PUBLIC HEALTH IN THE COUNCIL

Judith MillsPublic Health Specialist 18th July 2013

Health Scrutiny Committee

CONTENTS

• What is public health and what is the history?• The health of the people of Blackpool and the

challenges• The Council’s new responsibility for Public

Health• Blackpool’s Public Health Directorate and what

we deliver

WHAT IS PUBLIC HEALTH?

The art and science of preventing disease, prolonging life and promoting health through the organised efforts of society.

PUBLIC HEALTH – OUR HISTORY

Edwin ChadwickThe Sanitary Conditions of the Labouring

Population of Great Britain

BROAD STREET PUMPPUBLIC HEALTH - OUR HISTORY

PUBLIC HEALTH 1974

Director of Public HealthNHS

Director of Environmental Health

Local Authority

PUBLIC HEALTH - OUR HISTORY

150 YEARS ON FROM THE BROAD STREET PUMP

Our Challenge MALE LIFE EXPECTANCY

Our Challenge

Our Life Expectancy within Blackpool

Local Government’s New FunctionsNew duty to improve the health of the population:• Commissioning Public Health services from a range of

providers• Working with Clinical Commissioning Groups to integrate

care pathways• Using Health and Wellbeing Board to integrate

commissioning approaches• Providing population healthcare advice to the NHS• Duty to ensure plans in place to protect health –

emergencies and outbreaks

Commissioning Responsibilities - £17 million

• Tobacco control – stop smoking• Alcohol and drug services• School nursing and Healthy Child Programme 5-19• Obesity: community lifestyle and weight management• Nutrition initiatives• Increasing physical activity• Sexual health services• NHS Health Check assessments• Workplace health initiatives

Who is in your new Public Health Directorate?

Director of Public HealthArif Rajpura

Director of Public HealthArif Rajpura

Public Health Specialist Liz Petch

Public Health Specialist Liz Petch

Public Health Specialist

Judith Mills

Public Health Specialist

Judith Mills

Public Health Specialist

Lynn Donkin

Public Health Specialist

Lynn Donkin

Health Improvement

Reducing Health Inequalities Team

Health Improvement

Reducing Health Inequalities Team

Improving Healthcare

Health Intelligence

Public Health Registrars

Improving Healthcare

Health Intelligence

Public Health Registrars

Healthy Weight Healthy Lives

Health Protection

Healthy Weight Healthy Lives

Health Protection

SO WHAT DO WE DO?• Understand population health needs• Lobby for change• Help others understand the impact they have and how they can

help• Commission evidence based Public Health interventions• Advise others on what works• Benchmark spend• Scrutinise vaccination and screening programmes• Prevent the spread of infectious diseases• Organise planned response to emergencies and outbreaks• Understand the population, the area, the disease and demand on

health and potentially social care

KEY PRIORITIES FOR BLACKPOOL’S HEALTH

• Alcohol• Mental health, including dementia, suicides and self

harm• Healthy weight• Tobacco control• Sexual health, including reducing the spread of HIV• Reducing the risk of heart disease and stroke• Cancer prevention and treatment• Drug treatment, including reducing drug related deaths