Come All Ye!€¦ · Wolverhampton University’s Health Futures University Technical college,...

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Scottish Faculty of Public Health Annual conference, Dunblane,

October 27th 2016.

Health Come All Ye!Health Come All Ye!

John Middleton President for policy

UK Faculty of Public Health

Health come all ye!

Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

‘Successes and challenges to delivering a local approach to public health’


Come all ye!A genre of songs known as "Come all ye's" the kind of songye s , the kind of song which begins with a call to listen ‐‐ "Come all ye (sons of liberty/ good people/ tramps and hawkers/ etc) and listen to my song" The Breadalbane, ‘The Bothy’, Dundee

home of Dundee folk club tlll…? And many a Come all ye….

A consultative document

Prevention and health: everybody’s business 1976A reassessment of public and personal health


prepared jointly by the Health Departments of Great Britain

and Northern Ireland.

E b d ’ b i

Prevention and health: everybody’s business 1976A reassessment of public and personal health


Everybody’s business… and nobody’s doing it….

.

Public ‘ealth


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Scottish FPH Annual Conference, Health come all ye! J Middleton

October 27th 2016

Salus populi suprema lex esto

Cicero


‘The health of the people is the highest

law’


Working with long time constants

Scottish FPH Annual Conference, Health

come all ye! J Middleton October 27th 2016

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Scottish FPH Annual

Conference, Health come all ye! J

Middleton October 27thOctober 27th

2016



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Sandwell Valley, King George Playing fields

2014

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New leisure centres Tipton


Working with long time constants Improving outcomes


A life course – 24th annual report for Sandwell

Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016 CHD Mortality 2000‐2005

PERSONS, Less than 65 years

40.00

50.00

60.00

00

0.00

10.00

20.00

30.00

2000 2001 2002 2003 2004 2005

Rat

e pe

r 10

0,00

West Midlands England Sandwell

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Scottish FPH Annual

Conference, Health come all ! J Middl t

32

ye! J Middleton October 27th

2016


Figure 1, Teenage Conception 1998 - 2012

Sandwell's reduction since baseline (44%) is higher than England & Wales's reduction of 40.8%. The West Mildands reduction has also been lower than Sandwell at 42%. Figure 1, above, show that the gap between Sandwell and England is reducing further.

Scottish FPH Annual Conference, Health come all ye! J Middleton

October 27th 2016

• Maximise the capabilities and control young and

adults people have over their lives : reduce the social gradient of skills and qualifications

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Working together, March 2015: John Middleton Vice president Faculty of Public Health

Working together, March 2015: John Middleton Vice president Faculty of Public Health

Marsch Addiction 1997

Domestic burglary Sandwell 2001‐2005Full implementation drug intervention project doubling numbers of drug users in treatment

1300 fewer domestic burglaries 33% fall


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• I recommend Sandwell reviews its clinical policies for management of failure of growth in the womb.

•• I recommend this review be undertaken for the conurbation as well

if this can be agreed and organised rapidly.•• I recommend that the review should involve externally

commissioned experts with a national or international reputation. •• We need a new strategy for improving outcomes for pregnant

mothers, newborn babies and their families. •


Housing and health


A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 1st April 2001, by housing type, n=25,595 dwellings


A box plot of the Baseline SAP measures for the Sandwell MBC housing stockhousing stock, 31st March 2011, by housing type, n=25,595 dwellings

Housing and health ‐Results:

Significant relationship of improved thermal efficiency with reducing excess winter deaths Adjusting for all of the other variables there is

i i i b i d h l


negative association between improved thermal efficiency and the odds of being admitted as an

emergency People in warmer homes appear to be admitted less

for serious illnesses The result is statistically significant

The effect size appears large

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Table 2 a Preventable causes of hospital admission, Sandwell and Western Birmingham Clinical commissioning group, 2012‐13

Scottish Public Health Conference, J Middleton, October 27th 2016

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Options for life self‐built community centre

Options for life

Salop drive and Ideal for All Growers

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WolverhamptonUniversity’s Health Futures University Technical college, built in West Bromwich, opened Autumn 2015

Providing education and prospects for careers in health, public health and care for 14‐19 year olds



1001 critical daysPersonal health and social

relationships education, PHSE in all schools2 hours physical activity per week

reinstated

South West Public Health Training Conference Conference, JMiddleton October 13th 2016

Stop marketing of foods high in sugar, salt and fat,Stop marketing of foods high in sugar, salt and fat, before the 9pm watershed and tighten marketing restrictionsIntroduce 20% duty on sugar sweetened beverages Tackle alcohol related harm by introducing a minimum

unit price for alcohol of at least 50p Rapidly implement standardised tobacco packaging 20 Mph speed limits

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A living wage

Reaffirm commitment to universal health care system free at the point of need funded through general taxation



Invest in active transport to promote good health and reduce our impact on climate change Implement a cross national approach to meet

climate change targets, including a rapid move to a 100% renewables and a zero carbon energy system

My presidency

Build local authority relationships Build relationships in health and public health

services in four nations of the UKDo things jointly where possible ‐ policy statements,

conferences Implement new curriculum: personal effectiveness

and values and ethics; rebuild health protection and health care public health

Develop member involvementEnsure solid member services build special interestsEnsure solid member services, build special interests

Develop faculty governancePursue 12 asks of the Manifesto

Planetary healthA Public health curriculum for young people

Brexit, drugs, air pollution, AMR, violence prevention

‘Don’t just fight for the profession of public health fight for the public’s health’


Assets for the public’s health in ScotlandA belief in human rights


Assets for the public’s health in Scotland

The public health reviewThe Scottish FPH public health manifesto –A call pto action to improve Scotland’s HealthIndependent thinkersStrong sense of advocacy‐ local and global Still willing and able to talk about human rightsFreedom come all ye!

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Where there is no vision the people suffer


Andrija Stampar, Yugoslavian Public health pioneer and WHO founding father

After Proverbs/29‐18.

And to conclude ……

it's not who your doctor is, it's who you vote foryou vote for,that most affects your health

Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th2016

Freedom come all ye

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Thank you Professor John Middleton Faculty of Public [email protected]

Come All Ye!€¦ · Wolverhampton University’s Health Futures University Technical college,...

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