Acting on wider Determinants: A
DPH Perspective
District Councils’ Network, LGA, 4 Sept 2013
Jim McManus, FFPH, CPsychol, ...
Public Health
Prevent Promote Protect
Hertfordshire
• 1.1m People in 37 Settlements
• 10 District/Borough/City Councils
• ...
Public Health
Prevent Promote Protect
Public Health
Prevent Promote Protect
Systems thinking on wider determinants
Getting everyone on the same systems page
The...
Public Health
Prevent Promote Protect
Conceptualising the role of
Local Government in wider determinants
Smoking 10%
Diet/...
Public Health
Prevent Promote Protect
40 years of science/policy
on wider determinants
• From Rose to Black to Marmot....
Public Health
Prevent Promote Protect
The Herts Policy Ethos
• Very apparent every council in Herts is already
trying to m...
Public Health
Prevent Promote Protect
Towards Shared Principles
• Public Health might have been designed on a
unitary mode...
Just some examples of district led
work....I could easily do four or more
from every district.
Public Health
Prevent Promote Protect
Parks
Public Health
Prevent Promote Protect
Planning
• Obesity in core strategy
• Planning approach to Obesity
– Children
– Adul...
Public Health
Prevent Promote Protect
People 50+
• 50+ Golf Discount Card
• Dance Opportunities
• Walking for health, fun ...
Public Health
Prevent Promote Protect
Alcohol
• No More Project
• Very Chaotic Users
• Signposts and accompanies
– Wholist...
Public Health
Prevent Promote Protect
Whole System Approach
• Health Partnerships (Every district)
• Health Promotion Dedi...
Public Health
Prevent Promote Protect
Strategic Focus
• South Oxhey
• Area of Significant Deprivation
• Joint Working betw...
Public Health
Prevent Promote Protect
Better Together
• Public Health Board
• Public Health Partnership Fund for every dis...
The Hertfordshire Public
Health Board Members
Some of our partners
Public Health
Prevent Promote Protect
The Future
• Countywide coverage, local focus
• Complementary skills
• Skilled, comm...
Public Health
Prevent Promote Protect
Herts Public Health Conference
• 4th December, 300 People
• Stream for elected membe...
Public Health
Prevent Promote Protect
Key Advice for a County DPH
• Acknowledge blessings, not problems
• Fit your strateg...
Public Health
Prevent Promote Protect
Thank you!
Jim.mcmanus@hertfordshire.gov.uk
Public Health Service Pages
http://www.h...
Upcoming SlideShare
Loading in …5
×

Public health perspective on wider determinants and district/county councils. LGA District Councils Network 4 Sept

538 views

Published on

This is my presentation on the role of District Councils in WIder Determinants of health, for the local Government Association's District Councils' Network event on 4 Sept

Published in: Health & Medicine, Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
538
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Public health perspective on wider determinants and district/county councils. LGA District Councils Network 4 Sept

  1. 1. Acting on wider Determinants: A DPH Perspective District Councils’ Network, LGA, 4 Sept 2013 Jim McManus, FFPH, CPsychol, Csci, AFBPsS, FRSPH, MCIEH Director of Public Health, Hertfordshire
  2. 2. Public Health Prevent Promote Protect Hertfordshire • 1.1m People in 37 Settlements • 10 District/Borough/City Councils • 1 County Council • 2 NHS CCGs • 8 NHS Trusts • 1400+ vol orgs • Urban/Rural mix
  3. 3. Public Health Prevent Promote Protect
  4. 4. Public Health Prevent Promote Protect Systems thinking on wider determinants Getting everyone on the same systems page The wider determinants of Health and Local Government functions (Must adopt a Lifecourse approach!) The Lives people lead and whether LA functions help or hinder healthy lifestyles (policy, service quality, access, behavioural economics, behavioural sciences) The services people access such as primary care (high quality, easy access, good follow up, behavioural and lifestyle pathways wrap around)
  5. 5. Public Health Prevent Promote Protect Conceptualising the role of Local Government in wider determinants 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. Contributors to overall health outcomes
  6. 6. Public Health Prevent Promote Protect 40 years of science/policy on wider determinants • From Rose to Black to Marmot....
  7. 7. Public Health Prevent Promote Protect The Herts Policy Ethos • Very apparent every council in Herts is already trying to mainstream public health across its business – Consider impact of all they do on health – Local focus with an eye to the Health and Wellbeing Strategy – Develop a plan to deliver this • Opportunity is to build on this
  8. 8. Public Health Prevent Promote Protect Towards Shared Principles • Public Health might have been designed on a unitary model but we will innovate and succeed in multi-tier areas • The Local Govt Family is a major asset in public health  Parishes/Towns – we need to do more  Counties and Districts cannot do public health without each other. • Three tier areas can do public health with style!  Strong science, strong political leadership,  countywide approach, local focus & engagement
  9. 9. Just some examples of district led work....I could easily do four or more from every district.
  10. 10. Public Health Prevent Promote Protect Parks
  11. 11. Public Health Prevent Promote Protect Planning • Obesity in core strategy • Planning approach to Obesity – Children – Adults • Whole System Obesity Pilot for Herts • Sustainable Community Strategy and Core Strategy has Health Ambitions
  12. 12. Public Health Prevent Promote Protect People 50+ • 50+ Golf Discount Card • Dance Opportunities • Walking for health, fun and fitness • The North Herts 50+ Forum
  13. 13. Public Health Prevent Promote Protect Alcohol • No More Project • Very Chaotic Users • Signposts and accompanies – Wholistic addressing of problems, food access, housing, benefits, skils.... • Reduces re-offending • Reduces A and E attendance
  14. 14. Public Health Prevent Promote Protect Whole System Approach • Health Partnerships (Every district) • Health Promotion Dedicated Staff Time/People • Each district has a Strategy • Just four Examples – Bereaved Men (E Herts) – Leisure Access (Welwyn Hatfield) – Young People and Mental Health (St Albans) – Older People, Long term conditions leisure/ decent homes standard (Dacorum)
  15. 15. Public Health Prevent Promote Protect Strategic Focus • South Oxhey • Area of Significant Deprivation • Joint Working between two councils • Assessment of Need • Development of local strategy • Focus of whole council services • Asian Women Premature Mortality in Watford
  16. 16. Public Health Prevent Promote Protect Better Together • Public Health Board • Public Health Partnership Fund for every district – Match funds community safety fund • Public Health Strategy (Herts wide and local) • Workforce Development, 400 people 2013-14 with RSPH – Elected Members – Leisure Officers – Council staff – Third Sector • Online MPH Public Health from2013, route to PH Practitioner being developed • Exercise Referral Schemes
  17. 17. The Hertfordshire Public Health Board Members
  18. 18. Some of our partners
  19. 19. Public Health Prevent Promote Protect The Future • Countywide coverage, local focus • Complementary skills • Skilled, commited workforce – Public Health Career Structure for whole PH family • Third Sector, Public Sector and Private Sector providers • Healthy Workforce, Prosperous County • Children
  20. 20. Public Health Prevent Promote Protect Herts Public Health Conference • 4th December, 300 People • Stream for elected members • Stream for third/community sectors • Celebrating our Public Health Family
  21. 21. Public Health Prevent Promote Protect Key Advice for a County DPH • Acknowledge blessings, not problems • Fit your strategy to harness the culture • Count your assets... starting with elected members • Enable networks of action, don’t establish hierarchies of control (‘cos you won’t succeed) • Localism is a gift if you can make it happen • The 3 tier structure lends itself to public health action on wider determinants
  22. 22. Public Health Prevent Promote Protect Thank you! Jim.mcmanus@hertfordshire.gov.uk Public Health Service Pages http://www.hertsdirect.org/your-council/hcc/publichealth/ Health in Herts Portal http://www.hertsdirect.org/services/healthsoc/healthherts/

×