Public Health and the Year of Cycling


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Presentation on public health aims for year of cycling, to the first meeting of the multi stakeholder Herts Cycling Forum , 31 July 2014

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Public Health and the Year of Cycling

  1. 1. Jim McManus, OCDS, CPsychol, CSci, AFBPsS ,FFPH, FCIEH, FRSPH Director of Public Health, Hertfordshire County Council 31st August, Hertfordshire Cycling Forum Public Health and the Year of Cycling in Hertfordshire
  2. 2. Overview • We have an opportunity in cycling no other county has • Lots of clubs, lots of participation • Amazing cycle infrastructure • A need to revise policy on cycling events – Chief Constable has now agreed this! • Working together • Cycling expertise, public health investment brings a year of cycling
  3. 3. Events in 2014 • Womens tour • Mens tour • We intend to look at a full leg in 2016 being held in Hertfordshire • Cycling events all over the County this year • Nomination for national transport award for promoting cycling to children and cycle training
  4. 4. Our ambitions • More people cycling more often • Cycling as sustainable transport • Cycling as pleasure and keeping healthy • Cycling on referral from health professionals • Cycle safety and learning for kids and adults • Mental health and physical health benefits • A new way of doing the Cycling Forum
  5. 5. We are facing an epidemiological crisis • Avoidable early deaths • Chronic disease – poor self management, poor management of sub-clinical risk, must do better on prevention and early intervention • Some sections of our population at very high risk of avoidable misery and death • Mental health – intervening too late • Resilience and Happiness – likewise
  6. 6. Strategies • Priority on maintaining a healthy weight • Priority on Physical activity
  7. 7. Phased Approach to public health transformation • Phase 1 – to Sept 2012. Focus on transactional issues, accommodation, co-location, scoping further work • Phase 2a – to March 2013 – moving into transformational. Wide engagement of team and staff etc • Phase 2b – to March 2013 – Transformational – the vision and strategy of what Public Health is offering Hertfordshire • Phase 3 – march 2013 to March 2014 – Embedding the transformation and new way of working • Phase 4 – 2014 onwards – the hard long term work of making Hertfordshire a public health county.
  8. 8. Healthier Herts: A Public Health Strategy for Hertfordshire OUR PURPOSE to work together to improve the health and wellbeing of the people of Hertfordshire, based on best practice and best evidence OUR VISION: A Healthy, Happy Hertfordshire: everyone in Hertfordshire is born healthy, and lives full, healthy and happy lives. We compare well with England and every area in Hertfordshire compares well against Hertfordshire Priority 5: We understand what’s needed and we do what works Priority 6: We make public health everybody’s business and work together HOW WE WILL WORK TOGETHER (our strategic priorities: how we do it for our County) The Public Health Outcomes Framework (the national PHOF will Help us measure Our success) WHAT WE WILL ACHIEVE WORKING FOR AND WITH OUR RESIDENTS (our strategic priorities: what we achieve for our County) Priority 1: Our Populatio n lives Longer, Healthier Lives Priority 2: Our Population Starts Life Healthy and Stays Healthy Priority 3: We narrow the gap in life expectancy and health between most and least healthy Priority 4: We protect our communities from harm (chemical, biological, radiological and environmental) Building Blocks For the Public Health Family Strong Leadership Capable, Skilled People Co-production with citizens Effective Partnerships Evidence and Knowledge Driven Plan and Deliver for Localism Whole System Approaches Making better use of behavioural sciences at individual, interpersonal, community and service levels
  9. 9. Some key challenges • Inactivity • Disease of Lifestyle • Culture • Cost • Sustainability • Air Quality
  10. 10. The Opportunity for Herts • The conditions for everyone to be healthy • The conditions for the poorest and worst off to be healthier • Public services which put this at the core of their business • People thriving and prosperous • Healthy workforce, prosperous County
  11. 11. Cycling as part of a County of Opportunity • Physical activity becomes second nature • Health benefits from self propelled transport (walking, cycling) • Sustainability benefits from self propelled transport • Cycling on referral
  12. 12. Year of Cycling • We will put cycling on the map in Hertfordshire as a leisure, health and transport activity • Complete revision of some work we’ve been doing including website and apps • Start of a 3 year plus cultural push on physical activity • County Council, Cycle Clubs, Districts, NHS, Police, working together
  13. 13. Year of Cycling • 1 year plus legacy period • Year of walking follows • Then year of swimming • Culture change • Already having an impact • £2m investment in District Councils by Public Health Chief constable and county council agree to new policy on cycling events/races
  14. 14. The Policy Context (England) does give us scope to address this • Local Authorities – duty to promote and protect health of population • NHS CCGs – duty to reduce inequalities in health • Behaviour change is a tool but we need to use it properly and use the right methods • A balanced strategy using a range of tools and strategies
  15. 15. Contributors to overall health outcomes and why elected councillors are important leaders Smoking 10% Diet/Exercise 10% Alcohol use 5% Poor sexual health 5% Health Behaviours 30% Education 10% Employment 10% Income 10% Family/Social Support 5% Community Safety 5% Socioeconomic Factors 40% Access to care 10% Quality of care 10% Clinical Care 20% Environmental Quality 5% Built Environment 5% Built Environment 10% Source: Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute. Used in US to rank counties by health status While this is from a US context it does have significant resonance with UK Evidence, though I would want to increase the contribution of housing to health outcomes from a UK perspective.
  16. 16. Primary Prevention Secondary Prevention Tertiary Prevention in and Out of hospital
  17. 17. Phasing and Layering across Lifecourse • Layering levels of action • Population – smoking ban • Sub-Population – NHS health checks • Individual – motivational interviewing, asserting clinical management of risk factors, pathways
  18. 18. Phasing and Layering • Phasing across the lifecourse and time Working age Accumulation Of risk in Late working age Good early Years outcomes For lifetime Mental health
  19. 19. Just some actions being taken so far (more will be done) 1. New weight management service already commissioned and reached 1st 1,000 referrals in three months, more will be commissioned 2. Obesity pathway in place for tiers 1 -3 obesity care. Revision late 2014 3. New lifestyle partnership launched with lifestyle offer for Herts residents to be ready by Easter for phased roll out 4. New online lifestyle service launched in February 5. Workplace physical activity challenge funded and running (Herts Sports Partnership) 6. Workplace Health improvement programme running (Business in the Community) 7. 93% of GPs in Herts now doing NHS HealthChecks 1. Obesity Plan approval by Cabinet due March 2014 2. New child weight management service to be commissioned in 2014 3. Broxbourne whole area obesity pilot underway with Borough and County Council, schools and NHS 4. Fast food takeaway restrictions 5. Countryside walks scheme 6. Year of Cycling launching May 2014 7. Funding for District Councils to work on health improvement agreed and each District working out its plans 8. Continue child weight measurement programme
  20. 20. Thank you! Other free slideshows Public Health page Free learning resources for public health