Public Health in Southwark
July 2013
Dr. Ruth Wallis
Overview
1.
The point of Public Health
2.
Health & Wellbeing in Southwark
3.
Challenges and opportunities in Southwark
Acheson definition
“Public health is the science and art
of preventing disease, prolonging life
and promoting health through
organised efforts of society”
Sir Donald Acheson, 1988
CMO 1983- 91
1.
Health Protection
2.
Health Intelligence
3.
Health Improvement
- partnership
- commissioned services
(health and other services)
Local arrangements for Public Health
Public
Health
England
National
Commissionin
g Board
Public
Health
London
DPH
LB Southwark
LB Lambeth
CCG
Public
Health
CCG
CSU
Primary care
Prison health
•
Local authority is now the lead local agency for public
health
•
Shared PH specialist and PH team and DPH shared specialist
commissioning for HIV prevention and sexual health
services
•
Borough based commissioning for health improvement, e.g.
- stop smoking
- health checks programme
- and will be school nursing, health writing
•
Immunisation, screening will be nationally commissioned
•
Transition + + +
Inequalities in Southwark
Male and Female - Life expectancy gap
Source: Southwark Annual Public health report 2012
Southwark – Health inequalities
Southwark
Wards
Brunswick Park
Camberwell Green
Cathedrals
Chaucer
College
East Dulwich
East Walworth
Faraday
Grange
Livesey
Newington
Nunhead
Peckham
Peckham Rye
Riverside
Rotherhithe South
Bermondsey
South Camberwell
Surrey Docks
The Lane
Village
Census 2011
288,300
GP Population
329,000
England
Deprivation
12th in London
41st in England
LE – Males
78.2
78.5
LE - Females
83.4
82.5
Births each year
5131
Infant Mortality
5.3
4.4
Circulatory
disease (Rate in
(<75 mortality)
73
67
Cancer mortality
<75 (Rate)
122
110
TP
53.3
Avoidable hosp
admission
456
476
Alcohol related
hosp admissions
1808
1895
Red Box for Southwark (Health) - 2012
Life Expectancy – Females
Healthy eating in adults
Obesity in adults
Childhood immunisations
Breast and cervical cancer screening
coverage
Low birth weight babies
Hospital admission of <18 year olds
due to injuries.
Improving
Low Burden
Child obesity prevalence
Teenage pregnancy
HIV and STI rates
Alcohol related hospital admissions
Hospital admissions from ambulatory
care sensitive conditions
Deaths from liver disease
High Burden
Life Expectancy – Males
Early deaths: Heart disease & Cancer
Smoking related deaths
Excess winter deaths
COPD mortality rate
Breast feeding initiation
Child poverty
Substance misuse
Smoking prevalence
Infant mortality
Worsening
The Red box presents a summary of health issues in an area. The interpretation is based on the burden of disease in the population and not merely trends.
New HIV & AIDS diagnoses & deaths among HIV
infected persons by year of diagnosis or death in
South East London
•
Context
income & work
benefits
mobility and migration
•
Service reduction (s)
- local authority
- NUS??
- Voluntary sector
- others, police, fire service, probation
•
organisational complexity and rapid change
- NHS reconfiguration (South London Trusts)
- schools
•
Simple, improve access and fairer provision (inequalities)
•
Invest in prevention
•
Evidence for prioritisation and need
•
Evidence for advocacy
•
Collaboration and effective partnership
•
Focus on outcomes
•
Healthy High Streets
•
Wellbeing programme
•
Knee high programme
•
Joint strategic needs assessment