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Public Health and Why It’s Good

Public Health and Why It’s Good. Bryan Stoten 2014. UK Public Health Register and the Faculty of Public Health (Medicine?). Public Health and Wellbeing. Is all we do Is multi skilled and multi disciplined Is at the core of post industrial progress Is not health care alone

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Public Health and Why It’s Good

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  1. Public HealthandWhy It’s Good Bryan Stoten 2014

  2. UK Public Health Register and the Faculty of Public Health (Medicine?)

  3. Public Health and Wellbeing • Is all we do • Is multi skilled and multi disciplined • Is at the core of post industrial progress • Is not health care alone • Nor social care alone • But it is education, and welfare and housing policy and spatial planning and leisure and employment and environmental services and sustainability and……… • And some of it is Imm. and Vac., smoking cessation, diet and exercise, safer sex….but only some of it!

  4. Everyone knows what it is: - ?

  5. So why do we prioritise acute care? • 90% of health spending goes on clinical interventions affecting 10% of the population • Only 4% of health spending goes on public health for the whole population • Yet we have an evidence base that shows however many we pull out of the river we really must go upstream and stop them falling in!

  6. So: • We need epidemiologists and information. • We need research academics • We need social analysts and spatial planners • We need behavioural scientists • We need environmental control professionals • We need social anthropologists

  7. But what we get from professional Public Health has been: Ten top tips from the Chief Medical Officer:

  8. The Chief Medical Officer’s 10 tips for better health • Don’t smoke. If you can, stop. If you can’t, cut down • Follow a balanced diet with plenty of fruit and vegetables • Keep physically active • Manage stress by, for example, talking things through and making time to relax • If you drink alcohol, do so in moderation • Cover up in the sun, and protect children from sunburn • Practice safer sex • Take up cancer screening opportunities • Be safe on the roads: follow the Highway Code • Learn the First Aid ABC: airways, breathing and circulation

  9. Professor Dave Gordon’s Alternative Tips • Don’t be poor. If you are poor, try not to be poor for too long • Don’t live in a deprived area. If you do, move • Don’t be disabled or have a disabled child • Don’t work in a stressful low-paid manual job • Don’t live in damp, low quality housing or be homeless • Be able to afford to pay for social activities and annual holidays • Don’t be a lone parent • Claim all the benefits to which you are entitled • Be able to afford to own a car • Use education as an opportunity to improve your socio-economic position

  10. So, if you only do what you always did, you’ll only get what you always got, we need a public health that really addresses the health of the public. Not just a set of strategies that blame the victims.

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