelligence Group (TIIG), this is one of two themed reports produced for Cumbria in 2013/14. The Public Health Outcomes Framework for England reported the crude rate of hospital admissions caused by unintentional and deliberate injuries in children and young people in Cumbria during 2012/13 as significantly worse than England. This report explores unintentional and deliberate injury attendances made by children (0-14 years) and young people (15-24 years) to the emergency departments across Cumbria in 2012/13. The report can be used by local partners and commissioners to inform prevention strategies and to support local work in relation to the Public Health Outcomes Framework.