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Presented by:. Errol Taylor Deputy Chief Executive. Accident prevention – a leading priority for Public Health? Hertfordshire Public Health Conference 4 th December 2013. Context. Success of Workplace and Road Safety programmes Triple dip recession / public sector cuts
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Presented by: Errol Taylor Deputy Chief Executive Accident prevention – a leading priority for Public Health? Hertfordshire Public Health Conference 4th December 2013
Context • Success of Workplace and Road Safety programmes • Triple dip recession / public sector cuts • Political direction • Deregulation • Localism • Big Society • Restructuring of the NHS • Health & Social Care Bill • Creation of Public Health England • Transfer of many Public Health functions to Local Authorities with ring-fenced Public Health budgets RoSPA’s mission is to save lives and reduce injuries
John Snow MD (1813-1858) RoSPA’s mission is to save lives and reduce injuries
Problem and solution RoSPA’s mission is to save lives and reduce injuries
The balance of NHS doctrines Prevention £5 billions Treatment £100 billions RoSPA’s mission is to save lives and reduce injuries
Home: cost increase* of £14 billion *15 year cumulative change in cost to Society using TRL PPR483 Road: cost saving* of £9 billion RoSPA’s mission is to save lives and reduce injuries
Financial Cost of Accidents Every Year • Cost to Society • Home & Leisure £95billions • Workplace £30-35billions • Road £30billions • Total c£150billions • Cost to the State • A&E c£10billions • Rehabilitation c£5-10billions • Long term care/benefits c£5-10billions • Total £20-30billions RoSPA’s mission is to save lives and reduce injuries
Human Cost of Accidents Every Year • Deaths 14,000 (growing by 2-3% pa) • Workplace 175 • Road 1,901 • Home/Leisure c12,000 • Serious Injuries 840,000 • Of which ‘life changing’ 65,000 • ‘Minor’ injuries • A&E attendances 14,000,000 (growing by 5% pa) • GP attendances similar RoSPA’s mission is to save lives and reduce injuries
‘Health of the Nation’ Priorities 1992 • Coronary heart disease and stroke • Cancers • Mental illness • HIV/AIDS and sexual health • Accidents • Key Areas and the health of people in specific groups of the population RoSPA’s mission is to save lives and reduce injuries
‘Healthy lives, healthy people’ Priorities 2010 • Tobacco Control • Alcohol and drug misuse • Obesity and nutrition • Physical activity • Lifestyle interventions • Mental public health • Dental public health • Birth defects • Cancer • Workplace health • Immunisation • Sexual health • Seasonal mortality • Health protection • Community safety • Social exclusion • Accident prevention RoSPA’s mission is to save lives and reduce injuries
Unintentional injuries (accidents) account for 2% of all deaths * others is a catch-all which includes all the causes of death not separately listed including skin disease, pregnancy/childbirth, mental disorders and diseases of the endocrine, nervous, digestive, musculoskeletal and genito-urinary systems. RoSPA’s mission is to save lives and reduce injuries
Up to age 60, unintentional injuries (accidents) are the leading cause of preventable years of life lost, accounting for 23% of these YLL RoSPA’s mission is to save lives and reduce injuries
1st 1st 1st 1st 2nd 3rd Unintentional injury is the leading cause of preventable YLL until age 75 when it drops to 2nd behind cancer. At 85 years, it drops to 3rd behind cancer and cardiovascular disease. RoSPA’s mission is to save lives and reduce injuries
Health improvement priorities RoSPA’s mission is to save lives and reduce injuries
Welwyn/Hatfield’s injury profile (1) RoSPA’s mission is to save lives and reduce injuries
Welwyn/Hatfield’s injury profile (2) RoSPA’s mission is to save lives and reduce injuries
Welwyn/Hatfield’s injury profile (3) RoSPA’s mission is to save lives and reduce injuries
St Alban’s injury profile RoSPA’s mission is to save lives and reduce injuries
What do we want? A community in which no person need die or be seriously injured by an ‘accident’… Driving Continuation Road safety & cycling Toddlers , Mums & Dads Workplace Safety Young Drivers Young Workers LASER 1Y LASER 2Y LASER 4Y 0 Age 85 ....delivered by a public/private/volunteer partnership RoSPA’s mission is to save lives and reduce injuries