Public Health
“The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of society.”
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Sandwell – a healthy town• Sandwell is a member of
the UK Healthy Cities Network
• World Health Organisation supported network
• Full Council commitment to ensuring health and health equity in ALL policies
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Integrating public health
• Council leads on wider determinants that impact on health
• Public health brings knowledge, skills and experience and resource to support and add to the work of the council– Use of information and research– Support for priority setting and risk stratification– Assessing plans and policies for health impact– Staff, budgets and services
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History of working together
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• Housing & health strategy• Adult social care joint investment in telecare• Joint work on children’s services• Joint drug & alcohol strategies• Environmental protection and tracking• Sandwell Healthy Urban Development Unit• Public health contributions to scrutiny reviews• Research Sandwell
The 3 domains of Public Health• Health improvement
– Health promotion– Lifestyle services– Tackling the wider influences on health
• Health and social care related public health– Specialist advice for council & the NHS– Public health needs analysis– Assessment of the effectiveness of care & services
• Health protection– Emergency response– Infectious diseases– Environmental threats
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Mandated public health services
• Health protection and emergency planning• Measurement of children’s weight• Sexual health services• NHS health checks• Public health ‘core offer’ to clinical
commissioning groups for healthcare related public health
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Public health outcomes framework
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“To improve and protect the nation’s health and wellbeing and improve the health of the poorest fastest”
•Increased healthy life expectancy•Narrow the gap in life expectancy and healthy life expectancy between communities
Health Premium
Joint Health & Wellbeing Strategy
6 Marmot high level objectives+ 1 local • “Ensure people receive the care and
support they need across the whole life course”
• Includes older people & end of life
JHWS refresh - HWBB 4 key priorities for the next 2 years
• Early years & adolescent health• Long term conditions / integrated care• Frail elderly & dementia• Alcohol
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Life expectancy & disability free life expectancy at birth, by neighbourhood income level, England and Sandwell 1999-2003
Neighbourhoods by income deprivation (population percentiles)
Building on success in Sandwell
• Life expectancy increasing faster than national rate (narrowing the gap)
• Teenage pregnancy reducing faster than national rate• Healthcare acquired infections significantly reduced
– MRSA close to zero– C diff down by over 30%
• Brief interventions for alcohol doubled• Deaths from fractured hips down by 20% in 5 years• Breastfeeding rates increased by 10% from 2010-11• Drug related burglaries reduced by over 5000 since
2004
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Many remaining challenges
• Life expectancy and healthy life expectancy still too low
• Lifestyles poor – obesity, smoking, alcohol
• Poor mental well being
• Ageing population
• Rising poverty
Adolescent Years &Vulnerable Children’s
Project Manager (6-24 years)
NJC Grade H
Community Infection Prevention
Advisor NHS Band 6
Nurse Consultant - Infection Prevention
NHS Band 8c
Nurse Consultant - Health Protection
NHS Band 8c
Health and Wellbeing Strategy & Delivery
Manager NJC Grade I Community Infection
Prevention Nurse and Care Home Lead
NHS Band 7
'Resilience Officer (Public Health)
NJC Grade F
Wellbeing Project Manager
NJC Grade H
Social Determinants Project Officer NJC Grade H
Community Infection Prevention
Advisor NHS Band 6
Consultant in Public Health
Life Expectancy
HAY Grade
Children and Maternity Improvement Programme
Manager NHS Band 8b
Adult Health Improvement
Programme ManagerNJC Grade I
Early Years Project Manager
NJC Grade H
Frail Elders Project Manager
NJC Grade H
Vulnerable Adults Project Manager
NJC Grade H
Healthy Urban Environment officer
NJC Grade H Senior Procurement &
Market Development
Manager NJC Grade I
Senior Contracts and Procurement
Officer X2 NJC Grade G
Tobacco Control Project Manager
NJC Grade H
Substance misuse (Drugs& Alcohol) and
Sexual Health Programme Manager
NJC Grade I
Obesity - Physical Activity and Tobacco Programme
Manager NJC Grade I
Adult and Childrens Weight
Management Project Manager
NJC Grade H
Lifestyles and Uptake Project
Manager NJC Grade F
Drugs Prevention Project Manager
NJC Grade H
Food and Nutrition Project Manager
NJC Grade H
Lifestyles and Uptake Officer X
4 NJC Grade C
Sexual Health Project Manager
NJC Grade H
Lifestyles Apprentice
(supernumary)
Consultant in Public Health Disability Free Life Expectancy
HAY Grade
Lifestyle Improvement Programme Manager
NJC Gade I
Communications Project Manager
NJC Grade F Alcohol Project
Manager NJC Grade H
Physical Activity Project Manager
NJC Grade H
Senior Information Analyst
NHS Band 7
CONSULTANT in PUBLIC HEALTH (SHARED WITH BIRMINGHAM)
CCG EMPLOYEE
Public Health Intelligence Programme Manager
NHS Band 8b
Senior Information Analyst
NHS Band 7
Information Analyst NJC Grade E
Senior Information Analyst
NHS Band 7
Information Analyst NJC Grade E