Transcript Document

Public Health in Pendle
5th September 2012
Purpose of the meeting
• To share information and raise awareness
on the Public Health agenda
• To start a continuing discussion on Public
Health in Pendle
Public Health - Background
• National Picture around life expectancy
• Importance of the Marmot Report around
Public Health Delivery
• New National Vision for Public Health
• Emerging local landscape
• Key role that District Borough Councils have
around the public health agenda
Key PH messages around life
expectancy
• The good news is that we are living longer,
healthier lives
• Life expectancy from birth - men can expect to
live until 78 years and women until 82 years
• Life expectancy at 65 - men can expect to live
more than 17 years, and women more than 20
years
• Life expectancy is higher than it has ever been
• People in the poorest areas expect to live up to
10-12 years less than people in richer areas.
(ONS 2010)
Marmot Report –
Key messages
•Health inequalities result from
social inequalities – requires
action on all the social
determinants; the causes of the
causes
•Focusing solely on the most
disadvantaged will not reduce
inequalities sufficiently – action
is needed across the social
distribution.
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A New National Public Health
System
• Whole scale reform of the NHS Commissioning
Architecture
• Unitary/Upper tier local authorities will take
statutory responsibility to improve the health of
the local population
• Intention that LAs will bring the perspective of
local place into NHS Commissioning Plans
• Specialist/Accredited Public Health Workforce will
now be employed by Local Authorities
• Potential for greater integration between existing
public health workforces
Examples of the key role that districts
have in contributing to the broader
PH agenda
• Districts continue to have a leading role in addressing the broader
determinants of health through areas such as:
• Housing – allocation, standards, adaptation and meeting the needs
of residents
• Planning – local development framework and policy shaping
health & wellbeing
• Leisure – Opportunities for physical activity, working with schools
etc
• Environment – Food chain, air quality, pollution etc
• Licensing – reducing harm from excessive alcohol consumption
• Green Space – how this is managed and promoting equitable
access
• Scrutiny – Health & Social Care Panel
Public Health in Lancashire
Lancashire Public Health Service
• Maggie Morris is leading on new staffing structure which will be
finalised in next few weeks and circulated to locality public health
teams and District Council CEX’s
• Transferring existing contracts from NHS to LCC. District Council reps
involved in working group leading on this
Work with Clinical Commissioning Groups
• A memorandum of agreement has been agreed with CCG’s which
focuses on 3 areas = Health Improvement, Health Protection and
population Heath Care
Lancashire Health and Wellbeing Strategy
• The vision, four priorities and ten interventions have been developed
and went to Lancashire Health and wellbeing Board on 4th September
for formal adoption
Public Health in Lancashire
Lancashire Public Health Team and support to
District Councils
• Consultation undertaken with district Councils
and results finalised and shared with District
Council Health leads
• Key themes include: development of partnership
agreement between Lancs PHT and District
Council, support for elected Members,
Intelligence at local level, building capacity of the
workforce, clear communication channels,
develop detailed District work plan based on
partnership agreement…
Q1 What are the most important issues for district councils and
public health to work on together in the first year?
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District Councils
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PH teams
Q2 What are the top priorities from the core list to take
forward in the first year?
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District Councils
PH teams
Q8 How can we develop a system that is able to deliver
real improvements that works effectively at regional county
and local level?
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District Councils
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PH teams
Lancashire - Next Steps
• Hold wider partnership event working through
scenarios to show how things will work in practice
• Analyse CCG memorandum of understanding and
develop draft partnership agreement for
discussion with District Councils
• Develop value added measure to show value of
Public health intervention = financial and social
value
Pendle Council
Public Health Action Plan
•
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Key themes:
Policy
Environmental Protection
Housing
Health Appraisal (spatial planning)
Mental Health
Tobacco Control
Physical Activity
Pendle Council
Public Health Action Plan
• Developed by a sub-group of Management
Team
• Cross-Council representation
• Council response to integrating public
health provisions into services
• Actions embedded in 2013-14 service plans
Public Health Organisational
Development
• Piece of work commissioned to HM
Partnerships
• Aim was to supplement the work of the
sub-group and consider how PBC could
develop its approach to public health
• Interviews conducted
• Report produced
Public Health Organisational
Development – suggested actions
• Develop a Single Health and Wellbeing Vision
• Agree Shared Priorities for Pendle (across
partners)
• Develop a Single Pendle Health and Wellbeing
Partnership
• Develop Public Health Capacity across Pendle
• Consideration for Health Impact within all policy
and strategy
Next Steps…
• Views on the role of Pendle Council and partners in Public
Health / comments on suggested actions?
• Priority in terms of Member input and resources?
• Involvement of Members in the public health agenda
going forward – more than the Health & Social Care
Scrutiny Panel?
• Support for Pendle Council Public Health Action Plan?
• Work with LCC on Lancashire plans and defining support
for Districts
• Consider Pendle’s partnership approach to Healthincluding vision and priorities- in line with the changing
Lancashire picture