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Hertfordshire’s Public Health Strategy. Cllr Teresa Heritage Jim McManus Hertfordshire Assembly Meeting November 13 th 2013. Our Strategy. Vision – what we want to achieve Priorities – What we will do to get there Building Blocks – some of our approaches.
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Hertfordshire’s Public Health Strategy Cllr Teresa Heritage Jim McManus Hertfordshire Assembly Meeting November 13th 2013
Our Strategy Vision – what we want to achieve Priorities – What we will do to get there Building Blocks – some of our approaches
A Distributed System Public Health England NHS England NHS Clinical Commissioning Groups County Council District and Borough Councils Voluntary and Community Sectors Employers
The Big Public Health Challenges for Hertfordshire • Non Communicable Disease • Public Mental Health • Development • Ageing Imms Vaccs TB HCAI Environment Health Improvement Health Protection Health Care Quality Public Service Outcomes Service Quality
Conceptualising wider determinants Contributors to overall health outcomes Health Behaviours 30% Socioeconomic Factors 40% Clinical Care 20% Built Environment 10% Smoking 10% Education 10% Access to care 10% Environmental Quality 5% Diet/Exercise 10% Employment 10% Quality of care 10% Built Environment 5% Income 10% Alcohol use 5% Poor sexual health 5% Family/Social Support 5% Source: Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute. Used in US to rank counties by health status While this is from a US context it does have significant resonance with UK Evidence, though I would want to increase the contribution of housing to health outcomes from a UK perspective. Community Safety 5%
Priority 1 Our residents live longer, healthier lives
Priority 2 Our residents start life healthy, and stay healthy
Priority 3 We narrow the gap between most and least healthy
Priority 4 We protect our communities from harm
Priority 5 We make Public Health everybody’s business Workforce development Clear models of how to do public health Understand what is needed and do what works Intelligence and Information Evidence Evaluation and monitoring Priority 6
Key Concept - 6 Levels of Public health • Biological • Behavioural • Social • Legislative • Structural • Environmental
Next Steps • Implementation Plan • Specific Plans • Sexual Health • Obesity • Tobacco • Lifestyle and Physical Activity • Partnerships • Health Promotion Resource
Learning • Public Health Conference for Hertfordshire – free to attend, 4th December • www.hertspublichealth.co.uk • E Learning Platform • PH Library Resource
So • Does this make sense? • Is it doable? • What do you think can make it better? • How do we improve? • Where do we go from here? • What can you do? • What do we need to do to help you?