A keynote presentation to the Scottish Public Health conference, Dunblane, October 26th 2017 170515 middleton j scotland fph vr3 complete

1. Scottish Faculty of Public Health
Annual conference, Dunblane,
October 27th 2016.
Health Come All Ye!
John Middleton
President for policy
UK Faculty of Public Health

2. Health come all ye!
‘Successes and challenges to delivering a local
approach to public health’
Scottish FPH Annual Conference, Health come all ye! J
Middleton October 27th 2016

3. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
Come all ye!
A genre of songs
known as "Come all
ye's", the kind of song
which begins with a
call to listen -- "Come
all ye (sons of liberty/
good people/ tramps
and hawkers/ etc) and
listen to my song"
The Breadalbane, ‘The Bothy’, Dundee
home of Dundee folk club tlll…? And
many a Come all ye….

4. A consultative document
prepared jointly by the Health
Departments of Great Britain
and Northern Ireland.
Prevention and health: everybody’s business 1976
A reassessment of public and personal health
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

5. Everybody’s business…
and nobody’s doing it….
.
Prevention and health: everybody’s business 1976
A reassessment of public and personal health
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

6. Public
‘ealth
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

7. Scottish FPH Annual Conference,
Health come all ye! J Middleton
October 27th 2016

8. Salus populi suprema
lex esto
Cicero
‘The health of the
people is the highest
law’
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

9. Scottish FPH Annual Conference, Health come all ye! J Middleton October
27th 2016
Working with long time constants

11. Scottish FPH Annual
Conference, Health
come all ye! J Middleton
October 27th 2016

13. Scottish FPH
Annual
Conference,
Health come
all ye! J
Middleton
October 27th
2016

15. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

18. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

19. Scottish FPH Annual
Conference, Health come
all ye! J Middleton October
27th 2016

20. Scottish FPH Annual
Conference, Health come
all ye! J Middleton
October 27th 2016

22. Sandwell Valley,
King George
Playing fields
2014

26. New leisure
centres Tipton

27. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
Working with long time constants

28. Improving
outcomes
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

29. A life course – 24th annual report for Sandwell
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

30. CHD Mortality 2000-2005
PERSONS, Less than 65 years
0.00
10.00
20.00
30.00
40.00
50.00
60.00
2000 2001 2002 2003 2004 2005
Rateper100,000
West Midlands England Sandwell

31. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
31

32. 32
Scottish FPH
Annual
Conference,
Health come all
ye! J Middleton
October 27th
2016

33. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

35. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

36. Figure 1, Teenage Conception 1998 - 2012
Sandwell's reduction since baseline (44%) is higher than England &
Wales's reduction of 40.8%. The West Mildands reduction has also
been lower than Sandwell at 42%. Figure 1, above, show that the
gap between Sandwell and England is reducing further.

37. • Maximise the capabilities
and control young and
adults
people have over their lives
: reduce the social gradient
of skills and qualifications
Scottish FPH Annual Conference,
Health come all ye! J Middleton
October 27th 2016

38. Working together, March 2015: John Middleton Vice president Faculty of Public Health

39. Working together, March 2015: John Middleton Vice president Faculty of Public Health

40. Marsch Addiction 1997

41. Domestic burglary Sandwell 2001-2005
Full implementation
drug intervention
project doubling
numbers of drug users
in treatment
1300 fewer
domestic
burglaries
33% fall

43. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

45. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
• I recommend Sandwell reviews its clinical policies for management
of failure of growth in the womb.
•
• I recommend this review be undertaken for the conurbation as well
if this can be agreed and organised rapidly.
•
• I recommend that the review should involve externally
commissioned experts with a national or international reputation.
•
• We need a new strategy for improving outcomes for pregnant
mothers, newborn babies and their families.
•

46. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
Housing and health

47. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
A box plot of the
Baseline SAP
measures for the
Sandwell MBC
housing stock,
1st April 2001, by
housing type,
n=25,595 dwellings

48. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
A box plot of the
Baseline SAP
measures for the
Sandwell MBC
housing stock,
31st March 2011,
by housing type,
n=25,595
dwellings

49. Housing and health -Results:
Significant relationship of improved thermal
efficiency with reducing excess winter deaths
Adjusting for all of the other variables there is
negative association between improved thermal
efficiency and the odds of being admitted as an
emergency
People in warmer homes appear to be admitted less
for serious illnesses
The result is statistically significant
The effect size appears large
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016

50. Table 2 a Preventable causes of hospital admission, Sandwell and Western Birmingham
Clinical commissioning group, 2012-13

52. Scottish Public Health Conference, J Middleton, October 27th 2016

56. Options for life self-built community centre

57. Options for life

59. Salop drive and Ideal for All Growers

64. i- House, demonstration
house West Bromwich
2008

66. Good corporate citizen award
38 apprentices
Rationalisation of offices : 6
leases surrendered
890 tonnes of CO2 reduction
£200k saved

67. Scottish Public Health Conference, J Middleton, October 27th 2016
Wolverhampton
University’s Health
Futures University
Technical college, built in
West Bromwich, opened Autumn
2015
Providing
education
and
prospects for
careers in
health,
public health
and care for
14-19 year
olds

68. Scottish Public Health Conference, J Middleton, October 27th 2016

69. Scottish Public Health Conference, J Middleton, October 27th 2016
1001 critical days
Personal health and social
relationships education, PHSE in all
schools
2 hours physical activity per week
reinstated

70. South West Public Health Training Conference Conference, JMiddleton October 13th 2016
Stop marketing of foods high in sugar, salt and fat,
before the 9pm watershed and tighten marketing
restrictions
Introduce 20% duty on sugar sweetened beverages
Tackle alcohol related harm by introducing a minimum
unit price for alcohol of at least 50p
Rapidly implement standardised tobacco packaging
20 Mph speed limits

71. Scottish Public Health Conference, J Middleton, October 27th 2016
A living wage
Reaffirm commitment to universal
health care system free at the point of
need funded through general taxation

72. Scottish Public Health Conference, J Middleton, October 27th 2016

73. Scottish Public Health Conference, J Middleton, October 27th 2016
Invest in active transport to promote good
health and reduce our impact on climate change
Implement a cross national approach to meet
climate change targets, including a rapid move to
a 100% renewables and a zero carbon energy
system

74. My presidency
Build local authority relationships
Build relationships in health and public health
services in four nations of the UK
Do things jointly where possible - policy statements,
conferences
Implement new curriculum: personal effectiveness
and values and ethics; rebuild health protection and
health care public health
Develop member involvement
Ensure solid member services, build special interests
Develop faculty governance
Pursue 12 asks of the Manifesto
Planetary health
A Public health curriculum for young people
Brexit, drugs, air pollution, AMR, violence prevention
‘Don’t just fight for the profession of public health
fight for the public’s health’

75. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
Assets for the public’s health in Scotland
A belief in human rights

76. Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th 2016
Assets for the public’s health in Scotland
The public health review
The Scottish FPH public health manifesto –A call
to action to improve Scotland’s Health
Independent thinkers
Strong sense of advocacy- local and global
Still willing and able to talk about human rights
Freedom come all ye!

77. Where there is no vision the
people suffer
Andrija Stampar, Yugoslavian Public health pioneer and WHO founding
father
After Proverbs/29-18.
Scottish Public Health Conference, J Middleton, October 27th 2016

78. And to conclude ……

81. it's not who
your doctor
is, it's who
you vote for,
that most
affects your
health

82. Freedom come all ye
Scottish FPH Annual Conference, Health come all ye! J Middleton October 27th
2016

83. Roch the wind in the clear day’s dawin
Blaws the cloods heelster-gowdie ow’r the bay,
But there’s mair nor a roch wind blawin
Through the great glen o’ the warld the day.
It’s a thocht that will gar oor rottans –
A’ they rogues that gang gallus, fresh and gay –
Tak the road, and seek ither loanins
For their ill ploys, tae sport and play

84. Nae mair will the bonnie callants
Mairch tae war when oor braggarts crousely
craw,
Nor wee weans frae pit-heid and clachan
Mourn the ships sailin’ doon the Broomielaw.
Broken faimlies in lands we’ve herriet,
Will curse Scotland the Brave nae mair, nae
mair;
Black and white, ane til ither mairriet,
Mak the vile barracks o’ their maisters bare.

85. So come all ye at hame wi’ Freedom,
Never heed whit the hoodies croak for doom.
In your hoose a’ the bairns o’ Adam
Can find breid, barley-bree and painted room.
When MacLean meets wi’s freens in Springburn
A’ the roses and geans will turn tae bloom,
And a black boy frae yont Nyanga
Dings the fell gallows o’ the burghers doon.

86. Thank you
Professor John Middleton
Faculty of Public Health
president@fph.org.uk