Public Health in Northern Ireland Dr Paul Darragh
Public Health in Northern Ireland - Dr. Paul Darragh
Public Health in Northern Ireland Ø Ø Ø Ø Ø Fully integrated Health, Social Services and Primary Care Equivalent services to rest of UK N. H. S Funding via Barnett formula - Scotland, Wales, N. Ireland – own administration Share land boundary with ROI – cross border issues. Population 1. 7 m, significant legacy of deprivation, “troubles” Overall Health and Social Care budget approx £ 4. 5 b Demography overall aging population Endeavour to be as self-sufficient as possible in Regional Specialities Tied into N. I. C. E
Our Political Structures Ø Ø Ø Ø Government - Assembly – All 5 Political Parties have Ministers Department of Health and Social Services DHSS Own minister Assembly Health Committee Public Health Agency – sponsor C. M. O in D. H. S. S Warm, supportive, co-operative relationship Local Authorities Involvement Investing for Health / New Public Health Strategy / Joint Action / Shaping wider health policy
Public Health Agency Director of Public Health, Chief Executive and Director of Nursing (160 Staff) Ø Cover all 3 domains of Public Health and R&D Ø Health Protection – HPU and Regional Epidemiology and Policy (9 consultants) Ø Health Improvement – (65 staff) Ø Service Development and Screening and Commissioning (19 consultants) Ø R&D for Health and Social Care in N. I and National projects Processing/Monitoring/Funding Ø
Health Protection unit - ID: Environmental Health and Emergency Planning Ø Regional Epidemiology - ID: Intelligence Gathering : Interpretation Ø Policy on HCAI Control : Monitoring / Policing / Hospitals / Community Ø Prevention Imm. and Vacc. Ø Working well - Resilience / Sustainability / Cross-Cover - Health protection staff 99% - H 5 N 1; C. Diff; MRSA etc - Pseudomonas – all neonatal units at the same time Ø Severe weather incidents Ø Could do better: - Staff still to often Firefighting - Need to improve epidemiology to get ahead of events Ø
Primary Combined vaccination uptake Rates at 12 Months, NI & UK, 1999 - 2011 UK NI 100. 0% 98. 0% 94. 0% 92. 0% 90. 0% 88. 0% 86. 0% July-Sept Jan-Mar July-Sept Jan-Mar July-Sept Jan-Mar July-Sept 84. 0% Jan-Mar Percentage Uptake 96. 0% 99 99 00 00 01 01 02 02 03 03 04 04 05 05 06 06 07 07 08 08 09 09 10 10 11 11 Quarter
MMR Vaccination Uptake Rate at 24 Months, NI and UK, 1999 - 2011 NI Total UK Total 100. 0% 90. 0% 85. 0% 80. 0% July-Sept Jan-Mar July-Sept Jan-Mar July-Sept Jan-Mar July-Sept 75. 0% Jan-Mar Percentage Uptake Rate 95. 0% 99 99 00 00 01 01 02 02 03 03 04 04 05 05 05 06 06 06 07 07 08 08 09 09 10 10 11 11 Quarter
Influenza Vaccine Uptake Over 65 yrs & (<65 yr at risk groups)
Health Improvement 4 Building Blocks as per Marmot Ø Give every child and young person the best start in life Ø Work with others to ensure a decent standard of living Ø Build sustainable communities Ø Make healthy choices easier
Adult Smoking By Gender NI from 1983 Adult = 16+
Good At Early Years: Ø New Parent Programme Ø Family Nurse Partnership Ø Roots of Empathy Ø Infant Metal Health Training Ø Sure Start Primary Care Management of: Ø BP; Diabetes; Cholesterol; Cardiovascular Disease ; Stroke
Need Help With Ø Suicide and Mental Health Ø Obesity Ø Inequalities
Service Development and Screening Going Well: Commissioning – Local Commissioning (5 LCG’s) and Specialist Commissioning Screening – Progress on all national screening initiatives adult/children - Robust Q. A. in place to support screening Host Sp. R Training Scheme – Centre of Excellence University and in service training
Service Development and Screening Need Support: Large Scale Reviews - Pathology - Imaging Regional/ Supra-Regional Service development Maintaining Connections with rest of G. B
R&D Unit Ø Support Local Research Community Ø Input to National Awarding Bodies Ø Ensuring Public Health Influence on Research Agenda
Questions ?
- Slides: 16