Sender bodies 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 ID: 736874
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Wessex PHE Centre Dr Jim O’Brien, Centre DirectorSlide2
Sender bodies
The existing health
organisations
and functions that contributed some or all of their staff to Public Health England include:Health Protection AgencyNational Treatment AgencyDepartment of HealthStrategic Health AuthoritiesPrimary Care TrustsPublic health observatoriesCancer registries National cancer intelligence network
2
Quality
assurance
reference centres
(QARCS)
Specialist
dental commissioners
Specialist
commissioners
NHS
cancer
screening programme
UK
national
screening programmes
(non-cancer)Slide3
Transition process: lead-up to 1 April
3
March 2012
April 2013
1 April 2013
PHE goes live
27 March 2012
Health and Social Care
Act 2012 receives Royal
assent
5 April 2012
CEO appointed
27 July 2012
Structure announced
Chair appointed
2 July 2012
CEO takes office
19 October 2012
First national directors
appointed
23 November 2012
Public Health Outcomes
Framework updated
10 January 2013
Ring-fenced grant
allocations for local
authorities announced
1 January 2013
Shadow running begins
1 August 2012
Process published to
fill posts across the
system
November 2010
30 November 2010
Healthy Lives,
Healthy People white
paper releasedSlide4
Our priorities for 2013/14
4
Prese
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 followSlide5
Mission
5
“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
.”Slide6
What we do
6
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
soSlide7
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.
Where do we focus our efforts?Slide8
Where do we focus our efforts?Slide9
Outcome-focused priorities
9
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 livesSlide10
Supporting priorities
10
Promoting
the development of place-based public health systems
Developing
our own capacity and capability to provide professional, scientific and delivery expertise to our partnersSlide11
Actions 2013/14
11
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 careSlide12
Premature deaths per 100,000 for 2009-2011
Local Authority: Ranking
(All Local Authorities)
Bournemouth
(183,450)
Dorset (413,813)Hampshire(1,322,118)
Isle of Wight
(138,392)
Poole
(148,075)
Portsmouth
(205,433)
Southampton
(235,870)
Overall
269 (67/150)
207 (3/150)
214 (10/150)
248 (49/150)
229 (24/150)
304 (104/150)
297 (95/150)
Cancer
98 (36/150)
88 (3/150)
94 (14/150)
99 (42/150)
96 (24/150)
120 (116/150)
119 (112/150)
Heart Disease & Stroke
59 (55/150)
41 (2/150)
44 (5/150)
61 (59/150)
46 (11/150)
72 (104/150)
66 (81/150)
Lung Disease
25 (78/149)
16 (11/149)
17 (26/149)
20 (46/149)
20 (49/149)
28 (99/149)
27 (94/149)
Liver Disease
19 (114/149)
11 (33/149)
9 (5/149)
11 (31/149)
13 (53/149)
18 (106/149)
17 (95/149)
Longer Lives: Overview of Data for Wessex
Premature Mortality Outcomes: Key
Worst
Worse than average
Better than average
BestSlide13
Premature deaths per 100,000 for 2009-2011
Local Authority: Ranking
(Similar Local Authorities)
Bournemouth
(183,450)
Dorset(413,813)Hampshire(1,322,118)
Isle of Wight
(138,392)
Poole
(148,075)
Portsmouth
(205,433)
Southampton
(235,870)
Overall
269 (3/15)
207 (1/15)
214 (6/15)
248 (4/15)
229 (4/15)
304 (13/15)
297 (9/15)
Cancer
98 (4/15)
88 ( 2/15)
94 (8/15)
99 (4/15)
96 (5/15(
120 (13/15)
119 (12/15)
Heart Disease & Stroke
59 (2/15)
41 (1/15)
44 (4/15)
61 (5/15)
46 (2/15)
72 (11/15)
66 (7/15)
Lung Disease
25 (5/15)
16 (2/15)
17 (10/14)
20 (4/15)
20 (11/15)
28 (11/15)
27 (8/15)
Liver Disease
19 (13/15)
11 (10/15)
9 (4/14)
11 (2/15)
13 (14/15)
18 (11/15)
17 (6/15)
Premature Mortality Outcomes: Key
Worst
Worse than average
Better than average
BestSlide14
Actions 2013/14
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 strategySlide15
Actions 2013/14
15
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 moneySlide16
16
Four regions, 15
centres
Eight
Knowledge
and Intelligence TeamsLondonSouth WestSouth EastWest MidlandsEast MidlandsNorth WestNorthern and YorkshireEastOther 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
Local presenceSlide17
Local focus
17
Led
by a senior public health professional
Ensure quality and consistency and responsiveness of centres’ services and advice
Support transparency and accountability of the systemAssurance of emergency planning and response Workforce developmentContribute to the national public health agendaLed by a senior public health professionalDeliver 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
15 CENTRES
4 REGIONSSlide18
Public health outcomes framework
18
To improve and protect the nation’s health and wellbeing and improve the health of the poorest, fastest
Outcome 1)
Increased healthy life expectancy – taking
into account health quality as well as length of life
Outcome 2)
Reduced differences in life expectancy between
communities (through greater improvements in more
disadvantaged communities)
Improving the wider
determinants of health
1
19 indicators, including:
Children
in
poverty
People with mental illness or disability in settled
accommodation
Sickness absence
rate
Statutory
homelessness
Fuel poverty
Health improvement
2
24 indicators, including:
Excess
weight
Smoking prevalence
Alcohol-related admissions to hospital
Cancer screening
coverage
Recorded diabetes
Self-reported
wellbeing
Health protection
3
7 indicators, including:
Air
pollution
Population vaccination
coveragePeople presenting with HIV at a late stage of infectionTreatment completion for tuberculosisHealthcare and publichealth preventingpremature mortality
4
16 indicators, including:Infant mortality
Mortality from causes considered preventableMortality from cancerSuicide
Preventable sight lossExcess winter deathsSlide19
19
PHE provides expert advice
to local government
DsPH
have influence across all local government spendPHE provides expertise
in local area teamsEmbedding ‘making every contact count’
Influence on wider
spending in
commercial and voluntary sectors
Clinical
Commissioning
Groups
And
NHS England
Leverage from the public health ring fence