Date post: | 28-Nov-2014 |
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Hertfordshire’s Public Health Strategy
Cllr Teresa Heritage Jim McManus
Hertfordshire Assembly Meeting
November 13th 2013
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Our Strategy
Vision – what we want to achieve
Priorities – What we will do to get there
Building Blocks – some of our approaches
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A Distributed System
• Public Health England• NHS England• NHS Clinical Commissioning Groups• County Council• District and Borough Councils• Voluntary and Community Sectors• Employers
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The Big Public Health Challenges for Hertfordshire
Health Improvement
Health Protection
Service Quality
Imms
Vaccs
TB
HCAI
Environment
• Non Communicable Disease
• Public Mental Health
• Development
• Ageing
Health Care QualityPublic Service Outcomes
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Our Health Challenges
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Conceptualising wider determinants
Smoking 10%
Diet/Exercise 10%
Alcohol use 5%Poor sexual health
5%
Health Behaviours 30%
Education 10%
Employment 10%
Income 10%
Family/Social Support 5%Community Safety 5%
Socioeconomic Factors 40%
Access to care 10%
Quality of care 10%
Clinical Care 20%
Environmental Quality 5%
Built Environment 5%
Built Environment 10%
Source: Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute. Used in US to rank counties by health status
While this is from a US context it does have significant resonance with UK Evidence, though I would want to increase the contribution of housing to health outcomes from a UK perspective.
Contributors to overall health outcomes
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Priority 1 Our residents live longer, healthier lives
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Priority 2Our residents start life healthy, and stay
healthy
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Priority 3 We narrow the gap between most and least healthy
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Priority 4 We protect our communities from harm
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Priority 5
We make Public Health everybody’s business
• Workforce development• Clear models of how to
do public health
Understand what is needed and do what works
• Intelligence and Information
• Evidence• Evaluation and
monitoring
Priority 6
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Key Concept - 6 Levels of Public health
• Biological• Behavioural• Social• Legislative• Structural• Environmental
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Delivery Model
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Next Steps
• Implementation Plan• Specific Plans
– Sexual Health– Obesity– Tobacco– Lifestyle and Physical Activity
• Partnerships• Health Promotion Resource
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Learning
• Public Health Conference for Hertfordshire – free to attend, 4th December
• www.hertspublichealth.co.uk
• E Learning Platform• PH Library Resource
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So
• Does this make sense?• Is it doable?• What do you think can make it better?• How do we improve?• Where do we go from here?• What can you do?• What do we need to do to help you?