Transcript Slide 1

Public Health in
Yorkshire and the Humber
Stephen Morton,
Centre Director,
Yorkshire and the Humber
Our mission
Our mission is 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.
What we want to be known for
We want to be known for encouraging evidence-led action with scale and
pace to make a significant and sustainable improvement to the public’s
health
Our Priorities
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
Our Priorities
To underpin these outcome-focused priorities we will:
6. Promote the development of place-based public health
systems
7. Develop our own capacity and capability to provide
professional, scientific and delivery expertise to our partners
The national public health system
The Department of Health
will set the legal and policy framework,
secure resources and make sure public health is
central to the Government’s priorities.
Executive Agency
Section 7A
Agreement
Public Health
England
The PHE-NHSCB
Partnership Agreement
Chief
Medical
Officer
The local and regional presence
8 Knowledge
and Intelligence
Hubs
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•
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London
South West
South East
West Midlands
East Midlands
North West
Yorkshire and Humber
North East
Other local
presence
•
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Ten microbiology
laboratories
Field epidemiology
teams
Centre for Radiation
Control units
Sources of public health advice in the ‘Place-based’
approach to local public health
3rd sector
providers
People and communities
NHS & IS
Providers
Health and wellbeing boards
PHE
centre
Public health advice
Local government
CCGs
& their
support
NHSCB
area team
Commissioner of public health services
Leverage from the public health
ringfence
Influence on wider
spending
in commercial and
voluntary sectors
DsPH have
influence
across all
local
government
spend
PHE
provides
expert
advice
to local
government
PHE provides expertise
in local area teams
Clinical
Commissioning
Groups
and
Embedding ‘making
every contact count’
Centres for Public Health England:
The One-Stop Shop
The PHE Centre is a full
partner in the local public
health system whose
unique role is to provide
an agreed range of
services and expert
advice that is tailored to
meet the local needs,
wishes and aspirations
of local government and
the local NHS.
The Centre is the “front-door” of PHE – it is
not the only route through which PHE
will work with local partners but it is
responsible for assuring that services
provided by PHE to the locality are
agreed and meet local needs.
Can PH action reduce inequality?
50
absolute gap in <75 standardised mortality
45
40
CVD Mortality <75 Gaps for former Spearhead* authorities
relative to the England averages: 1995/7 - 2009/11
male gap post census
40% gap reduction target male
female gap post census
35
40% gap reduction target female
30
25
20
15
10
5
0
95-97 96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06 05-07 06-08 07-09 08-10 09-11
three years pooled
Success in reducing
infant mortality
Preventable Mortality in YH
4.03 - Mortality rate from causes considered preventable (provisional)
Age-standardised mortality rate from causes considered preventable per 100,000 population
England
146.1
Yorkshire and The Humber
159.4
Kingston upon Hull, City of
221.0
Doncaster
175.0
North East Lincolnshire
171.9
Leeds
170.1
Bradford
169.5
Calderdale
169.2
Barnsley
167.4
Wakefield
166.7
North Lincolnshire
160.1
Rotherham
159.8
Kirklees
155.6
Sheffield
155.3
York
139.7
East Riding of Yorkshire
133.1
North Yorkshire CC
130.6
0
50
100
150
Source: Public Health Outcomes Framework (based on ONS source data)
Note this is not the same as the overall premature deaths found in Longer Lives
200
250
Deaths from Cancers
4.05i - Under 75 mortality rate from cancer (provisional) 2009 - 2011
Age-standardised rate of mortality in persons less than 75 years per 100,000 population with 95% CIs
England
108.1
Yorkshire and The Humber
115.1
Kingston upon Hull, City of
143.1
Barnsley
128.9
Doncaster
128.7
Rotherham
124.1
Wakefield
121.7
Calderdale
120.3
North Lincolnshire
116.9
Sheffield
116.9
Leeds
116.1
North East Lincolnshire
114.1
Bradford
112.8
Kirklees
110.6
York
107.8
East Riding of Yorkshire
101.1
North Yorkshire CC
100.2
0
50
100
Source: Public Health Outcomes Framework (based on ONS source data)
150
200
Liver Disease
4.06i - Under 75 mortality rate from liver disease (provisional) 2009 - 2011
Age-standardised rate of mortality in persons less than 75 years per 100,000 population with 95% CIs
England
14.4
Yorkshire and The Humber
15.2
Kingston upon Hull, City of
20.0
Kirklees
18.3
Leeds
17.9
Bradford
17.4
Doncaster
17.1
North East Lincolnshire
16.5
Calderdale
16.0
Rotherham
15.7
Wakefield
15.3
Sheffield
14.0
North Lincolnshire
13.9
Barnsley
13.3
East Riding of Yorkshire
12.4
York
10.8
North Yorkshire CC
10.4
0
5
10
15
Source: Public Health Outcomes Framework (based on ONS source data)
20
25
Infant Deaths
4.01 - Infant mortality 2009 - 2011
Infant deaths under 1 year of age per 1000 live births with 95% CIs
England
4.3
Yorkshire and The Humber
5.0
Bradford
7.4
Calderdale
7.1
Kirklees
5.3
Wakefield
5.0
Sheffield
4.9
Kingston upon Hull, City of
4.8
York
4.7
Leeds
4.6
North Lincolnshire
4.6
Doncaster
4.6
Rotherham
4.5
Barnsley
4.1
East Riding of Yorkshire
4.0
North East Lincolnshire
3.8
North Yorkshire CC
3.4
0
2
4
6
Source: Public Health Outcomes Framework (based on ONS source data)
8
10
Variation in TB incidence
within Y & H
What does this mean for the PHE
Centre in Yorkshire and the Humber?
We need to work out how
we will balance local and
national priorities for public
health.
This doesn’t mean that we
simply arbitrate or act as a
go between.
Our skill will be to build in
the areas where there are
uncertainties are gaps.
Making it local
• Health and wellbeing boards
• Local Strategic Partnerships
• Crime and Disorder Reduction Partnerships
• Safeguarding Boards
• Voluntary Service Councils
• LRFs/LHRPs
• Drug and alcohol groups
• TB, Tobacco, Education, Physical activity, Air quality,
Housing renewal,…….
The local public health system
Health Related Behaviour.
Attractive Cycle Routes
And Pleasant Parks
Physical
Environment
Supportive
Friendships
Social Capital
Safe and Friendly
Neighbourhoods