Transcript Medway’s Joint Strategic Needs Assessment (JSNA)

What is Public Health?
Dr Alison Barnett
Director of Public Health
• What is public health?
• New public health responsibilities for
local authorities
What is Public Health?
What is Public Health?
“The science and art of promoting and protecting
health and well-being, preventing ill-health and
prolonging life through the organised efforts of
society.”
Acheson, 1988. WHO
What is Public Health?
“Public health – it doesn’t have much dash about it”
Regeneration, Pat Barker
Redefining the Unacceptable
“The landmarks of political, economic and social
history are the moments when some condition
passed from the category of the given into the
category of the intolerable…The history of public
health might well be written as a record of
successive redefinings of the unacceptable.”
- Geoffrey Vickers, Secretary, Medical Research Council, Great Britain,
1958
Epidemiology…..
• Study of the distribution
and determinants of
health and disease.
• John Snow and the
Broad Street Pump
1854
Story of Public Health…….
• 1800s – Links between poverty and ill health.
Sanitary reformers Edwin Chadwick and John Snow
1854
• 19th-20th century communicable diseases, vaccination
and outbreak control, healthcare
• Social–behavioural model. Focus on lifestyle and
societal factors. BMJ Doll and Bradford Hill: 1950 link
between lung cancer and smoking
• 21st century: ecological public health – material,
biological, social and cultural
Ten Great Achievements in
Public Health
Ten Great Achievements in
Public Health
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Vaccination
Motor-vehicle safety
Safer workplaces
Control of infectious diseases
Decline in deaths from coronary heart disease and stroke
Safer and healthier foods
Healthier mothers and babies
Family planning
Fluoridation of drinking water
Recognition of tobacco use as a health hazard.
CDC, Morbidity and Mortality Weekly Report, December 24, 1999 / 48(50);
1141.
Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4850bx.htm
Public Health: What we do now
• Public health intelligence; Strategic needs assessment,
epidemiology, surveillance, evidence base, modelling,
statistics
• Health improvement; smoking, healthy weight, mental
health promotion, sexual health promotion, oral health, drugs
and alcohol
• Health protection; immunisation, screening, communicable
disease, environmental hazards, emergency planning (PHE)
• Healthcare public health; needs assessment, prioritisation,
designing services and commissioning for improved
outcomes
New Public Health role of
local authorities
• Health and Social Care Act 2012
• “LAs will have new responsibilities to improve the
health of their populations backed by a ring fenced
grant and a specialist public health team led by the
DPH”
• “LAs should use all the levers at their disposal to
improve health and reduce inequalities”
Health and Wellbeing Strategy
• Joint Strategic Needs Assessment
• Joint Health and Wellbeing Strategy
• Working with partners to foster joint strategies and
commissioning
• Reduce health inequalities
Health improvement
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Tobacco control and smoking cessation services
Alcohol and drug misuse services
Public health services for children and young people aged 5-19
The National Child Measurement Programme
Comprehensive sexual health services
Obesity programmes
Increasing levels of physical activity
NHS Health Check assessments
Public mental health services
Dental public health services
Accidental injury prevention
Local initiatives on workplace health
Health protection
• Scrutinising and providing challenge on plans to prevent or
respond to health protection incidents
• LA planning for public health incidents
Working closely with Public Health England
Healthcare public health
Public health advice to Clinical Commissioning Groups
• Needs assessments
• Developing evidence based services
• Prioritisation policies
• Health equity audits
Further information
• A Better Medway:
http://www.abettermedway.co.uk/
• Kent County Council:
http://www.kent.gov.uk/health_and_wellbeing/public
_health.aspx