Transcript Slide 1
Birmingham: A local experience
ADASS / SCIE SEMINAR THE NEW ARRANGEMENTS FOR PUBLIC HEALTH 28 th February 2011 Peter Hay Strategic Director Adults and Communities Jim McManus Joint Director of Public Health
Contents
• Context • What have we done so far? • Some thoughts on building from here
The Current Birmingham Model
• DPHs in PCTs and joint funded council post • Broader council responsibilty • JSNA and single data • Use of JSNA in commissioning • Scrutiny and strategic development
Building a “Whole Council Approach” through Domains of Public Health Health Improvement Long term, medium term, short term impacts Health Protection Service Quality and Improvement Commissioning priorities, Evidence, acting when evidence is silent, making it work, supporting implementation FALLS PREVENTION Telecare Ensuring we have the right frameworks in place
Choice Wins and Broader Responsibility
•
Choose your wins
• The Prevention Framework and Prevention Strategy and Social Care Chapter • Workplace Health • Housing and Health Protocol • Core Strategy and Planning • Neighbourhood Tasking Model • Healthy Catering Awards • JSNAs – Children •
Broader Council Responsibility
• Council’s Citizens
Big Three
includes Behaviour Change by Services AND • The Council Plan – Be Healthy • JSNA and role of Scrutiny • HI Champions • Marmot Directors
Short, medium and long term yields
Takeaways
• Child obesity target met • 29 priority schools • Supplementary Planning Document • Healthy Takeaways Awards • School Nutrition Standards • Alliance between Scrutiny and Planning Committees • Alliance with 2 manufacturers, 2 takeaway chains and 4 community groups Birmingham health chiefs wage war on takeaways to crack down on obesity shame Europe’s “Fattest City” too fond of chips, says somebody no-one has ever heard of
Timeframes of impact/yield
Primary Care Primary Care Vitamin Supplements Air Pollution Decent Homes Air Pollution Decent Homes Reducing Worklessness Reducing Worklessness Education Planning Frameworks and Core Strategies 0 1 5 Years 10 15
Some thoughts on building from here
Marmot’s 6 Policy Objectives
From this To this
From this To this
A new care model & public health
Citizen purchased care – state resources Citizen (purchased) care – own resources
NEEDS
Enablement Prevention Universal offer
MEANS
In Conclusion
• This is a huge but exciting challenge – public health a key part of the landscape • Whole council approach to public health • Lots of space for new ways of working • A new strategic role across the whole Council and alongside GPs • Within a new focus on place and people • The cement is a new way of working together?