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Healthy Lives, Healthy People

Healthy Lives, Healthy People. Public health strategy for England. What is Public Health?. ‘the science and art of preventing disease, prolonging life, and promoting health through the organised efforts of society’ promote healthy lifestyles prevent disease protect and improve general health

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Healthy Lives, Healthy People

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  1. Healthy Lives, Healthy People Public health strategy for England

  2. What is Public Health? • ‘the science and art of preventing disease, prolonging life, and promoting health through the organised efforts of society’ • promote healthy lifestyles • prevent disease • protect and improve general health • improve healthcare services

  3. The Health Background • Average lifespans are steadily increasing. Swindon has life expectancy of 78.4 years for men and 82.7 years for women • Swindon has an ageing population – est. 29% increase in the over 75’s by 2020 • Britain has amongst the worst levels of obesity in the world. • Smoking claims over 80,000 lives a year. • 1.6 million people are dependent on alcohol. • Poor mental health is estimated to be responsible for nearly a quarter of the overall burden of long-standing poor health. • People in the poorest areas of Swindon can expect to live up to 7 years less than people in richer areas.

  4. Major Health Trends • Cardiovascular Disease & Stroke • 961 people died as a result of a stroke (2002 – 2008) • 20% of these were under the age of 75 • Coronary Heart Disease • 1,884 people died as a result of CHD (2002 – 2008) • 33.6% of these were under the age of 75 • Cancer • 2,907 people died from cancer (2002 – 2008) • 50.9% of these were under the age of 75 • Diabetes • 8,195 patients registered with diabetes

  5. In Swindon: • Adult Obesity • Estimated to be 24.8% (the highest prevalence rate in the South West) • Childhood Obesity • 9.4% of reception year pupils obese (plus 11.3% overweight) (NCMP) • 16.7% of year 6 pupils obese (plus 16.1% overweight) (NCMP) • Highest in the most deprived wards • Physical activity - participation rates • 1 in 5 adults • 31% of school pupils (aged 14-15yrs)

  6. Healthy Lives, Healthy People Our strategy for public health in England

  7. What is public health? • "the science and art of preventing disease, prolonging life, and promoting health through the organised efforts of society" • promote healthy lifestyles, • prevent disease, • protect and improve general health, • improve healthcare services • It is also about • where you live, • the environment, • your housing • the safety of your community.

  8. The New Approach • representative – owned by communities and shaped by their needs • resourced – with ring-fenced funding and incentives to improve • rigorous – professionally-led, focused on evidence, efficient and effective • resilient – strengthening protection against current and future threats to health. • and will focus on • improving the health of the poorest fastest

  9. Health and Wellbeing throughout life • Empowering local government and communities • Tackling health inequalities • Coherent approach to different stages of life • Giving every child the best start in life • Making it pay to work • Designing communities for active aging and sustainability • Working collaboratively with business and voluntary sector – the Public Health Responsibility Deal

  10. A New Public Health System • Public Health England – a national public health service • A return of public health leadership to Local Government • Professional leadership nationally and locally • Ring fenced budgets - Dedicated resources for public health at national and local levels • Focus on outcomes and evidence based practice supported by a strong information & intelligence system • Maintaining a strong relationship with the NHS, social care and civil society

  11. Public Health Outcomes Framework: VISION • To improve and protect the nation’s health and to improve the health of the poorest, fastest

  12. Health and Wellbeing Board • Healthy Communities & Older People Partnership (HCOPP) • Health and Wellbeing Partnership Board • Health and Well Being Board • Oversees Joint Strategic Needs Assessment • Brings together local leaders & local people • Develop Integrated Health and Wellbeing Strategy

  13. Health and Wellbeing Board • The main functions of the board are: • To assess the needs of the local population and undertake the statutory joint strategic needs assessment (JSNA) • To promote integration and partnership across areas, including through promoting joined up commissioning plans across NHS, social care and public health • To support joint commissioning and pooled arrangements, where all parties agree this makes sense • To develop a joint Health and Wellbeing Strategy

  14. The picture so far…. • Public Health co-locating to the council – by October 2011 • Early implementer for Health and Wellbeing Board • Shadow board evolving • Assume its statutory duty by 2013

  15. Healthy Lives, Healthy People – A Consultation • Public Health White Paper • Role of GPs and GP practices in public health • Public health evidence • Professional Regulation • Outcomes Framework for Public Health • Funding and Commissioning for Public Health Find consultation documents at; www.consultations.dh.gov.uk/healthy-people Respond to consultations at; publichealthengland@dh.gsi.gov.uk

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