public health caryn cox director of public health, cheshire west & chester council
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Public Health Caryn Cox Director of Public Health, Cheshire West & Chester Council. Champs - who we are. Cheshire & Merseyside public health collaborative service launched April 2013 Led by nine Cheshire & Merseyside local authority Directors of Public Health - PowerPoint PPT PresentationTRANSCRIPT
Public Health
Caryn CoxDirector of Public Health, Cheshire West & Chester Council
Champs - who we are
• Cheshire & Merseyside public health collaborative service launched April 2013
• Led by nine Cheshire & Merseyside local authority Directors of Public Health
• Key areas of work delivered by local public health teams and facilitated by small support team hosted by Wirral Council
• Builds on success of previous award-winning public health network which collaborated for 10 years within the NHS
What we do
• Improve the quality of services
• Offer value for money
• Achieve better health outcomes
• Reduce health inequalities
We do this by sharing goals, resources and expertise
Our key areas of work
Supporting a safe and resilient health protection system that protects local people’s health through expert leadership and co-ordination
Enabling a unified, dynamic and effective public health system through expert public health leadership and input into strategic partnerships
Improving quality, efficiency and cost-effectiveness by reviewing locally commissioned public health services
Ensuring fair and better quality health care services for local populations by providing expert advice and intelligence to Clinical Commissioning Groups and other NHS organisations
Part of the local authority from April 2013 – part of wider NHS changes
Overall responsibility for the health and wellbeing of populations and communities
Identifying health risks – preparing a Joint Strategic Needs Assessment (JSNA)
Developing plans and commissioning programmes to improve the health of the population as a whole, based on evidence of what works
Who and what is public health?
Three domains of public health
Key essential areas
Longer healthier lives
Start healthy and stay healthy
Narrow the gap between the most and least healthy
Protect communities from harm
Use evidence base
Embed public health everywhere (make every contact count)
Use ‘Lifecourse Approach’ (Marmot)
What do Public Health Commission?• Drug and alcohol services• Children’s public health >5 yrs (school nursing)• Sexual health services• NHS Health Checks• National Child Measurement Programme• Dental public health, oral health promotion• Initiatives to reduce excess deaths• Physical activity• Accidental injury prevention, falls prevention• Mental health promotion• Stop smoking services• Behaviour campaigns• Community infection control
Health and Wellbeing Boards
Boards established in each local authority area (top tier)
Pharmacy Needs Assessment
Health and Wellbeing Strategy
Joint Strategic Needs Assessment (JSNA)Be strategicLook beyond needs (assets based approaches)Understand inequalitiesJointly prioritiseExamine all factors of ill-healthProvide impartial evidence
Public Health Outcomes Framework
Picture of Health? Good or bad?
Picture of Health? Obesity
Picture of Health? Alcohol
Picture of Health?
Picture of Health?
Picture of Health? We know the answers
Housing and healthSource: Barton and Grant (2006)
How important?
40% - Socioeconomic factorseducation, employment, income, family/social support, community safety
30% - Health behavioursalcohol, tobacco, sexual health, diet/exercise
20% - Clinical carequality and access to healthcare
10% - Built environmentbuilt environment, environmental quality
Factors vary through life
What makes a difference to health?
EMPLOYMENT
(MEANINGFUL ACTIVITY)
DECENT HOUSING
STOP SMOKING
Key drivers – a few examples
• Fiscal challenge
• Welfare reform
• Increasing community capacity/resilience
• Integration Transformation Fund (ITF)
• Pioneer Status – Pan Cheshire
• Care Bill - April 2015
• Ageing demographic
Housing & health – what is happening already?
• Warrington
• Developing a housing and health strategy
• Using RSLs to identify vulnerable individuals
• Mapping health improvement activities of RSLs
• Mapping homes where more energy improvement needed
• Cheshire
• Snow Angels
• Altogether Better programme eg early support, working well
Housing and health – opportunities?
• Employment/meaningful activity
• Energy efficient homes/affordable warmth – tackling fuel poverty
• Personal resilience
• Early identification of vulnerable individuals to provide early support
• Good mental health and wellbeing – all ages
• Building social cohesion/communities
• Housing data into the Joint Strategic Needs Assessment (JSNA)
• Health and Wellbeing Strategy - contributing
• Annual public health report
• Capturing voice of communities
• Making Every Contact Count
Thank you – any questions?