The new health system

1. SYSTEM MANAGEMENT AND CO-ORDINATION ACCOUNTABILITY & PUBLIC INVOLVEMENT SERVICE SPECIFIC COMMISSIONING PUBLIC HEALTH The new health system

2. Introduction to some Public Health Language Deborah Harkins Head of the Joint Health Unit

3. Local government and public health interventions Ensure those affected by poor health have access to effective, equitable services Specialist interventions and services Prevent ill health in those at highest risk Targeted interventions and services Protect and promote health and wellbeing whole populations groups individuals Universal interventions and services

4. Public health interventions Population Community or setting Individual

5. Intelligence and evidence

6. Health improvement • The five ways to wellbeing • Connect, be active, take notice, keep learning, give • Health impact assessment • Predicts the positive and negative impacts of an intervention • Settings development • Whole systems approach, combines mutually reinforcing measures

7. Health improvement • Social marketing • Population segmentation, insight, intervention • Behaviour change • Brief intervention, readiness to change, motivational interviewing • Primary and secondary prevention • Primary: intervene before the disease • Secondary: intervene to prevent relapse or deterioration

8. Health and social service quality • Screening • detect disease in those without signs or symptoms of that disease • Clinical effectiveness • the extent to which an intervention works • Quality improvement • Safe, timely, effective, patient-centred, efficient, equitable

9. Health protection • Communicable disease control • Outbreaks – identify source, prevent further spread • Emergency management • Prepare (including build community resilience), respond, recover, mitigate

10. Questions?