In the National Health Service (NHS), we are interested to know whether people in different parts of the country have equal access to the same quality of evidence based NHS services according to their need. We are interested in the value of the NHS services provided as it is equally important to identify ineffective practice as this can lead to wasted resources and potential patient harm.

In many localities across England, the Atlas of Variation series has been used as a stimulus to start a search for unwarranted variation, and as a springboard to releasing resources for re-investment in higher-value healthcare for local patients and populations.

The data and information presented in each of the atlases do not always explain the reason for the variation, however the strength and power of the atlas series is in the questions they raise about equity, effectiveness and value. The data on variation shown in the atlases can be triangulated with data from other sources such as PHE’s National Intelligence Networks, Health Profiles and Spend and Outcome Tools, alongside NHS Rightcare Where to Look and Focus packs. Work must continue to deepen our insights into variation seen around the country in the activity and outcomes for patients and to understand whether the variation observed is random, warranted (ie true clinical variation based on geographical variation in need) or unwarranted and caused by under- or over- provision, failure to implement evidence guidelines or poor access for patients because of travelling times, socioeconomic factors or poor health literacy.

In developing and publishing this series, PHE consults with NHS Rightcare, NHS National Clinical Directors (NCDs), Health Intelligence Networks and clinical specialists to highlight unexpected levels of variation within their area of expertise.

For enquiries relating to the atlases please contact: healthcare.variation@phe.gov.uk

As the Atlases are large documents, we have provided individual topic sections as standalone PDFs for download as well.

Compendiums

 

2010 Compendium

Full Document

 

2011 Compendium

Full Document Data File

Topics

Alcohol Cancer Circulation Dental
EmergencyCare Endocrine Gastrointestinal Genitourinary
Hearing Learning Dis Mat & Neonates   Mental Health
MSK Neurological Non PBC Older People
Respiratory Vision

 

2015 Compendium

Full Document Data File Metadata

Tools

LA Opp Tool CCG Opp Tool

Topics

Alcohol Cancer Cardio Child & Maternal
Critical Care Dental Emergency End of Life
Gastro Infectious Disease Interv. Radiology Learning Dis
Mental Health MSK Neurological Older People
Respiratory Vision

 

Themed Atlases

2012 Child Health Full Document Data File Metadata
2012 Diabetes Full Document Data File Metadata
2012 Kidney Full Document Data File Metadata
2012 Respiratory Full Document Data File Metadata
2013 Diagnostics Full Document Data File Metadata
2013 Liver Disease Full Document Data File Metadata

2017 Diagnostics

Full Document

Data File

Metadata

Sections Introduction Imaging Endoscopy
Physiological Screening Summary Table

Slidepack

Webinar

2017 Liver Disease

Full Document

Data File

Metadata

Sections Introduction Summary Table Chronic Liver Disease
Risk Factors Influenza Overdose
Liver Cancer Transplants & EoLC

For any enquiries relating to the Atlas series or to provide us with feedback please contact us on: healthcare.variation@phe.gov.uk