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Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
Tony Jewell presentation WSPCR 2011
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Tony Jewell presentation WSPCR 2011

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  • 1. Primary Care and PublicHealth Symposium www.cymru.gov.ukDr Tony JewellChief Medical Officer for Wales Cardiff University Holiday Inn 1 26th October 2011
  • 2. Tobacco killsMain from lung cancer, 1991 - 2008 Mortality points Source: World Health Organization • Primary care – now more than ever www.cymru.gov.uk • Systematic application of evidence • Having the right tools for the job • Opportunities for better primary care in an ‘integrated system’ • Growing the ‘right’ type of primary care systems
  • 3. Tobacco killsPrimary care: Now more than Mortality from lung cancer, 1991 - 2008ever World Health Organization Source: www.cymru.gov.uk
  • 4. Tobacco killsSystematic application of Mortality from lung cancer, 1991 - 2008evidence Organization Source: World Health www.cymru.gov.uk Hart JT, Thomas C, Gibbons B, Edwards C, Hart M, Jones J, Jones M, Walton P. Twenty-give years of audited screening in a socially deprived community. British Medical Journal. 1991; 302:1509-13.
  • 5. Chief the right toolsOfficer’sHaving Medical for the job Tobacco kills Percentage of patients with Chronic Obstructive Pulmonary Disease with a Mortality from lung cancer, 1991 - 2008Annual Health Organization Source: World Report record of a breath test (FeV1) recorded in the previous 15 months Source: Primary Care Information Set 2010 www.cymru.gov.uk
  • 6. Tobacco killsOpportunities for better primarycare in an ‘integrated system’ Mortality from lung cancer, 1991 - 2008 Source: World Health Organization www.cymru.gov.uk
  • 7. Growing the ‘right’ type of Tobacco kills Mortality from lung cancer, 1991 - 2008primary care Source: World Health Organization In its most highly developed form, primary care is the point of entry into the health services system and the www.cymru.gov.uk locus of responsibility for organizing care for patients and populations over time. There is a universally held belief that the substance of primary care is essentially simple. Nothing could be further from the truth. Barbara Starfield (1992) Primary Care: Concept, Evaluation, and Policy. Oxford University Press, NY (Preface) Barbara Starfield: 1932-2011
  • 8. Tobacco killsMain from lung cancer, 1991 - 2008 Mortality points Source: World Health Organization • Primary care – now more than ever www.cymru.gov.uk • Systematic application of evidence • Having the right tools for the job • Opportunities for better primary care in an ‘integrated system’ • Growing the ‘right’ type of primary care systems
  • 9. Diolch yn fawrThank you very much Tony.jewell@wales.gsi.gov.uk http://wales.gov.uk/topics/health/ocmo/?lang=en http://wales.gov.uk/topics/health/ocmo/?lang=cy

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