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A joint presentation for the Association of Directors of Adult Social Services on public health in local government
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Birmingham:A local experience
Peter HayStrategic Director
Adults and Communities
Jim McManusJoint Director
of Public Health
ADASS / SCIE SEMINARTHE NEW ARRANGEMENTS FOR PUBLIC HEALTH
28th February 2011
Contents
• Context
• What have we done so far?
• Some thoughts on building from here
The Current Birmingham Model
• DPHs in PCTs and joint funded council post
• Broader council responsibilty• JSNA and single data• Use of JSNA in commissioning• Scrutiny and strategic development
Health Improvement
Health Protection Service
Quality andImprovement
Commissioning priorities, Evidence, acting when evidence is silent, making it work, supporting implementation
Ensuring we have the right frameworks in place
Long term, medium term, short term impacts
Building a “Whole Council Approach” through Domains of Public Health
FALLS PREVENTION
Telecare
Choice Wins and Broader Responsibility
• Choose your wins• The Prevention
Framework and Prevention Strategy and Social Care Chapter
• Workplace Health• Housing and Health
Protocol• Core Strategy and
Planning• Neighbourhood Tasking
Model• Healthy Catering Awards• JSNAs – Children
• Broader Council Responsibility
• Council’s Big Three includes Behaviour Change by Services AND Citizens
• The Council Plan – Be Healthy
• JSNA and role of Scrutiny
• HI Champions• Marmot Directors
Short, medium and long term yields
Takeaways
• Child obesity target met• 29 priority schools• Supplementary Planning
Document• Healthy Takeaways
Awards• School Nutrition
Standards• Alliance between Scrutiny
and Planning Committees• Alliance with 2
manufacturers, 2 takeaway chains and 4 community groups
Birmingham health chiefs wage war on takeaways to crack down on obesity shame
Europe’s “Fattest City” too fond of chips, says somebody no-one has ever heard of
Timeframes of impact/yield
Years0 1 5 10 15
Primary Care
Planning Frameworks and Core Strategies
Education
Vitamin Supplements
Reducing Worklessness
Decent Homes
Air Pollution
Primary Care
Air Pollution
Decent Homes
Reducing Worklessness
Some thoughts on building from here
Marmot’s 6 Policy Objectives
From this
To this
From this
To this
A new care model & public health
Citizen purchased care – state resources
Enablement
Prevention
Universal offer
Citizen (purchased) care – own resources
MEANS
NEEDS
In Conclusion
• This is a huge but exciting challenge – public health a key part of the landscape
• Whole council approach to public health• Lots of space for new ways of working• A new strategic role across the whole
Council and alongside GPs• Within a new focus on place and people• The cement is a new way of working