Dr John Middleton, SHOES Conference, March 28 2014, part 4
-
Upload
ukfacultypublichealth -
Category
Business
-
view
68 -
download
0
description
Transcript of Dr John Middleton, SHOES Conference, March 28 2014, part 4
![Page 1: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/1.jpg)
![Page 2: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/2.jpg)
Dials & levers:SHOES ,March 2014: John Middleton DPH Sandwell
A life course
3 successes
![Page 3: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/3.jpg)
A life course – 24th annual report for Sandwell
![Page 4: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/4.jpg)
Long term conditions
![Page 5: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/5.jpg)
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.
![Page 6: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/6.jpg)
Getting research into practice? John Middleton Lancet Public Health Research Conference 29th November 2013
Housing and health
![Page 7: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/7.jpg)
Getting research into practice? John Middleton Lancet Public Health Research Conference 29th November 2013
A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 1st April 2001, by housing type, n=25,595 dwellings
![Page 8: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/8.jpg)
Getting research into practice? John Middleton Lancet Public Health Research Conference 29th November 2013
A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 31st March 2011, by housing type, n=25,595 dwellings
![Page 9: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/9.jpg)
Housing and health -Results:
Significant relationship of improved thermal efficiency with reducing excess winter deaths Adjusting for all of the other variables there is 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
![Page 10: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/10.jpg)
![Page 11: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/11.jpg)
• 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. •
![Page 12: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/12.jpg)
Challenges Children ready for school Young people ready for workUrgent care/whole health system capacity management Private sector housing fit to live in And a whole community facing up to climate collapseAnd an economy gearing for a green revolution
![Page 13: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/13.jpg)
An Asset based approach
To health improvement and community resilience Self reliant communities ward profiles Spend to save- one off opportunity presented by public health budget for projects to reduce spend in future More help, less care
![Page 14: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/14.jpg)
![Page 15: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/15.jpg)
Four dividends for a healthier future
The health dividend
![Page 16: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/16.jpg)
![Page 17: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/17.jpg)
![Page 18: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/18.jpg)
Four dividends for a healthier future
The inclusion dividend
![Page 19: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/19.jpg)
Birmingham Sandwell / Urban Living Smart housing manifesto 2004
![Page 20: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/20.jpg)
The Future?
Easy to use Patient Graphic interface
Wireless or wired devices, POTS and IP Communications
Software based product – operates on a variety of devices in expanding applications
Standard protocols – easy customization
Tablet PC CareCompanion II Handheld devices
![Page 21: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/21.jpg)
![Page 22: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/22.jpg)
Four dividends for a healthier future
The green dividend
![Page 23: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/23.jpg)
![Page 24: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/24.jpg)
![Page 25: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/25.jpg)
![Page 26: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/26.jpg)
The green recovery ?
![Page 27: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/27.jpg)
Four dividends for a healthier future
The peace dividend
![Page 28: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/28.jpg)
![Page 30: Dr John Middleton, SHOES Conference, March 28 2014, part 4](https://reader030.fdocuments.in/reader030/viewer/2022020723/54d7bc3f4a7959aa218b4567/html5/thumbnails/30.jpg)