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Public Health in Northern Ireland - Dr. Paul Darragh

Public Health in Northern Ireland - Dr. Paul Darragh. Public Health in Northern Ireland. Fully integrated Health, Social Services and Primary Care Equivalent services to rest of UK N.H.S Funding via Barnett formula - Scotland, Wales, N. Ireland – own administration

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Public Health in Northern Ireland - Dr. Paul Darragh

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  1. Public Health in Northern Ireland - Dr. Paul Darragh

  2. Public Health in Northern Ireland • Fully integrated Health, Social Services and Primary Care • Equivalent services to rest of UK N.H.S • Funding via Barnett formula - Scotland, Wales, N. Ireland – own administration • Share land boundary with ROI – cross border issues. • Population 1.7m, significant legacy of deprivation, “troubles” • Overall Health and Social Care budget approx £4.5b • Demography overall aging population • Endeavour to be as self-sufficient as possible in Regional Specialities • Tied into N.I.C.E

  3. Our Political Structures • Government - Assembly – All 5 Political Parties have Ministers • Department of Health and Social Services DHSS • Own minister • Assembly Health Committee • Public Health Agency – sponsor C.M.O in D.H.S.S • Warm, supportive, co-operative relationship • Local Authorities Involvement • Investing for Health / New Public Health Strategy / Joint Action / Shaping wider health policy

  4. Public Health Agency • Director of Public Health, Chief Executive and Director of Nursing (160 Staff) • Cover all 3 domains of Public Health and R&D • Health Protection – HPU and Regional Epidemiology and Policy (9 consultants) • Health Improvement – (65 staff) • Service Development and Screening and Commissioning (19 consultants) • R&D for Health and Social Care in N.I and National projects Processing/Monitoring/Funding

  5. Health Protection • Health Protection unit - ID: Environmental Health and Emergency Planning • Regional Epidemiology - ID: Intelligence Gathering : Interpretation • Policy on HCAI Control : Monitoring / Policing / Hospitals / Community • Prevention Imm. and Vacc. • Working well - Resilience / Sustainability / Cross-Cover - Health protection staff 99% - H5N1; C.Diff; MRSA etc - Pseudomonas – all neonatal units at the same time • Severe weather incidents • Could do better: - Staff still to often Firefighting - Need to improve epidemiology to get ahead of events

  6. Influenza Vaccine UptakeOver 65 yrs & (<65yr at risk groups)

  7. Health Improvement 4 Building Blocks as per Marmot • Give every child and young person the best start in life • Work with others to ensure a decent standard of living • Build sustainable communities • Make healthy choices easier

  8. Adult Smoking By Gender NI from1983 Adult = 16+

  9. Good At Early Years: • New Parent Programme • Family Nurse Partnership • Roots of Empathy • Infant Metal Health Training • Sure Start Primary Care Management of: • BP; Diabetes; Cholesterol; Cardiovascular Disease ; Stroke

  10. Need Help With • Suicide and Mental Health • Obesity • Inequalities

  11. Service Development and Screening Going Well: Commissioning – Local Commissioning (5 LCG’s) and Specialist Commissioning Screening – Progress on all national screening initiatives adult/children - Robust Q.A. in place to support screening Host SpR Training Scheme – Centre of Excellence University and in service training

  12. Service Development and Screening Need Support: Large Scale Reviews - Pathology - Imaging Regional/ Supra-Regional Service development Maintaining Connections with rest of G.B

  13. R&D Unit • Support Local Research Community • Input to National Awarding Bodies • Ensuring Public Health Influence on Research Agenda

  14. Questions ?

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