public health yorkshire & the humber
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Public Health Yorkshire & the Humber. Alison Patey PHE North Region. Origins of Public Health England. Healthy Lives, Healthy People white paper Published November 2010 to set out a new approach to public health - PowerPoint PPT PresentationTRANSCRIPT
Public HealthYorkshire & the Humber
Alison PateyPHE North Region
Origins of Public Health EnglandHealthy Lives, Healthy People white paper– Published November 2010 to set out a new approach to public health– Responsibility for local health improvement returned to local authorities from
1 April 2013– Public Health England is the expert national public health agency which
fulfills the Secretary of State for Health’s statutory duty to protect health and address inequalities, and executes his power to promote the health and wellbeing of the nation.
Health and Social Care Act 2012– Set the legislative framework for the changes to the health and care system
that led to the creation of Public Health England as an operationally autonomous executive agency of the Department of Health
– Received Royal Assent 27 March 2012
Our Mission
“To protect and improve the nation’s health and to address inequalities, working with national and local government, the NHS, industry, academia, the public and the voluntary and community sector.”
GovernmentDH responsible to parliamentCross-government senior officials
group to improve health outcomes
CMO to provide independent advice to government
Public Health EnglandNew, integrated national expert bodyStrengthened health protection
systemsSupporting whole system with
expertise, evidence and intelligence
NHS EnglandDelivering health care, tackling
inequalitiesMaking every contact count Specific public health interventions,
such as cancer screening
Local authoritiesNew public health functions, helping to
tackle wider determinants of healthLead on improving health and
coordinate protecting healthPromote population health and
wellbeing (DPHs)
The new public health system with an integrated approach
System Leadership: Work transparently, provide government, local government, the NHS, MPs, industry, public health professionals and the public with evidence-based professional, scientific and delivery expertise and advice
Protection: Ensure there are effective national and local arrangements for preparing, planning and responding to health protection concerns and emergencies, including the future impact of climate change
Local Support: Support local authorities and clinical commissioning groups by providing evidence and knowledge on local health needs, alongside practical and professional advice on what to do to improve health
Public Health England delivery model
Our priorities for 2013/14
– Sets out Public Health England’s priorities and actions for the first year of our existence
– Five outcome-focused priorities – what we want to achieve
– Two supporting priorities – how we will achieve it
– 27 key actions to take now– The start of the conversation – a
three-year corporate plan will follow
Support people to live healthier lives via NHS Health Checks Promote tobacco control and reduce smoking
Promote healthy weight and tackle childhood obesityImprove recovery rates from drug dependencyImprove sexual health and reduce the burden of STIs
Develop a national programme on mental healthLead gold standards for vaccination and screening programmesMake the case for promoting wellbeing, prevention and early intervention as the best approach to improving health
Partner NHS England to maximise improvements in public health
What are our priorities?1
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Our progress to date: Health Marketing
Be clear on cancerNational bowel campaign: 40% rise in two-week referralsRegional lung campaign:14% rise in diagnoses
Smokefree Homes & Cars37% who saw ads reduced their second-hand smoke85,000 smokefree kits distributed
Smart Restart150,000 families (300,000 children) signed upApp downloaded more than 100,000 times
Stoptober700,000 engaged in 2013200,000 registered for support products
Our progress to date: Media
Change4life540 pieces of coverage with a PR value of £1,760,681
Older people310 pieces of coverage with a PR value of £662,784
SmokefreeOver 600 pieces of coverage to date, with a PR value of £1,300,000
Four regions, 15 centresEight Knowledge and Intelligence Teams
– London– South West– South East– West Midlands– East Midlands– North West– Northern and Yorkshire– East
Other local presence– ten microbiology laboratories– field epidemiology teams
Additional support– Local teams can also draw on national
scientific expertise based at Colindale, Porton Down and Chilton
Local presence
Public health advice
People and communities
Health and wellbeing boards
Local government CCGs & their support
PHEcentre
NHSCB area team
NHS & IS Providers
3rd sector providers
Commissioner of public health services
Sources of public health advice in the ‘Place-based’ approach to local public health
PHE provides expert advice to local government
DsPH have influence across all local government spend
PHE provides local expertise via centres
Embedding ‘making every contact count’
Leverage from the public health ring fence
Influence on wider spendingin commercial and voluntary
sectors
Clinical Commissioning
Groupsand
NHS England
Spending trends:
2003-2012 PCT spending for all health programmes increased by 70% overall
Mental health disorders c.£6bn to c.£12bn
Circulation problems c.£5bn to c.£7bn
Cancer c.£3bn to c.£5.5bn
Dental problems c.£1bn to c.£3.5bn
Wicked problems: Health inequalities
Life expectancy and health life expectancy, and premature mortality rates vary across the country – higher rates strongly linked to socioeconomic deprivation
4.03 - Mortality rate from causes considered preventable (provisional)Age-standardised mortality rate from causes considered preventable per 100,000 population
England 146.1
Yorkshire and The Humber 159.4
Kingston upon Hull, City of 221.0
Doncaster 175.0
North East Lincolnshire 171.9
Leeds 170.1
Bradford 169.5
Calderdale 169.2
Barnsley 167.4
Wakefield 166.7
North Lincolnshire 160.1
Rotherham 159.8
Kirklees 155.6
Sheffield 155.3
York 139.7
East Riding of Yorkshire 133.1
North Yorkshire CC 130.6
Source: Public Health Outcomes Framework (based on ONS source data)
Note this is not the same as the overall premature deaths found in Longer Lives
0 50 100 150 200 250
Preventable Mortality in YH
Health Equity NorthNew effort to confront north-south divide 3 October, 2013 | By Kaye Wiggins
England’s public health body is preparing to “make noise” about the north-south divide in health outcomes.
The Public Health England initiative could extend to taking ministers to task over their approaches to welfare and employment policies, as they are often strongly linked to health.
The new approach is expected to include academic research and the creation of a “commission on health equity” and a range of expert groups formed from key public health figures in the North of England.
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A compelling narrative for health and wellbeing, the current state of health, and the underlying drivers
Credible interventions to improve health and wellbeing at all levels
Model credible future scenarios, and their impact
Shift the debate onto health and wellbeingGalvanise action based on evidenceRecognise the inequalities that affect the most disadvantaged
Propose a Health and Wellbeing Framework for England
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Leverage opportunities for cross-government health agenda
Housing
Work
Crime and violence
Early intervention
• Good housing drives health• 20,000 excess deaths each
winter
• Work a key health determinant• Poor health keeps people out
of work
• Foundations for every aspect of development laid in childhood
• Alcohol a factor in 44% of violent crime
Physical activity
Healthy Food
Smoking
Healthy communit
y
• Reduces risk of illness by up to 50%
• 2/3 of adults obese or overweight
• 1/3 children in Y6 obese or overweight
• Cost of obesity to NHS £5bn a year
• Isolation significant driver of poor health
• Poor environments lead to social isolation
• Leading cause of premature mortality
• Estimate cost to economy £13bn