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A day in the life of Public Health Andrew Scott-Clark Director of Public Health Improvement 21st November 2013 A day in the life of Public Health • • • • • Build on the definition work Public Health practice Structures of Public Health Local Authority responsibilities A flavour of the work PH Consultants do Definition of Public Health Public Health is defined by the Faculty of Public Health as: “The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of society” Public Health Practice Health Protection Infectious diseases Chemicals and poisons Radiation Emergency response Environmental health hazards Health Improvement Inequalities Education Housing Employment Family/community Lifestyles Surveillance and monitoring of specific diseases, risk factors and outcomes Improving services Clinical effectiveness Efficiency Service planning Audit and evaluation Clinical governance Equity Public Health Delivery Specialists Practitioners Wider Workforce • Screening • Immunisation • Healthy child programme 0-5 • Child health information system Local Authority Public Health • National • Advice, support and information • Local • Advice, support and information • Health Protection NHS England Area Team Public Health England Structure of Public Health • Commissioning Health Improvement services • Oversight role • Support for major incidents • Advice to CCGs The changed world PH in Local Authorities • Hold an NHS Budget – Ring fenced until 2015/2016 financial year • Purpose of budget is to commission health improvement programmes – Mandated: NHS Health Checks, Sexual Health (GUM and Community Contraceptive services) National Childhood Measurement Programme – Non-Mandated: Stop smoking, Healthy Weight, Health Trainers, School Nursing…….. • Oversight Role – Health Acquired infection, PHOF attainment locally Public Health Functions ALCOHOL CAYP’s HEALTH 5-19 CHILD MEASUREMENT NUTRITION DENTAL HEALTH ACCIDENTS & INJURIES BIRTH DEFECTS CANCER PREVENTION LONG TERM CONDITIONS WORKPLACE HEALTH SCREENING SEXUAL HEALTH WINTER DEATHS EMERGENCIES & DISASTERS COMMUNINTY SAFETY SOCIAL EXCLUSION ENVIRONMENTAL RISKS NHS HEALTH CHECKS 24/7 OUT OF HOURS Healthy Child Programme 0-5 2015? DRUG MISUSE OBESITY SMOKING MENTAL HEALTH IMMUNISATIONS A day in the life of Public Health • On call for Kent and Medway Councils to provide Public Health advice • Chair local Teenage Pregnancy steering group • Presented PNA paper to Kent Health and Wellbeing Board • Worked with the RPharmSGB on PH standards for the Pharmacy Profession • Advised CCG Board on suicide rates locally • Attended a Regeneration Partnership meeting concerned with the spatial planning of a new housing estate • Chaired the multi-disciplinary group managing the PH response to influenza pandemic • Advised the National Advisory group on Diabetic Retinal screening programme • Completed a needs assessment and equality impact assessment for implementation of PPCI in the management of STEMI Summary • • • • • What is PH and definition Practice and delivery How PH is structured post April 2013 Responsibilities of Local Authorities Flavour of the things Consultants in Public Health lead or could be involved in Thank you Andrew Scott-Clark [email protected]
