Health Intelligence/Audit Manager
areas of expertise
Rachel Brown is a health intelligence/audit manager working within the Public Health Institute on a project concerned with avoidable mortality in Cumbria.
Rachel has five years NHS public health intelligence experience, consisting of analyst positions in NHS Cumbria, NHS Hammersmith and Fulham, and NHS Redbridge. More recently Rachel worked for the Health Performance Council in South Australia, providing advice and analytical support for a health needs assessment and assistance in evaluating the performance of the health system.
Rachel’s particular interest areas include mental health, self-harm, and suicide following her involvement in a number of mental health needs assessments and suicide audits.
Rachel Brown's Publications
Avoidable Mortality in Cumbria – A Review of 73 Fatal Road Traffic Collisions
This report presents a retrospective review of 73 fatal road traffic collisions (RTCs) which occurred in Cumbria between 2012 and 2014, resulting in 78 deaths. The data was compiled from collision investigation reports produced by Cumbria Constabulary’s Collision Investigation Unit. The results show that speed and alcohol/drug impairment were factors in almost two thirds of the fatal RTCs examined, and that there appear to be three main road user groups involved in fatal RTCs in Cumbria: motorcyclists, younger drivers (aged 17-25), and older drivers (aged 65+). The intelligence within this report is intended to support local decision-making and inform the development of local plans to reduce the risk of death from RTCs in Cumbria.
Avoidable Mortality in Cumbria: A Case File Review of 78 Suicides
On average, one person dies each week as a result of suicide in Cumbria. Gathering intelligence about suicide enables the identification of high-risk groups, risk factors and risk escalators, which can inform the development and implementation of local suicide prevention efforts. A total of 78 suicides were reviewed in detail for this report (58 registered in 2012 and 20 registered in 2013), using coroner information, primary care files, and secondary mental health care files (where applicable). The results highlight that the circumstances surrounding suicide are often complex and characterised by a myriad of risk factors, risk escalators and precipitating factors present in an individual’s life with often no single attributable factor. The results found that the common risk factors for suicide such as relationship breakdown, unemployment, and mental health diagnosis and alcohol/substance misuse continue to be prevalent risk factors for suicide in Cumbria. Three emergent risk factors were noted, these were chronic pain and long term conditions, custodial contact and benefit loss. A total of 7 recommendations have been made based upon the results.
Suicide and Primary Care Contact in Cumbria
Most people who die by suicide in Cumbria consult with their GP in the year prior to death and contact in a primary care setting can provide an opportunity for prevention. The results in this report were obtained from a wider suicide audit that was carried out for Cumbria’s public health directorate. This specific report is aimed at primary care professionals and considers some of the aspects of primary healthcare prior to suicide and describes a number of characteristics of those in contact with a GP in the year prior to death, including: consultations, mental health diagnosis, psychotropic drug prescription, history of self-harm, and physical health conditions.
Rachel Brown's Papers
Ron Siddle, Jane Mathieson, Rachel Brown
The Cumbria Partnership Journal of Research, Practice and Learning, Volume 1, Issue 2, Autumn 2011, 9-13, 2011, ISSN 2046-0317 (print) ISSN 2046-0325 (online).
Abstract: This paper presents an audit of biographical data from 52 suspected suicides registered in Cumbria in 2008. The aim of the audit is to improve understanding of the contextual and personal factors associated with suicide. We found that causal pathways were complex and multifactorial. In order to identify idiosyncratic risk factors, individual suicide risk assessments should consider the interplay of these multiple factors.