28th June 2011Local Government Association
Jim McManusJoint Director of Public Health
Building Bridges, Creating Confidence
Reflections of a Joint DPH
Lessons from History
• 145 Years of Public Health in Birmingham :
• Sir Alfred Hill, Birmingham’s First Medical Officer of Health, 1866-1903
• Housing work was a key plank of Birmingham’s early public health strategies
1974 : Fissure or Evolution
• Public Health in Local Government
• NHS Public Health
•False divisions
•Different foci, varying methods, complementarity
Health Improvement
Health Protection
Commissioning priorities, Evidence, acting when evidence is silent, making it work, supporting implementation
Ensuring we have the right frameworks in place
Long term, medium term, short term impacts
What would an approach look like?
FALLS PREVENTION
Service Quality andImprovement
An Example - Direct
Learning the lessons from theNational Audit Office 2010not on course!
An Example - Indirect
Timeframes of impact/yield
Years0 1 5 10 15
Planning Frameworks and Core Strategies
Education
Vitamin Supplements
Decent Homes
Air Pollution
Primary Care
Air Pollution
Decent Homes
Reducing Worklessness
Primary Care
Elements of a Strategy
Housing Quality and affordability
The Lives people lead The Environment and amenities
•Decency standards•Thermal efficiency•Fuel Poverty•Financial Exclusion•Issues for social care and health care supported by housing (independence, falls prevention, telecare)
•Quality of Education•Life skills•Self-Efficacy•Accessibility•Social Isolation•Social Inclusion
•GreenCleanSafe•Environmental cues for healthy living
This is about doing Housing in a public health supporting way,NOT making housing staff health workers
Resources 1•Blog on Local Government and Public Health
http://jimmcmanus.wordpress.com
•Paper on Local Government Transition including risks and finance
•Powerpoints from Development Sessions
All available through http://uk.linkedin.com/in/jimmcmanus2
Resources 2
• E book on Local Govt and Presentation
• Public Health in Local Govt Briefings
Contact me [email protected]