Public Health and the role of the
Health and Wellbeing Board
Dr Liz Robin, Director of Public Health
Wednesday 10th July 2013
County Council
responsibilities covered by
HealthWatch
Adult Social Care
Children’s Social Care
Public Health
Health and Wellbeing Board
Public
health is the
art and
science of
preventing
disease,
prolonging
life and
promoting
health
through the
organised
efforts of
society
The main determinants of health
New responsibilities
 In April 2013, a range of statutory public
health functions, budgets of approximately
£21M and about 50 staff transferred from
the local NHS to the County Council.
 ‘Local authorities undertaking public health
duties conferred on them by the 2012 Act
are still part of the comprehensive health
service’
 Mix of business continuity – and innovation
 Public health intelligence – getting the
needs analysis and evidence right.
 Annual Director of Public Health
Report
 Health improvement - promoting
health in partnership with a range of
organisations.
 Commissioning e.g. health checks,
sexual health services
 Provision e.g. smoking cessation
services, Travellers health team
 Partnership working
Figure 2:
Trend in male life expectancy
Cambridgeshire district - Trend in male life expectancy at birth
82
80
Directly age standardised rate per 100,000
What do we do?
78
76
74
Cambridge City
East Cambridgeshire
Fenland
72
Huntingdonshire
South Cambridgeshire
England
70
1993
1994
1995
1996
1997
1998
1999
2000
2001
Year
2002
2003
2004
2005
2006
2007
2008
Source : Compendium of Clinical and Health Indicators, nchod, July 2010
What do we do?
 Health protection – including
protection from communicable
disease and other hazards
 promote joint planning
 provide surge capacity
 Health and care public health –
advise how to achieve the best
population health outcomes and
prioritise resources.
 health advice to the Council
 public health advice service to the
Clinical Commissioning Group
Public Health Outcomes
Four outcome domains
 Improving the wider determinants of health
 Health improvement – lifestyle behaviours
and choices
 Health protection
 Healthcare public health and preventing
premature mortality
Health and Wellbeing
Board
 The Cambridgeshire Health and Wellbeing Board
(HWB) and Network brings together leaders from local
organisations which have a strong influence on health
and wellbeing, including the commissioning of health,
social care and public health services.
 Its focus is on securing the best possible health and
wellbeing outcomes for all residents.
Members:
Cambridgeshire County
Council
Members
 Cllr Tony Orgee – Cabinet Member for Health and Wellbeing (C)
 Cllr Fred Yeulett – Cabinet Member for Adult Services (C)
 Cllr Lucy Nethsingha (LD)
 Cllr Sandra Rylance (UKIP)
 Cllr Joan Whitehead (L)
Officers
 Adrian Loades – Executive Director, Children, Families and Adults
Services
 Dr Liz Robin – Director of Public Health
 Chris Malyon – Head of Finance (Section 151 Officer)
District Councils
South Cambridgeshire District Council – Cllr
Sue Ellington
Huntingdonshire District Council – Cllr
Richard West
Cambridge City Council – Cllr Sarah Brown
Fenland District Council – Cllr Ralph Butcher
East Cambridgeshire District Council – Cllr
Kevin Ellis
C&P CCG
Dr Neil Modha - Chief Clinical Officer
Dr David Roberts - GP Member
Healthwatch Cambridgeshire
 Ruth Rogers – Chair of Healthwatch
NHS England – Area Team
 Margaret Berry – Director of Nursing and
Quality
Very local
group
District Council
Members
Forum
East Cambs
Local Health
Partnership
Clinical
Commissioning
Group
Children’s Trust
City and
Cambridge City
S. Cambs
Local Health
Local Health
Partnership
Partnership
HWB
Fenland
Local Health
Partnership
Overview &
Scrutiny
South Cambs
Local Health
Partnership
Hunts
Hunts
Local
LocalHealth
Health
Partnership
Partnership
Voluntary
Sector
“Twin Hatted” Board
Members
Intel / Info / Comms
Commissioning
Power/function
Responding to consultations about commissioning plans
issued by clinical commissioning groups in connection with
Section 26 of the Health and Social Care Act 2012.
Legal reference
Responsibility for encouraging persons who arrange for
the provision of any health or social care services in the
Council’s area to work in an integrated manner
Responsibility for providing any advice, assistance and
support it thinks appropriate for the purpose of
encouraging the making of arrangements under Section 75
of the National Health Service Act 2006.
.
Responsibility
for preparing the Joint Strategic Needs
Assessment (JSNA)
Section 195, Health and
Social Care Act 2012.
Responsibility for preparing the Joint Health and Wellbeing
Strategy.
Section 26, Health and
Social Care Act 2012.
Section 195, Health and
Social Care Act 2012.
Section 75, NHS Act 2006.
Section 116, Local
Government and Public
Involvement in Health Act
2007.
Section 196, Health and
Social Care Act 2012.
Section 116A, Local
Government and Public
Involvement in Health Act
2007.
Section 196, Health and
Social Care Act 2012.
www.cambridgeshirejsna.org.uk
Number and proportion of people age 65 years and
over, Cambridgeshire, mid 2011 population estimates
Population
65-69
70-74
75-79
80-84
85-89
90+
Number
Proportion
30,700
30.3%
23,100
22.8%
18,900
18.6%
14,600
14.4%
9,100
9.0%
5,000
4.9%
Source: ONS mid 2011 population estimates
Total
(aged 65+)
101,400
100%
Life expectancy at age 65 in Cambridgeshire, 20062008
Males
Additional years of 95% Confidence
life after 65
Intervals
Cambridge City
East Cambridgeshire
Fenland
Huntingdonshire
South Cambridgeshire
England
17.5
18.7
17.4
18.2
19.6
17.7
(17.1 (18.2 (17.0 (17.8 (19.2 -
18.0)
19.2)
17.8)
18.5)
20.0)
Females
Additional years of 95% Confidence
life after 65
Intervals
20.6
21.7
20.0
20.9
21.9
20.4
(20.1 (21.2 (19.6 (20.6 (21.6 -
21.0)
22.1)
20.4)
21.3)
22.3)
Source: Older People's Health and Wellbeing Atlas produced by the West Midlands Public Heath Observatory on
behalf of the Public Health Observatories in England. http://www.wmpho.org.uk/olderpeopleatlas/atlas/atlas.html
NHS Cambridgeshire and NHS Peterborough
Emergency bed days by age group 2011/2012
NHS Cambridgeshire and NHS Peterborough
Emergency bed days by agegroup 2011/12
60,000
50,000
Number of bed days
40,000
30,000
20,000
10,000
0
Under 01-04 05-09 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89
1
Source : Admitted Patient Care Commissioning Data Set, NHS Cambridgeshire
Age band
Source: APC CDS Serco and quarterly Exeter downloads, Serco.
Acute hospitals only.
90+
Falls Emergency Admissions and Bed Days 2011/12,
Persons 65+[1]
Source: APC CDS Serco and quarterly Exeter downloads, Serco. Bed days – Acute Hospital only.
[1] See references 41 and 42 for codes used.
HWB Strategy
Priorities
 Ensure a positive start to life for children, young people and their
families
 Support older people to be independent safe and well
 Encourage healthy lifestyles and behaviours in all actions and
activities while respecting people’s personal choices
 Create a safe environment and help to build strong communities
wellbeing and mental health
 Create a sustainable environment in which communities can
flourish
 Work together effectively
Any Questions?
Please contact:
liz.robin@cambridgeshire.gov.uk