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The changing nature of Public Health
19th century urban improvement – sewers/ housing Germ theory and modern medicine Lifestyles Well being
The Health and Wellbeing Business Dr Ruth Hussey OBE The changing - - PowerPoint PPT Presentation
The Health and Wellbeing Business Dr Ruth Hussey OBE The changing - - PowerPoint PPT Presentation
The Health and Wellbeing Business Dr Ruth Hussey OBE The changing nature of Public Health Germ theory and modern medicine 19 th century urban improvement sewers/ housing Well being Lifestyles Todays challenge two out of three
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- Today’s challenge
- two out of three adults are overweight or obese.
- smoking costs the NHS £2.7 billion per year. And there are wider
economic and social costs from preventable ill-health: drug use and smoking cost over £10 billion per year.
- major health threats, ranging from the risk of new pandemics to the
potential impact of terrorist incidents.
- inequalities in health remain:in 2008-2010, the gap between local
authorities with the highest and lowest life expectancy was nearly 12 years for males and just under 11 years for females.
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Future Challenges
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Strategic shift from healthier habits to wellbeing
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Policy context
Healthy Lives Healthy People
- Responsibility for health and well-being needs to be
shared right across society
- Addressing inequalities and the root causes of
people’s circumstances is crucial
- Self esteem, confidence, resilience, control have an
important impact on health behaviour
- Mental and physical health should be integrated
- Psychological explanations of why people behave as
they do can contribute to public health campaigns (behavioural science)
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An effective public health system
- Accounts for the changing nature, assets and strengths of the population –
is vigilant for new health threats
- Ensures economic development creates health and well being
- Advocates wise use of environmental resources
- Promotes individual and community well being
- Helps people limit behaviours damaging to their health.
- Secures equitable access to good quality health and social care, with
prevention incorporated into all contacts.
- Systematically works to reduce health inequalities and embeds health and
well being in all policies.
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- leadership role for local authorities
working alongside the NHS, with its continuing role promoting health through clinical services stronger focus on health outcomes, supported by the Public Health Outcomes Framework supported by a new integrated public health service, Public Health England public health as a clear priority for Government, backed by ring fenced resources
The new public health system
new roles and responsibilities clear priorities
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- A stronger focus on outcomes
The Public Health Outcomes Framework
- Sets the scope of public health
- Focuses on outcomes not targets
- Alignment & integration across public health, the NHS
and social care
- Takes a life-course approach
- Designed to also address the causes of the causes of
ill health A pathway from causes of illness to caring for people
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Protecting health and improving wellbeing throughout life
1. Empowering local government and communities 2. Tackling health inequalities 3. Coherent approach to different stages of life 4. Giving every child the best start in life 5. Making it pay to work 6. Designing communities for active ageing and sustainability 7. Protecting communities from threats 8. Working collaboratively with business and voluntary sector
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What could be different? (1)
Better preventive services Improved use of wellness based prevention services Prevention incorporated into every care contact
NHS Future Forum calls on healthcare professionals to lead way on patient-centred care January 10, 2012
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Making every contact count
NHS’s role in the public’s health
- The NHS must do more to prevent poor health, so it can reduce
health inequalities and continue to provide high quality care for future generations.
- Every healthcare professional should make every contact count –
use every contact with the public to help them improve their health. This should be a core staff responsibility in the NHS Constitution.
- The NHS must do more to support the wellbeing of its own staff too,
helping a workforce of 1.4 million to live healthily and spread healthy messages with family, friends and patients.
NHS Future Forum 2012
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Different approaches to communication and information
- Web 2.0
www.health2works.com
What could be different? (2)
- Better access to public health information
- Extensive use of internet based communication and
services
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- The new approach - what will be different?
Economic and social return on investment Holistic high quality prevention services Health in all policies Health Protection/ Resilience Integrated service delivery Public Health communications
Local people
Sustainable communities
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The economic case
- “The analysis finds that the shape of the state today is very different
from that of 30 years ago. As a proportion of the total, health has nearly doubled from 10% to 18% of spending……….
- Looking further forward the Office of Budget Responsibility has set
- ut what it thinks will happen to spending as a result of demographic
changes over the next 50 years. Spending on health, pensioner benefits and long term care is set rise from 37% of spending now to 47% in 50 years time simply as a result of changing demographics. Even small additional cost increases in health – which we might reasonably expect – push this total to well over half of spending.”
“The changing composition of public spending” by Rowena Crawford and Paul Johnson, IFS 2011
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