Sandwell Public Health Paul Southon Health and Wellbeing

Sandwell Public Health Paul Southon Health and Wellbeing Strategy and Delivery Manager Paul_southon@sandwell. gov. uk

Current context • Health – Clinical Commissioning Groups – NHS England – Public Health England – Commissioning Support Units • Local government – Health and Wellbeing Boards – Public health in local government – Personalised care – Localism

Current context • Budget cuts (and more to come) • Ageing population • Economic downturn & welfare reform • Better Care Fund – National programme – local plans – Driving integration across health, social care and public health across Sandwell and West Birmingham – No new money – better use of existing resources • Increased focus on mental health & wellbeing

The Barnet graph of doom

Health and Wellbeing Board • Improve the health of the population and reduce health inequalities • Ensure commissioning is aligned across health, social care and public health • Duty to publish; – Joint Strategic Needs Assessment (JSNA) – Joint Health and Wellbeing Strategy (JHWS) • Ensure partner commissioning plans “pay due regard” to the JHWS 5

What we know • Poverty and deprivation are associated with poor health and disability • People living in areas of deprivation do not live as long • People living in areas of deprivation spend more of their lives ill and/or disabled • Inequality is associated with worse outcomes for everyone • This brings significant costs – Social, economic, personal, cultural 6

Age Life expectancy & disability free life expectancy at birth, by neighbourhood income level, England Sandwell 1999 -2003 Neighbourhoods by income deprivation (population percentiles) 7

Public Health “The science and art of promoting and protecting health and well-being, preventing illhealth and prolonging life through the organised efforts of society. ” 8

What determines health and wellbeing? 9

The Marmot Review • The best evidence for what we need to do • The biggest influences on health & wellbeing are the ‘social determinants’ of health • The social, environmental and economic conditions into which people are born, grow, live, work and age. 10

The 3 domains of Public Health • Healthcare public health • Health protection • Health improvement 11

Sandwell Public Health • Moved into the council in April 2013 • Restructured to be fit for purpose • Working to embed public health across the whole council • • Increasing life expectancy Increasing disability free life expectancy Health protection Information and intelligence

Mandated public health services councils • • • Health protection and emergency planning Children’s weight measuring Sexual health services NHS health checks Commission lifestyle services and other healthy public policy initiatives • Public mental health improvement • Health service policy and healthcare related public health • Public health ‘core offer’ to clinical commissioning groups for healthcare public health 13

Success in Sandwell • Male life expectancy increasing faster than national rate • Teenage pregnancy reducing faster than national rate • Healthcare acquired infections significantly reduced – MRSA close to zero – C diff down by over 30% • All childhood immunisations now over 90% • Tuberculosis reduced by 20% since 2005 • Brief interventions for alcohol doubled • Deaths from fractured hips down by 20% in 5 years • Breastfeeding rates increased by 10% from 2010 -11 • Drug related burglaries reduced by over 5000 since 2004 14

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