Public Health Yorkshire & the Humber

1. Public HealthYorkshire & the Humber Alison Patey PHE North Region

2. Origins of Public Health England • Healthy Lives, Healthy People white paper • Published November 2010 to set out a new approach to public health • Responsibility for local health improvement returned to local authorities from 1 April 2013 • Public Health England is the expert national public health agency which fulfills the Secretary of State for Health’s statutory duty to protect health and address inequalities, and executes his power to promote the health and wellbeing of the nation. • Health and Social Care Act 2012 • Set the legislative framework for the changes to the health and care system that led to the creation of Public Health England as an operationally autonomous executive agency of the Department of Health • Received Royal Assent 27 March 2012

3. Our 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.”

4. The new public health system with an integrated approach Government DH responsible to parliament Cross-government senior officials group to improve health outcomes CMO to provide independent advice to government Local authorities New public health functions, helping to tackle wider determinants of health Lead on improving health and coordinate protecting health Promote population health and wellbeing (DPHs) Public Health England New, integrated national expert body Strengthened health protection systems Supporting whole system with expertise, evidence and intelligence NHS England Delivering health care, tackling inequalities Making every contact count Specific public health interventions, such as cancer screening

5. Public Health England delivery model System Leadership: Work transparently, provide government, local government, the NHS, MPs, industry, public health professionals and the public with evidence-based professional, scientific and delivery expertise and advice Protection: Ensure there are effective national and local arrangements for preparing, planning and responding to health protection concerns and emergencies, including the future impact of climate change Local Support: Support local authorities and clinical commissioning groups by providing evidence and knowledge on local health needs, alongside practical and professional advice on what to do to improve health

6. 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

7. What are our priorities? Support people to live healthier lives via NHS Health Checks Promote tobacco control and reduce smoking Promote healthy weight and tackle childhood obesity Improve recovery rates from drug dependency Improve sexual health and reduce the burden of STIs Develop a national programme on mental health Lead gold standards for vaccination and screening programmes Make the case for promoting wellbeing, prevention and early intervention as the best approach to improving health Partner NHS England to maximise improvements in public health 1 2 3 4 5 6 7 8 9

8. Our progress to date: Health Marketing • Be clear on cancer • National bowel campaign: 40% rise in two-week referrals • Regional lung campaign:14% rise in diagnoses • Smokefree Homes & Cars • 37% who saw ads reduced their second-hand smoke • 85,000 smokefree kits distributed • Smart Restart • 150,000 families (300,000 children) signed up • App downloaded more than 100,000 times • Stoptober • 700,000 engaged in 2013 • 200,000 registered for support products

9. Our progress to date: Media • Older people • 310 pieces of coverage with a PR value of £662,784 • Change4life • 540 pieces of coverage with a PR value of £1,760,681 • Smokefree • Over 600 pieces of coverage to date, with a PR value of £1,300,000

10. 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

11. 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

12. Leverage from the public health ring fence 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 NHS England PHE provides local expertise via centres Embedding ‘making every contact count’

13. Spending trends: 2003-2012 PCT spending for all health programmes increased by 70% overall Mental health disorders c.£6bn to c.£12bn Circulation problemsc.£5bn to c.£7bn Cancerc.£3bn to c.£5.5bn Dental problems c.£1bn to c.£3.5bn

14. Wicked problems: Health inequalities Life expectancy and health life expectancy, and premature mortality rates vary across the country – higher rates strongly linked to socioeconomic deprivation

15. Preventable Mortality in YH

16. Health Equity North • New effort to confront north-south divide • 3 October, 2013 | By Kaye Wiggins • England’s public health body is preparing to “make noise” about the north-south divide in health outcomes. • The Public Health England initiative could extend to taking ministers to task over their approaches to welfare and employment policies, as they are often strongly linked to health. • The new approach is expected to include academic research and the creation of a “commission on health equity” and a range of expert groups formed from key public health figures in the North of England. Presentation title - edit in Header and Footer

17. Propose a Health and Wellbeing Framework for England A compelling narrative for health and wellbeing, the current state of health, and the underlying drivers 1 Credible interventions to improve health and wellbeing at all levels 2 3 Model credible future scenarios, and their impact Shift the debate onto health and wellbeing Galvanise action based on evidence Recognise the inequalities that affect the most disadvantaged

18. Leverage opportunities for cross-government health agenda Housing • Good housing drives health • 20,000 excess deaths each winter Physical activity • Reduces risk of illness by up to 50% • 2/3 of adults obese or overweight Work • Work a key health determinant • Poor health keeps people out of work Healthy Food • 1/3 children in Y6 obese or overweight • Cost of obesity to NHS £5bn a year Crime and violence Smoking • Leading cause of premature mortality • Estimate cost to economy £13bn • Alcohol a factor in 44% of violent crime Early intervention • Foundations for every aspect of development laid in childhood Healthy community • Isolation significant driver of poor health • Poor environments lead to social isolation

19. Contacts Y&H Centre Director Stephen.morton@phe.gov.uk Alison.patey@phe.gov.uk