Transcript PHE core slides - Voluntary Sector North West

‘Overview of Public Health
England in Greater Manchester’
Professor Martyn Regan, Centre Director
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PUBLIC HEALTH ENGLAND 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
Structure – Public Health England
Advisory Board
Chief Executive
Development
Advisor
Director of Health
Protection and
Medical Director
Director of
Communications
Director of Health
and Wellbeing
Chief Knowledge
Officer
Director of
Nursing
Director of
Strategy
Chief of Staff
Chief Operating
Officer
Regional
Directors
Centre
Directors
Microbiology
Director of
Programmes
Finance and
Commercial
Director
Director of
Human
Resources
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Private
Office
Secretariat
Internal
Audit
Corporate
Governance
Legal
Service
Local presence
Four regions, 15 centres
Eight Knowledge and
Intelligence Hubs
– 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
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PHE Centre in Greater Manchester
• The PHE Centre will operate as the ‘front door’ to national
resources/sources of expertise for local organisations and
public health teams in Greater Manchester
• The PHE Centre will lead and facilitate the building and
supporting of an integrated public health system for Greater
Manchester
• The PHE Centre will focus clearly and constructively on the
key public health challenges and their determinants in Greater
Manchester – as evidenced by the data and through regular
discussion and debate with key stakeholders
• The PHE Centre will review key public health indicators
regularly and will consider creating and using programme
dashboards
Local focus
15 CENTRES
–
Led by a senior public health
professional
–
Led by a senior public health
professional
–
Deliver services and advice
around the three domains of
public health
–
Ensure quality and consistency
and responsiveness of centres’
services and advice
–
Support local government and
local NHS action to improve and
protect health and reduce
inequalities with intelligence and
evidence
–
Support transparency and
accountability of the system
–
Assurance of emergency planning
and response
–
Workforce development
–
Contribute to the national public
health agenda
–
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4 REGIONS
Deliver the local input to
emergency preparedness,
resilience and response
Place-based approach to public health
Nonstatutory
providers*
People and communities
NHS
providers
Health and wellbeing boards
PHE
centre
Public health advice
Local government
•
•
•
•
•
CCGs
NHSE
area team
EPPR
Screening and immunisation
Offender public health programmes
Specialised commissioning
Primary care public health programmes
and population healthcare
*Including voluntary and community sector
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Outcome-focused priorities
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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
Presentation title - edit in Header and Footer
Supporting priorities
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6.
Promoting the development of place-based public health systems
7.
Developing our own capacity and capability to provide professional, scientific and delivery
expertise to our partners
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www.agma.gov.uk
Supporting a shared vision for public health service delivery
http://www.gmphnetwork.org.uk/
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www.gmphnetwork.org.uk
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Reducing Dependency and Demand
• Taking a Greater Manchester-wide approach which clearly
adds value to reform at district level, particularly to those
issues identified in our Community Budget proposals to
reduce current and future dependency; early years, troubled
families and transforming justice.
• Reform of the health and social care system based on
significantly improving outcomes from specialist acute
services and delivering a substantial reduction in unplanned
admissions to hospital and other care institutions
• Deployment of common tools and techniques to support cross
public service leadership at scale, including cost benefit
analysis, investment agreements and data sharing
Working Well (Work Programme Leavers)
• Substance misuse has been identified as a significant
issue for the c 5,000 Working Well cohort.
• PHE is currently in the process of setting up a data
sharing protocol with the Working Well programme
that will allow for the programme to monitor the
effectiveness of its substance misuse referrals
including; the volume of Working Well substance
misuse treatment starts, waiting times and
treatment outcomes.
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A Greater Manchester Alcohol Strategy
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Councils now have considerable power to influence decisions
made on alcohol licensing, but the process can be difficult
and resource intensive.
•
Evidence suggests that limiting availability through times of
sale and outlet density can have a positive impact on levels of
harm particularly violence and disorder.
•
PHE and partners across GM are working to produce a toolkit
to support LAs in being more active in their action on alcohol
control through licensing, through improved intelligence,
promoting a more consistent approach that leads to better
enforcement.
•
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Digital technologies in alcohol treatment
• Working with Greater Manchester Public Health
Network to scale up the use of persuasive digital
technologies within alcohol treatment services
across GM.
• Following a successful trial in Bolton the aim of this
project is to utilise a software/SMS text system that
better engages clients in treatment and apply it to a
cohort of clients that includes Working Well and to
those seeking to sustain their employment.
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Improving Oral Public Health
• Several Local Authorities have highlighted poor oral health of very
young children as a priority.
• The PHE Dental Health team is coordinating oral health needs
assessments and evidence on effective action to all 10 LAs.
• Working directly with Oldham on a focussed project of action
with local partners, with plans to share this approach with other
LAs in Greater Manchester with the most severe dental disease
levels.
• Health checks being delivered in primary dental care settings:
innovative approach to improve take-up in hard to reach groups in
Manchester and Salford, facilitated by PHE Health Improvement
Manager and Consultant in Dental Public Health
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Protecting the Public’s Health - Waste Sites Risk Management
Background: Large waste piles- risk of fire. Difficult to extinguish.
Potential for long term (weeks) burn with PH Risk.
Events:
Bredbury Fire, August 2013
Duncan St Fire, March 2014
Effective joint working in response
DPH: Liaison with LA SMT, CCG, PHE
PHE: -Notification & updates to DPH, AGMA CCRU, Health
Partners
-Specialist PH advice via CRCE (e.g. AQC data interpretation)
AGMA risk analysis to GM LRF, December 2013:
>30 Sites with 3 sites immediate fire risk
GM Multi agency strategic programme- work streams
•
Prevention: Combining agency resources and regulatory
powers
•
Prevention: Dynamic risk assessment
•
Response: template + site specific multi-agency plans for
highest risk sites (PHE involvement)
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PHE Business Plan 2014/15
•
•
•
•
Business Plan published along with PHE remit letter from Department of Health
“eight PHE knowledge teams and intelligence networks provide trusted intelligence and
help local systems with interpretation and insight to translate knowledge into practice”
Health and Wellbeing Framework for England to be published in August
Big Ambitions announced with the focus most likely to be on:
• Best start in life
• Tobacco
• Obesity
• Alcohol
• TB
• Dementia
https://www.gov.uk/government/news/phe-business-plan-publishedfor-2014-to-2015
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PHE/NICE event
Our
Our Resources
Resources
Closing
Closing
Remarks
Closing
Remarks
Remarks
Where are we now with our health and wellbeing?
The audience
The narrative is aimed at national and local politicians , policy makers and senior officials. The aim is to tell the story on
how health is created in people, communities and places, and to galvanise action to improve health at all levels
The content
• Why we need change
• Where we want to be
• How do we get there?
• Creating health
• The prize
Format: Document
Being productive
Healthy People
Building a strong
society
Key questions
•
•
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How can we tell the story of health in a way which resonates with both local and national audiences?
How can we tell a new story of the wider determinants and inequalities in health?
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CONTACT DETAILS:
Professor Martyn Regan
Centre Director
PHE Greater Manchester
[email protected]
0161 625 7455
2020
PHE/NICE event