Public Health and Wellbeing

South Staffordshire District Council Monday 28th January 2013

What is Public Health & Wellbeing?It is part artIt is part scienceIt is part industry

The UK Faculty of Public Health defines public health as: “The science and art of promoting and protecting health and

wellbeing, preventing ill-health and prolonging life through the organised

efforts of society.” Wellbeing can be a complex and nebulous concept that

combines how we feel about ourselves, how well we live our lives, our sense of belonging as part of a community, and whether we prosper economically and physically.

Both are core to the County Council’s mission:

“Through pride and passion in our county we will maximise

opportunities for improved wealth, health and wellbeing.Staffordshire County Council is here for Staffordshire

people.”

Public Health in the Local AuthorityFrom 1st April 2013 Public Health Commissioning

responsibilities transfer from NHS to upper tier local authorities

The responsibilities are defined and consist of mandated duties and flexible responsibilities which allow local discretion & prioritisation

For us the transfer is about leading a step-change in public health for Staffordshire - not just in the county council but working in active partnership with Districts and other commissioners

Resource allocations have just been announced and a commitment made by govt that no area will be worse off than they are at present

Total national public health spending in 2013-14 will be set at £2.66bn and in 2014-15 will be £2.79bn

Staffordshire’s allocation is £32,322,000 in 2013/14

What Does Public Health consist of:There are three main ‘domains’ of public health:1. Health improvement - including contributing to

increased life expectancy and healthier lifestyles as well as reducing inequalities in health and addressing the wider social determinants of health

2. Health protection - including protection from infectious diseases, environmental hazards and emergency preparedness

3. Health intelligence services - including assisting those who plan health care to understand the health profile and health needs of the local population, and plan services to meet those needs, as well as evaluating how successful services are in meeting needs.

The Structure

Key responsibilitiesMandatory duties for Public Health include:

• appropriate access to sexual health services

• ensuring there are plans in place to protect the health of the population, including immunisation and screening plans• ensuring NHS commissioners receive the public health advice they need• the National Child Measurement Programme(NCMP)• NHS Health Check assessmentOther Public Health Programmes to improve Health and Wellbeing include:Drug and Alcohol programmesSmoking CessationWeight Management and NutritionPhysical activity, Falls prevention Mental health and wellbeing

My role – Commissioner for Public Health Improvement and WellbeingIs a new role – currently a joint NHS/LA

funded postIs part of the Public Health Leadership teamIs also part of the People Leadership TeamIs essentially about strategic commissioning Is focused on leading the “prevention”

agendaIs about achieving integrated approaches

that achieve our shared vision for WellbeingIs all about working in partnership and

collaborationIs about challenging us to do things

differently

Staffordshire County Council Commissioning Teams

People

Place

Public

Health

Why is it so important that we work together to get wellbeing right?Because it is about all people – it operates at

population, locality and person-centred level

Because it is about all resources – it overarches service silos and sectors as a measure of our collective impact

Because it is about all of our futures – it seeks to shape, influence, determine the future our behaviour now is creating, giving the citizen and the community the ability to choose and prioritise

Because it is about all strategies – it is unifying and embracing – only through prevention can we combat and divert away from dire consequences of current trajectories of demand v supply

There are many ways to define Wellbeing – my working definition is:

Wellbeing is the ability to thrive and to achieve a good and rewarding life, both now and in the future, as part of a happy, healthy and inclusive community

The challenges:We have a good analysis that details where we are and what we need to improve – this is captured in the Joint Strategic Needs Analysis (JSNA).There are six key objectives set out in the Marmot report – this provides a useful framework for us:

Give every child the best start in life Enable all children, young people and adults to

maximise their capabilities and have control over their lives

Create fair employment and good work for all Ensure healthy standards of living for all Create and develop healthy and sustainable places

and communities Strengthen the role and impact of ill-health

prevention

How do we achieve this? Through new leadership that:Mobilises a vibrant purposeful partnership to act on

delivering shared public health and wellbeing outcomes

Enables active citizens and communities to control and own transformation of the health and wellbeing agenda

Targets concerted action on the key determinants of health (social, economic, environmental, biological)

Understands and articulates the imperatives and the risk factors so it is everyone’s priority

Secures high quality delivery of prevention and early help, getting the best value from commissioned or purchased services

That changes behaviour:By supporting a shared focus on universal

services in meeting the needs of most people

By promoting self-help, stronger families, and community support and networks

By generating a shift in resources to prevention and early help

By delivering integrated pathways that avoid escalation to specialist services unless needed and attract back into universal quickly and efficiently

By tackling the high risk themes that cause or escalate problems

To deliver different outcomes:Success will look like:

Reducing inequalities, in educational attainment and employment opportunities

Improving health outcomes for all peopleFewer people at risk creating stronger, healthier

localities Greater ability to cope without recourse to

services, managing the need and demand for specialist services and interventions

Increasingly strong and self-sufficient families and communities that use the resources at their command: embedded, intrinsic, personal and natural

Working togetherHealth Improvement and Wellbeing demands a partnership approach and shared investment with:

Other County commissionersOther Health sector commissioners (eg. CCGs)District and Locality commissionersAll providers of universal and targeted

services

This needs to inform and align with the Health and Wellbeing Board strategy and plan

Contacts:Anna Halliday

Commissioner for Public Health Improvement and Wellbeing

anna.halliday@staffordshire.gov.ukTel: 01785 278774