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Public Health in Yorkshire and the Humber

Public Health in Yorkshire and the Humber. Stephen Morton, Centre Director, Yorkshire and the Humber. Our mission.

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Public Health in Yorkshire and the Humber

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  1. Public Health in Yorkshire and the Humber Stephen Morton, Centre Director, Yorkshire and the Humber

  2. Our mission • Our mission is 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. What we want to be known for • We want to be known for encouraging evidence-led action with scale and pace to make a significant and sustainable improvement to the public’s health

  3. Our Priorities • 1. 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 • 2. 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 • 3. Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics • 4. 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 • 5. 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

  4. Our Priorities To underpin these outcome-focused priorities we will: 6. Promote the development of place-based public health systems 7. Develop our own capacity and capability to provide professional, scientific and delivery expertise to our partners

  5. The Department of Health will set the legal and policy framework, secure resources and make sure public health is central to the Government’s priorities. The national public health system Chief Medical Officer Executive Agency Section 7A Agreement Public Health England The PHE-NHSCB Partnership Agreement

  6. The local and regional presence • 8 Knowledge and Intelligence Hubs • London • South West • South East • West Midlands • East Midlands • North West • Yorkshire and Humber • North East • Other local presence • Ten microbiology laboratories • Field epidemiology teams • Centre for Radiation Control units

  7. Sources of public health advice in the ‘Place-based’ approach to local public health 3rd sector providers NHS & IS Providers People and communities Health and wellbeing boards NHSCB area team PHE centre Local government CCGs & their support Public health advice Commissioner of public health services

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

  9. Centres for Public Health England:The One-Stop Shop • The Centre is the “front-door” of PHE – it is not the only route through which PHE will work with local partners but it is responsible for assuring that services provided by PHE to the locality are agreed and meet local needs. The PHE Centre is a full partner in the local public health system whose unique role is to provide an agreed range of services and expert advice that is tailored to meet the local needs, wishes and aspirations of local government and the local NHS.

  10. CVD Mortality <75 Gaps for former Spearhead* authorities relative to the England averages: 1995/7 - 2009/11 50 45 male gap post census 40% gap reduction target male 40 female gap post census 35 40% gap reduction target female 30 absolute gap in <75 standardised mortality 25 20 15 10 5 0 95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 06-08 07-09 08-10 09-11 three years pooled Can PH action reduce inequality?

  11. Success in reducing infant mortality

  12. Preventable Mortality in YH

  13. Deaths from Cancers

  14. Liver Disease

  15. Infant Deaths

  16. Variation in TB incidence within Y & H

  17. What does this mean for the PHE Centre in Yorkshire and the Humber? We need to work out how we will balance local and national priorities for public health. This doesn’t mean that we simply arbitrate or act as a go between. Our skill will be to build in the areas where there are uncertainties are gaps.

  18. Making it local • Health and wellbeing boards • Local Strategic Partnerships • Crime and Disorder Reduction Partnerships • Safeguarding Boards • Voluntary Service Councils • LRFs/LHRPs • Drug and alcohol groups • TB, Tobacco, Education, Physical activity, Air quality, Housing renewal,…….

  19. The local public health system Health Related Behaviour. Attractive Cycle Routes And Pleasant Parks Supportive Friendships Physical Environment Social Capital Safe and Friendly Neighbourhoods

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