Public Health and Community Safety Working Together
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This is a joint presentation on how Public Health, Community Safety and Fire are working on shared agendas in Hertfordshire, given to the LGA Anual Safer Communities Conference, December 2015
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Public Health and Community Safety Working Together
- 1. www.hertsdirect.org Public Health and Community Protection in Hertfordshire: Shared Agendas, Shared Outcomes Mike MacGregor Joint Head of County Community Safety Unit Prof Jim McManus Director of Public Health Darryl Keen Deputy Chief Fire Officer LGA Safer Communities Conference Dec 9 2015
- 2. www.hertsdirect.org The Directorates • Community Protection – Fire – Trading Standards – Community Safety • Public Health – Health Protection – Health Improvement – Service Quality – Prevention – 1 PH Staff member embedded in Community Safety Unit; 3 joint working with them
- 3. www.hertsdirect.org Common Aims • People in Hertfordshire can be Safe • People in Hertfordshire have the opportunity to be Healthy Cross-representation on board – CCSU Board – Drug and Alcohol Strategic Board – Public Health Board – Drugs Commissioning Groups – Multi agency team includes PH
- 4. www.hertsdirect.org Areas of Joint Concern and Action • Alcohol • Drugs • Young People • Older People • Safer Communities • Domestic Abuse • Hate Crime • Tobacco Control • Ecigarettes
- 6. www.hertsdirect.org Some of what CP does in numbers Hertfordshire 2004 2014 Scams Visits 0 1000+ Training for Carers on SCAMS 0 1,000+ Rogue Trader Visits (70%+ over 65) 50 100+ Calls 14070 10710 Home Fire Safety Visit’s (soon to be Safe and Well Visits) Minimal <1,000 9,482 Budget (revenue not capital) £38m £35m
- 7. www.hertsdirect.org Some of what PH does in numbers from last year • 4,000 people in drug and alcohol treatment • 60,000 contacts with sexual health services • 20,000 women accessing contraception • 35,000 school nursing appointments • 27,000 NHS health checks • 32,000 people went on a health walk • 6,700 hours of public health advice to NHS commissioners
- 9. www.hertsdirect.org Drugs, Alcohol, Domestic Violence, Community Safety • Common use of Three Domains Model • Prevention and Education • Treatment, Care and Support • Enforcement and Control
- 10. www.hertsdirect.org Drug And Alcohol Strategic Board • Joint Chairs – DPH and Chief Constable • CCSU led the JSNA project with PH, across all three domains • Joint Strategy is next
- 11. www.hertsdirect.org Alcohol • In Hertfordshire 22,000 people will be admitted to hospital with alcohol related conditions and 11,000 will be a victim of alcohol related crime. • Shared Alcohol Strategy between CCSU and PH • Our recent alcohol campaign worked with pharmacies to disseminate harm-reduction information to the over 65s. • Alcohol Brief Advice Service Commissioned • Cardiff Model being implemented • trading standards carry out test and proxy purchasing of alcohol is driven by intelligence and aims to reduce the consumption of alcohol by young people. • Taxi diversion schemes joint funded
- 12. www.hertsdirect.org Alcohol Licensing • Joint approach to licensing taken to Members in 2014 • PH and CCSU worked together to object to licences • PH funded legal advice to support districts build new policies on licensing
- 13. www.hertsdirect.org Herts Home Safety Service • commissioned and managed by the Community Protection Directorate. three main elements 1. Home security 2. Home safety and fire safety 3. Falls prevention Service provides home fire safety checks, home security checks, rogue / doorstep trading advice and install and fit equipment that will prevent falls in the home
- 14. www.hertsdirect.org Integrated Offender Management • currently identifying the health needs of the IOM cohort • Links have been developed into mental health pathways including consultation sessions, personality disorder training and a possibility for autism training. • exchange of information from prison to the outside world, ensuring people know they can register or get access to a GP and identifying health needs for signposting. • PH Health Improvement Manager, co-located with CCSU working with criminal justice partners and chairs the ‘Offender Health Improvement Group
- 15. www.hertsdirect.org Domestic Abuse • widely recognised as a public health issue. • Community Protection formed an external pool of trainers to up skill professionals in the community in the area of DA. • The County DA strategy, drafted and managed by the CCSU clerly prioritises training to frontline health professionals in Hertfordshire. • In 2012/13, in partnership with Public Health, embarked upon training a significant number of GPs and practice staff. Our partnership with the University of Hertfordshire ensures we train all newly qualified midwives. • The unit co-ordinates Domestic Homicide Reviews. Public Health is partner in the expert panel • The unit is currently working with public health to ensure that all ‘red books’ i.e. the book given to new mothers following the birth of a child discretely contains a barcode leading to our DV helpline.
- 16. www.hertsdirect.org Tobacco Control • Hertfordshire Tobacco Control Strategy – Reducing adult prevalence rates – Reducing youth prevalence rates – Supporting people to quit
- 17. www.hertsdirect.org Tobacco Control: Youth Prevalence • No reported intelligence of sales of tobacco to minors • Unlike alcohol there is not the same anti-social behaviour linked to tobacco sales • Public Health had data on under 18s seeking to quit via Stop Smoking Services
- 18. www.hertsdirect.org Tobacco Control: Youth Prevalence
- 19. www.hertsdirect.org Tobacco Control:Reducing Adult Prevalence • Illicit Tobacco has a negative impact on adults seeking to quit • Supply of illicit tobacco linked to Serious and Organised Crime • Illicit Tobacco distorts local economy • Hertfordshire participated in a national Illicit Tobacco project during 2015
- 20. www.hertsdirect.org Tobacco Control: Reducing Adult Prevalence
- 21. www.hertsdirect.org Tobacco Control : Supporting People to Quit
- 22. www.hertsdirect.org Some challenges • Austerity climate • Avoidable and preventable disease and burden of disease including cost to public services growing • Joining up preventive action to save public money and keep people better longer • The Spending Review • Data Sharing
- 23. www.hertsdirect.org Complex Adults • Multi agency project • Very complex, chaotic and costly adults • We were there before the IPPR report!!!
- 24. www.hertsdirect.org New Corporate Prevention Board • A corporate workstream on prevention across the council • Led by Finance, Public Health and Community Prevention • Economic scoping of prevention possibilities underway
- 25. www.hertsdirect.org Ultimate aims: scaling up prevention • We all need to play a part in this – what can you do? • To ensure better communication over prevention plans & opportunities – Realising potential of strategic shift to prevention – Drawing on pathways out of primary care – Embedded within Your Care, Your Future • To develop closer working on prevention – leading to better prevention programmes – full contribution from all key parties • To consider opportunities for co-commissioning – Including follow up of successful prototypes/pilots
- 26. www.hertsdirect.org Areas we are scoping now • Safe and Well Home visits (Making Every Contact Count) • Mental Health Crime and Fire • Obesity • Excess winter deaths
- 27. www.hertsdirect.org Some developing projects • Drug testing on arrest (in place) • Alcohol offender tagging • Dementia “Safebit” technology
- 28. www.hertsdirect.org Thank You! • Mike.MacGregor@hertfordshire.gov.uk • Jim.McManus@hertfordshire.gov.uk (PS You don’t have to be a Scot to work here, it just helps. )
Editor's Notes
- Jim (short so we can keep to time)
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- Jim Since Public Health was transferred to the County council we have sustained over 120 workstreams covering all our statutory responsibilities. This is our plan on a page
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- Mike Hertfordshire Home Safety Service The Home Safety Service is commissioned and managed by the Community Protection Directorate. There are three main elements of the Service which are: 1.Home security 2.Home safety and fire safety 3. Falls prevention Falls prevention is a relatively new concept that aims to reduce risks such as trips and falls in the elderly, disabled or vulnerable that can lead to serious fall related injuries, functional decline and costly hospitalisation and/or emergency department visits. As part of a ‘wider public health offer’ front line fire fighters are soon to be trained in falls prevention to enable them to either sign post or carry out brief interventions when they carry out their ‘safe and well’ home visits. The aim of the Service is also to reduce the opportunity for residents to become victims of crimes or home fires. To reduce these risks the Service provides home fire safety checks, home security checks, rogue / doorstep trading advice and install and fit equipment that will prevent falls in the home
- Mike Integrated Offender Management – IOM Work is currently underway in the unit to identify the health needs of the IOM cohort - whether they match the general offending population or whether there is a need for some specific work. Links have been developed into mental health pathways including consultation sessions, personality disorder training and a possibility for autism training. Another project is looking at the exchange of information from prison to the outside world, ensuring people know they can register or get access to a GP and identifying health needs for signposting. The PH Health Improvement Manager, co-located with the CCSU has been working with criminal justice partners to evolve this work and chairs the ‘Offender Health Improvement Group’.
- Mike Domestic Abuse Domestic Abuse (DA) is widely recognised as a public health issue. Nationally health costs are estimated at £1.2 billion. The Community Protection Directorate is working intensively with partners in health to prevent domestic abuse and to support those affected by it. The unit has formed an external pool of trainers to up skill professionals in the community in the area of DA. The County DA strategy, drafted and managed by the CCSU clearly prioritises training to frontline health professionals in Hertfordshire. In 2012/13, in partnership with Public Health, we have embarked upon training a significant number of GPs and practice staff. Our partnership with the University of Hertfordshire ensures we train all newly qualified midwives. The unit co-ordinates Domestic Homicide Reviews. Public Health is a key statutory partner in the expert panel and several health trusts formally contribute to the review, which is now a statutory process. The CCSU is also the strategic lead for MARAC (Multi-agency risk assessment conference), holding three monthly conferences. Health visitors and midwives are frequently involved in the referral and risk assessment of DV cases and as such are very much involved in our work to protect high risk victims. Our health partners also make a critical contribution to both our local DV forums and the County-wide DV action group, both of which are represented by safeguarding leads from the respective health trusts. The unit is currently working with public health to ensure that all ‘red books’ i.e. the book given to new mothers following the birth of a child discretely contains a barcode leading to our DV helpline. The NHS is a major funding partner of the CCSU in supporting the SARC (Sexual Assault and Referral Centre), jointly funding this operation and providing the clinical services. CCSU fund and manage the voluntary sector ISVAs (independent Sexual Violence Advisors) to work with victims of assault and rape.
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- Mike then Jim on Dementia
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