Health Scrutiny Committee
PUBLIC HEALTH IN THE COUNCIL
Judith Mills
Public Health Specialist
18th July 2013
CONTENTS
• What is public health and what is the history?
• The health of the people of Blackpool and the
challenges
• The Council’s new responsibility for Public
Health
• Blackpool’s Public Health Directorate and what
we deliver
WHAT IS PUBLIC HEALTH?
The art and science of preventing disease,
prolonging life and promoting health
through the organised efforts of society.
PUBLIC HEALTH – OUR HISTORY
Edwin Chadwick
The Sanitary Conditions of the Labouring
Population of Great Britain
PUBLIC HEALTH - OUR HISTORY
BROAD STREET PUMP
PUBLIC HEALTH - OUR HISTORY
PUBLIC HEALTH 1974
Director of Public Health
NHS
Director of
Environmental Health
Local Authority
150 YEARS ON FROM THE BROAD STREET PUMP
Our Challenge
MALE LIFE EXPECTANCY
Our Challenge
Excess Male Mortality (%) - Blackpool vs. All Spearheads
16%
14%
12%
Excess Mortality
10%
8%
6%
4%
2%
Source: London Health Observatory
Age band
England Spearhead Group
Blackpool
85+
80-84
75-79
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
5-9
1-4
10-14
-2%
< 1yr
0%
Our Life Expectancy within Blackpool
Local Government’s New Functions
New duty to improve the health of the population:
• Commissioning Public Health services from a range of
providers
• Working with Clinical Commissioning Groups to integrate
care pathways
• Using Health and Wellbeing Board to integrate
commissioning approaches
• Providing population healthcare advice to the NHS
• Duty to ensure plans in place to protect health –
emergencies and outbreaks
Commissioning Responsibilities - £17 million
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•
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•
•
•
•
•
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Tobacco control – stop smoking
Alcohol and drug services
School nursing and Healthy Child Programme 5-19
Obesity: community lifestyle and weight management
Nutrition initiatives
Increasing physical activity
Sexual health services
NHS Health Check assessments
Workplace health initiatives
Who is in your new Public Health Directorate?
Director of Public Health
Arif Rajpura
Public Health
Specialist
Judith Mills
Public Health
Specialist
Liz Petch
Health Improvement
Improving Healthcare
Reducing Health
Inequalities Team
Health Intelligence
Public Health
Specialist
Lynn Donkin
Healthy Weight Healthy
Lives
Health Protection
Public Health Registrars
SO WHAT DO WE DO?
• Understand population health needs
• Lobby for change
• Help others understand the impact they have and how they can
help
• Commission evidence based Public Health interventions
• Advise others on what works
• Benchmark spend
• Scrutinise vaccination and screening programmes
• Prevent the spread of infectious diseases
• Organise planned response to emergencies and outbreaks
• Understand the population, the area, the disease and demand on
health and potentially social care
KEY PRIORITIES FOR BLACKPOOL’S HEALTH
• Alcohol
• Mental health, including dementia, suicides and self
harm
• Healthy weight
• Tobacco control
• Sexual health, including reducing the spread of HIV
• Reducing the risk of heart disease and stroke
• Cancer prevention and treatment
• Drug treatment, including reducing drug related deaths