28th June 2011Local Government Association

Jim McManusJoint Director of Public Health

Building Bridges, Creating Confidence

Reflections of a Joint DPH

Lessons from History

• 145 Years of Public Health in Birmingham :

• Sir Alfred Hill, Birmingham’s First Medical Officer of Health, 1866-1903

• Housing work was a key plank of Birmingham’s early public health strategies

1974 : Fissure or Evolution

• Public Health in Local Government

• NHS Public Health

•False divisions

•Different foci, varying methods, complementarity

Health Improvement

Health Protection

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

What would an approach look like?

FALLS PREVENTION

Service Quality andImprovement

An Example - Direct

Learning the lessons from theNational Audit Office 2010not on course!

An Example - Indirect

Timeframes of impact/yield

Years0 1 5 10 15

Planning Frameworks and Core Strategies

Education

Vitamin Supplements

Decent Homes

Air Pollution

Primary Care

Air Pollution

Decent Homes

Reducing Worklessness

Primary Care

Elements of a Strategy

Housing Quality and affordability

The Lives people lead The Environment and amenities

•Decency standards•Thermal efficiency•Fuel Poverty•Financial Exclusion•Issues for social care and health care supported by housing (independence, falls prevention, telecare)

•Quality of Education•Life skills•Self-Efficacy•Accessibility•Social Isolation•Social Inclusion

•GreenCleanSafe•Environmental cues for healthy living

This is about doing Housing in a public health supporting way,NOT making housing staff health workers

Resources 1•Blog on Local Government and Public Health

http://jimmcmanus.wordpress.com

•Paper on Local Government Transition including risks and finance

•Powerpoints from Development Sessions

All available through http://uk.linkedin.com/in/jimmcmanus2

Resources 2

• E book on Local Govt and Presentation

• Public Health in Local Govt Briefings

Contact me Jim.mcmanus@birmingham.gov.uk