Transcript A day in the life of Public Health

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
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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
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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]