Life expectancy

1. Public Health in IslingtonVoluntary and Community Sector Dialogue event Julie BillettJonathan O'Sullivan3 June 2013

2. Life expectancy • Islington men and women die younger in Islington when compared to the rest of England. • Whilst life expectancy in Islington is increasing. Islington men have the lowest life expectancy in London. • In Islington the difference in life expectancy between the best-off and worst-off is 6.7 years for men and 4.4 years for women

3. The contribution of lifestyle risk factors to long term conditions and early death in adults. Source: WHO popi

4. 3 key ‘pillars’ of public health • Health promotion & disease prevention programmes • Influencing lifestyles/behaviours & the wider determinants of health • Empowering and supporting communities to promote health & reduce inequalities health improvement health protection • Surveillance, monitoring & analysis of the population’s health & wellbeing • Investigating and managing infectious, environmental and other risks to health • Emergency planning and preparedness health services • Public health advice to support service planning & strategic commissioning – health needs assessment, effectiveness and efficiency of interventions and services, equity • Service audits & evaluations

5. New statutory responsibilities of LAs from 1st April 2013 The Act places duties on local authorities spanning all 3 domains:- To promote and improve the health of their population (health improvement) To ensure robust plans are in place to protect the local population (health protection) To provide health advice to NHS commissioners (healthcare public health) • Non-mandated services • To provide or commission a wide range of other services to improve and protect the health of the local population and reduce health inequalities. Includes: • alcohol and drug misuse services • public health programmes for children aged 5-19 • stop smoking services and tobacco control • interventions to prevent and manage obesity • Physical activity • Public mental health programmes • Health at work • Nutrition and healthy eating • Community safety, violence prevention & social exclusion • Dental public health • Seasonal mortality interventions • Mandated services • Sexual health services (excluding HIV treatment) • NHS Health Checks • Health protection - to ensure plans are in place to protect the health of the population and to have a supporting role in infectious disease surveillance and control and in EPPR • Public health advice to Clinical Commissioning Groups • National Child Measurement Programme

6. National Commissioning Board Clinical Commissioning Groups Public Health England • Arms length non-departmental body • Commissions specialist services and primary care • Develops and holds CCGs to account • Key leadership role in improving outcomes and driving up quality • Oversees planning for emergency resilience and leading the NHS operational response to emergencies • Public health services for children <5 (health visiting) • Screening and immunisation programmes CCGs will be responsible for commissioning:- • Emergency and urgent care • Community health services • Maternity services • Elective hospital care • Rehabilitation services • Older people’s healthcare services • Healthcare for children • Other services • Duties include duty to participate in HWBBs and to have regard to health improvement and health inequalities • Executive agency of the DH • Aims to support the public health system as a whole and do those things that would not be practicable to replicate in each local authority • Provide services, expertise, information and advice in a way that is responsive to local needs • Support PH capacity building and professional development • Nationally 4 x Hubs (1 for London) and local units (1 for NC & NE London)

7. Health and Wellbeing Boards A statutory function of the local authority. The means by which the local authorities will deliver their new duties to improve strategic coordination across local NHS, social care, children’s services, public health and other services that directly relate to health and wellbeing.

8. Key functions of the Health and Wellbeing Board • Assess the needs of the population through the Joint Strategic Needs Assessment • Agree and produce a Health and Wellbeing Strategy • Promote joint commissioning • Promote integrated provision joining up social care, public health and NHS services with wider local authority services • Ensure best use of resources • Consider the wider determinants of health

9. Who is on the board? • Leader of the Council • Lead Member for Health and Adult Social Services • Lead Member for Children’s Services • Clinical Commissioning Group representation • Borough Director • Director of Housing, Adult and Social Services • Director of Children and Families Services • Director of Public Health • Local Healthwatch representation

10. What we want to achieve with the VCS • bringing a wider perspective; reflective of different localities and communities. • delivering messages to where they are needed most • crossing the health and social care boundaries • drawing together broad experience and expertise • providing a ‘live’ feed-back loop from experience to policy • Greater engagement and involvement on Evidence Hub/JSNA and JHWS • Outcomes focussed approach

11. Islington’s Health and Wellbeing priorities Delivering high quality, efficient services within available resources.

15. What’s on the Evidence Hub? • Adult care • Children, young people and families • Crime and anti-social behaviour • Demographics • Education and employment • Environment • Health and wellbeing • Housing and homelessness • Local economy • Summary factsheets • Datasets • Profiles • Strategies • Reports • Insight Who is it for? Residents, Council staff, Councillors, NHS, Community and Voluntary sector and other partners such as schools, police, pharmacies.