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Wessex PHE Centre Dr Jim O’Brien, Centre Director

Wessex PHE Centre Dr Jim O’Brien, Centre Director. Sender bodies. Quality assurance reference centres (QARCS) Specialist dental commissioners Specialist commissioners NHS cancer screening programme UK national screening programmes (non-cancer).

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Wessex PHE Centre Dr Jim O’Brien, Centre Director

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  1. Wessex PHE Centre Dr Jim O’Brien, Centre Director

  2. Sender bodies • Quality assurance reference centres (QARCS) • Specialist dental commissioners • Specialist commissioners • NHS cancer screening programme • UK national screening programmes (non-cancer) • The existing health organisations and functions that contributed some or all of their staff to Public Health England include: • Health Protection Agency • National Treatment Agency • Department of Health • Strategic Health Authorities • Primary Care Trusts • Public health observatories • Cancer registries • National cancer intelligence network 2

  3. Transition process: lead-up to 1 April 1 August 2012 Process published to fill posts across the system 10 January 2013 Ring-fenced grant allocations for local authorities announced 2 July 2012 CEO takes office November 2010 March 2012 April 2013 27 March 2012 Health and Social Care Act 2012 receives Royal assent 27 July 2012 Structure announced Chair appointed 23 November 2012 Public Health Outcomes Framework updated 1 April 2013 PHE goes live 1 January 2013 Shadow running begins 5 April 2012 CEO appointed 19 October 2012 First national directors appointed 30 November 2010 Healthy Lives, Healthy People white paper released 3

  4. Our priorities for 2013/14 • Sets out Public Health England’s priorities and actions for the first year of our existence • Five outcome-focused priorities – what we want to achieve • Two supporting priorities – how we will achieve it • 27 key actions to take now • The start of the conversation – a three-year corporate plan will follow 4 Prese

  5. Mission “To protect and improve the nation’s health and to address inequalities, working with national and local government, the NHS, industry, academia, the public and the voluntary and community sector.” 5

  6. What we do • Public Health England: • works transparently, proactively providing government, local government, the NHS, MPs, industry, public health professionals and the public with evidence-based professional, scientific and delivery expertise and advice • ensures there are effective arrangements in place nationally and locally for preparing, planning and responding to health protection concerns and emergencies, including the future impact of climate change • supports local authorities, and through them clinical commissioning groups, by providing evidence and knowledge on local health needs, alongside practical and professional advice on what to do to improve health, and by taking action nationally where it makes sense to do so 6

  7. Where do we focus our efforts? Overall, the three risk factors that account for the most disease burden in the United Kingdom are dietary risks, tobacco smoking, and high blood pressure. The leading risk factor for both children under 5 and adults aged 15-49 years was tobacco smoking in 2010. Tobacco smoking as a risk factor for children is due to second-hand smoke exposure.

  8. Where do we focus our efforts?

  9. Outcome-focused priorities Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol Reducing the burden of disease and disability in life by focusing on preventing and recovering from the conditions with the greatest impact, including dementia, anxiety, depression and drug dependency Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics Supporting families to give children and young people the best start in life, through working with health visiting and school nursing, family nurse partnerships and the Troubled Families programme Improving health in the workplace by encouraging employers to support their staff, and those moving into and out of the workforce, to lead healthier lives 9

  10. Supporting priorities Promoting the development of place-based public health systems Developing our own capacity and capability to provide professional, scientific and delivery expertise to our partners 10

  11. Actions 2013/14 Reducing preventable deaths • Support people to live healthier lives by implementing NHS Healthchecks • Accelerate efforts to promote tobacco control and reduce the prevalence of smoking • Report on premature mortality and the Public Health Outcomes Framework • Enable improved integration of care, to support local innovations to find alternatives to hospital-based care 11

  12. Longer Lives: Overview of Data for Wessex

  13. Actions 2013/14 Protecting the country’s health • Reverse the current trends so that we reduce the rates of tuberculosis infections • Lead the gold standards for current vaccination and screening programmes • Tackle antimicrobial resistance (AMR) • Develop and implement a national surveillance strategy 14

  14. Actions 2013/14 Promoting place-based public health systems • Make the business case for promoting wellbeing, prevention and early intervention as the best approaches to improving health and wellbeing • Partner NHS England to maximise the NHS’ impact on improving the public’s health • Implement the public health workforce strategy and develop the PHE workforce • Ensure that we use data and information across the public health system to demonstrate value for money 15

  15. Local presence • Four regions, 15 centres • Eight Knowledge and • Intelligence Teams • London • South West • South East • West Midlands • East Midlands • North West • Northern and Yorkshire • East • Other local presence • ten microbiology laboratories • field epidemiology teams • Additional support • Local teams can also draw on national scientific expertise based at Colindale, Porton Down and Chilton 16

  16. Local focus 15 CENTRES 4 REGIONS • Led by a senior public health professional • Deliver services and advice around the three domains of public health • Support local government and local NHS action to improve and protect health and reduce inequalities with intelligence and evidence • Deliver the local input to emergency preparedness, resilience and response • Led by a senior public health professional • Ensure quality and consistency and responsiveness of centres’ services and advice • Support transparency and accountability of the system • Assurance of emergency planning and response • Workforce development • Contribute to the national public health agenda 17

  17. Public health outcomes framework To improve and protect the nation’s health and wellbeing and improve the health of the poorest, fastest Outcome 2) Reduced differences in life expectancy between communities (through greater improvements in more disadvantaged communities) Outcome 1) Increased healthy life expectancy – taking into account health quality as well as length of life 1 Improving the wider determinants of health 2 Health improvement 3 Health protection 4 Healthcare and public health preventing premature mortality • 19 indicators, including: • Children in poverty • People with mental illness or disability in settled accommodation • Sickness absence rate • Statutory homelessness • Fuel poverty • 7 indicators, including: • Air pollution • Population vaccination coverage • People presenting with HIV at a late stage of infection • Treatment completion for tuberculosis • 16 indicators, including: • Infant mortality • Mortality from causes considered preventable • Mortality from cancer • Suicide • Preventable sight loss • Excess winter deaths • 24 indicators, including: • Excess weight • Smoking prevalence • Alcohol-related admissions to hospital • Cancer screening coverage • Recorded diabetes • Self-reported wellbeing 18

  18. Leverage from the public health ring fence DsPH have influence across all local government spend Influence on wider spending in commercial and voluntary sectors Clinical Commissioning Groups And NHS England PHE provides expert advice to local government PHE provides expertise in local area teams Embedding ‘making every contact count’ 19

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