Accident prevention – a leading priority for Public Health?

Hertfordshire Public Health Conference

4th December 2013

Presented by:

Errol Taylor Deputy Chief Executive

Context

Success of Workplace and Road Safety programmes

Triple dip recession / public sector cuts

Political direction

Deregulation

Localism

Big Society

Restructuring of the NHS

Health & Social Care Bill

Creation of Public Health England

Transfer of many Public Health functions to Local Authorities with ring-fenced Public

Health budgets

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

John Snow MD (1813-1858)

RoSPA’s mission is to save lives and reduce injuries

Problem and solution

RoSPA’s mission is to save lives and reduce injuries

The balance of NHS doctrines

RoSPA’s mission is to save lives and reduce injuries

Treatment£100 billions

Prevention£5 billions

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

*15 year cumulative change in cost to Society using TRL PPR483

Home: cost increase* of £14 billion

Road: cost saving* of £9 billion

Financial Cost of Accidents

Every Year

Cost to Society

Home & Leisure £95billions

Workplace £30-35billions

Road £30billions

Total c£150billions

Cost to the State

A&E c£10billions

Rehabilitation c£5-10billions

Long term care/benefits c£5-10billions

Total £20-30billions

RoSPA’s mission is to save lives and reduce injuries

Human Cost of Accidents

Every Year

Deaths 14,000 (growing by 2-3% pa)

o Workplace 175

o Road 1,901

o Home/Leisure c12,000

Serious Injuries 840,000

Of which ‘life changing’ 65,000

‘Minor’ injuries

A&E attendances 14,000,000 (growing by 5% pa)

GP attendances similar

RoSPA’s mission is to save lives and reduce injuries

‘Health of the Nation’ Priorities 1992

Coronary heart disease and stroke

Cancers

Mental illness

HIV/AIDS and sexual health

Accidents

Key Areas and the health of people in specific

groups of the population

RoSPA’s mission is to save lives and reduce injuries

‘Healthy lives, healthy people’ Priorities 2010

Tobacco Control

Alcohol and drug misuse

Obesity and nutrition

Physical activity

Lifestyle interventions

Mental public health

Dental public health

Birth defects

Cancer

Workplace health

Immunisation

Sexual health

Seasonal mortality

Health protection

Community safety

Social exclusion

RoSPA’s mission is to save lives and reduce injuries

Accident prevention

RoSPA’s mission is to save lives and reduce injuries

Unintentional injuries (accidents) account for 2% of all deaths

* others is a catch-all which includes all the causes of death not separately listed including skin disease, pregnancy/childbirth, mental disorders and diseases of the endocrine, nervous, digestive, musculoskeletal and genito-urinary systems.

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

Up to age 60, unintentional injuries (accidents) are the leading cause of preventable years of life lost, accounting for 23% of these YLL

RoSPA’s mission is to save lives and reduce injuries

1st

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1st

1st

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Unintentional injury is the leading cause of preventable YLL until age 75 when it drops to 2nd behind cancer. At 85 years, it drops to 3rd behind cancer and cardiovascular disease.

Health improvement priorities

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

Welwyn/Hatfield’s injury profile (1)

RoSPA’s mission is to save lives and reduce injuries

Welwyn/Hatfield’s injury profile (2)

Welwyn/Hatfield’s injury profile (3)

RoSPA’s mission is to save lives and reduce injuries

RoSPA’s mission is to save lives and reduce injuries

St Alban’s injury profile

What do we want?

RoSPA’s mission is to save lives and reduce injuries

A community in which no person need die or be seriously injured by an ‘accident’…

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....delivered by a public/private/volunteer partnership

Thank you