Public Health and the role of the Health and Wellbeing Board

Dr Liz Robin, Director of Public Health

Wednesday 10th July 2013

County Council responsibilities covered by HealthWatch Adult Social Care Children’s Social Care Public Health

Health and Wellbeing Board

The main determinants of health

Public health is the art and science of preventing disease, prolonging life andpromoting healththrough theorganised efforts of society

New responsibilities

In April 2013, a range of statutory public health functions, budgets of approximately £21M and about 50 staff transferred from the local NHS to the County Council.

‘Local authorities undertaking public health duties conferred on them by the 2012 Act are still part of the comprehensive health service’

Mix of business continuity – and innovation

What do we do? Public health intelligence – getting the

needs analysis and evidence right. Annual Director of Public Health Report

Health improvement - promoting health in partnership with a range of organisations. Commissioning e.g. health checks,

sexual health services Provision e.g. smoking cessation

services, Travellers health team Partnership working

Figure 2: Trend in male life expectancy

Cambridgeshire district - Trend in male life expectancy at birth

70

72

74

76

78

80

82

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Year

Dir

ectl

y ag

e st

and

ard

ised

rat

e p

er 1

00,0

00

Cambridge City

East Cambridgeshire

Fenland

Huntingdonshire

South Cambridgeshire

England

Source : Compendium of Clinical and Health Indicators, nchod, July 2010

What do we do?Health protection – including

protection from communicable disease and other hazards promote joint planning provide surge capacity

Health and care public health – advise how to achieve the best population health outcomes and prioritise resources. health advice to the Council public health advice service to the

Clinical Commissioning Group

Public Health Outcomes

Four outcome domains Improving the wider determinants of health Health improvement – lifestyle behaviours

and choices Health protection Healthcare public health and preventing

premature mortality

Health and Wellbeing Board The Cambridgeshire Health and Wellbeing Board

(HWB) and Network brings together leaders from local organisations which have a strong influence on health and wellbeing, including the commissioning of health, social care and public health services.

Its focus is on securing the best possible health and wellbeing outcomes for all residents.

Members:Cambridgeshire County Council

Members Cllr Tony Orgee – Cabinet Member for Health and Wellbeing (C) Cllr Fred Yeulett – Cabinet Member for Adult Services (C) Cllr Lucy Nethsingha (LD) Cllr Sandra Rylance (UKIP) Cllr Joan Whitehead (L)

Officers Adrian Loades – Executive Director, Children, Families and Adults

Services Dr Liz Robin – Director of Public Health Chris Malyon – Head of Finance (Section 151 Officer)

District Councils

South Cambridgeshire District Council – Cllr Sue Ellington

Huntingdonshire District Council – Cllr Richard West

Cambridge City Council – Cllr Sarah BrownFenland District Council – Cllr Ralph ButcherEast Cambridgeshire District Council – Cllr

Kevin Ellis

C&P CCG

Dr Neil Modha - Chief Clinical OfficerDr David Roberts - GP Member

Healthwatch CambridgeshireRuth Rogers – Chair of Healthwatch

NHS England – Area TeamMargaret Berry – Director of Nursing and Quality

HWB

Overview & Scrutiny

FenlandLocal Health Partnership

Children’s Trust

Voluntary SectorHunts

Local Health Partnership

City and S. Cambs

Local Health Partnership

East Cambs Local Health Partnership

Very local group

“Twin Hatted” Board Members

Intel / Info / CommsCommissioning

District Council Members

Forum

Clinical Commissioning

Group

South Cambs Local Health Partnership

FenlandLocal Health Partnership

HuntsLocal Health Partnership

Cambridge City Local Health Partnership

East Cambs Local Health Partnership

Power/function Legal reference

Responding to consultations about commissioning plans issued by clinical commissioning groups in connection with Section 26 of the Health and Social Care Act 2012.

Section 26, Health and Social Care Act 2012.

Responsibility for encouraging persons who arrange for the provision of any health or social care services in the Council’s area to work in an integrated manner

Section 195, Health and Social Care Act 2012. 

Responsibility for providing any advice, assistance and support it thinks appropriate for the purpose of encouraging the making of arrangements under Section 75 of the National Health Service Act 2006.

Section 195, Health and Social Care Act 2012.Section 75, NHS Act 2006.

Responsibility for preparing the Joint Strategic Needs Assessment (JSNA)

Section 116, Local Government and Public Involvement in Health Act 2007.Section 196, Health and Social Care Act 2012.

Responsibility for preparing the Joint Health and Wellbeing Strategy.

Section 116A, Local Government and Public Involvement in Health Act 2007.Section 196, Health and Social Care Act 2012.

.

www.cambridgeshirejsna.org.uk

Number and proportion of people age 65 years and over, Cambridgeshire, mid 2011 population estimates

Total(aged 65+)

Number 30,700 23,100 18,900 14,600 9,100 5,000 101,400Proportion 30.3% 22.8% 18.6% 14.4% 9.0% 4.9% 100%

90+Population 65-69 70-74 75-79 80-84 85-89

Source: ONS mid 2011 population estimates

Life expectancy at age 65 in Cambridgeshire, 2006-2008

Additional years of life after 65

95% Confidence Intervals

Additional years of life after 65

95% Confidence Intervals

Cambridge City 17.5 (17.1 - 18.0) 20.6 (20.1 - 21.0)East Cambridgeshire 18.7 (18.2 - 19.2) 21.7 (21.2 - 22.1)Fenland 17.4 (17.0 - 17.8) 20.0 (19.6 - 20.4)Huntingdonshire 18.2 (17.8 - 18.5) 20.9 (20.6 - 21.3)South Cambridgeshire 19.6 (19.2 - 20.0) 21.9 (21.6 - 22.3)England 17.7 20.4

Males Females

Source: Older People's Health and Wellbeing Atlas produced by the West Midlands Public Heath Observatory on behalf of the Public Health Observatories in England. http://www.wmpho.org.uk/olderpeopleatlas/atlas/atlas.html

NHS Cambridgeshire and NHS Peterborough Emergency bed days by age group 2011/2012

0

10,000

20,000

30,000

40,000

50,000

60,000

Under1

01-04 05-09 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90+

Nu

mb

er o

f b

ed d

ays

Age band

NHS Cambridgeshire and NHS PeterboroughEmergency bed days by agegroup 2011/12

Source : Admitted Patient Care Commissioning Data Set, NHS Cambridgeshire

Source: APC CDS Serco and quarterly Exeter downloads, Serco. Acute hospitals only.

Falls Emergency Admissions and Bed Days 2011/12, Persons 65+[1]

[1] See references 41 and 42 for codes used.

Source: APC CDS Serco and quarterly Exeter downloads, Serco. Bed days – Acute Hospital only.

HWB Strategy

PrioritiesEnsure a positive start to life for children, young people and their familiesSupport older people to be independent safe and well Encourage healthy lifestyles and behaviours in all actions and activities while respecting people’s personal choices Create a safe environment and help to build strong communities wellbeing and mental health Create a sustainable environment in which communities can flourishWork together effectively

Any Questions?

Please contact:

liz.robin@cambridgeshire.gov.uk