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The Joint Director of Public Health: Opportunities and challenges in a changing landscape Jim McManus Joint Director of Public Health, Birmingham City Council New Species or Oddity? A DPH in Local Government
Wendy thought the new multiple accountabilities for Directors of Public Health could get a bit fraught
Local Government Public Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health  Improvement Health Protection Service  Public  Health Commissioning priorities, Evidence, making it work, supporting implementation Ensuring we have the right frameworks in place Long term, medium term, short term, matrix
Context ,[object Object],[object Object],[object Object],[object Object]
Some History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Vision as I see it ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The new public health duties ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
So what does it mean? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Financial Issues for Councils ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Opportunities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Our Burdens of Disease Primary Secondary Tertiary
The Challenge ,[object Object],[object Object],Short  Term – primary care EXPOSURES LIFESTYLE Medium to Long Term – LA and other players EXPOSURES.  PLACES. LIVES Time
Domains of Public Health Health  Improvement Health Protection Service  Public  Health Where does this go and when will it stop being entirely NHS focused? Diverse accountabilities What about the PH role in Commissioning?
So what is our approach  since 2008/9? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Each Service Area Playing its Part ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Corporate Area Playing its Part ,[object Object],[object Object],[object Object],[object Object],[object Object]
Life Expectancy by Ward Still there whatever the back office system Don’t wait for change or direction…move now
Birmingham Approach to the White Paper ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Accountability  Challenge for the DPH ,[object Object],[object Object]
The DPH – Focus for Action or Porcupine? Elected Members HWBB SoS / CMO / DH / A-Z LA CMT NPHS Staff Team ? GP Consortia PROVIDERS
Issues for us to work out ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Some Golden Rules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Birmingham Policy Framework ,[object Object],[object Object],[object Object],[object Object]
Models for new services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Embrace the vision  and  the opportunities for Public Health ,[object Object],[object Object],[object Object],[object Object]
Thank you! A copy of a supporting paper “some thoughts on the DPH transition” is in your pack Jim.mcmanus@birmingham.gov.uk

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28th January 2011 Joint Dph Workshop Leeds

  • 1. The Joint Director of Public Health: Opportunities and challenges in a changing landscape Jim McManus Joint Director of Public Health, Birmingham City Council New Species or Oddity? A DPH in Local Government
  • 2. Wendy thought the new multiple accountabilities for Directors of Public Health could get a bit fraught
  • 3.
  • 4. Health Improvement Health Protection Service Public Health Commissioning priorities, Evidence, making it work, supporting implementation Ensuring we have the right frameworks in place Long term, medium term, short term, matrix
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Our Burdens of Disease Primary Secondary Tertiary
  • 13.
  • 14. Domains of Public Health Health Improvement Health Protection Service Public Health Where does this go and when will it stop being entirely NHS focused? Diverse accountabilities What about the PH role in Commissioning?
  • 15.
  • 16.
  • 17.
  • 18. Life Expectancy by Ward Still there whatever the back office system Don’t wait for change or direction…move now
  • 19.
  • 20.
  • 21. The DPH – Focus for Action or Porcupine? Elected Members HWBB SoS / CMO / DH / A-Z LA CMT NPHS Staff Team ? GP Consortia PROVIDERS
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Thank you! A copy of a supporting paper “some thoughts on the DPH transition” is in your pack Jim.mcmanus@birmingham.gov.uk

Editor's Notes

  1. I am going to talk about our experience of trying to address issues as they arose In most emergencies issues arise you do not plan for In this flu pandemic, we had neither a slow rising tide nor a flash flood experience but a mix of different issues in different parts of the country and the city I think what comes out of this is the need to seek to predict what systems of the City’s life will be most affected given what we now know, and then seek to make those resilient My guesses are most cities will see schools, nurseries and social care very affected In delivering this I am focusing on Local Authority services because this is a local authority seminar. I will, inevitably, do injustice to NHS family colleagues because of this. Setting up out of hours flu centres, for example, was a valuable experience for us. And the work of BADGER in developing clinical good practice in assessment and response is just one important piece of work from Birmingham I won;’t be able to do justice to. I will also inecvitably underestimate the role of the Birmingham Resilience Team and the multi-agency Birmingham Resilience Group. These have been hugely important and positive experiences.