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.”

1

2

A matter of civic pride?

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

3

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

4

History of working together

5

• 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

6

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

7

Public health outcomes framework

8

“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

Marmot Indicators

11

Life expectancy & disability free life expectancy at birth, by neighbourhood income level, England and Sandwell 1999-2003

Neighbourhoods by income deprivation (population percentiles)

Life expectancy for males and females,

Sandwell and England and Wales, 2000-2010

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

13

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

Sandwell Public Health Structure 2014

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