JigsawNews June13

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    JIGSAWNEWSJune 2013 Issue 4

    A Monthl Newsletter on Public Health for EHPs in Hertfordshire and Be ond

    At the recent Chartered

    Institute of

    Environmental Health

    Eastern Region Spring

    Forum 80% of those

    present admitted they

    didnt know the name of

    their Director of PublicHealth. Given the news

    Janet Atherton Chair of

    the Association Of

    Directors of Public Health

    said We like to chat and

    generally dont bite unless

    we have missed lunch!

    Jigsaw Public Health

    Forum on the Move

    Tuesday June 4th will be a

    busy day for the JigsawPSPH

    Public Health Forum as it will

    be moving house. Started in

    December 2012 the forum has

    been hosted on LinkedIn

    where members have been

    enjoying some lively debates.

    The new home will be at

    www.rhenvironmental.co.uk

    where the forum will be combined

    with the Jigsaw Blog and links to

    the Im a Public Health

    Professional Get Me Out of Here

    podcast. Jigsaw co founder Pete Hill

    is excited about the new start. Its

    what we have been aiming at for

    sometime keeping all the various

    Jigsaw products in one place. Id

    like to give a big vote of thanks to

    everyone at RHEnvironmental for

    making it happen. Now I cant wait

    to get going.

    Something in the Air!Both fine-particle air pollution and noise pollution may increase a

    persons risk of developing cardiovascular disease according to

    German researchers who have conducted a large population study in

    which they considered both factors simultaneously. "Many studies

    have looked at air pollution, while others have looked at noise

    pollution," said study leader Barbara Hoffmann, MD, MPH, from the

    IUF Leibniz Research Institute in Germany. "This study looked at

    both at the same time and found that each form of pollution was

    independently associated with subclinical atherosclerosis."

    Nudge Nudge......not

    Wimbledon is just around the corner so it

    must mean more rains on the way, so to

    keep you company under your umbrella

    here is the latest Jigsaw News. This

    month were delighted to be able to bring

    you an interview with our colleague Jim

    McManus DPH at Hertfordshire County

    Council as well as the usual mix of stories.

    One of the governments main policies

    around Public Health is to nudge people

    away from unhealthy behaviours so itsinteresting to see that this month there

    seems to be a move back to enforcement

    with bans proposed on chips and smoking

    in cars. The Food Hygiene Rating System

    has also hit the headlines thanks to

    research by Which? The scheme should be

    the perfect example of a mixture of both

    approaches, the public being nudged away

    from poor food businesses and EHPs

    seeking compliance through the law. With

    13% of the population not using the

    internet its difficult to see why there is

    still no requirement to prominently

    display ratings. If we are serious about

    nudging people in the right direction why

    is making the healthy choice usually the

    most difficult. Try eating healthily at a

    sporting event! Perhaps its time we

    started to incorporate nutrition into the

    remit of EHPs and make it part of the

    Food Hygiene Rating System.

    Supermarkets are already looking at the

    commercial opportunities of promotinghealthy eating so why are Local

    Authorities so slow to act?

    Pete & Sarah

    Wider Role for HealthWatch

    Last month Jigsaw met with Sarah

    Wren Chair of HealthWatch

    Hertfordshire to discuss the

    importance of lower tier Local

    Authority services and their

    influence on the wider

    determinants of health. Sarah

    shared our concerns that resources

    which underpin health

    improvements are currently at risk

    due to budget cuts.

    Communication was another area

    for improvement to ensure

    messages flow in both directions

    between the Health & Wellbeing

    Board and officers on the front line.

    Sarah fully supports the approach

    which we have taken with Jigsaw

    and hopes this can continue in the

    future.

    http://www.rhenvironmental.co.uk/http://www.rhenvironmental.co.uk/http://www.rhenvironmental.co.uk/http://www.rhenvironmental.co.uk/http://www.rhenvironmental.co.uk/
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    Jigsaw on-line: Podcast - http://jigsawpsph.podomatic.comTwitter - https://twitter.com/JigsawPSPH

    When Jigsaw Met Jim

    Last month we took Jigsaw on the road to

    catch up with our good friend Jim McManus

    Director of Public Health at Hertfordshire

    County Council and this is what he had to say:

    Q: Jim do you feel that Public Health is

    now back where it belongs in Local

    Government?

    A: I think Local Government is the

    natural place for Public Health for

    three reasons. Firstly most of the

    determinants of health sit within

    the remit of Local Government.

    Weve 30 years of policy and

    evidence that have told us that, the

    Marmot report was the latest and

    perhaps the most eloquent.

    Secondly the spread across the life

    course that Local Government does

    makes it a natural ally for Public

    Health to want to influence and be

    part of. The third reason is a lot of

    the things you need to do with

    children sit in the gift of Local

    Government. Public Health is more

    than just the clinical stuff its morethan what GPs do its more than

    health behaviours its lots of other

    stuff that I feel fits naturally in Local

    Government.

    Q: With Local Government come

    elected members and political

    pressures howare you finding that side

    of the job?

    A: I love it really, I love Local

    Government anyway The NHS was

    every bit as political but just in a

    different kind of way. What I think

    elected members bring is a level of

    public transparency, that the NHS

    didnt have in quite the same way.

    Local Government does things very

    publicly its much more transparent

    than the NHS because of its culture

    of operating. The other thing it

    brings is if you get your elected

    members with a Public Health

    mindset they become real allies. The

    big issue is how you support

    members in getting a Public Health

    mindset that ask the right

    questions about their leadership

    role and get them to do that.

    Q: Within Hertfordshire there is a

    two tier structure how do you

    harness those 10 authorities

    together to move forward on Public

    Health?

    A: I said that the biggest

    challenge would be in the two

    tier areas because the system

    has been designed like

    community safety was to fit into

    a unitary model. Thats not a

    criticism its just something

    about how we design systems.

    The counties and the districts

    have to work together to create a

    system that works. You cant do

    Public Health without District

    Councils, starting at Housing,which was always a big issue for

    me going through

    Environmental Health and the

    myriad of things those guys do,

    then working on Leisure and a

    whole range of other things.

    Similarly you cant do it without

    the county council in terms of

    Adult Social Care, Childrens

    Services and other things. Now

    what weve done in

    Hertfordshire is create a Public

    Health Board that has all 10

    district councils enthusiastically

    on it along with the county, the

    crime commissioner and the

    NHS. Its a sub group of the

    County Chief Executives Group

    and the Health & Wellbeing

    Board. They will specifically look

    at how we work together to get a

    joined up Public Health vision.

    Our thanks to Jim.

    Making Every Contact Count

    Hertfordshire County Council are

    working hard to promote the Making

    Every Contact Count (MECC) initiative

    which makes use of every opportunity

    to spread positive health messages.

    Resources for front line officers are

    available at the NHS local learning

    website. http://bit.ly/I6qU2G These

    include training and tools to get

    started.

    Thanks to Herts JSNA Mgr Mark Jordan

    http://jigsawpsph.podomatic.com/http://bit.ly/I6qU2Ghttp://bit.ly/I6qU2Ghttp://bit.ly/I6qU2Ghttp://bit.ly/I6qU2Ghttp://bit.ly/I6qU2Ghttps://twitter.com/JigsawPSPHhttps://twitter.com/JigsawPSPHhttp://jigsawpsph.podomatic.com/http://jigsawpsph.podomatic.com/
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    [email protected]

    JIGSAW WORLD

    Jigsaw on-line: Daily News - http://paper.li/JigsawPSPH Blog - http://jigsawpsph.wordpress.com

    Bexley in Kenthas the worst

    food hygienein Britain

    Daily Mirror

    More Community Services Needed

    A report by the Care Quality

    Commission has called for more

    investment in community services to

    ease the burden on A&E Departments.

    Current figures show the minimum

    cost of a visit to A&E to be 76 with

    over 21 million attendances each year

    the cost to the NHS is approximately

    1.6 billion. A figure that could bedrastically reduced by greater focus on

    the wider determinants of health.

    When The Chips Are Down

    Councillors in Salford are looking to

    use Planning regulations to ban take

    aways near local schools from serving

    hot food before 5pm. Margaret Morris

    Deputy Mayor for Health said. "Public

    health and helping to reduce obesity

    levels are a top priority, and while planners

    cannot control the food that is sold, we

    would like every new premise to offer well

    promoted healthy alternatives so peoplecan have an informed choice about the

    food they eat.

    Public Health OutcomesFramework Updates Now Out

    Public Health England have issued a series of

    updates to the Public Health outcomes

    Framework. The documents which include a

    progress report to March 2013 and Technical

    Specifications of Public Health Indicators

    provide statutory guidance for Local

    Authorities exercising their Public Health

    functions. You can download the documents

    from: http://bit.ly/17UExtr

    Housing Research Bulletin

    A new information source for

    Housing professionals was

    launched last month. The

    Housing Health International

    Research Bulletin can be found

    at:www.housinghealth.com

    Its NICE to Have Standards

    The National Institute for Health & Care

    Excellence are to develop three new Public

    Health Quality Standards. These will

    provide a set of statements designed to

    drive and measure improvements in health

    care. NICE has had a Public Health remit

    since 2005 before that time it dealt solely

    with clinical matters. The new quality

    standards will apply to both top and lower

    tier Local Authorities and integrate withthe Public Health Outcomes Frameworks.

    http://bit.ly/19oMd7Y

    No Smoking, Children on Board

    Scottish Liberal MSP Jim Hume wants to

    introduce a private members bill which

    would make it illegal to smoke in vehicles

    when children are present. A survey has

    found that eight out of 10 people north of

    the border would support such a ban.

    Thinking Outside The Box

    Two studies have suggested innovative

    ways of reducing crime and improving

    wellbeing. In Pennsylvania vacant plotsof land were improved by planting grass

    and trees and providing fences. The

    changes led to reductions in gun crimes

    and improvements in residents

    perceptions of safety. Research has

    shown that negative perceptions can

    have a detrimental effect on health.

    London Underground have

    found that the playing of

    classical music has been

    effective in reducing levels of

    crime and assaults on staff at

    Elm Park Station on the

    District Line. It could bring a

    whole new meaning to the

    phrase catching the Tuba!

    Jigsaw on the Road

    We have been invited to

    facilitate an hour workshop

    on Social Media at the

    forthcomingCIEH Annual

    Meetingon 13th June at

    Chadwick House.

    Unfortunately the event is

    fully booked but you will be

    able to follow events on

    Twitter @JigsawPSPH.

    http://bit.ly/19oMd7Yhttp://bit.ly/19oMd7Yhttp://www.housinghealth.com/http://www.housinghealth.com/http://bit.ly/17UExtrhttp://bit.ly/17UExtrhttp://jigsawpsph.wordpress.com/http://jigsawpsph.wordpress.com/http://paper.li/JigsawPSPHhttp://paper.li/JigsawPSPH
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    The Back Page

    JIGSAW NEWS

    Editing and Design:

    Pete Hill & Sarah James

    Jigsaw Northern Ireland

    Anthony McCloskey

    JigsawNews is an independent

    production all views expressed

    are solely those of the editorial

    team and do not represent those

    of any other organisation.

    Coopers Corner

    I knew a

    hypochondriac

    who wouldnt visitthe Dead Sea until

    he found out what

    it died of!

    Alberts Square

    Ask StanleyStats

    Want some statistics? Let the Jigsaw

    Furby tell you all about it.

    You can e-mail him:

    [email protected]

    Or follow on Twitter @ stanley stats1

    Im a Public Health Professional

    Get Me out of Here!

    http://jigsawpsph.podomatic.com

    JigsawPSPHs weekly Podcast

    Featured on UK Health Radio

    Download from the iTunes Store

    Stanley Says: The number ofadults accessing the internet hasnow reached 84%, the percentageusing a smart phone is now 53%.Local Authorities are waking up to

    Social Media with 54% now usingit at service level and only 30%blocking staff use. Two thirds ofLAs now believe that wise use ofSocial Media can save themmoney. The biggest increase inTwitter users in the past 12months has come in the 50-65age group.

    Did You Know:a 20dB

    increase in aircraft noise is

    enough to delay a childs

    reading age by 8 months

    The Month on

    Twitter

    JigsawPSPH now working with

    Delivering quality

    services to a wide

    range of businessesand Public Sector

    bodies since 1999

    http://www.rhenvironmental.co.uk

    Did You Know: The cost of

    noise pollution in Europe is

    approximately 20 billion

    Coming Next Month.............

    We ask is the generic EHP anendangered species, take a look into the

    world of privatisation and round up the

    rest of the months Public Health news.

    Dont forget if your colleagues havent

    seen Jigsaw News why not get them on

    our mailing [email protected]

    Graham Burgess

    @The_CIEH @JigsawPSPH

    @foodgov @WhichUK

    Sloppy food hygiene

    standards should not be

    tolerated. Neither should

    reductions in EHOs. Crazy

    BCC Env. Health

    @JigsawPSPH @foodgov

    Making it a legal req for

    all businesses to display

    their FHRS score would

    make a huge diff to #foodsafety

    Dr Jeremy Leach

    of course establishments

    should display their FH

    ratings, thereby

    harnessing consumers.

    mailto:[email protected]:[email protected]://www.rhenvironmental.co.uk/http://www.rhenvironmental.co.uk/http://jigsawpsph.podomatic.com/http://jigsawpsph.podomatic.com/mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]