Launching the Middlesbrough Health and Wellbeing Strategy

Edward KunongaDirector of Public Health

Middlesbrough Borough Council and NHS Middlesbrough

Launching the Middlesbrough Health and Wellbeing StrategyLaunching the Middlesbrough Health and Wellbeing Strategy

Public health domains and the role of the public health team

S. Griffiths, Jewell T and Donnelly P (2005). Public health in practice: the three domains of public health. Public Health Volume 119, Issue 10, October 2005, Pages 907–913

Examples of current work Health Improvement• developing a strategy for improving health and reducing health inequalities• Tackling the wider determinants of health

Health Protection• Ensuring there is a coordinated local multi-agency health protection plan to

protect the local population: includes communicable disease control, EPRR, major incident planning, seasonal plans (winter and heat wave)

• Liaising and advising on environmental threats including pollution, noise and contaminated land

Health services public health• Prevention and early detection of disease – finding the missing thousands

(cancer and long term conditions) • Supporting the commissioning of high quality, equitable health and social

care services

Models of Practice for DPH roles – Elson

• the expert• the critical friend• the adviser• the provider• the catalyst• the community advocate and leader

Key public health issues in Middlesbrough

• Health inequalities – social class, ethnicity, disability, mental health status

• Lower health outcomes for the level of investment • Lifestyle risk factors – obesity, alcohol, teenage

pregnancy • Rising healthcare costs and increased demand • Research and technology – new treatments • Welfare reforms and the economic recession • Aging population – with complex co-morbidities • Re-emerging and new infections

Ormesby Bank

Nunthorpe

Marton

Park End

Pallister

The gradient of inequalities in health

74

72

79

82

Life expectancy reduces by 2 yearsfor every mile from suburb to centre

75

77

86

84

Lifeexpectancy

Middlesbrough

Access to health and social care services

Inequalities in life expectancy, deaths and disease

Lifestyle and behaviour risk factors

Social causes

Smoking, obesity, alcohol, physical activity, nutrition

Poverty, employment, housing, crime, occupation and education, welfare reforms and the recession

Treatment, early interventions, prevention, social care services

Social determinants of health

11